Advertisement

The Cardiovascular System

  • Mark Greenwood
  • John G. Meechan
Chapter
Part of the BDJ Clinician’s Guides book series (BDJCG)

Abstract

  • Cardiovascular disease is common.

  • Pain and anxiety increase cardiac load and increase the risk of precipitating angina/arrhythmias.

  • A thorough history will usually elicit the fact that the patient has cardiovascular disease (summarised in Table 2.2).

  • Examination of the patient may reveal cardiovascular disease—cyanosis (central/peripheral), shortage of breath, abnormalities in the pulse, finger clubbing, splinter haemorrhages or ankle oedema.

  • Drugs used in the treatment of cardiovascular disease impact on patient management.

References

  1. 1.
    Hemsley SM. Drug therapy in dental practice. Br Dent J. 1984;157:368.CrossRefGoogle Scholar
  2. 2.
    Punnia Moorthy A, Coghlan K, O’Neil R. Drug therapy among dental out-patients. Br Dent J. 1984;156:261.CrossRefGoogle Scholar
  3. 3.
    Carter LM, Godlington FL, Meechan JG. Screening for hypertension in dentistry. J Dent Res. 1997;76:1037. Abstract 152Google Scholar
  4. 4.
    Perusse R, Goulet J-P, Turcotte J-Y. Contraindications to the use of vasoconstrictors in dentistry. Part I. Oral Surg. 1992;74:679–86.CrossRefGoogle Scholar
  5. 5.
    Seymour RA, Lowry R, Whitworth JM, Martin MV. Infective endocarditis, dentistry and antibiotic prophylaxis; time for a rethink? Br Dent J. 2000;189:610–6.CrossRefGoogle Scholar
  6. 6.
    NICE Guidelines: prophylaxis against infective endocarditis. Clinical Guidelines CG64 March 2008.Google Scholar
  7. 7.
    Ryder W. The electrocardiogram in dental anaesthesia. Anaesthesia. 1970;25:46–62.CrossRefGoogle Scholar
  8. 8.
    Thomason JM, Seymour RA, Ellis JS, Kelly PJ, Parry G, Dark J. Iatrogenic gingival overgrowth in cardiac transplantation. J Periodontol. 1995;66:742–6.CrossRefGoogle Scholar
  9. 9.
    Meechan JG, Parry G, Rattray DT, Thomason JM. Effects of dental local anaesthesia in cardiac transplant recipients. Br Dent J. 2002;192:161–3.CrossRefGoogle Scholar
  10. 10.
    Gilbert EM, Eiswirht CC, Mealey PC, Larrabee BS, Herrick CM, Bristow MR. ß-adrenergic supersensitivity of the transplanted heart is pre-synaptic in origin. Circulation. 1989;79:344–9.CrossRefGoogle Scholar
  11. 11.
    Sugimura M, Hirota Y, Shibutani T, Xiwa H, Hori T, Kim Y, Matsuura H. An echocardiographic study of interactions between Pindolol and epinephrine contained in a local anesthetic solution. Anesth Prog. 1995;42:29–35.PubMedPubMedCentralGoogle Scholar
  12. 12.
    Meechan JG. Plasma potassium changes in hypertensive patients undergoing oral surgery with local anaesthetics containing epinephrine. Anesth Prog. 1997;44:106–9.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Scully C, Azul AM, Crighton A, Felix D, Field A, Porter SR. Nicorandil can induce severe oral ulceration. Oral Surg Oral Med Pathol Oral Radiol Endod. 2001;91:189–93.CrossRefGoogle Scholar
  14. 14.
    Dietrich T, Jimenez M, Krall Kaye EA, Vokonas PS, Garcia RA. Age-dependent associations between chronic periodontitis/edentulism and risk of coronary heart disease. Circulation. 2008;117:1668–74.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mark Greenwood
    • 1
  • John G. Meechan
    • 2
  1. 1.School of Dental SciencesNewcastle University School of Dental SciencesNewcastle upon TyneUK
  2. 2.The Coach HouseStocksfieldUK

Personalised recommendations