Thanks again, Robert! - again, you are right - I had been googling 7591 and EL84 all along and that's why I hadn't found any useful results.
I just googled the correct pair and they are indeed possibly interchangeable, the big difference being the operating voltage of the circuit. The Scott 299-B appears (anecdotally?) to operate at 355 volts which is higher than the EL84 rating, but not quite at the 400V rating of the 7189. That was probably a measured voltage and not necessarily nominal. Now, given that the amp has performed fine for the last 8 years, perhaps because I have never had a need to push it too much with the La Scala's efficiency, is it safe to assume this configuration is safe electronically? Then the final question remains of would the sound characteristic of the power tubes be much different between these two tubes types?