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The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Guidelines for the Management of Patients With Valvular Heart Disease: Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Valvular Heart Disease)

Open access
Bonow, Robert O., Carabello, Blase, de Leon, Antonio C., Edmunds, L. Henry, Fedderly, Bradley J., Freed, Michael D., Gaasch, William H., McKay, Charles R., Nishimura, Rick A., O’Gara, Patrick T., O’Rourke, Robert A., Rahimtoola, Shahbudin H., Ritchie, James L., Cheitlin, Melvin D., Eagle, Kim A., Gardner, Timothy J., Garson, Arthur, Gibbons, Raymond J., Russell, Richard O., Ryan, Thomas J., Smith, Sidney C.·1998·Circulation

Abstract

This committee recommends prophylaxis in hypertrophic cardiomyopathy only when there is latent or resting obstruction.• Patients with mitral valve prolapse (MVP) without regurgitation require additional clinical judgment.Indications for antibiotic prophylaxis in MVP are discussed in section III.D. Patients who do not have mitral regurgitation (MR) but do have echocardiographic evidence of thickening and/or redundancy of the valve leaflets and especially men >45 years may be at increased risk for bacterial endocarditis.5 Additionally, approximately one third of patients with MVP without MR at rest may have exercise-induced MR.Some patients may exhibit MR at rest on 1 occasion and none on others.There are no data available to address this latter issue, and at present, the decision must be left to clinical judgment, taking into account the nature of the invasive procedure, the previous history of endocarditis, and the presence or absence of valve thickening and/or redundancy.• In patients with echocardiographic evidence of physiological MR in the absence of a murmur and with structurally normal valves, prophylaxis is not recommended.The committee also does not recommend prophylaxis for physiological tricuspid and pulmonary regurgitation detected by Doppler in the absence of a murmur, as such findings occur in a large number of normal individuals and the risk of endocarditis is extremely low.Recommendations regarding Doppler echocardiography for purposes of antibiotic prophylaxis in patients who have received anorectic drugs are given in section III.H. of these guidelines.

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Crossref · 10.1161/01.cir.98.18.1949

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Metadata

Authors
Bonow, R. O., Carabello, B., de Leon, A. C., Edmunds, L. H., Fedderly, B. J., Freed, M. D., Gaasch, W. H., McKay, C. R., Nishimura, R. A., O’Gara, P. T., O’Rourke, R. A., Rahimtoola, S. H., Ritchie, J. L., Cheitlin, M. D., Eagle, K. A., Gardner, T. J., Garson, A., Gibbons, R. J., Russell, R. O., Ryan, T. J., & Smith, S. C.
Venue
Circulation
Published
1998-11-03
Volume
98
Issue
18
Pages
1949-1984
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W1969563698
Cited by
1,034
References
9
FWCI
32.97
Type
journal article
Language
en
Open access
bronze

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