| Maternal-fetal monitoring during dental procedure in patients with heart valve disease. | |
| | |
MedLine Citation:
|
PMID: 20084307 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The effects of local dental anesthesia with lidocaine and epinephrine on cardiovascular parameters of pregnant women with heart valve diseases and their fetuses are not fully understood. OBJECTIVES: To assess and analyze cardiotocographic, blood pressure and electrocardiographic parameters of pregnant women with rheumatic heart valve disease undergoing local anesthesia with 1.8mL of lidocaine 2% with or without epinephrine 1:100,000 during restorative dental treatment. METHODS: Maternal ambulatory blood pressure and electrocardiographic monitoring as well as cardiotocography of 31 patients with rheumatic heart disease were performed between the 28th and 37th week of gestation. The patients were divided into two groups, those with or without vasoconstrictor. RESULTS: A significant reduction in maternal heart rate was shown in both groups during the procedure in comparison with the other periods (p<0.001). Cardiac arrhythmia was observed in nine (29.0%) patients, of which seven (41.8%) were from the group of 17 pregnant women who received anesthesia plus epinephrine. No difference in maternal blood pressure was observed when periods or groups were compared (p>0.05). The same occurred (p>0.05) with the number of uterine contractions, baseline level and variability, and number of accelerations of fetal heart rate. CONCLUSION: The use of 1.8mL of lidocaine 2% in combination with epinephrine was safe and efficient in restorative dental procedures during pregnancy in women with rheumatic heart valve disease. |
| | |
Authors:
|
Itamara Lucia Itagiba Neves; Walkiria Samuel Avila; Ricardo Simões Neves; Dante Marcelo Artigas Giorgi; Jorge Francisco Kuhn dos Santos; Ricardo Martins Oliveira Filho; Cesar José Grupi; Max Grinberg; José Antonio Franchini Ramires |
Related Documents
:
|
15516427 - Massive fetal ascites causing increased middle cerebral artery systolic velocity. 6498047 - Placental blood flow during caesarean section performed under subarachnoid blockade. 22546507 - One-year follow-up changes in weight are associated with changes in blood pressure in y... 7388077 - Cardiovascular responses to autonomic blockade in hypoxemic fetal lambs. 8476367 - Effects of prolonged head-down bed rest on physiological responses to moderate hypoxia. 9756567 - Evidence for increased cardiac compliance during exposure to simulated microgravity. |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Arquivos brasileiros de cardiologia Volume: 93 ISSN: 1678-4170 ISO Abbreviation: Arq. Bras. Cardiol. Publication Date: 2009 Nov |
Date Detail:
|
Created Date: 2010-01-19 Completed Date: 2010-08-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0421031 Medline TA: Arq Bras Cardiol Country: Brazil |
Other Details:
|
Languages: eng Pagination: 463-742 Citation Subset: IM |
Affiliation:
|
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. itamara@incor.usp.br |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Analysis of Variance Anesthesia, Dental / adverse effects* Anesthetics, Combined / administration & dosage, adverse effects Anesthetics, Local / administration & dosage, adverse effects* Arrhythmias, Cardiac / chemically induced Blood Pressure / drug effects Cardiotocography Epinephrine / administration & dosage, adverse effects* Female Gestational Age Heart Rate, Fetal / drug effects Humans Lidocaine / administration & dosage, adverse effects* Monitoring, Ambulatory / methods Pregnancy Pregnancy Complications / physiopathology* Rheumatic Heart Disease / physiopathology* Statistics, Nonparametric Vasoconstrictor Agents / administration & dosage, adverse effects Young Adult |
| Chemical | |
Reg. No./Substance:
|
0/Anesthetics, Combined; 0/Anesthetics, Local; 0/Vasoconstrictor Agents; 137-58-6/Lidocaine; 51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Different levels of Hsp72 in female rat myocardium in response to voluntary exercise and forced exer...
Next Document: Prevalence of metabolic syndrome in outpatients of the institute of cardiology of Rio Grande do Sul.