title: Dental management of a patient with catecholaminergic polymorphic ventricular tachycardia: a case report.
abstract: Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a type of cardiac arrhythmia that occurs in people with a structurally normal heart. Stress or anxiety-induced release of endogenous catecholamines causes a dysfunction in the myocytic calcium-ion channel, leading to ventricular arrhythmias that can cause dizziness, syncope, or sudden cardiac death. Since dental procedures can be anxiety-provoking, the main purpose of this paper is to report the dental management of a young patient with dental fear and CPVT. Several other issues are also discussed, such as the importance of continual collaboration with medical colleagues, the risk-benefit of using epinephrine-containing local anesthesia for dental treatment for patients with arrythmias, the potential risk of repeated general anesthesia in a patient with a cardiac arrhythmia, and the challenges of providing comprehensive dental treatment in a high caries-risk patient with extreme dental anxiety.
authors.affiliation: Department of Pediatric Dentistry, College of Dentistry, University of Florida, Gainesville, Fla, USA. aadewumi@dental.ufl.edu
authors.forename: Abimbola
authors.initials: A
authors.lastname: Olufunke Adewumi
authors.forename: Laura
authors.initials: L
authors.lastname: Grace Tucker
mesh_terms: D000293:Adolescent; D000768:Anesthesia, General; D016854:Dental Anxiety; D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000628:therapy*; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000150:complications*; D000098850:Polymorphic Catecholaminergic Ventricular Tachycardia