Heart disease

• What is angina pectoris characterized by?


  Pain or discomfort in the chest
• What causes angina pectoris?

  Failure of coronary arteries to supply oxygen
• What can precipitate angina pain?

  Stress, emotional state, and physical exercise
• What are the management strategies for a patient with angina pectoris?

  • Ensure a stress-free appointment
  • Schedule surgery on ground floor if no lift
  • Allow sufficient time for the appointment
  • Make the patient feel at ease and explain treatment
  • Keep appointments short and in easy stages
  • Update patient medical history
  • Ensure GTN spray is available
  • Know the location of oxygen supply
  • Ensure effective local anaesthetic
  • Discuss adrenaline use with referring GDP
  • Always aspirate before injection
  • Stop treatment if an attack occurs
  • Call ambulance if symptoms persist
  • Be prepared to perform CPR if necessary
• What should be ensured about the GTN spray?

  It should be available for the patient
• Why is it important to know where oxygen is kept?

  To provide immediate assistance if needed
• What should be done if a patient experiences an attack during treatment?

  Stop treatment immediately
• What indicates a possible myocardial infarction in a patient with angina?

  If symptoms do not subside after GTN spray
• What should be done if a patient does not recover after using GTN spray?

  Call an ambulance and prepare for CPR
• What is the role of adrenaline in dental treatment for angina patients?

  May need to discuss with referring GDP
• Why is it important to aspirate when administering lidocaine and adrenaline?

  To prevent tachycardia from the medication
• What should be done if CPR is needed for a patient with angina?

  Carry out CPR as required
• What medications might a patient with angina be taking?

  Nitrates, beta blockers, calcium channel blockers
• What is the significance of updating the patient's medical history?

  To know current medications and health status
• How does the management of a patient with angina differ from a healthy patient?

  Management includes specific precautions and medications