Cardiovascular Drugs in Dentistry
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Questions and Answers

What is the primary reason for considering a patient's baseline blood pressure in dentistry?

  • To identify the risk of heart failure
  • To determine the appropriate dose of anesthesia
  • To prepare for potential emergencies during treatment (correct)
  • To diagnose hypertension

What is a significant contraindication to dental treatment for patients with hypertension?

  • Hypertension treated with lifestyle changes
  • Uncontrolled hypertension with a blood pressure above 180/110 (correct)
  • Hypertension diagnosed more than a year ago
  • Controlled hypertension with medication

Why is it important for dentists to avoid rapid chair position changes in patients with hypertension?

  • To prevent orthostatic hypotension (correct)
  • To monitor blood pressure during treatment
  • To prevent hypertension from becoming uncontrolled
  • To reduce stress and anxiety

What is the term used to describe abnormal rhythms of the heart?

<p>Arrhythmia or Dysrhythmia (C)</p> Signup and view all the answers

Why is it important for dentists to consider the patient's history of cardiovascular disease?

<p>To identify potential contraindications to dental treatment (A)</p> Signup and view all the answers

What is the primary goal of managing hypertension in patients undergoing dental treatment?

<p>To achieve a target blood pressure goal (A)</p> Signup and view all the answers

What is the primary concern for dental treatment in patients with a recent MI?

<p>Increased risk of re-infarction and arrhythmias (A)</p> Signup and view all the answers

In patients with heart failure, which side of the heart failure leads to pulmonary circulation issues?

<p>Left side (B)</p> Signup and view all the answers

What is a contraindication for dental treatment in patients with ischemic heart disease?

<p>Unstable or progressive angina (C)</p> Signup and view all the answers

What is a consideration for dental treatment in patients with ischemic heart disease?

<p>Considering prophylactic NTG prior to treatment (C)</p> Signup and view all the answers

Which of the following is a common cause of heart failure?

<p>Coronary artery disease and long-standing uncontrolled hypertension (A)</p> Signup and view all the answers

What is the main complication of Atrial Fibrillation?

<p>Stroke (D)</p> Signup and view all the answers

Why is it important for dental patients with arrhythmias to receive anticoagulation therapy?

<p>To prevent thrombus (clot) formation and stroke (D)</p> Signup and view all the answers

What should a dentist ask a patient with a history of arrhythmias during the medical history interview?

<p>Do you have a history of palpitations, dizziness, chest pain, shortness of breath or fainting? (B)</p> Signup and view all the answers

What should a dentist record when treating a patient with arrhythmias?

<p>The type of arrhythmia and drug therapy the patient is on (B)</p> Signup and view all the answers

What is the typical heart rate of a patient with Atrial Fibrillation?

<p>&gt;150 bpm (D)</p> Signup and view all the answers

Why is it important for a dentist to check for abnormal or extra heart beats when taking a patient's pulse and blood pressure?

<p>To identify potential arrhythmias (B)</p> Signup and view all the answers

Flashcards

Baseline blood pressure

The initial blood pressure measurement before treatment.

Uncontrolled hypertension

High blood pressure above 180/110 posing treatment risks.

Orthostatic hypotension

Drop in blood pressure from changing position, especially in hypertensive patients.

Arrhythmia

Abnormal rhythms of the heart that can affect its function.

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Cardiovascular disease history

Previous heart conditions that inform treatment risks.

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Target blood pressure goal

Desired blood pressure level to achieve during treatment.

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Recent myocardial infarction (MI) risk

Increased risk of re-infarction and arrhythmias after heart attack.

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Left-sided heart failure

Type of heart failure causing issues in pulmonary circulation.

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Unstable angina

Angina that is unpredictable and risks worsening conditions.

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Prophylactic NTG

Nitroglycerin used pre-treatment to prevent heart complications.

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Heart failure causes

Primary causes include coronary artery disease and uncontrolled hypertension.

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Atrial Fibrillation complication

Main complication leading to the risk of stroke.

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Anticoagulation therapy

Medication to prevent clot formation in arrhythmia patients.

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Arrhythmia patient interview

Questions about palpitations, dizziness, and other symptoms.

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Monitor type of arrhythmia

Record arrhythmias and current medications during treatment.

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Typical Atrial Fibrillation heart rate

Typically exceeds 150 beats per minute.

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Pulse and blood pressure check

Assess for extra heartbeats indicating arrhythmias.

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