Question

A 46 year old Aboriginal woman with established rheumatic mitral regurgitation and previous valve surgery has limited access to specialist care. She already receives regular benzathine benzylpenicillin injections. Which additional strategy best represents tertiary prevention to reduce complications of rheumatic heart disease?

Accepted Answer

Regular structured follow up with echocardiography, optimisation of heart failure and arrhythmia treatment, and timely referral for repeat intervention if required

Answer

Ceasing secondary prophylaxis because surgery was completed

Answer

No need for follow up if asymptomatic

Answer

Use of herbal remedies only

Answer

Rely on emergency presentations to trigger care

Practice question