RHD is uncommon globally, with a decreasing trend in mortality. 1 However, RHD is an endemic disease in Malaysia, and it remains a neglected disease among patients and healthcare professionals because most patients are asymptomatic. 2 A recent review showed that the burden of RHD in the adult population was 77.1%, and the number of patients requiring mitral valve intervention increased from 55.8 patients per year in 1997 to 184 patients per year in 2012. 2 , 3 Because patients are asymptomatic, they have a higher predisposition to defaulted follow‐up and treatment.
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HUSM endocarditis team's approach to acute ruptured chordae tendineae in chronic rheumatic heart disease.
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