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HardCardiologyRheumatic heart disease secondary prophylaxisau-amcau-racgpau-racp

A 24-year-old Aboriginal man from a remote Northern Territory community presents for review after a recent episode of acute rheumatic fever with carditis. Echocardiography shows moderate rheumatic mitral regurgitation. According to Australian rheumatic heart disease guidelines, what is the most appropriate long-term secondary prophylaxis?

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