In many cases, heart disease develops over the course of many years, well before symptoms or felt the patient, and lasts for the life of the patient. Therefore, long-term follow-up and consultation with other specialists when needed, such as when a dental procedure or surgery is to be scheduled, is essential. Cardiovascular disease management is often focused on providing the best management of each medical conditions on continuing basis. Some commonly prescribed medicines require biannual review of lab results even if there are no symptoms or complaints.