Abstract
Administration of prophylactic antibiotics to a dental patient with a history of heart murmur, rheumatic fever or mitral valve prolapse should be based on a reliable diagnosis of heart valve disease. The authors conducted a study of 68 diabetic patients who reported having these conditions and found that at least 65 percent of these patients actually had no evidence of a pathological heart murmur during two previous physical examinations. They concluded that a self-reported history of heart valve disease should not be the sole criterion for antibiotic premedication.
Publication types
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adolescent
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Adult
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Antibiotic Prophylaxis*
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Chi-Square Distribution
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Dental Care*
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Diabetes Mellitus, Type 1 / complications
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Endocarditis, Bacterial / prevention & control
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False Positive Reactions
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Female
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Heart Murmurs / complications*
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Heart Murmurs / diagnosis
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Humans
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Male
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Medical History Taking
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Middle Aged
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Mitral Valve Prolapse / complications
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Mitral Valve Prolapse / diagnosis
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Physical Examination
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Reproducibility of Results
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Rheumatic Heart Disease / complications
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Rheumatic Heart Disease / diagnosis
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Self Concept