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Oral health care considerations for patients with arrhythmia (irregular heartbeat):

  • Patients with the following arrhythmias need medical consultations before dental care:
    high-grade atrioventricular block,
    ymptomatic ventricular arrhythmias,
    upraventricular 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.