Mitral valve prolapse tertiary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Tertiary Prevention

Prevention of Infective Endocarditis

People with mitral valve prolapse are at higher risk of infective endocarditis (bacterial infection of the heart tissue), as a result of certain non-sterile procedures such as teeth cleaning and biopsy during colonoscopy. However, an April 2007 study by the American Heart Association has determined that the risks of prescribing antibiotics outweigh the benefits of antibiotic prophylaxis before an invasive procedure (such as dental surgery). Therefore, MVP patients who have taken prophylactic antibiotics routinely in the past may no longer need them.^[1]

References

↑ Wilson W, Taubert KA, Gewitz M; et al. (2007). “Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group” (PDF). Journal of the American Dental Association. 138 (6): 739–45, 747–60. PMID 17545263.

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[1] Wilson W, Taubert KA, Gewitz M; et al. (2007). “Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group” (PDF). Journal of the American Dental Association. 138 (6): 739–45, 747–60. PMID 17545263.

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