Signs, symptoms and medical side effects of CVD Flashcards

1
Q

List signs and symptoms of

rheumatic heart disease

A
  • Stenosis
  • Heart murmurs, due to scarring of valves and myocardium
  • Arrhythmia
  • Dyspnoea
  • Angina pectoris
  • Epistaxis (acute haemorrhage from the nostril, nasal cavity, or nasopharynx)
  • Elevated diastolic blood pressure
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2
Q

List signs and symptoms of infective endocarditis

A
  • Flu-like symptoms, such as fever and chills
  • Heart murmur
  • Fatigue
  • Aching joints and muscles
  • Night sweats
  • Shortness of breath
  • Chest pain when you breathe
  • Swollen feet, legs or abdomen
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3
Q

List signs and symptoms of valvular heart defects

A
  • Palpitations
  • Mild chest pain
  • Fatigue
  • Dizziness or fainting (with aortic stenosis).
  • Fever (with bacterial endocarditis).
  • Rapid weight gain
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4
Q

List signs and symptoms of cardiac arrhythmias

A
  • Fluttering in the chest
  • Chest pain
  • Fainting/ dizziness
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5
Q

List signs and symptoms of hypertension

A
  • Headache
  • dizziness
  • blurred or double vision
  • Chest pain/ angina
  • breathlessness
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6
Q

List signs and symptoms of coronary heart disease

A
Angina 
• Chest pain, under sternum
• Radiated pain into mandible/ left arm 
• Crushing, heavy sensation 
• Anxiety
• Sweating
• Difficulty breathing 

Congestive heart failure: (heart can’t pump enough blood around body)
• Fluid build up

Myocardial infarction (complete blood loss to heart)
• Difficulty breathing, shortness in breath
• Cold sweat
• Radiated pain into mandible/ left arm
• Crushing, heavy sensation

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7
Q

List signs and symptoms of congenital heart disease

A
  • Easily fatigued
  • Exertion dyspnoea
  • Cyanosis
  • Heart murmur (turbulent flow of blood through valve that has failed to close)
  • Congestive heart failure
  • Poor growth and development
  • Chest deformity
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8
Q

List the 5 types of cardiovascular medications

A

Antihypertensives

ACE inhibitors for hypertension and congestive heart failure

Anticoagulant medications

Nitro-glycerine

Antiarrhythmic medications

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9
Q

Discuss the oral complications associated with antihypertensives

A
  • Xerostomia
  • Burning mouth syndrome
  • Loss of taste
  • Gingival hyperplasia
  • Lichenoid reactions
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10
Q

Discuss the oral complications associated with ACE inhibitors

A
  • Xerostomia due to diuretic actions
  • Burning mouth syndrome
  • Loss of taste
  • Lichenoid reactions
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11
Q

Discuss the oral complications associated with anticoagulant medications

A
  • Gingival bleeding
  • Haematomas
  • Petechiae
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12
Q

Discuss the oral complications associated with nitro-glycerine

A

• Xerostomia

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13
Q

Discuss the oral complications associated with antiarrhythmic medications

A
  • Xerostomia

* Gingival hyperplasia

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14
Q

Discuss modifications to periodontal treatment associated with hypertension

A
  • Postpone treatment until hypertension is under control
  • Use stress reduction strategies
  • LA not harmful, though lower levels of epinephrine may be considered
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15
Q

Discuss modifications to periodontal treatment associated with angina pectoris

A
  • If stable angina, appointments should be short, early morning
  • Relaxed atmosphere
  • Patient’s supply of nitroglycerine should be placed within reach
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16
Q

Discuss modifications to periodontal treatment associated with closed- heart surgery

A

• No contraindications

17
Q

Discuss modifications to periodontal treatment associated with open- heart surgery

A
  • No contraindications

* Ensure to monitor drug interactions

18
Q

Discuss modifications to periodontal treatment associated with heart transplants

A
  • Consult patients cardiologist on the need for antibiotic therapy
  • May notice oral side effects of immuno-suppressants
19
Q

Discuss modifications to periodontal treatment associated with cardiac pacemakers

A
  • Unipolar pacemakers: ultrasonics contraindicated

* Bipolar pacemakers: no contraindications

20
Q

Discuss modifications to periodontal treatment associated with infective endocarditis

A
  • Low risk from dental procedures, and more likely to result from daily activities
  • Antibiotics only recommended for patients with greatest risk of cardiac conditions
  • Antibiotics given just before procedure (no benefit after)
  • Prior to instrumentation have patient brush, rinse and floss with antimicrobial rinse