Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss about the rheumatic heart disease and its management. If the patient is symptomatic and valve area is less than 1.5 then balloon valvotomy or mitral valve repair. If the patient is asymptomatic then follow up is needed every one to two years. Also, rule out other possibilities of breathless such as anemia, thyroid problems, lung function test, etc.