Oral health care considerations for patients after a heart attack/myocardial infarction:
Heat attack more than 1 month ago:
- If the patient is also suffering from decompensated congestive heart failure (CHF), treat patient as if having unstable angina until coronary stability has been verified by the patient’s physician.
- Arrange for necessary medical attention.
- Have oxygen and nitroglycerin available.
- Use additional pain and anxiety control as indicated.
- Schedule late-morning or early-afternoon appointments.
- Schedule short appointments.
- Use local anesthetics judiciously.
- Use adjunct measures to reduce stress.
- No contraindication for using epinephrine.
- Be aware that chronic use of non-steroidal anti-inflammatory drugs may increase the risk of cardiovascular events in elderly patients with hypertension.
- Address patient’s anticoagulation therapy, if indicated.
Heart attack less than 1 month ago:
- No elective dental care.
- For emergency care, use analgesics and antibiotics as indicated.
- For invasive procedures, consult with patient’s cardiologist and be prepared to use continuous cardiac monitoring