| Category | Duration after last attack |
| Rheumatic fever with carditis and residual heart disease (persistent valvular disease*) | 10 years or until 40 years of age (whichever is longer) Sometimes lifelong prophylaxis (refer to UpToDate topics on treatment and prevention of acute rheumatic fever and management and prevention of rheumatic heart disease) |
| Rheumatic fever with carditis but no residual heart disease (no valvular disease*) | 10 years or until 21 years of age (whichever is longer) |
| Rheumatic fever without carditis | 5 years or until 21 years of age (whichever is longer) |
