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Explore›Medical Conditions in Dentistry›Ischemic heart disease (stable angina, recent/old MI)

Ischemic heart disease (stable angina, recent/old MI)

Dental riskhigh

Ischemic heart disease (IHD) encompasses stable angina, unstable angina (acute coronary syndrome), and history of MI/coronary stent. Myocardial oxygen demand exceeds supply due to coronary artery narrowing/occlusion. The dental concern is that stress, pain, and certain drugs can precipitate angina or re-infarction — risk depends on stability and timing since last event.

The full condition entry includes

  • Safe vs avoid lists: antibiotics, analgesics, local anesthetics
  • Vasoconstrictor limits and treatment modifications
  • Pre/intra/post-op monitoring and deferral criteria
  • Emergency management, explained for study
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More medical conditions in dentistry

Hypertension (uncontrolled / hypertensive urgency)Heart failure (compensated vs decompensated)Valvular heart disease / Prosthetic heart valvesPatients on anticoagulants/antiplateletsCongenital heart disease (high-risk lesions/repairs)Pulmonary hypertensionCOPD (moderate-severe; oxygen dependence)Active upper respiratory infection (URI)Chronic hypoxemia / home oxygen patientsInterstitial lung disease / pulmonary fibrosisStroke / TIA historyMyasthenia gravis

Dentalverse is an educational resource for dental students and dentists. This page is a study reference — it is not medical advice and does not replace clinical judgment. Always follow your institution's protocols and your supervisor's guidance.

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