Mitral Valve premed or not

[smaz]

Is it still recommended by the American Heart Association to premedicate before dental procedures?  I have been hearing lately that it is no longer the recommendation.

[njean]

I have a dental appointment tomorrow & I will be taking my pre-meds!  After 3 OHS w/both Aortic & Mitral Mechanical valves, you can bet I will pre-med!  Always have & always will!

[kitcurious]

You can go to AHA pages and see the new guidelines. Antibiotic prophylaxis is only recommended for people who have serious problems, not for healthy people with mild regurge. I think my cardiologist told me back in May, shortly before the new guidelines were published on the AHA site. Yipeee!! .

[Barbarella]

That is what I heard the Cardiologist Dr. Isadore Rosenfeld of the Weil Cornell Medical Center in New York City say the other day "no more pre-meds before dental procedures".

[rasadi]

I have mitral valve prolapse with 1+ regurgitation - what my cardiologist regarded as very mild. However, she did indicate the need to premed before any dental procedure. I also have ulcerative colitis which is aggravated by the use of antibiotics. I have a periodontal procedure coming up & was told I'd need to take the antibiotics for 2 weeks after the procedure. I will certainly do it if necessary as protecting the heart is most important, but I also know it will aggravate the colitis. Is this an issue for anyone else?

[CCF-M.D.-CA]

It is still receomended if you have high risk conditions: prosthetic valves or complex congenital heart disease. Otherwise it is no longer recommended.