Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Cardiotoxicity of local anesthetics: dynamic electrocardiogram study].

S Rengo, V Canonico, M Simeone

    Archivio Stomatologico
    |October 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    What are the determinants of type of breast surgery following neoadjuvant chemotherapy? An analysis of breast cancer patients among Italian SENONET centers: NEOIMPACT study.

    Breast (Edinburgh, Scotland)·2026
    Same author

    The use of bone-modifying agents in early breast cancer: AIOM Guidelines update and perspectives.

    Tumori·2025
    Same author

    Corrigendum to "Neoadjuvant chemotherapy for breast cancer in Italy: A Senonetwork analysis of 37,215 patients treated from 2017 to 2022" [The Breast 78 (2024) 103790].

    Breast (Edinburgh, Scotland)·2025
    Same author

    PREDICTIVE BRCA GENETIC TESTING IN ITALIAN PATIENTS WITH BREAST CANCER: A POSITION PAPER OF ITALIAN SCIENTIFIC SOCIETIES [Italian Association of Medical Oncology(AIOM); Italian Association of Radiotherapy and Clinical Oncology (AIRO); Italian National Association of Breast Surgeons (ANISC); Italian Society of Pathological Anatomy and Diagnostic Cytology (SIAPeC-IAP); Italian Society of Surgical Oncology (SICO); Italian Society of Human Genetic (SIGU); Italian Society of General Practice (SIMG); Italian Society of Medical and Interventional Radiology (SIRM)].

    Cancer treatment reviews·2025
    Same author

    Neoadjuvant chemotherapy for breast cancer in Italy: A Senonetwork analysis of 37,215 patients treated from 2017 to 2022.

    Breast (Edinburgh, Scotland)·2024
    Same author

    Non-palpable breast lesions localization techniques - A new priority: Results of a Senonetwork survey among breast centers in Italy.

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2024
    Same journal

    [Periodontal disease in children].

    Archivio stomatologico·1990
    Same journal

    [Photography in orthodontics].

    Archivio stomatologico·1990
    Same journal

    [Emergency situations in dental offices. 5. Medico-legal aspects and insurance].

    Archivio stomatologico·1990
    Same journal

    [Differential anchorage in orthodontics: problems and clinical implications].

    Archivio stomatologico·1990
    Same journal

    [Changes in the strength of immune defense of the oral cavity in aging].

    Archivio stomatologico·1990
    Same journal

    [The use of a computer in analysis of orthodontic cases].

    Archivio stomatologico·1990
    See all related articles

    Dental surgery in cardiac patients is safe with local anesthesia containing a vasoconstrictor, like mepivacaine hydrochloride with adrenalin. Monitoring showed transient heart rate and blood pressure increases, but no significant cardiac events.

    Area of Science:

    • Cardiology
    • Dentistry
    • Anesthesiology

    Context:

    • Cardiopathic patients undergoing dental procedures require careful hemodynamic monitoring.
    • Local anesthesia with vasoconstrictors is commonly used in dentistry.
    • The safety of dental procedures with vasoconstrictors in cardiac patients is a clinical concern.

    Purpose:

    • To evaluate the cardiovascular response of cardiopathic patients during tooth extraction under local anesthesia with a vasoconstrictor.
    • To assess the safety and hemodynamic stability of dental procedures in patients with heart conditions.

    Summary:

    • Twenty-two cardiopathic patients underwent dynamic electrocardiography during tooth extraction using mepivacaine hydrochloride with adrenalin.
    • Significant increases in heart rate and blood pressure were observed during the procedure, returning to near-basal levels post-extraction.

    Related Experiment Videos

  • No major adverse cardiac events, such as ST segment changes, were noted. One patient experienced a transient increase in ventricular rate and premature beats.

    • Impact:

    • Local anesthesia with vasoconstrictors appears to be a viable option for dental procedures in select cardiopathic patients.
    • Careful patient selection and clinical assessment are crucial for managing cardiovascular risks during dental surgery.
    • This study supports the safety of dental interventions under local anesthesia with vasoconstrictors in patients with cardiac conditions, given appropriate monitoring.