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Doctor insights on: Annuloplasty Ring

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After mitral valve repair with annuloplasty ring and health is good with trivial regurgitation is there any evidence in betablockers for life? Jay

After mitral valve repair with annuloplasty ring and health is good  with trivial regurgitation is there any evidence in betablockers  for life? Jay

No: I suspect you were put on a beta blocker after surgery for atrial arrhythmias (especially atrial fibrillation) which is very common in the first few months after mitral repair surgery. But once you're fully healed (6 months), if you're not having any dysrhythmia and your blood pressure is controlled, you won't need beta blockers any longer. If your BP is up, a different drug could be used anyway. ...Read more

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Are Antibiotics required in the UK or USA for Endoscopy GI for a person with Mitral Valve Annuloplasty Ring Repair with Proshetic Material ?

Are Antibiotics  required in the UK or USA
for Endoscopy GI for a person with Mitral Valve Annuloplasty Ring Repair with Proshetic Material ?

Yes: Antibiotic prophylaxis is generally recommended anytime an invasive proceedure including cleaning you teeth is proformed on someone with prostetic material in the heart. Always better safe than sorry. ...Read more

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In UK GP's advice 3g sachet of Amoxicillin for Dental Deep Scale with Prosthetic Material Annuloplasty Ring in Mitral ValveRepair Why in USA only 2g?

In UK GP's advice 3g sachet of Amoxicillin for Dental Deep Scale  with Prosthetic Material Annuloplasty Ring in Mitral ValveRepair Why in USA only 2g?

Expert opinion: The guidelines are based on expert opinion. There are no (and never will be) randomized controlled studies to determine the optimal dose. In the USA, the consensus expert opinion is 2 grams of amoxicillin 1 hour before dental procedures. Medical care in the UK is first rate. I would trust their opinion equally. (maybe 1 gram is enough - no one knows!). ...Read more

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Mitral valve repair surgery with prosthetic material annuloplasty ring 6 months postop are antibiotics required for life for dental work in us & uk?

AHA recommendations: As of now, in the us, according to the aha, yes. I cannot say what the protocol would be in the uk but would assume it was the same. Your own cardiologist is the one to address all your questions and concerns to, both now and in the future. See the following site for more information as to basic recommendations: http://www.Heart.Org/heartorg/conditions/congenitalheartdefects/theimpactofcongenitalheartdefects/infective-endocarditis_ucm_307108_article.Jsp. ...Read more

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