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Myocardial infarction in dental chair — NDEB AFK MCQ

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HardBiomedical SciencesMyocardial infarction in dental chairNDEB AFK

A 64-year-old develops crushing chest pain, sweating, nausea, and shortness of breath during a long extraction. Pain persists after one dose of nitroglycerin and oxygen. What is the most appropriate treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BActivate emergency medical services immediately

Persistent crushing chest pain with autonomic symptoms suggests acute coronary syndrome, requiring immediate emergency medical services. Continuing dental treatment would delay definitive care. The pearl is that dental teams should stop treatment, monitor vital signs, provide oxygen if indicated, and follow emergency protocols.

Reference: Canadian emergency care standards; NDEB KSAs 2024