Patient Information

AHA Guidelines on Endocarditis Prophylaxis

Cardiac Conditions Associated With the Highest Risk of Adverse Outcome From Endocarditis for Which Prophylaxis With Dental Procedures Is Recommended

Prosthetic cardiac valve

Previous infectious endocarditis

Congenital heart disease (CHD)* 
     Unrepaired cyanotic CHD, including palliative shunts and conduits 
     Completely repaired congenital heart defect with prosthetic material or
          device, whether placed by surgery or by catheter intervention,
          during the first 6 months after the procedure† 
     Repaired CHD with residual defects at the site or adjacent to the site
          of a prosthetic patch or prosthetic device (which inhibit
          endothelialization)

Cardiac transplantation recipients who develop cardiac valvulopathy

*Except for the conditions listed above, antibiotic prophylaxis is no longer recommended for any other form of CHD.
†Prophylaxis is recommended because endothelialization of prosthetic material occurs within 6 months after the procedure.

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