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Since I have a history of arrhythmia, what is recommended for dental procedure anesthesia? 

73 y/o man. I have had 2 catheter ablations in 2013 and am three months in NSR now. I need a tooth implant next week requiring local anesthesia with epinephrine. I am concerned that the epinephrine will put me back in Afib. What is your recommendation about dental procedures and use of local anesthesia with epinephrine?

submitted by Sam from Knoxville, Tennessee on 10/2/2013


Patrick J. Cook, MDby Texas Heart Institute cardiologist, Patrick J. Cook, MD    

The amount of LOCAL anesthesia usually given shouldn't be a problem. All else being equal, it would be preferable to use a local anesthetic without epinephrine, though.

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Updated October 2013
Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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