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Blood pressure and electrocardiographic response to dental treatment with use of local anesthesia

1986; Elsevier BV; Volume: 113; Issue: 4 Linguagem: Inglês

10.14219/jada.archive.1986.0245

1943-4723

Allen L. Hasse, Ming K. Heng, Neal R. Garrett,

Anesthesia and Sedative Agents

The incidence of ST segment depression during tooth extraction was significantly higher in patients with cardiac disease than it was in patients without cardiac disease, indicating that the cardiac patients experienced myocardial ischemia. The almost equivalent incidence of ST segment depression during anesthetic administration and surgery suggests that the administration of local anesthetic is as stressful as tooth extraction for cardiac patients. Medical consultation before dental treatment and use of stress-reduction techniques may be indicated for patients with or suspected to have cardiac disease.