The Journal of the American Dental Association
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J Am Dent Assoc, Vol 129, No 7, 861-866.
© 1998 American Dental Association
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RESEARCH

RELIABILITY OF SELF-REPORTED HEART MURMUR HISTORY: POSSIBLE IMPACT ON ANTIBIOTIC USE IN DENTISTRY



JAMES GUGGENHEIMER, D.D.S., TREVOR J. ORCHARD, M.B.B.CH., M.MED.SCI., PAUL A. MOORE, D.M.D., PH.D., DANIEL E. MYERS, D.D.S., M.S. and KAREN M. ROSSIE, D.D.S., M.S.

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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Copyright©1995-1998 American Dental Association (ADA).
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