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Question
Posted by: Worried Wife | 2007/03/19

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.

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Our expert says:
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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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Our users say:
Posted by: Cornel | 2007/03/19

It sounds as if your Husband might have a leak valve, in which case he must take ANTIBIOTICS 1 hour prior to having any dental work done, in order to prevent infection called "endocarditis". I am sure that's why they didn't want to continue with the procedure. Only a Cardiologist can do a Dobbler sonar to see if he has indeed a leak valve and the degree of the leak. The ECG might come out normal, but he can indeed have a heart valve problem. Rather get an appointment for him at a Cardiologist just to be on the safe side. Good luck!

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