title: Cardiovascular Collapse Associated With Irreversible Cardiomyopathy, Chronic Renal Failure, and Hypertension During Routine Dental Care.
abstract: Patients with multiple comorbid conditions visit the dental office every day, and although rare, complications from their conditions may occur during treatment. A case is presented of a 65-year-old African American woman with a history of severe cardiovascular disease, renal disease, and a reported local anesthetic allergy who experienced complete cardiovascular collapse during routine dental treatment from which she was successfully resuscitated. Treating clinicians should recognize the emerging symptoms and be proficient with a basic and advanced cardiac life support protocol to care for their patients safely and effectively until they can be transported to more advanced care facilities.
authors: Department of Dental Anesthesiology, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania.
authors: Sean
authors: S
authors: Thoms
authors: Department of Dental Anesthesiology, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania.
authors: Matthew
authors: M
authors: Cooke
authors: Department of Dental Anesthesiology, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania.
authors: James
authors: J
authors: Crawford
mesh_terms: D000368:Aged; D059347:Cardio-Renal Syndrome / Q000150:complications; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D047548:Defibrillators; D003729:Dental Care; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006333:Heart Failure / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications*; D012131:Respiratory Insufficiency / Q000209:etiology; D012770:Shock, Cardiogenic / Q000209:etiology*
keywords: Cardiac arrest; Cardiorenal syndrome; Congestive heart failure; Dental emergency