Clinical evaluation of cardiovascular influence of tooth extraction in patients after coronary artery bypass graft operation under electrocardiographic monitoring
XIANG Tian-qing
DUAN Xiang-qing
XUAN Wei
YU Lan
LV Ya-lin
Abstract：Objective:To evaluate the safety of tooth extraction in patients after coronary artery bypass graft (CABG) operation under local anesthesia with 4% articaine hydrochloride with 1∶100000 epinephrine.Methods:A total of 174 patients requiring tooth extraction under local infiltration anesthesia or nerve block anesthesia with 1-3 capsules of articaine were enrolled in this study. The following hemodynamic parameters were observed during the operation at 5 different moments: systolic blood pressure(SBP), diastolic blood pressure(DBP), heart rate(HR), the electrocardiogram changes, rate pressure product(RPP), pressure rate quotient(RPQ) and the symptoms were also involved in estimation.Results:160 patients completed the operation and 14 patients were dropped due to elevated blood pressure, arrhythmia, chest pain, et al. SBP was increased significantly during injection of anesthetic solution (P=0.038) and tooth extraction (P=0.012); RPP was also ascended significantly during tooth extraction(P=0.025). No statistical changes were observed with DBP, HR and RPQ at any different moments.Conclusion:Most patients after CABG could finish tooth extraction under electrocardiographic monitoring; the procedure was safe by means of careful preparation and gentle performance.
Keywords：CABGelectrocardiographic monitoringtooth extractionarticaine
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 92-96 )