If this is your first visit, be sure to check out the FAQ in HCMA Announcements. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. Your Participation in this message board is strictly voluntary. Information and comments on the message board do not necessarily reflect the feelings, opinions, or positions of the Hypertrophic Cardiomyopathy Association. At no time should participants to this board substitute information within for individual medical advice. The Hypertrophic Cardiomyopathy Association shall not be liable for any information provided herein. All participants in this board should conduct themselves in a professional and respectful manner. Failure to do so will result in suspension or termination. The moderators of the message board working with the HCMA will be responsible for notifying participants if they have violated the rules of conduct for the board. Moderators or HCMA staff may edit any post to ensure it conforms with the rules of the board or may delete it. This community is welcoming to all those with HCM we ask that you remember each user comes to the board with information and a point of view that may differ from that which you hold, respect is critical, please post respectfully. Thank you


No announcement yet.

antibiotic prophylaxis post myectomy


About the Author


jenn_nb Find out more about jenn_nb
  • Filter
  • Time
  • Show
Clear All
new posts

  • antibiotic prophylaxis post myectomy

    There seems to be some controversy about the need for antibiotic prophylaxis (eg for dental work) following myectomy. Is it necessary forever, for a certain time post op?? Anybody have any info to share?

  • #2
    Re: antibiotic prophylaxis post myectomy

    I didn't get to attend the breakout session on antibiotic use prophalactically at the meeting on Saturday, but I believe most specialists recommend HCM patients continue to use the antibiotics regardless of any surgical procedures they may have had done. If you have any specific questions please follow up with your doctor.

    Husband has HCM.
    3 kids - ages 23, 21, & 19. All presently clear of HCM.


    • #3
      Re: antibiotic prophylaxis post myectomy

      I wasn't there either, but . . . yes, both my local cardiologist and Dr. Lever recommended the prophylaxis.

      Myectomy on Feb. 5, 2007.


      • #4
        Re: antibiotic prophylaxis post myectomy

        I was there for part of the panel discussion, and I had a separate conversation later that night with some of the doctors. The bottom line is, that it depends on the person and the answer for each person can be different. My specialist recommends it for me post myectomy. However, he does an independent analysis for every person, taking into account their personal situation so what is true for me might not be true for you.
        Daughter of Father with HCM
        Diagnosed with HCM 1999.
        Full term pregnancy - Son born 11/01
        ICD implanted 2/03; generator replaced 2/2005 and 2/2012
        Myectomy 8/11/06 - Joe Dearani - Mayo Clinic.


        • #5
          Re: antibiotic prophylaxis post myectomy

          I had a myectomy on 5/22/2008 by Dr. Schaff's team at the Mayo Clinic. They discussed the subject at length and yes, at least for me, antibiotics are required.

          In Mayo's Patient Education materials they included a book "Steps to heart Health". Chapter 10, Infective Endocarditis, contains the following information:

          While infective endocarditis sometimes occurs on normal heart valves, people with valve abnormalities that cause turbulent blood flow through the heart have a greater risk. The abnormalities could include scarring of a heart valve due to rheumatic fever, a leaking or narrowed valve, an abnormal opening between chambers of the heart or an artificial heart valve. People who have endocarditis once also are susceptible to getting it again.

          Even if your heart problem is minor and has never caused any difficulty or if you have had a heart defect repaired and feel entirely healthy, remember that you still may be more sysceptible than usual to infective endocarditis. However it is important to remember that infective endocarditis is uncommon - - even if you are at a higher risk.

          The risk for infective endocarditis is increased for people with pacemakers or ICDs but not for people who have had previous coronary artery bypass surgery."

          So, it's something you need to discuss with your doctor.
          HCM diagnosed 2002 @ Age 59
          4/23/2008 Surgery recommended
          Myectomy by Mayo Clinic on 5/22/2008
          2009 - Enjoying an active lifestyle


          • #6
            Re: antibiotic prophylaxis post myectomy

            I was also at this breakout session of the HCMA conference. I found the stats hard to swallow and apparently so did my HCM specialist, as he spoke up. I got the feeling that a number of HCM specialists questioned the recommendation. So until I hear otherwise from the top HCM specialists, I'm taking my antibiotics with any dental treatment.
            Philippians 4:4-9; Wife, & 39 yo Mom to 9 year old son and 6 year old son/daughter twins; Diagnosed with HoCM 1999; Cleveland Clinic Myectomy and ICD, January 2006.


            Today's Birthdays