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. 2018 Feb 14;7(4):e008039. doi: 10.1161/JAHA.117.008039

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© 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Flow chart of the PROVAR (Rheumatic Valve Disease Screening Program) study. CNHS indicates Children's National Health System; IRB, institutional review board; and UFMG, Universidade Federal de Minas Gerais.