Comparative study using local anesthesic solution with and without vasoconstrictor in patients wiht cardiac arrhytmias during routine dental treatment / Estudo comparativo do uso de anestésicos locais com ou sem vasoconstritor em pacientes com arritmias cardíacas durante tratamento odontológico de rotina

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The use of a local anesthetic solution with a vasoconstrictor agent for routine dental treatment in patients with cardiovascular disease is still controversial. Objetive: to evaluate the possible hemodynamics effects related to the use of a local anesthetic solution associated with a non-adrenergic vasoconstrictor agent, comparatively to another local anesthetic solution without a vasoconstrictor agent, in patients with cardiac arrhythmia. Methods: Prospective, randomized study, evaluated 33 patients with Chagas´s Cardiomyopathy and 32 with Coronary Artery Disease, 21 female; mean age 54,73 ± 7,94 of years old and complex ventricular arrhythmia detected by the 24 hours Holter monitoring. The patients underwent a routine dental treatment with pterygomandibular anesthesia, divided into two groups: Group I - received local anesthesia with 3% prilocaine associated with felypressin 0,03UI/ml and Group II - received 2% lidocaine without vasoconstrictor. Heart rate, number and complexity of premature ventricular beats and systemic blood pressure were monitored the day before, one hour before, during and one hour after dental treatment. Results: There were no changes in the homodynamic parameters related to the anesthetic solution and no significant differences were observed between the two groups. Conclusion: These findings suggest that 3% prilocaine with felypressin 0,03 UI/ml can be safely used in patients with complex ventricular arrhythmia associated with Chagas´s and coronary artery desease.

ASSUNTO(S)

arritmia local anesthesic cardiomiopatia chagásica vasoconstrictor chagasy miocardiopathyc vasoconstritores arrhytmias coronary disease dental assistence coronariopatia assistência odontológica anestésicos locais

ACESSO AO ARTIGO

Documentos Relacionados