A Case of Well-Managed Sarcoidosis with Cardiac Autonomic Dysfunction during Dental Therapy: Analysis of Heart Rate Variability
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
We report a case of dental therapy performed on a patient with well-managed sarcoidosis. Generally considered a chronic inflammatory disease involving multiple organs, sarcoidosis causes cardiac autonomic dysfunction (CAD). CAD is a strong predictor of morbidity and mortality, and it should be properly managed during dental therapy. A heart rate variability (HRV) analysis is useful for detecting CAD. We analyzed the HRV of a CAD patient undergoing dental treatment. The patient was a 74-year-old Japanese woman. She was diagnosed with periodontitis, and her dental procedure was performed safely. The HRV analysis revealed the patient’s latent sympathetic hyperactivity and proved valuable for her dental management.
Authors and Affiliations
Yukihiro Momota, Nao Masuda, Hideyuki Takano, Koichi Kani, Masayuki Azuma
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