What is the role of antimicrobial prophylaxis in the perioperative management of cardiac patients?

Updated: Feb 06, 2020
  • Author: Davinder Jassal, MD; Chief Editor: William A Schwer, MD  more...
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According to the revised guidelines of the AHA published in 1997, [18] cardiac conditions in which antimicrobial prophylaxis is indicated prior to invasive dental or surgical procedures include the following:

  • Prosthetic heart valve

  • Prior history of infective endocarditis

  • Cyanotic congenital heart defect

  • Surgically constructed systemic or pulmonary conduit

  • Hypertrophic cardiomyopathy

  • Mitral valve prolapse with regurgitation, valve thickening, or both

Endocarditis prophylaxis is not recommended for the following:

  • Atrial septal defect

  • Surgically repaired ventricular septal defect

  • Patent ductus arteriosus

  • Isolated mitral valve prolapse

  • Mild tricuspid regurgitation

  • Previous rheumatic fever or Kawasaki disease without valvular dysfunction

  • Cardiac pacemaker

  • Implantable defibrillator

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