Traditional dental management guidelines of myocardial infarction survivors
mandate a 6-month waiting period before elective treatment can be consider
ed. Technological advances in cardiac disease diagnosis, management, and re
vascularization treatment may make this older mandatory 6-month waiting per
iod obsolete. The purposes of this literature review are to provide an over
view of the historical development of cardiac risk stratification and discu
ss current developments and guidelines in cardiac risk assessment. We hope
that this review and update will stimulate the development of updated denta
l guidelines for treating the cardiac patient.