Related Experiment Video
Updated: Mar 6, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
[Functional cardiovascular assessment in dentists performing local anesthesia in out-patient settings]
S A Rabinovich1, S N Razumova2, Yu L Vasil'ev3
1Moscow State Medical and Dental University named after A.I. Yevdokimov, Moscow, Russia.
Abstract:
The article presents the results of the cardiovascular changes assessment using electrocardiography (ECG) monitoring during local anesthesia in GP dentists. Selective ECG monitoring was carried out in 60 dentists aged 25-55 years (1 group - 25-34 y.o.; 2 group - 35-44 y.o.; 3 group - 45-55 y.o.) by means of portable «Valens» system. The study of stress index or the index of regulatory systems tension (IT) was conducted for 6 hours in the first day half within 1 working day. IT from 50 to 150 relative units was considered normal. In the first group IT peak was observed at the time of expectation of clinically relevant anesthesia in upper and lower jaw, while in the second and third groups it was associated with pain reaction in the course of treatment despite of clinical signs of anesthesia in the maxilla (IT=20±5.3 and 231±1.4, correspondingly) and mandible (IT=213±2.7 and 223±2.6, correspondingly). In all groups greater IT correlated more with mandible anesthesia events.
More Related Videos
Related Concept Videos
Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Assessment of apical pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Local Anesthetics: Pharmacokinetics
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
Assessment of the Cardiovascular System IV: Auscultation
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...

