Angina Management

Angina pectoris is a critical symptom of underlying coronary artery disease, representing a mismatch between myocardial oxygen supply and demand. For dental professionals, understanding angina is paramount because the stress and anxiety often associated with dental treatment can precipitate an acute anginal attack. This course provides a comprehensive review of the pathophysiology of angina, distinguishing between stable and unstable forms, and equips the dental team with the knowledge to manage patients with a history of ischemic heart disease safely. The curriculum emphasizes the importance of a thorough medical history review to identify patients at risk. It details the pharmacological management of angina, focusing on the mechanism and proper administration of nitroglycerin, as well as other medications that patients may be taking. Furthermore, it outlines specific stress-reduction protocols that can be implemented in the dental office to minimize the likelihood of an emergency, ensuring a safer environment for both the patient and the provider. Finally, this course prepares the dental professional to recognize the signs and symptoms of an acute anginal episode and distinguishes them from an evolving myocardial infarction. It provides a step-by-step emergency management protocol, reinforcing the "time is muscle" concept. By mastering these protocols, dental teams can act decisively and effectively, potentially saving lives in the event of a cardiac emergency in the dental chair.