Rheumatism could cause heart disease (valvular disease) which is caused by streptoccocus hemolytic B, the immune complex Antibody-Antigen could be deposited on the heart's valve which would harm the valve and lead to valvular heart disease.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.