quick cards questions: what heart defects do you have to have Abx prophylaxis?

[Pixye1]

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I can never remember these! thanks!

 

[arthrodisiac]

it depends on what procedure you are having....dental vs. GI vs urology vs open surgery (so called low medium high risk procedures). i think it was uw that had a bunch of questions on this that i refused to memorize because i was willing to get one wrong vs the mental trauma of learning this useless information

 

[katrinadams9]

I'm pretty sure VSD, MVP, mitral regurg, mitral stenosis, valve replacements... can't remember the rest.

 

[sether52do]

I'm pretty sure VSD, MVP, mitral regurg, mitral stenosis, valve replacements... can't remember the rest.

...just an addition. I don't believe MVP without a murmur needs it.

 

[domer621]

They actually just revised the guidelines this year:
http://cardiology.jwatch.org/cgi/content/full/2007/530/1

IE prophylaxis is reasonable (Class IIb, level of evidence C) for dental procedures that involve gingival tissues or the periapical region of a tooth and for procedures that perforate the oral mucosa, in patients with cardiac conditions associated with the highest risk for adverse outcomes from IE:

* prosthetic cardiac valve
* previous IE
* unrepaired congenital heart disease (including palliative shunts and conduits)
* completely repaired congenital heart defect with prosthetic material or device, during the first 6 months after the procedure
* repaired congenital heart disease with residual defects at the site or adjacent to the site of a prosthetic patch or device
* cardiac transplantation recipients who develop cardiac valvulopathy

No longer needed for MVP or any other isolated murmurs unrelated to congenital heart disease.

 

[Pixye1]

thnx so much!