Holter ECG assessment of the effects of three different local anesthetic solutions on cardiovascular system in the sedated dental patients with coronary artery disease
| Autor: | Ümit Tuncay, M Cemal Akay, Mert Zeytinoğlu, İnan Soydan |
|---|---|
| Přispěvatelé: | Ege Üniversitesi |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Epinephrine Lidocaine medicine.drug_class Anesthesia Dental Coronary Artery Disease Prilocaine Cohort Studies Coronary artery disease Electrocardiography Heart Rate Internal medicine medicine Humans local anesthetics Local anesthesia Prospective Studies Anesthetics Local Felypressin Aged Minor dental operations medicine.diagnostic_test Local anesthetic business.industry Repeated measures design Middle Aged medicine.disease cardiac diseases Holter monitoring Anesthesia Tooth Extraction Electrocardiography Ambulatory Cardiology Female Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Anadolu Kardiyoloji Dergisi/The Anatolian Journal of Cardiology. |
| ISSN: | 1308-0032 1302-8723 |
| DOI: | 10.5152/akd.2013.146 |
| Popis: | WOS: 000323324400016 PubMed ID: 23728226 Objective: The purpose of the study is to compare the effects of lidocaine alone, epinephrine-combined lidocaine and prilocaine with octapressin on the cardiovascular system during minor oral surgery of sedated cardiac dental patients under local anesthesia. Methods: Connected to a Holter electrocardiogram (ECG) monitor for a total of 5 hours starting 1 hour before the procedure, twenty patients with high risk of coronary artery disease were included in the prospective cohort study. All the patients had three operations at 3 different appointments with at least one-week intervals and each operation was performed under local anesthesia achieved by 3.6 mL of 3% prilocaine with octapressin, 3.6 mL of 2% lidocaine with 1:80.000 epinephrine and 3.6 mL of 2% lidocaine without a vasoconstrictor. Data of the Holter ECG device assessed at the end of every hour and evaluated statistically. Repeated measures ANOVA, Friedman test, and Wilcoxon signed ranks test were used to perform statistical analysis. Results: Heart-rate showed significant differences between lidocaine with epinephrine and pure lidocaine in an hour following the injection (p |
| Databáze: | OpenAIRE |
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