Association, cardiomyopathy. Limited Complicated indirect evidence from ‘administration of prophylactic noncomparative studies antibiotics did not demonstrate any solely to cases of arrhythmia or prevent infective endocarditis in endocarditis is women with cardiac not disease who used IUDs. recommended Separate category for for patients women with peripartum who undergo myocardiopathy genitourinary (Category 2), comment: tract IUD insertion might procedures, induce cardiac including arrhythmias in healthy insertion or women; women with removal of peripartum IUDs’. cardiomyopathy have a high incidence of cardiac arrhythmias UK MEC Valvular 1 Congenital disease ‘Prophylaxis (2016) and (Uncomplicated), against including Aortic congenital 2 (Complicated) bacterial stenosis; Atrial septal heart endocarditis defects; disease: is no longer septal indicated for defect; Cardiomyopathy women with (hypertrophic or artificial dilated); Coarctation of Complicated heart valves the Aorta; Complex or previous Transposition of the endocarditis Great Arteries; when Ebstein’s Anomaly; inserting or Eisenmenger removing Syndrome: Patent IUS. Ductus Arteriosus; However, Pulmonary Atresia; this does not Pulmonary Stenosis; necessarily Tetralogy of Fallot; mean that Total Anomalous there is no Pulmonary Venous risk’. Connection; Tricuspid Atresia; Truncus Arteriosus; Ventricular Septal Defect WHO Valvular 1 MEC heart (Uncomplicated), 201511 disease: 2 (Complicated) Prophylactic antibiotics to prevent Complicated endocarditis are advised
Complicated Association, ‘administration of prophylactic antibiotics solely to prevent endocarditis is not recommended for patients who undergo genitourinary tract procedures, including insertion or removal of IUDs’. cardiomyopathy. Limited indirect evidence from noncomparative studies did not demonstrate any cases of arrhythmia or infective endocarditis in women with cardiac disease who used IUDs. Separate category for women with peripartum myocardiopathy (Category 2), comment: IUD insertion might induce cardiac arrhythmias in healthy women; women with peripartum cardiomyopathy have a high incidence of cardiac arrhythmias UK MEC (2016) Valvular and congenital heart disease: Complicated 1 (Uncomplicated), 2 (Complicated) ‘Prophylaxis against bacterial endocarditis is no longer indicated for women with artificial heart valves or previous endocarditis when inserting or removing IUS. However, this does not necessarily mean that there is no risk’. Congenital disease including Aortic stenosis; Atrial septal defects; septal defect; Cardiomyopathy (hypertrophic or dilated); Coarctation of the Aorta; Complex Transposition of the Great Arteries; Ebstein’s Anomaly; Eisenmenger Syndrome: Patent Ductus Arteriosus; Pulmonary Atresia; Pulmonary Stenosis; Tetralogy of Fallot; Total Anomalous Pulmonary Venous Connection; Tricuspid Atresia; Truncus Arteriosus; Ventricular Septal Defect WHO MEC 201511 Valvular heart disease: Complicated 1 (Uncomplicated), 2 (Complicated) Prophylactic antibiotics to prevent endocarditis are advised
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