MediumIndigenous HealthSecondary prophylaxis in rheumatic heart diseaseau-amcau-racgpau-racp
A 70-year-old Aboriginal man living in a remote community presents with exertional dyspnoea and bilateral ankle swelling. He had rheumatic fever in childhood and has known moderate rheumatic mitral regurgitation. He has been inconsistent with follow-up but is currently asymptomatic at rest with stable observations. Which ongoing management is most important to reduce his long-term risk of recurrent rheumatic fever and progression of rheumatic heart disease?