I am a 64 year old white male in good overall health, normal blood pressure, weight, blood work and was on no regular medications. I had a cardiac ablation for pvc and nsvt 2 weeks ago at a university hospital due to frequent symptomatic arrhythmias that I have probably had since youth and were documented recently on a linc monitor. There have been cardiac MRI, cath, echo, stress echo, blood work, ekgs and so on to rule out structural disease and there was nothing significant revealed.

The procedure went well without complications. I was put on 20 mg Xarelto for 4 weeks and a low dose beta blocker. The blood thinner was prescribed to prevent the recurrence of a DVT of the right leg suffered 4 years old patientago. My question has to do with the sudden onset of a toothache that most likely will need treatment sooner rather than later. I will visit the dentist tomorrow and am not sure what will be found but I suspect an infection of some sort under a molar cap. I have had significant dental work in the past including 2 healing implants. I suspect that the dentist will have to consult with the electrophysiologist about treatment. However, my question has to do with what antibiotics can safely be administered concurrently with the Xarelto and if dental work can be done safely just 2 or 3 weeks after an ablation has been performed. I am assuming there is a small scar in the heart after ablation and this may pose a risk for infection. Additionally, I am allergic to Penicillin and all cephlasporins so my antibiotics usually given when needed are clindamycin or doxycycline.

So my questions have to do with what antibiotics can be given while on Xarelto given my allergy history and will the dental treatment have to be postponed until the blood thinner is stopped. And can important dental work be done 2 or 3 weeks after an ablation. Ablation was in the ventricle.