Why the study?
Should antibiotic prophylaxis for prevention of subacute bacterial endocarditis be given only to persons with abnormal valves and auscultatory evidence of regurgitant lesions, or to people with abnormal valves and regurgitant lesions of any severity detected by echocardiography?
Key points are not available for this paper at this time.
Design
Editorial
This letter to the editor raises a clinical question regarding the appropriate criteria (auscultation versus echocardiography) for initiating antibiotic prophylaxis against infective endocarditis in patients with valvular regurgitation.
Letters and Corrections15 January 1990Antibiotic Prophylaxis and Regurgitant MurmursRichard Bayer, MDRichard Bayer, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-112-2-148 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor:I am writing concerning the recent article by Dr. Rahko (1). A question occurred to me while reading his interesting article. Because of the somewhat discordant nature of valvular regurgitation as detected by echocardiography compared with auscultation, I would like to know how echocardiography would fit into a plan concerned with which patients to offer antibiotic prophylaxis for prevention of subacute bacterial endocarditis. Should antibiotic prophylaxis only be given to persons with abnormal valve and auscultatory evidence of regurgitant lesions, or should antibiotic prophylaxis be given to people with abnormal valves and regurgitant lesions of any severity...Reference1. Rahko P. Prevalence of regurgitant murmurs in patients with valvular regurgitation detected by Doppler echocardiography. Ann Intern Med. 1989;111:466-72. LinkGoogle Scholar1. McKinsey D, Ratts T, and Bisno A. Underlying cardiac lesions in adults with infective endocarditis. Am J Med. 1987;82:681-8. CrossrefMedlineGoogle Scholar2. Shulman S, Amren D, and Bisno A. Prevention of bacterial endocarditis. Circulation. 1984;70:1123A-7A. MedlineGoogle Scholar3. MacMahon S, Hickey A, Wilcken E, Witles J, Feneley M, and Hickie J. Risk of infective endocarditis in mitral valve prolapse with and without precordial systolic murmers. Am J Cardiol. 1987;58:105-8. CrossrefGoogle Scholar4. Corrigall D, Bolen J, Hancock E, and Popp R. Mitral valve prolapse and infective endocarditis. Am J Med. 1977;63:215-22. CrossrefMedlineGoogle Scholar7. Rahko P. Prevalence of regurgitant murmurs in patients with valvular regurgitation detected by Doppler echocardiography. Ann Intern Med. 1989:111:466-72. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Richard Bayer, MDAffiliations: 16463 SW Boones Ferry Road Lake Oswego, OR 97035 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byProphylaxis of Infective EndocarditisDTricyclic Systems: Central Carbocyclic Ring with Fused Six-membered RingsVolume 7 References 15 January 1990Volume 112, Issue 2Page: 148-149KeywordsAntibiotic prophylaxisAuscultationEchocardiographyEndocarditisLesions ePublished: 1 December 2008 Issue Published: 15 January 1990 PDF downloadLoading ...
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