Oral Surgery in Patients With Atherosclerotic Heart Disease

Abstract
Forty patients with documented atherosclerotic heart disease were examined by electrocardiography and determination of blood pressures and pulse rates 24 hours before oral surgery, immediately preoperatively, and during surgery at intervals of one, five, and ten minutes after injections of 2% lidocaine hydrochloride with and without 1:50,000 epinephrine. No significant changes occurred in the electrocardiograms, blood pressures, or heart rates during the study. We found no reason to withhold epinephrine from local anesthetics administered to patients with atherosclerotic heart disease.

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