Why the study?
Catecholaminergic polymorphic ventricular tachycardia is a fatal arrhythmic disease, and guidance is needed on managing oral surgery to avoid ventricular tachycardia given pain risks and epinephrine contraindications.
Does general anesthesia prevent ventricular tachycardia during oral surgery in a patient with catecholaminergic polymorphic ventricular tachycardia?
Does general anesthesia prevent ventricular tachycardia during oral surgery in a patient with catecholaminergic polymorphic ventricular tachycardia?
General anesthesia is a viable strategy for oral surgery in patients with CPVT to avoid pain-induced or epinephrine-induced ventricular tachycardia.
General anesthesia may enable safe extraction in CPVT; this case report leaves open prospective validation.
Background Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a fatal arrhythmic disease. Herein, we report a case of third molar extraction performed under general anesthesia to avoid ventricular tachycardia. Case Presentation A 28‐year‐old woman presented with constant pain and bilateral mandibular gingival swelling. The patient had a history of CPVT diagnosis at 5 years of age, which had been managed with beta‐blockers and sodium channel blockers. Due to the contraindication of using epinephrine and the risk of CPVT induction due to pain, the extraction was conducted under general anesthesia. Conclusion Oral surgery in CPVT patients requires appropriate anesthetic agent selection.
No takes yet. Share an insight, caveat, or question.
Yamasaki et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: