Rheumatic heart disease (RHD) is an acquired with valve disorder that persists due to previous acute rheumatic fever, mainly affecting the mitral (75%), aorta (25%), rarely tricuspid valve, and never valves lungs. A 52-year-old male patient, domiciled in Mutiara (Alue Awe) Lhokseumawe City, Indonesia. Come for outpatient treatment at Polyclinic of Cut Meutia Hospital. Patients are who routinely...