13th March 2024

You are the doctor on the cardiology ward and are reviewing a 39-year-old male who initially presented with exertional dyspnoea and arthralgia.

You are the doctor on the cardiology ward and are reviewing a 39-year-old male who initially presented with exertional dyspnoea and arthralgia. Echocardiogram revealed moderate mitral regurgitation. In view of a recent streptococcal throat infection, he was managed as rheumatic fever, and today is his last day of oral phenoxymethylpenicillin. His fever has now settled, and he is now medically fit for discharge. With regards to further management of his rheumatic fever, which of the following options is recommended?

Select the SINGLE most appropriate option from the list below. Select ONE option only.