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Rheumatic Fever No IE Prophylaxis — NDEB AFK MCQ

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EasyPharmacologyRheumatic Fever No IE ProphylaxisNDEB AFK

A patient with a history of rheumatic fever but no valvular heart disease presents for dental treatment. According to AHA 2021 guidelines, does this patient require infective endocarditis prophylaxis?

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Correct answer: A — No — rheumatic fever history alone without high-risk valvular conditions does not require IE prophylaxis

AHA 2021 guidelines do NOT recommend IE prophylaxis for patients with a history of rheumatic fever alone. Prophylaxis is only recommended for the specific high-risk conditions: (1) prosthetic heart valve or prosthetic material for valve repair; (2) previous IE; (3) unrepaired cyanotic CHD; (4) repaired CHD with prosthetic material (within 6 months or with residual defects); (5) cardiac transplant with valvulopathy. A history of rheumatic fever without these conditions does not warrant prophylaxis, even if mild valvular changes are present.

Reference: AHA – Prevention of Infective Endocarditis Guidelines, 2021