Question

A 19 year old Aboriginal woman from a remote community has a systolic murmur consistent with mitral regurgitation and a history of acute rheumatic fever. She has not had an echocardiogram for 5 years. What is the most appropriate screening and monitoring strategy?

Accepted Answer

Regular echocardiographic surveillance to monitor rheumatic valve disease progression

Answer

No further echocardiography is required if she is asymptomatic

Answer

Echocardiography only if she develops heart failure symptoms

Answer

ECG alone is sufficient

Answer

Stress testing alone is adequate

Practice question

A 19 year old Aboriginal woman from a remote community has a systolic murmur consistent with mitral regurgitation and a history of acute rheumatic fever. She has not had an echocardiogram for 5 years. What is the most appropriate screening and monitoring strategy?