Circulation -- Bonow et al. 98 (18): 1949 Table 21

Table 21. Recommendations for Antibiotic Endocarditis Prophylaxis for Patients With Mitral Valve Prolapse Undergoing Procedures Associated With Bacteremia*

Indication
Class

1. Patients with characteristic systolic click-murmur complex. I

2. Patients with isolated systolic click and echocardiographic evidence of MVP and MR. I

3. Patients with isolated systolic click, echocardiographic evidence of high-risk MVP. IIa

4. Patients with isolated systolic click and equivocal or no evidence of MVP. III

¹ These procedures are defined in the American Heart Association guidelines for prevention of endocarditis⁵ and in the full-text version of these guidelines.