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Gestão de um paciente arrítmico em cirurgia oral: uma revisão narrativa
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Abstract(s)
A arritmia cardíaca é uma das doenças cardiovasculares mais comuns e cuja etiologia é multifatorial. Muitos dentistas encontrarão pelo menos um paciente arrítmico durante a sua carreira. Esta doença pode ter um impacto no êxito dos tratamentos dentários, nomeadamente no tratamento cirúrgico.
O objetivo desta revisão narrativa da literatura é descobrir como otimizar a gestão destes pacientes arrítmicos durante a cirurgia oral.
Veremos, que a identificação do paciente arrítmico é essencial para adaptar a gestão que pode ser específica. É acompanhado por um bom conhecimento e compreensão da doença e dos seus tratamentos por parte do médico dentista, de modo a poder adaptar o plano de tratamento, gerir potenciais emergências e a ansiedade a elas associada.
Os tratamentos para as arritmias cardíacas podem ser uma barreira à cirurgia oral.
De facto, existem questões potenciais sobre o efeito da anestesia, por exemplo. Alem disso, há questões relacionadas com as interações medicamentosas e potenciais riscos de hemorragia em doentes hipocoagulados, bem como, a possibilidade da existência de um dispositivo cardíaco implantável, o que levanta o problema da interferência elétrica que pode ser exercida por alguns equipamentos dentários.
Cardiac arrhythmia is one of the most common cardiovascular diseases and its etiology is multifactorial. Many dentists will encounter at least one arrhythmic patient during their career. This disease can have an impact on the success of dental treatments, namely surgical treatment. The aim of this narrative literature review is to find out how to optimize the management of these arrhythmic patients during oral surgery. We will see that the identification of the arrhythmic patient is essential to adapt the management, which can be specific. It is accompanied by a good knowledge and understanding of the disease and its treatments by the dentist, in order to be able to adapt the treatment plan, manage potential emergencies and the anxiety associated with them. Treatments for cardiac arrhythmias can be a barrier to oral surgery. Indeed, there are potential questions about the effect of anesthesia for example. In addition, there are questions related to drug interactions and potential bleeding risks in anticoagulated patients, as well as the possibility of an implantable cardiac device, which raises the problema of electrical interference that can be exerted by some dental equipment.
Cardiac arrhythmia is one of the most common cardiovascular diseases and its etiology is multifactorial. Many dentists will encounter at least one arrhythmic patient during their career. This disease can have an impact on the success of dental treatments, namely surgical treatment. The aim of this narrative literature review is to find out how to optimize the management of these arrhythmic patients during oral surgery. We will see that the identification of the arrhythmic patient is essential to adapt the management, which can be specific. It is accompanied by a good knowledge and understanding of the disease and its treatments by the dentist, in order to be able to adapt the treatment plan, manage potential emergencies and the anxiety associated with them. Treatments for cardiac arrhythmias can be a barrier to oral surgery. Indeed, there are potential questions about the effect of anesthesia for example. In addition, there are questions related to drug interactions and potential bleeding risks in anticoagulated patients, as well as the possibility of an implantable cardiac device, which raises the problema of electrical interference that can be exerted by some dental equipment.
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Keywords
Arritmia Doença cardiovascular Cirurgia Pacemaker Ritmo cardíaco Arrhythmia Cardiovascular disease Surgery Heart rhythm