Evaluation of Early Changes in Troponin Levels During Dental Surgery in Patients with a History of Ischemic Heart Disease

Abstract

Background and Aim: Dental treatments may have adverse effects on patients with a previous history of coronary heart disease and lead to cardiac complications. Different biomarkers have been investigated to assess the relationship between dental treatments and cardiovascular complications. The present study was conducted to evaluate the troponin changes before and after dental surgery in patients with a history of ischemic heart disease. Materials and Methods: This cross-sectional study was conducted on 25 patients referred for dental surgery with a history of ischemic heart disease. The patients' demographic information including their age and gender was collected, and serum levels of troponin were measured before surgery and at 4 hours after surgery, and the results were compared. The study data were entered into SPSS version 23 and analyzed by the Student t-test and McNemar test. Results: In the present study, 25 patients including 11 males and 14 females with a mean age of 44.78 years were evaluated. The mean level of troponin was 8.01±5.94 before surgery and 6.16±4.84 after surgery. Statistically, no significant difference was found between troponin levels before and after surgery in patients (P=0.274). Conclusion: based on the results of the present study, no significant change was noted in troponin levels of patients with a previous history of ischemic heart disease at 4 hours after dental surgery. © 2021 Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University.