To--sami,misshyd,medick--Endocarditis prophylaxis - mohd_majid
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To--sami,misshyd,medick--Endocarditis prophylaxis - mohd_majid
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09-12-2011, 03:59 AM
which is correct ?
master the boards says No-prophylx--in Mitral valve prolapse--EVEN if murmur present & crush step 3--says U have to give !!! which is correct ??? thanks
09-12-2011, 07:53 AM
you can search in uptodate.com
they have answer for everything. For example, to find answer for yor question, search : prophylaxis for endocarditis. => current guideline from AHA says: No need.
09-12-2011, 08:01 AM
Anyone can tell me what PR audio stand for? I start to prepare for step 3. Just do a google search and still do not know how to buy or download PR note.
thanks,
09-12-2011, 04:24 PM
dear, most of these concepts you can get answers by searching this forum in search box. We have discussed this so many times.
Prophylaxis is no longer indicated in MVP ( does not matter with or with out murmur) here is my old post reference from dr.red cardiology :- In case of Infective Endocarditis, most often questions are on Prophylaxis – where to give it? How do you decide? What advise will you give patient etc!! In case of IE prophylaxis, First determine if the patient has a cardiac condition that puts him at HIGH risk for IE or not and then determine whether the planned procedure presents a significant risk of bacteremia with organisms known to cause IE. As per AHA (2007) guidelines, IE prophylaxis is recommended only in HIGH RISK cardiac conditions prior to high risk dental procedures alone. No prophylaxis is recommended for Moderate risk cardiac conditions (i.e; Rheumatic Heart Disease, MS, MR, MVP with MR, VSD, AS are no longer an indication for IE prophylaxis prior to ANY procedure!) As per AHA-2007 guidelines, No prophylaxis is recommended in ANY cardiac condition prior to GI/ GU procedures Cardiac Conditions Associated with Endocarditis - Endocarditis prophylaxis recommended in these High-risk categories only combined with high risk procedure - Prosthetic cardiac valves,bioprosthetic and homograft valves - Previous bacterial endocarditis - Complex cyanotic congenital heart disease (e.g., single ventricle states, transposition of the great arteries, tetralogy of Fallot) - Surgically constructed systemic pulmonary shunts or conduits Endocarditis prophylaxis NOT recommended in the following Moderate and low risk categories := - Most other congenital cardiac malformations (other than above and below) - Acquired valvar dysfunction (e.g., rheumatic heart disease) - Hypertrophic cardiomyopathy - Mitral valve prolapse with valvar regurgitation and/or thickened leaflets - Isolated secundum atrial septal defect - Surgical repair of atrial septal defect ventricular septal defect, or patent ductus arteriosus (without residua beyond 6 months) - Previous coronary artery bypass graft surgery - Mitral valve prolapse without valvar regurgitation - Previous rheumatic fever without valvar dysfunction - Cardiac pacemakers (intravascular and epicardial) and implanted
09-12-2011, 04:25 PM
By the way, Crush needs to "crush" those old guidelines
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