Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Prospective, randomized double-blinded study to investigate hemodynamic changes in valvular cardiac patients during dental treatment with the use of a local anesthesia containing epinephrine.
Patients with valvular disease constitute a group in which local anesthesia must be effective to avoid higher release of endogenous catecholamines that could trigger hemodynamic. The study was conducted in the Dental Department of the Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Brazil). Patients were allocated into two groups through an aleatory numbered table: PL (plain 2% lidocaine, n= 31) and LE (2% lidocaine with 1:100.000 epinephrine, n= 28). The anesthetic amount was registered. DIXTAL monitor (São Paulo- Brazil) captured blood pressure, heart rate, oxygenation and electrocardiogram records.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PL | Patients who receive local anesthesia with 2% lidocaine without epinephrine | ||
| LE | Patients who receive local anesthesia with 2% lidocaine with 1:100.000 epinephrine |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| arrhythmias | during procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Arterial pressure | during procedure | |
| anxiety | during and imediately after procedure |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Patients with acquired valvular diseases participated in this study, aging between 18-65 years in need of dental surgery (extractions) or restorative dentistry in mandible
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Joaquim E Vieira, MD, PhD | University of Sao Paulo Medical School - FMUSP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital das Clínicas da FMUSP | São Paulo | São Paulo | 05430 010 | Brazil |
Not provided
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Not provided
Not provided
Not provided
| D001523 | Mental Disorders |