commonly affected and no patients had a previous history of rheumatic heart disease. Cardiac clinic followup isnowhigh,with 82%ofpatients attending for further consultations. Previous “no-show” rates for outsourced cardiology referrals, including for echocardiography, was up to 90%. Conclusion:Portable 2D-echocardiography is a valuable add-on to the on-site cardiology clinic within the AMS and detects high rates of pathology as well as improving patient follow up. http://dx.doi.org/10.1016/j.hlc.2013.05.602 601 Key Factors Influencing Primary Health Service Performance in Prevention Of Recurrent ARF and RHD M. Fittock ∗, K. Edwards NT RHD Control Program, Northern Territory, Australia Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) remain important causes of illness and prematuredeathamongchildrenandyoungadults inAustralian Indigenous populations. Rheumatic fever became a notifiable condition in 1995 in the Northern Territory (NT) and subsequently the NT RHD Register and the NT RHD Control Program was established to provide a website interface data repository to capture a clinical patient reporting system for rheumatic fever episodes. The primary role of the Control Program is to collaboratively and systematically work with primary health care (PHC) services to improve secondary prophylaxis adherence rates. Secondary prevention of ARF with four weekly administration of benzathine penicillin (BPG) (secondary prophylaxis) in people with known or past ARF/RHD is proven to work and is cost-effective. Evidence suggests that the development and establishment of a systematic and structured approach to improve adherence to secondary prophylaxis is paramount to improve health outcomes. The NT RHD Control Program provides RF and RHD educational and training programs and conducts annual continuous quality improvement (CQI) processes to proactively support health services to develop a systematic structured approach with nominated targets to improve secondary prophylaxis adherence rates and the administration and management of their RHD Program. Analysis of the RHD prevention program has revealed that reduced recurrence rates of ARF have been achieved year by year; however, overall, patients on preventative four weekly LA Bicillin injections only receive 60% of their doses. This paper will discuss issues and new initiatives to improve adherence to secondary prophylaxis. http://dx.doi.org/10.1016/j.hlc.2013.05.603 602 Outcomes of Cardiac Catheterisation Procedures in Indigenous Australians C. Zeitz 1,2, A. Brown3, R. Tavella 1,2, M. Worthley1,4, S. Worthley1,4, D. Chew5, M. Arstall 1, J. Beltrame1,2,∗ 1 The University of Adelaide, Australia 2 The Queen Elizabeth Hospital, Australia 3 South Australian Health and Medical Research Institute, Australia 4 Royal Adelaide Hospital, Australia 5 Flinders Medical Centre, Australia Background: Outcomes following cardiac intervention for Indigenous patients may be less favourable, owing to more extensive disease or higher prevalence of cardiovascular risk factors. Methods: The Coronary Angiogram Database of South Australia (CADOSA) is a comprehensive registry of all public cardiac catheterisation procedures performed in South Australia (SA). Data for 2012 was used to describe baseline characteristics and in hospital events among Indigenous Australians. Results: CADOSA Population Non-Indigenous n= 3587 Indigenous n= 135 (4%) p Age 64± 12 50± 12 <0.01 Female gender 1177 (33%) 68 (50%) <0.01 Current smoker 780 (24%) 69 (57%) <0.01 Hypertension 2341 (65%) 100 (74%) 0.03 Dyslipidaemia 2180 (61%) 96 (71%) <0.01 Dialysis 43 (1%) 20 (15%) <0.01 Angiogram for ACS 1912 (54%) 93 (69%) <0.01 Transferred for procedure 179 (5%) 16 (12%) <0.01 Normal coronaries (<50%) 909 (26%) 36 (27%) 0.37 PCI performed 1363 (38%) 50 (37%) 0.86 Appropriate procedure 2264 (79%) 99 (87%) 0.10 In hospital death 46 (1.3%) 1 (0.8%) 1 Access site complication 52 (1.5%) 2 (1.5%) 1 Bleeding within 72h 89 (2.5%) 2 (1.5%) 0.77 Conclusion: IndigenousAustralians present for angiography nearly 15 years earlier than non-Indigenous Australians. Despite this, they present with greater incidenceof comorbiditiesandaremoreoften transferred.PCI rate and in-hospital complications do not differ; however further evaluation is required with a larger cohort. http://dx.doi.org/10.1016/j.hlc.2013.05.604