Everyday Oral Surgery Medicine Review: Cardiology (with Dr. Andrew Jenzer)
May 29, 2023
Dr. Andrew Jenzer, an oral medical surgeon from Durham, dives into the crucial world of cardiology. He breaks down essential terms and concepts for effective communication around cardiac medications. The discussion covers managing hypertension, interpreting EKGs, and understanding atrial fibrillation's complexities. Jenzer delves into cardiac risks, including heart blocks and congestive heart failure, while also touching on medication safety. This insight-rich conversation provides practical tips for residents and practitioners alike.
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Follow ACC/AHA BP Thresholds And Triage
- Use current ACC/AHA thresholds: hypertension stage 1 is ≥130/80, stage 2 ≥140/90.
- For BP ≥180/120 without end‑organ damage, arrange same‑day evaluation; if with dysfunction, treat as emergency.
Periop BP Med Management And Targets
- Continue patients' beta blockers perioperatively but generally hold ACE inhibitors and diuretics before surgery.
- Maintain intraoperative BP within ~20% of the patient's baseline to preserve organ perfusion.
ACS Spectrum And Initial Steps
- Acute coronary syndrome spans unstable angina to NSTEMI and STEMI, with troponins elevated in MI.
- Early management includes oxygen, nitroglycerin, aspirin, and pain control; urgent PCI aims for door‑to‑balloon ≤90 minutes.
