Richard Bayer, MD
To the Editor: I am writing concerning the recent article by Dr. Rahko (1). A question occurred to me while reading his interesting article. Because of the somewhat discordant nature of valvular regurgitation as detected by echocardiography compared with auscultation, I would like to know how echocardiography would fit into a plan concerned with which patients to offer antibiotic prophylaxis for prevention of subacute bacterial endocarditis. Should antibiotic prophylaxis only be given to persons with abnormal valve and auscultatory evidence of regurgitant lesions, or should antibiotic prophylaxis be given to people with abnormal valves and regurgitant lesions of any severity
Bayer R. Antibiotic Prophylaxis and Regurgitant Murmurs. Ann Intern Med. ;112:148–149. doi: 10.7326/0003-4819-112-2-148
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Published: Ann Intern Med. 1990;112(2):148-149.
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