Temporary stopping of Aspirin for tooth extraction
Qaimshah posted:
I had a MI some three months ago. No angioplasty or bypass was advised. I need some dental treatment like extraction. The dentist advised to consult a cardiologist about stopping Aspirin for about 6 days.
I am also taking Imdur (Isosorbide-5-mononitrate), Atorvastatin and Famotidine.
Is it Ok in my case
CardiostarUSA1 responded:

"The dentist advised to consult a cardiologist about stopping aspirin for about 6 days."

"Is it ok in my case?"

As in any case, this should be discussed with one's cardiologist (in-person, or over the phone).

Aspirin - generalized info

Because antiplatelets reduce the blood's ability to clot, taking them before surgical or dental procedures can lead to excess bleeding. You might need to stop taking this medicine for 5 to 7 days before your dental work or surgery.

If you are planning to have surgery or a dental procedure, check the risks of discontinuing aspirin, even for a short time.

It has been reported that some procedures may/can be safely performed while patients continue to take low doses of aspirin.


Especially after a heart attack (myocardial infarction, MI) has occurred, one should know his/her left ventricular ejection fraction (LVEF). This is the single-most important clinical indicator of how well the heart is pumping out blood.

Normal resting range LVEF is 50%/55%-70%/75%. Average reported is in the low to mid 60s. Under 50% enters into the realm of left ventricular dysfunction/heart failure territory that goes from mild to moderate to severe.

Cleveland Clinic

Understanding Your Ejection Fraction


Most important, coronary artery disease (CAD) is a lifelong unpredictable (can exhibit periods of stabilization, acceleration, and even some regression) condition, requiring a continuum of care, as well as good doctor-patient/patient-doctor communication and understanding at ALL times.

Best of luck down the road of life.

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Living with Coronary Artery Disease (CAD)

A disease with no cure.

When you have CAD, it is important to take good care of your heart for the rest of your life......

Recognize the symptoms......

Reduce your risk factors......

Take your medications......

See your doctor for regular check-ups......



Coronary artery anatomy

Starting with the left anterior descending (LAD). The most critical, next to the ultra-critical left main (LM).



Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

Epidemiologic studies (EDS) have revealed risk factors for atherosclerosis (typically affecting the coronary, carotid, and peripheral arteries), which includes age, gender, genetics (gene deletion, malfunction, or mutation), diabetes (considered as being the highest risk factor), smoking (includes secondhand) inactivity, high blood pressure (hypertension), diet high in fat, saturated fat and cholesterol, high LDL, high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, low HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against coronary artery disease), high homocysteine, and high C-reactive protein (CRP/hs-CRP).


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