Isolated atrial fibrillation (IAF) after local anaesthesia with epinephrine in an anxious dental patient.
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.
Manani
G
G
Department of Clinical and Experimental Medicine, University of Padua, Via Giustiniani 2, 35128 Padova, Italy.
Facco
E
E
Casiglia
E
E
Cancian
M
M
Zanette
G
G
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
D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D008619:Mepivacaine; D004837:Epinephrine