Abstract
It is widely reported that the natural history of rheumatic heart disease (RHD) is more aggressive in developing countries, manifesting symptoms and requiring interventions at a younger age than in industrialized nations [1–5]. As the demographics in urban America shift with growing immigrant minorities from Latin America and other developing countries, it is possible that the demographics and natural history of RHD in the U.S. are changing as well. We compared the natural history and disease burden between immigrant and indigenous patients with RHD receiving care at Cook County Health and Hospitals System, a large public health care network serving inner-city Chicago.
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