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CARDIAC CONDITIONS ASSOCIATED WITH ENDOCARDITIS

ENDOCARDITIS PROPHYLAXIS RECOMMENDED

High-risk category
-Prosthetic cardiac valves, including bioprosthetic and homograft valves.
-Previous bacterial endocarditis.
-Complex cyanotic congenital heart disease(e.g., single ventricle states., transposition of the great arteries, tetralogy of Fallot).
-Surgically constructed systemic pulmonary shunts or conduits.

Moderate-risk category
-Most other congenital cardiac malformations(other than above and below).
-Acquired valvar dysfunction(e.g., rheumatic heart disease).
-Hypertrophic cardiomyopathy.
-Mitral valve prolapse with valvar regurgitation and/or thickened leaflets.

ENDOCARDITIS PROPHYLAXIS NOT RECOMMENDED

Negligible-risk category
(no greater risk than the general population)
-Isolated secundum atrial septal defect.
-Surgical repair of atrial septal defect, ventricular septal defect or
patent ductus arteriosus(without residua beyond 6 mos.).
-Previous coronary artery bypass graft surgery.
-Mitral valve prolapse eithout valvar regurgitation.
-Physiologic, functional or innocent heart murmurs.
-Previous Kawasaki disease without valvar dysfunction.
-Previous rheumatic fever without valvar dysfunction.
-Cardiac pacemakers(intravascular and epicardial) and implanted defibrillators.