Cardio

Question 1

when to start antibiotic prophylaxis for dental procedures

Answer 1

• prosthetic heart valve
• previous endocarditis
• unrepaired congenital heart defect or defect w/ shunt
• transplant w/ valve regurge b/c structure abnormality

Question 2

meds + INR goals for Afib + STEMI?

what if pt is already taking DOAC?

Answer 2

dual anti platelet therapy + vitamin K antagonist
INR goal 2.0-3.0
if already taking DOAC, continue + dual anti-platelet therapy
can stop ASA after 1-3 months