Document Detail


Review and management of the dental patient with Long QT syndrome (LQTS).
MedLine Citation:
PMID:  19642718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Long QT syndrome (LQTS) is a unique cardiovascular condition, with both congenital and acquired forms that afflict patients. These patients show a lengthening of the repolarization phase of the cardiac cycle, which can be best visualized on an electrocardiogram (ECG). The ECG changes can include QT interval (the time between the start of the Q wave and the end of the T wave, as seen on an ECG) and T wave abnormalities, as well as progression to torsades de pointes and ventricular fibrillation. The ECG changes are most commonly elicited by physical activity, emotional stress, and certain medications. This condition represents a challenge for the oral and maxillofacial surgeon. Patients with LQTS must receive proper medical management and a controlled and anxiety-free surgical environment. The purpose of this article was to present a review of LQTS and provide recommendations for effective surgical management. Additionally, a case report of a patient with LQTS, treated by one of the authors, has been included.
Authors:
Christopher Rochford; R David Seldin
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Anesthesia progress     Volume:  56     ISSN:  0003-3006     ISO Abbreviation:  Anesth Prog     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-31     Completed Date:  2009-09-22     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0043533     Medline TA:  Anesth Prog     Country:  United States    
Other Details:
Languages:  eng     Pagination:  42-8     Citation Subset:  D    
Affiliation:
Department of Oral and Maxillofacial Surgery, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / administration & dosage
Anesthesia, Dental / methods*
Child
Dental Care for Chronically Ill*
Female
Humans
Long QT Syndrome* / complications
Magnesium / therapeutic use
Postoperative Care
Preanesthetic Medication
Preoperative Care
Tooth Extraction
Torsades de Pointes / drug therapy,  etiology,  prevention & control
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 7439-95-4/Magnesium
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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