Key result
Among 100 outpatients with cardiovascular diseases undergoing dental surgery, perioperative complications included ventricular extrasystole (15%), severe hypertension (5%), and postoperative bleeding (6%), all of which were managed without significant adverse events.
Why the study?
What are the perioperative complications and appropriate management strategies during dental surgery in outpatients with cardiovascular diseases?
Observational (n=100)
No
What are the perioperative complications and appropriate management strategies during dental surgery in outpatients with cardiovascular diseases?
Dental surgery in patients with cardiovascular diseases can be safely performed with careful perioperative monitoring and appropriate management of hemodynamics and anticoagulation.
Supports monitoring in CV outpatients for dental surgery; leaves open confirmation in prospective studies.
Patients with cardiac diseases must be carefully evaluated and managed, as manycomplications may set in during or after operations. Dental surgery on 100 patients with cardiac diseases was performed in our institution from 1984 to 1987. Results: (1) 51 percent of the 100 cases were ischemic heart diseases.(2) Electrocardiographic findings before dental surgeries. 34 percent of the findings were normal. 25 percent showed atrial fibrillations, and 17. 1 percent were ST-T changes. (3) Anticoagulant therapy was maintained on 51 patients. 28 patients underwent dental surgery with interrupted anticoagulant therapy and others were performed dental surgery with non-interrupted anticoagulant therapy. (4) Complications during and after dental surgery. In 15 cases, ventricular extrasystole occurred and in 5 cases, systolic blood pressure increased from 200 to 230 mmHg. After dental surgery, we had bleeding problems in 6 cases. But there were no significant complications after careful treatment and management.
No takes yet. Share an insight, caveat, or question.
NAKASATO et al. (1988) conducted an observational in Cardiovascular diseases requiring dental surgery (n=100). Dental surgery was evaluated on Complications during and after dental surgery. Among 100 outpatients with cardiovascular diseases undergoing dental surgery, perioperative complications included ventricular extrasystole (15%), severe hypertension (5%), and postoperative bleeding (6%), all of which were managed without significant adverse events.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: