TABLE 1.

Indications for prophylaxis against infective endocarditis in patients undergoing dental procedures

Prophylaxis indicated

Prophylaxis not indicated

Prosthetic cardiac valves Previous infective endocarditis Unrepaired cyanotic congenital heart disease, including palliative shunts and conduits Completely repaired congenital heart defect with prosthetic material or device, during the first six months after the procedure Repaired congenital heart disease with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization) Cardiac transplant recipients with cardiac valvulopathy Rheumatic heart disease if prosthetic valves or prosthetic material used in valve repair

Atrial septic defects Ventricular septal defects Patent ductus arteriosus Mitral valve prolapse Previous Kawasaki disease Hypertrophic cardiomyopathy Previous coronary artery bypass graft surgery Cardiac pacemakers (intravascular and epicardial) and implanted defibrillators Bicuspid aortic valves Coarctation of the aorta Calcified aortic stenosis Pulmonic stenosis