- For acute rheumatic fever: two major, or one major, and two\n
  minor manifestations, plus evidence of preceding streptococcal\n
  infection; \n
  - major manifestations: migratory polyarthritis; carditis; chorea;\n
    erythema marginatum; subcutaneous nodules of recent onset\n
  - minor manifestations: fever; arthralgia; elevated ESR or \n
    positive C-reactive protein; prolonged P-R interval on ECG\n
- For chronic rheumatic heart disease: either physical findings\n
  consistent with a valve lesion of the heart in a patient with a \n
  history of rheumatic fever; or physical findings consistent with\n
  mitral stenosis, even in the absence of a history of rheumatic \n
  fever, but without any other demonstrable cause