| Clinical study of hemodynamic changes during extraction in controlled hypertensive patients. | |
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MedLine Citation:
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PMID: 21196862 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the efficacy and safety of the vasoconstrictor used in local anesthesia during dental extraction in controlled hypertensive patients. STUDY DESIGN: A prospective observational study was carried out in hypertensive patients (n=97) with a mean age of 60.45±9.60 years. The following parameters were monitored at three different timepoints (before the procedure, 3 minutes after local anesthesia infiltration, and 3 minutes after the operation): blood pressure (diastolic and systolic), heart rate, and oxygen saturation. Anesthesia (1-3 carpules) was provided in the form of articaine with 4% epinephrine as vasoconstrictor in one group, while another group received 3% mepivacaine without vasoconstrictor. RESULTS: All patients presented primary hypertension (n=97)(grade I in 57.7% of the cases and grade II in 42.3%). The most widely used antihypertensive drugs were angiotensin II receptor antagonists (ARA II). The only significant differences observed corresponded to systolic blood pressure measured before and after dental extraction in the group of hypertensive patients anesthetized with vasoconstrictor. CONCLUSIONS: In procedures such as dental extraction, no significant hemodynamic changes in well controlled hypertensive patients are seen attributable to anesthetic use with a vasoconstrictor, when fewer than three local anesthetic carpules are administered. |
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Authors:
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Francisco-Javier Silvestre; Isabel Salvador-Martínez; Daniel Bautista; Javier Silvestre-Rangil |
Publication Detail:
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Type: Journal Article Date: 2011-05-01 |
Journal Detail:
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Title: Medicina oral, patología oral y cirugía bucal Volume: 16 ISSN: 1698-6946 ISO Abbreviation: Med Oral Patol Oral Cir Bucal Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-02 Completed Date: 2011-09-01 Revised Date: 2011-09-14 |
Medline Journal Info:
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Nlm Unique ID: 101231694 Medline TA: Med Oral Patol Oral Cir Bucal Country: Spain |
Other Details:
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Languages: eng Pagination: e354-8 Citation Subset: D; IM |
Affiliation:
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Department of Stomatology, Valencia University Dental School, Stomatology Unit, Dr. Peset University Hospital, Juan de Garay s/n, 46017 Valencia, Spain. francisco.silvestre@uv.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Hemodynamics* Humans Hypertension / physiopathology* Intraoperative Period Male Middle Aged Prospective Studies Tooth Extraction* Vasoconstrictor Agents / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Vasoconstrictor Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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