echocardiography ; cardiovascular-diseases ; local anesthesia .

, "AN ECHOCARDIOGRAPHIC STUDY IN CARDIOVASCULAR-DISEASED PATIENTS DURING DENTAL TREATMENT USING LOCAL ANAESTHESIA WITH ADRENALINE . ", THE NEW EGYPTIAN JOURNAL OF MEDICINE, vol. 5, pp. 1-11 , 1991. Abstract

ABSTRACT:
The cardiac function in a sample of cardiovascular patients was investigated by echocardiography during dental treatment using local anaesthesia . The anaesthetic used was 2% lidocaine with 1 : 100 , 000 epinephrine , which is now considered by many authors as a safe concentration . It was found at the end of the study that the cardiac output , stroke volume , heart rate , ejection fraction as well as other parameters were , unexpectedly , enhanced and increased in cardiovascular patients . These parameters were not changed in normal healthy patients . It was concluded , hence , that lidocaine 2% with adrenaline 1 : 100,000 should be used with causion in cardiovascular diseased patients .

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