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To the Editor: Shaw D and Conway DI1 correctly identify that a fact neither proved nor disproved lies at the heart of both Pascal's wager and the National Institute of Clinical Excellence (NICE) guidance in relation to the use of antibiotic (abx) prophylaxis for infective endocarditis (IE). The no lose argument is no match winner for NICE because cardiologists are all too keenly aware that antibiotics kill as surely as IE.
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