title: Isolated atrial fibrillation (IAF) after local anaesthesia with epinephrine in an anxious dental patient.
abstract: Cardiac arrhythmias are not uncommon in dental practice, depending on many factors, including patient features, dental treatment and drugs administered. We describe a case of isolated atrial fibrillation (IAF) developed, in a young patient, soon after a supraperiosteal injection. The patient was admitted to hospital and recovered spontaneously. Since stress is a possible cause of IAF, this may has been triggered by endogenous and/or exogenous epinephrine. We highlight the need for careful preoperative evaluation, including anxiety assessment and treatment in all dental patients.
authors.affiliation: Department of Clinical and Experimental Medicine, University of Padua, Via Giustiniani 2, 35128 Padova, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Manani
authors.forename: E
authors.initials: E
authors.lastname: Facco
authors.forename: E
authors.initials: E
authors.lastname: Casiglia
authors.forename: M
authors.initials: M
authors.lastname: Cancian
authors.forename: G
authors.initials: G
authors.lastname: Zanette
mesh_terms: D000766:Anesthesia, Dental / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000209:etiology*; D016854:Dental Anxiety / Q000150:complications*; D004837:Epinephrine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008619:Mepivacaine / Q000009:adverse effects; D014662:Vasoconstrictor Agents / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D008619:Mepivacaine; D004837:Epinephrine