Arrhythmia - Oral Health Care Considerations
⚠️ Patients with the following arrhythmias need medical consultations before dental care: high-grade atrioventricular block, symptomatic ventricular arrhythmias, supraventricular arrhythmias
- Address any underlying comorbid disease or condition.
- Address the patient’s stress and anxiety levels.
- Follow anticoagulation therapy protocol when indicated.
- When appropriate, see specific information for atrial fibrillation.
- Avoid the use of epinephrine in patients with high-grade atrioventricular block arrhythmias, symptomatic ventricular arrhythmias, or supraventricular arrhythmias.
- Ventricular fibrillation is a medical emergency.
Medical Complexity Status - Arrhythmia#
| Arrhythmias | MCS1C | MCS2C |
|---|---|---|
| Anticipated complication | Controlled/ stable | Uncontrolled/ unstable |
| Hemostasis | Minor | Minor |
| Microbial susceptibility | None | None |
| Drugs/ drug interactions | Major | Major |
| Stress/trauma | Major | Major |
See Medical Complexity Status for more information.
Related Pages#
- Medical Disorders
- Oral Health Care Considerations
- Medical Emergencies
References/Websites#
- References
- Qin D, et al. Atrial Fibrillation–Mediated Cardiomyopathy Circ Arrhythm Electrophysiol. 2019;12:e007809
- Nelson AJ, et al. A Systematic Review of Anticoagulation Strategies for Patients With Atrial Fibrillation in Critical Care. Thromb Haemost. 2021; Apr. 8. Online ahead of print. doi: 10.1055/a-1477-3760
- Websites