ABSTRACT
<p><b>OBJECTIVE</b>To study the indication and contraindication of opening pulp chamber therapy for patients with a history of remote myocardial infarction.</p><p><b>METHODS</b>Blood pressure (BP), heart beat rate and electrocardiographic examination were determined during opening pulp chamber therapy in patients with acute and chronic pulpititis and a history of remote myocardial infarction.</p><p><b>RESULTS</b>High blood pressure and quick heart beat were found during local anaesthetic injection and opening of pulp chamber (during local anaesthetic injection BP increased by 12.52/8.04 mmHg, heart rate by 4.02 times/min;during opening of pulp chamber BP and heart rate increased by 15.43/8.0 mmHg, 6.37 times/min respectively). Electrocardiogram showed myocardial ischemic pattern deteriorated in some patients with the history of coronary insufficiency.</p><p><b>CONCLUSIONS</b>Most patients can bear it. Comprehensive physical examinations, evaluations of the patients' cardial status, mental state and indispensible equipment are necessary. The therapy is recommended to be operated under the monitor electrocardiography for the safety of the patients.</p>
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Acute Disease , Anesthetics, Local , Blood Pressure , Chronic Disease , Contraindications , Electrocardiography , Heart Rate , Myocardial Infarction , Pulpectomy , Methods , Pulpitis , General SurgeryABSTRACT
Objective To study the safety of opening pulp chamber therapy for elderly patients with cardiovascular diseases. Methods Blood pressure, heart rate and electrocardiography were examined during the treatment by opening of pulp chamber for patients with acute and chronic pulpititis and cardiovascular diseases. Patients without cardiovascular disease were used as controls. Results Both blood pressure and heart rates were increased during local anesthetic injection(14/6 mm Hg, 14 4/6 6 mmHg; 4 8, 4 1 times/min) and during the opening of pulp chamber(16/9 mm Hg, 19/12 mm Hg; 6 4, 5 9 times/min) for both patients and control groups with statistically significant differences compared with that before operation. But there was no statistically significant differences between the patients with cardiovascular diseases and the controls during the local anesthetic injection and the opening of pulp chamber. Electrocardiogram showed myocardial ischemia deteriorated in some patients with cardiovascular diseases. Conclusions Endodontic treatment under monitoring by electrocardiography is safe and can be recommended to the elderly patients with cardiovascular diseases