Preoperative medical evaluation: part 1: general principles and cardiovascular considerations

Anesth Prog. 2009 Autumn;56(3):92-102; quiz 103-4. doi: 10.2344/0003-3006-56.3.92.


A thorough assessment of a patient's medical status is standard practice when dental care is provided. Although this is true for procedures performed under local anesthesia alone, the information gathered may be viewed somewhat differently if the dentist is planning to use sedation or general anesthesia as an adjunct to dental treatment. This article is the first of a 2-part sequence and will address general principles and cardiovascular considerations. A second article will address pulmonary, metabolic, and miscellaneous disorders.

MeSH terms

  • Anesthesia, Dental*
  • Anesthesia, General
  • Arrhythmias, Cardiac / physiopathology
  • Cardiovascular Diseases / physiopathology*
  • Conscious Sedation
  • Dental Care*
  • Heart Failure / physiopathology
  • Heart Valve Diseases / physiopathology
  • Humans
  • Hypersensitivity / physiopathology
  • Hypertension / physiopathology
  • Medical History Taking*
  • Myocardial Ischemia / physiopathology
  • Pharmaceutical Preparations / administration & dosage
  • Physical Examination*
  • Preoperative Care*
  • Risk Assessment


  • Pharmaceutical Preparations