Académique Documents
Professionnel Documents
Culture Documents
Infarction
What is it?
A myocardial infarction
(also known as a heart
attack), refers to the
sudden damage and or
death in multiple possible
areas of varying quatity of
the heart muscle
(myocardium)
Whos at risk?
High blood pressure
High cholesterol
High triglyerides
Diabetes- high blood sugar levels
Smoking
Increased age
Family history of heart disease
Poor diet and nutrition (diets high in saturated fats, trans fats,
Obesity
Other factors: stress, lac of exercise, illegal drugs (cocaine,
amphetamines), etc.
Symptoms
Pressure and/or burning sensation provoked by
physical activity and relieved by rest
Chest pain radiating to shoulder, neck, arms,
craniofacial and jaw
Craniofacial/jaw pain may be the only symptom in 6% of
the population (Danesh-Sani, 2012)
Gender Differences In
symptoms
Symptoms vary from person to person in type
and severity; chest pain is the most
commonly reported symptom in each gender
Females (more likely than Males) to have:
Jaw pain
Shortness of breath
Back pain
Lightheadedness
Nausea
Vomiting
Jaw pain in MI
Danesh-Sani, 2012
This study found that 15.5% of people having
a heart attack had right mandible pain, 14.6%
had left mandible pain, 7.8% had right
TMJ/Ear region pain, and 9.0% had left TMJ/Ear
region pain
No patients had pain in either side of the
maxilla
Diagnosis
Differential diagnosis: throbbing/aching tends to
help diagnosis and differiante dental pathologypressure/burning lead to a more concrete diagnosis
of cardiac origin
Echocardiogram
Angiogram with coronary catheterization
If patient is previously prescribed nitroglycerin and
has taken it when first sign of angina occurs with no
success in pain monitoring, a second dose (post 5
min) should be prescribed. If no response to the
second dose it can be inferred that a possible MI is
occurring and it is a medical emergency
Treatment
Angioplasty
Stent
Coronary artery bypass graft (CABG)
Medications: blood thinners (aspirin),
thrombolytics, antiplatelet drugs,
nitroglycerin, beta-blockers, ACE inhibitors,
pain relievers
True or False:
Mortality rate decreases if a patient
presents with jaw pain as the primary
compliant while having an undiagnosed
myocardial infarction.
True or False:
Women are more likely experience jaw
pain during a myocardial than men
True or False:
A patient comes into the physical therapy with
complaints of jaw pain for the past 24 hours. When
you ask the patient to describe their pain, they say it
feels like pressure and a burning sensation. The
patient also states it is not brought on by any
mechanical motions in particular. The patient
exhibits normal range of motion and strength in the
jaw. You notice as youre evaluating the patient
begins to sweat and tells you they feel like headed.
THIS IS AN EMERGENCY SITUATION & YOU SHOULD
CALL 911.
References:
Attar H, Attar N. Dental Pathology Overlapping With Cardiac Origin Of Jaw Pain Leading To
Myocardial Infarction: A Case Report.Internet Journal Of Emergency Medicine[serial
online]. January 2011;7(1):1-1 1p. Available from: CINAHL Plus with Full Text, Ipswich, MA.
Accessed June 28, 2016.
Lpez-Lpez, J., Adserias-Garriga, M. J., Garcia-Vicente, L., Jan-Salas, E., ChimenosKstner, E., & Pereferrer-Kleine, D. (2012). Orofacial pain of cardiac origin, serial of
clinical cases. Medicina Oral, Patologa Oral Y Ciruga Bucal, 17(4), e633e637.