Aortic regurgitation precautions: Difference between revisions
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__NOTOC__ | |||
{{Aortic insufficiency}} | {{Aortic insufficiency}} | ||
{{CMG}}; {{AOEIC}} {{VK}} | {{CMG}}; {{AOEIC}} {{VK}}; {{LG}}; [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]] [mailto:msbeih@wikidoc.org] | ||
==Precautions== | ==Precautions== | ||
People with aortic insufficiency of any | People with aortic insufficiency of any etiology are at risk for the development of [[infection]] of their damaged valve, i.e. [[infective endocarditis]]. To lessen the chance of developing that serious complication, people with AI are usually advised to take [[antibiotic]] prophylaxis around the time of certain dental/medical/surgical procedures. Routine upper and lower GI [[endoscopy]] (i.e. [[gastroscopy]] and [[colonoscopy]]), with or without [[biopsy]], are not usually considered indications for [[antibiotic]] prophylaxis. | ||
Not withstanding the foregoing, the [[American Heart Association]] has recently changed its recommendations regarding antibiotic prophylaxis for endocarditis. Specifically, as of 2007, it is recommended that such prophylaxis be limited only to: | Not withstanding the foregoing, the [[American Heart Association]] has recently changed its recommendations regarding [[antibiotic]] prophylaxis for [[endocarditis]]. Specifically, as of 2007, it is recommended that such prophylaxis be limited only to: | ||
*Those with prosthetic heart | *Those with [[prosthetic heart valve]]s. | ||
*Those with previous episode(s) of [[endocarditis]]. | *Those with previous episode(s) of [[endocarditis]]. | ||
*Those with certain types of [[congenital heart disease]] <ref>http://www.americanheart.org/presenter.jhtml?identifier=4436</ref> | *Those with certain types of [[congenital heart disease]].<ref>http://www.americanheart.org/presenter.jhtml?identifier=4436</ref> | ||
==References== | ==References== | ||
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{{Circulatory system pathology}} | {{Circulatory system pathology}} | ||
[[Category:Needs overview]] | |||
[[Category:Disease]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Valvular heart disease]] | [[Category:Valvular heart disease]] | ||
[[Category:Congenital heart disease]] | |||
[[Category:Surgery]] | |||
[[Category:Cardiac surgery]] | [[Category:Cardiac surgery]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | |||
[[Category: | [[Category:Up-To-Date cardiology]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category: | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 17:32, 28 January 2013
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Aortic Regurgitation Microchapters |
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Diagnosis |
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Treatment |
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Acute Aortic regurgitation |
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Chronic Aortic regurgitation |
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Special Scenarios |
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Case Studies |
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Aortic regurgitation precautions On the Web |
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American Roentgen Ray Society Images of Aortic regurgitation precautions |
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Risk calculators and risk factors for Aortic regurgitation precautions |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]; Mohammed A. Sbeih, M.D. [4]
Precautions
People with aortic insufficiency of any etiology are at risk for the development of infection of their damaged valve, i.e. infective endocarditis. To lessen the chance of developing that serious complication, people with AI are usually advised to take antibiotic prophylaxis around the time of certain dental/medical/surgical procedures. Routine upper and lower GI endoscopy (i.e. gastroscopy and colonoscopy), with or without biopsy, are not usually considered indications for antibiotic prophylaxis.
Not withstanding the foregoing, the American Heart Association has recently changed its recommendations regarding antibiotic prophylaxis for endocarditis. Specifically, as of 2007, it is recommended that such prophylaxis be limited only to:
- Those with prosthetic heart valves.
- Those with previous episode(s) of endocarditis.
- Those with certain types of congenital heart disease.[1]