Hyperdynamic beta-adrenergic circulatory state. A case report

A 22-year-old Japanese male with hyperdynamic beta-adrenergic circulatr without premedication. An abnormal electrocardiographic pattern was observed during the dental treatment, which was analyzed from the standpoint of beta-adrenergic receptors and drugs. During treatment, local anesthetics without adrenergic beta-stimulant would be desirable but premedication with beta blocker may be enough even when anesthetic agents with beta-stimulators are used. Furthermore, premedication with minor tranquilizers is also effective.