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HardCardiology,Indigenous HealthRheumatic heart disease secondary prophylaxisau-amcau-racgpau-racp

A 35-year-old Aboriginal man living in a remote community had a documented episode of definite acute rheumatic fever (ARF) with carditis at age 14. He has mild rheumatic mitral regurgitation and remains in sinus rhythm. According to the current Australian ARF/RHD guideline, what is the most appropriate ongoing secondary prophylaxis regimen?

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