Rheumatic heart disease has no obvious symptoms in the early stage of the disease, but in the late stage of the disease, symptoms such as dyspnea and edema of the lower limbs may appear, and may be accompanied by atrial fibrillation. Rheumatic heart disease early heart valve can appear inflammation, manifested as aortic valve, mitral valve or tricuspid valve and other valve stenosis and closure insufficiency, the disease can be no obvious clinical manifestations in the early stage, the heart ultrasound can appear abnormal. After the gradual progress of rheumatic heart disease, cardiac insufficiency will occur, and different degrees of pulmonary stasis will appear, and the patients may show wheezing after activities, and in the late stage of the disease, obvious dyspnea, paroxysmal dyspnea at night, and lower limb edema may appear. Patients can also develop cardiac arrhythmias, such as atrial fibrillation. Rheumatic heart disease will progress gradually, with different manifestations at different times. When heart failure occurs, it should be treated actively to prevent heart failure and related complications.