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Related Concept Videos

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The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
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A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Understanding valvular heart disease in the dental setting.

T Truong1, Y Koh1, R Yosufi1

  • 1UWA Dental School, The University of Western Australia, Perth, WA, Australia.

Australian Dental Journal
|January 15, 2021
PubMed
Summary

Most dentists in Western Australia follow infective endocarditis (IE) prophylaxis guidelines for valvular heart disease (VHD). However, awareness of rheumatic heart disease (RHD) control programs remains low.

Keywords:
Antibiotic prophylaxisdental practiceinfective endocarditisoral healthrheumatic heart diseasevalvular heart disease

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Area of Science:

  • Dental Public Health
  • Infectious Diseases
  • Cardiology

Background:

  • Limited data exists on dentists' understanding of infective endocarditis (IE) prophylaxis guidelines.
  • Valvular heart disease (VHD) management in dental settings requires further investigation.

Purpose of the Study:

  • To assess dentists' knowledge and application of IE prophylaxis guidelines for VHD in Western Australia.
  • To evaluate awareness of rheumatic and non-rheumatic VHD management protocols.

Main Methods:

  • A cross-sectional online survey was distributed to dentists in Perth, Western Australia.
  • The survey utilized a Qualtrics questionnaire based on stakeholder consultations.
  • Dentists were sampled across socio-economic quintiles.

Main Results:

  • 90.2% of surveyed dentists adhered to the Australian Therapeutic Guidelines (ATG) for IE antibiotic prophylaxis in VHD.
  • Nearly all dentists prescribed prophylaxis for invasive procedures like extractions (100%) and periodontal surgery (95.1%).
  • A significant majority (92.7%) were unaware of the national rheumatic heart disease (RHD) control program.

Conclusions:

  • Dentists generally follow established guidelines for IE prophylaxis in VHD.
  • There is a notable gap in dentists' knowledge regarding national RHD guidelines and local control programs.