Relation of the vasoconstrictor present in the local anesthetics in patients with heart disease

• Autor(a) principal: Lima, Milena Andrade dos Santos
• Data de Publicação: 2022
• Outros Autores: Gomes, Ana Viviam Souza Ferro, Santos, Andreza Thaynara, Souza, Vanessa da Costa de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/34077
• topic: Anestésico local; Vasoconstritores; Cardiopatia; Cirurgia oral.; Local anesthetic; Vasoconstrictors; Heart disease; Oral surgery.; Anestesia local; Vasoconstrictores; Enfermedad del corazón; Cirugía oral.

The need for more invasive dental procedures in patients with heart disease has been growing and the administration of local anesthetics associated with vasoconstrictors is the most used method in order to allow the necessary adaptation for a range of conducts. Among these, tooth extraction is one of the most frequent procedures in the dentist's daily life and despite the low rate of complications, treatment planning must consider factors such as: age, gender and medical and dental history. Constant monitoring of vital signs and knowledge of the anesthetic volume and appropriate technique for each case is essential to reduce complications such as anesthetic intoxication, arrhythmias, heart failure, significant changes in systolic and diastolic pressures and hypersensitivity reactions. The manuscript is a review of narrative literature with a qualitative approach, this aimed to understand the immediate effects of vasoconstrictors present in local anesthetic in patients with heart disease. The search was performed on the VHL, PubMed, Scielo and Google Scholar platforms, written in Portuguese and English, between 2007 and 2022. Studies report that at certain dosages there are no significant clinical differences and the use of vasoconstrictors is not contraindicated in patients with cardiovascular diseases. However, there is not enough scientific evidence to say that the possible side effects in patients with heart disease are exclusively due to vasoconstrictors.