Incidence and significance of cardiac arrhythmia in geriatric oral surgery patients.

作者: Jed Jacobson , Margot Van Dis , John H. Campbell , Paul J. Huizinga , Sunil K. Das

DOI: 10.1016/S1079-2104(96)80376-3

关键词:

摘要: We recorded heart rhythms of 40 older patients (20 medicated for cardiovascular disease and 20 not disease) during an outpatient oral surgery visit to determine overall arrhythmia incidence severity, differences in associated with medication status, the impact surgical intervention on incidence. hypothesized that both groups would show similar numbers types visits a history be indicator cardiac arrhythmia. Enrollment remained open until than 60 years age from each group agreed participate. Data were analyzed using chi square statistic Fisher's exact test (2-tailed). Included study 24 women 16 men; their mean was 70.5 (range, 86 years). Arrhythmias detected 17 33 160 rhythms. None arrhythmias considered life-threatening. Significantly more occurred before administration anesthesia epinephrine-containing local anesthetics (p = 0.0001), greater number rhythm disturbances seen procedure when compared 0.0170). No increasing age, male female patients, or pharmacologically treated taking therapeutic medications. conclude although this ambulatory population are common, they typically benign character status is indicative presence. In addition, minor used recommended dosages has no effect geriatric population.

参考文章(19)
Nelson L Rhodus, J. W. Little, M. S. Simmons, R. L. Kunik, J. W. Merry, Evaluation of an EKG system for the dental office. General dentistry. ,vol. 38, pp. 278- 281 ,(1990)
M. Stanton-Hicks, M. Lipp, H. Fuder, M. Daubländer, W. Dick, Exogenous and endogenous plasma levels of epinephrine during dental treatment under local anesthesia. Regional anesthesia. ,vol. 18, pp. 6- 12 ,(1993) , 10.1136/RAPM-00115550-199318010-00002
Stanley F. Malamed, Handbook of local anesthesia ,(1990)
Scott J. Dercn, Morris N. Kotler, Noncardiac surgery in the cardiac patient. American Heart Journal. ,vol. 116, pp. 831- 838 ,(1988) , 10.1016/0002-8703(88)90345-6
Pamela A. Sytkowski, William B. Kannel, Ralph B. D'Agostino, Changes in Risk Factors and the Decline in Mortality from Cardiovascular Disease New England Journal of Medicine. ,vol. 322, pp. 1635- 1641 ,(1990) , 10.1056/NEJM199006073222304
Nelson L. Rhodus, M. Bashar Bakdash, James W. Little, Mary Lou Haider, Implications of the changing medical profile of a dental school patient population The Journal of the American Dental Association. ,vol. 119, pp. 414- 416 ,(1989) , 10.14219/JADA.ARCHIVE.1989.0047
Deeb N. Salem, David C. Homans, Jeffrey M. Isner, Management of cardiac disease in the general surgical patient. Current Problems in Cardiology. ,vol. 5, pp. 1- 41 ,(1980) , 10.1016/0146-2806(80)90008-0
Gerald A. Cioffi, Bart. Chernow, Raymond P. Glahn, Geza T. Terezhalmy, C. Raymond. Lake, The hemodynamic and plasma catecholamine responses to routine restorative dental care The Journal of the American Dental Association. ,vol. 111, pp. 67- 70 ,(1985) , 10.14219/JADA.ARCHIVE.1985.0038
Maurício Wajngarten, Cesar Grupi, Giovanni M. Bellotti, Protasio Lemos Da Luz, Luis Gastào do Serro Azul, Fulvio Pileggi, Frequency and significance of cardiac rhythm disturbances in healthy elderly individuals Journal of Electrocardiology. ,vol. 23, pp. 171- 176 ,(1990) , 10.1016/0022-0736(90)90138-R