EMF (endomyocardial fibrosis) | RHD (rheumatic heart disease) |
Starts as a febrile illness with facial swelling | Starts as a febrile illness with joint swelling |
May occur in neonatal period and infancy | Uncommon in neonatal period and infancy |
AV (atrioventricular) regurgitation mild to moderate | Moderate to severe |
Stenosis of AV valves uncommon | Common |
Semilunar valves are unaffected | Commonly affected |
Pancarditis like picture is present | Present |
Antiheart antibodies are found | Found |
Infectious and immunological mediated mechanism is suggested | Suggested |
Endocardial and apical fibrosis | Commissural fusion and chordal fibrosis |
Fibrosis is a diffuse process and may affect skeletal muscles | Localized to valvular apparatus only |