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1998:
Guggenheimer J; Orchard T J; Moore P A; Myers D E; Rossie K M
Reliability of self-reported heart murmur history: possible impact on antibiotic use in dentistry.
Journal of the American Dental Association (1939) 1998;
129(
7):.
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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