Presenting symptoms in chronological order include
Importance of joint involvement in cardiovascular system :
- Dyspnoea
- Palpitation
- Chest pain
- Cyanosis
- Edema
- Syncopal attack
- Cough
- Cough due to recurrent respiratory infection as in Mitral valvular disease, left to right shunt
- Nocturnal cough in PND
- Cough with pink frothy sputum in pulmonary edema.
- Hemoptysis
- Fatigue.
- Fever
- Joint pain
Importance of joint involvement in cardiovascular system :
- Acute rheumatic fever
- Rheumatoid arthritis. SLE. ankylosing spondylitis may be associated with Aortic or mitral regurgitation
- Infective endocarditis