Cardiovascular effects and safety of dental anesthesia and dental interventions in patients with recent uncomplicated myocardial infarction.

Published

Journal Article

To determine the cardiovascular effects and safety of dental anesthesia and dental interventions in patients within three weeks of uncomplicated acute myocardial infarction, 40 patients were studied. Twenty patients, group 1, underwent injectable local dental anesthesia with 2% lidocaine and 1:100 000 epinephrine. Group 2, 20 patients, underwent vigorous dental prophylaxis (13 patients) or dental extraction (seven patients) after local anesthesia. Heart rate, blood pressure, electrocardiograms, and symptoms were monitored before, during, and after the dental intervention. There were no significant hemodynamic changes or complications related to dental anesthesia or the dental procedures. One patient experienced an asymptomatic, uncomplicated, self-limited, eight-beat run of ventricular tachycardia two hours after dental extraction. Limited dental anesthesia and dental interventions were well tolerated by these patients with recent myocardial infarction.

Full Text

Duke Authors

Cited Authors

  • Cintron, G; Medina, R; Reyes, AA; Lyman, G

Published Date

  • November 1986

Published In

Volume / Issue

  • 146 / 11

Start / End Page

  • 2203 - 2204

PubMed ID

  • 3778050

Pubmed Central ID

  • 3778050

Electronic International Standard Serial Number (EISSN)

  • 1538-3679

International Standard Serial Number (ISSN)

  • 0003-9926

Digital Object Identifier (DOI)

  • 10.1001/archinte.1986.00360230133019

Language

  • eng