Q. A 45-year-old man with a history of mitral valve prolapse (MVP) and a scheduled dental procedure presents to your clinic for a routine visit. He is concerned about the risk of infective endocarditis (IE) and asks if he should receive prophylactic antibiotics before the dental procedure. His temperature is 98.6°F (37°C), pulse is 86 beats per minute, blood pressure is 120/70 mmHg and respiratory rate is 14 per minute. Physical examination is normal except for a mid-systolic click with a late systolic murmur. What is the most appropriate recommendation regarding antibiotic prophylaxis for this patient?

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