Is rheumatic heart disease inherited or acquired?

Rheumatic heart disease is usually considered acquired, details are as follows:

Rheumatic heart disease is caused by group A hemolytic streptococci infection allergic disease, belongs to autoimmune disease. Usually acquired infection caused by pathogenic bacteria, so in clinical consideration is acquired disease. Pathological changes in the heart site mainly occur in the heart valve site, mitral valve is a more common affected site. There are often no obvious symptoms in the early stage of the disease, and there will be palpitation, shortness of breath, fatigue, cough, edema of the lower limbs and pink foam sputum in the later stage.