You should tell your dentist about your valvular heart disease. Your dentist may need to prescribe an antibiotic for you before performing any treatments that could send bacteria into your bloodstream. People with valvular heart disease are at a higher risk of getting infective endocarditis, which is an infection of the inside heart lining. Your dentist can then also advise you of any special precautions or preventive measures you need to take to maintain your dental and overall health.
William Jaffe, DO
Location and Office HoursWilliam M Jaffe DO
1890 E Florence
Casa Grande, AZ 85122
- BC/BS of Arizona-HMO Arizona
- CIGNA HealthCare
- Health Net
- Humana Health Plan
- PacifiCare/Secure Horizons
- United Healthcare
- Arizona Heart Hospital
- Banner Good Samaritan Rehabilitation
- St Joseph's Hospital & Medical Center
Should I tell my dentist that I have valvular heart disease?
Piedmont Heart Institute answered
How does expression of anger affect our cardiovascular health?
Michael T. Murray, Naturopathic Medicine, answered
The mechanisms underlying the effects of anger on cardiovascular disease are being explored. In one study, the relationship between habitual anger, coping styles, especially expression of anger, and serum lipid concentrations were examined. Habitual expression of anger was measured on four scales: aggression, controlled affect, guilt, and social inhibition. The results showed that the higher the aggression score, the higher the cholesterol level. Conversely, the greater the ability to control anger, the lower the ratio of LDL to HDL. In other words, those who learn to control anger experience a significant reduction in the risk of heart disease, whereas an unfavorable lipid profile is linked to a predominantly aggressive (hostile) style of coping with anger.
Expression of anger also fuels the underlying inflammation that contributes to atherosclerosis (hardening of the arteries) and other diseases, including cancer, Alzheimer's disease, and diabetes. Levels of C-reactive protein (CRP) are used as a marker for this sort of inflammation and have been shown to correlate more strongly than cholesterol levels with risk of a heart attack or stroke. In one study, greater anger and severity of depressive symptoms, separately and in combination with hostility, were significantly associated with elevations in CRP. Other mechanisms explaining the link between expression of anger and cardiovascular disease include increased secretion of stress hormones such as cortisol, dysfunction in the lining of the arteries, high blood pressure, and formation of blood clots.
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Will my baby with a heart defect always need a feeding tube?
Sometimes infants who have congenital heart disease (heart defects that are present at birth) will need help with a feeding tube to get the calories they need to gain weight. In this case, your baby may need to have a nasogastric (NG) tube placed. An NG tube is a small flexible tube that is placed in your baby’s nose and passed down into the stomach. This allows for formula or breast milk to be given without your baby having to burn so many calories to take it by mouth.
In other cases, a gastrostomy tube (also called a G-tube) may be placed into the stomach directly. This is especially useful for patients who when feeding by mouth are at high risk for having formula or breast milk travel up the esophagus and back down the trachea into the lungs (aspiration). A G-tube also allows for formula and or breast milk to go directly into the stomach, thus reducing the risk of aspiration and decreasing the amount of energy needed to feed.
The need for NG-tube or G-tube feedings early in life does not mean that a baby will always have to be fed in this way. If successful heart surgery is performed, or if the symptoms of heart failure are more successfully managed, a baby may then be able to resume taking food by mouth again. It is not uncommon for babies who have to be fed with tubes in the hospital to quickly begin feeding by mouth once they are at home. Some babies will have to relearn the coordination necessary to suck and swallow. An intensive oral training program can be tailored for these children.
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