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J Am Dent Assoc, Vol 129, No 7, 861-866. © 1998 American Dental Association

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Administration of prophylactic antibiotics to a dental patient with a history of heart murmur, rheumatic fever or mitral valve prolapse should be based on a reliable diagnosis of heart valve disease. The authors conducted a study of 68 diabetic patients who reported having these conditions and found that at least 65 percent of these patients actually had no evidence of a pathological heart murmur during two previous physical examinations. They concluded that a self-reported history of heart valve disease should not be the sole criterion for antibiotic premedication.

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				C. W. RANDALL, N. R. KRESSIN, R. I. GARCIA, H. SIMS, L. KAZIS, and J. A. JONES Heart murmurs: are older male dental patients aware of their existence? J Am Dent Assoc, February 1, 2001; 132(2): 171 - 176. [Abstract] [Full Text] [PDF]