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19 Mar 2007

Conscious sedation & the heart
My husband is meant to how for a op on his mouth to fix a tooth, he was going to go under Anesthetic, but then they decided to go with conscious sedation. They suddenly cancelled the op when they found out he had a "hole" in the heart when he was born. This grew closed when he was a child and he had a slight heart murmur, which last time he was checked by a doctor they couldn't hear anything. They now want him to be checked my a cardiologist. He has gone to the emergency room twice for low blood pressure and he has quite a slow heart rate, but he was checked out about 5 years ago and his EKG etc were normal. Should we be worried because the dentist won't do the surgery or do you think they are just protecting themselves.
Answer 855 views
Expert
CyberDoc
cyberdoc

01 Jan 0001

Dear Worried wife
Any mouth procedure causes a bit of mouth germs to end up in the blood ( tooth surgery usually is a bit bloody) and if this happens the bacteria can go and sit on a heart valve and cause serious heart disease ( endocarditis). I therefor agree with your dentist to rather be safe than sorry and to ensure that he won't end up with heart failure because of a simple dentistry procedure. They will probably do a heart sonar and then decide whether they can do the procedure but that he may need to take antibiotics to prevent any infection for quite a while.
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