Abstract: . . .  stable AP or s/p MI (>6 month after event ) Treatment of pts. With stable AP or s/p MI (>6 month after event ) Keep nitroglycerine in reach at all times. Semi supine position. Do not use retraction cords with epinephrine (may use phenylephrine). Do not use anticholinergic drugs (atropine, scopolamine). If patient feels uncomfortable stop treatment. Page 47 Treatment of pts. With stable AP or s/p MI (>6 month after event ) Treatment of pts. With stable AP or s/p MI (>6 month after event ) If patient receives anti-coagulant therapy: INR<3 Aspirin may cause some bleeding. Treatable by local measures. Do not recommend cessation of aspirin therapy prior to dental treatment. Page 48 Treatment of anginal episodes during dental treatment. Treatment of anginal episodes during dental treatment. 1. Nitroglycerin under tongue 2. Oxygen (3 lit/min via nasal canula) 3. Wait 5 min. 4. When no relief repeat 1,2,3 * 2 5. If patient is not relieved within 15min after 3 pills dial 101, hospital. Page 49 Oral manifestations Oral manifestations Usually no oral manifestations directly connected to the disease . Medications can induce oral changes. Page 50 See you next time  . . .
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