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- Heart valve scarring, due to rheumatic fever or other conditions
- Artificial heart valve
- Heart defect present at birth (congenital)
- Prior episode of endocarditis
- Mitral valve prolapse, with significant regurgitation (abnormal backflow of blood)
- IV drug use; risk is very high when needles are shared
- Any dental procedure, even cleanings
- Removal of tonsils or adenoids, and other procedures involving the ears, nose, and throat
- Bronchoscopy (viewing the airways though a thin, lighted tube)
- Surgery on the gastrointestinal or urinary tracks, including the gallbladder and prostate
- The bacteria causing the infection
- The amount of bacteria in the blood
- The degree of structural heart defects
- Your body's ability to fight infection
- Your overall health
- Unexplained weight loss
- Poor appetite
- Muscle aches
- Joint pain
- Shortness of breath
- Little red dots on the skin, inside the mouth, and/or under the nails
- Bumps on the fingers and toes
- Tell your dentist and doctors if you have any heart conditions.
Maintain good oral hygiene:
- Brush your teeth twice every day.
- Floss every day.
- Visit your dentist for a cleaning at least every six months.
- See your dentist if dentures cause discomfort.
- Get medical help right away if you have symptoms of an infection.
American Dental Association http://www.ada.org/
American Heart Association http://www.heart.org/
Canadian Dental Association http://www.cda-adc.ca/
Heart and Stroke Foundation of Canada http://ww2.heartandstroke.com/
Antibiotic prophylaxis. American Dental Association website. Available at: http://www.ada.org/2157.aspx. Accessed November 12, 2012.
Bacterial endocarditis. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/. Updated September 5, 2012. Accessed November 12, 2012.
Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2006;48:e1.
Hoen B. Epidemiology and antibiotic treatment of infective endocarditis: an update. Heart. 2006;92:1694-1700. Review.
Infective endocarditis. American Heart Association website. Available at: http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofCongenitalHeartDefects/Infective-Endocarditis%5FUCM%5F307108%5FArticle.jsp. Accessed November 12, 2012.
- Reviewer: Michael J. Fucci, DO
- Review Date: 11/2012
- Update Date: 11/12/2012