Alterations in the blood pressure of patients undergoing a biopsy in the oral cavity
Keywords:
Neoplasms, Anxiety, HypertensionAbstract
A biopsy is a simple procedure routinely performed by dentists and doctors; however, it tends to create great anxiety and fear in the patients involved. The aim of this study was to analyze the prevalence of alterations in blood pressure in 63 patients who had undergone a biopsy in the oral cavity between the months of October 2008 to November 2009.
Monitoring the blood pressure of these patients was performed using a sphygmomanometer during the first clinical examination, in the moments of pre- biopsy and post-biopsy, and the date recorded on previously prepared cards. Eighty five percent of the patients were females, between 51 and 60 years of age. Eighteen percent of the patients reported taking medication to control their blood pressure. Forty six percent of the sample reported being afraid of the biopsy procedure. The most commonly performed biopsy was the excisional biopsy (78%). The most commonly observed variation in blood pressure was the increase in systolic and diastolic pressures, especially between the clinical exam stages and post-biopsy moments (33.3%). At the pre- and post-biopsy moments, a greater prevalence of the maintenance of both systolic and diastolic pressures could be observed (38%). A large number of patients underwent a biopsy with alterations in blood pressure at various stages of the procedure. This fact calls for special attention from health professionals regarding blood pressure during this complementary exam.
Downloads
References
Ribeiro AS, Salles PR, Silva TA, Mesquita RA. A review of the nonsurgical treatment of oral leukoplakia. Int J Dent. 2010; 1:1-10.
Oliveira AF, Valente JG, Leite IC. Mortalidade atribuível ao tabagismo. Rev Saúde Pública. 2008; 4:335-45.
Caubi AF, Xavier RLF, Lima Filho MA, Challegre JF. Biópsia. Rev Cir Traumatol Buco-Maxilo- Fac. 2004; 4:39-46.
Faye K, Heng LH, Collomp R, Pereoux E. Hypertension and stress. J Mal Vasc. 2003; 28:4- 8.
Grillon C, Duncko R, Covington MF, Kopperman L, Kling MA. Acute stress potentiates anxiety in humans. Biol Psychiatry. 2007; 62:1183-6.
Tanabe P, Perssel SD, Adams JG, McCormick JC, Martinovich Z, Baker DW. Increased blood pressure in the emergency department: pain, anxiety, or undiagnosed hypertension? Ann Emerg Med. 2008; 51:221-9.
Alves MLM, Pimentel AJ, Guaratini AA, Marcolino JAM, Gozzani JL, Matthias LAST. Ansiedade no período pré-operatório de cirurgias de mama: estudo comparativo entre pacientes com suspeita de câncer e a serem submetidas a procedimentos cirúrgicos estéticos. Rev Bras Anestesiol. 2007; 2:47-54.
Caubi AF, Xavier RLF, Lima Filho MA, Chalegre JF. Biópsia. Rev Cir Traumatol Buco-Maxilo- Fac. 2004; 4:39-46.
Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. 2ªed. Rio de Janeiro: Guanabara Koogan; 2009.
Marcucci G. Exames complementares. In: Fundamentos de odontologia: estomatologia. Rio de Janeiro: Guanabara Koogan; 2005.
Llewellyn CD, Johnson NW, Warnakulasuriya KAAS. Risk factors for squamous cell carcinoma of the oral cavity in young people: a comprehensive literature review. Oral Oncol. 2001; 37:401-18.
Ribeiro ACP, Silva ARS, Simonato LE, Salzedas LMP, Sundefeld MLMM, Soubhia AMP. Clinical and histopathological analysis of oral squamous cell carcinoma in young people: a descriptive study in Brazilians. Br J Oral Maxillofac Surg. 2008; 1:1-8.
Guerra MR, Gallo CVM, Mendonça GAS. Risco de câncer no Brasil: tendências e estudos epidemiológicos mais recentes. Rev Bras Cancerol. 2005; 51:227-34.
Flaa A, Ekeberg O, Kjeldsen SE, Rostrup M. Personality may influence reactivity to stress. Biopsychosoc Med. 2007; 1:1-5.
Grandis JR, Falkner DM, Melhem MF, Gooding WE, Drenning SD, Morel PA. Head and neck cancer: meeting summary and research opportunities. Cancer Res. 2000; 64:8126-9.
Choi KK, Kim MJ, Yun PY, Lee JH, Moon HS, Lee TR, et al. Independent prognostic factors of 861 cases of oral squamous cell carcinoma in Korean adults. Oral Oncol. 2006; 42:1-10.
Araújo Júnior RF, Barboza CAG, Clebis NK, Moura SAB, Costa ALL. Prognostic significance of the anatomical location and TNM clinical classification in oral squamous cell carcinoma. Med Oral Patol Oral Cir Bucal. 2008; 13:344-7.
Massano J, Regateiro FS, Januário G, Ferreira A. Oral squamous cell carcinoma: review of prognostic and predictive factors. Oral Surg Oral Med Oral Pathol Oral Radiol and Endod. 2006; 102:67-76.
O-Charoenrat P, Pillai G, Patel S, Fischer C, Archer D, Eccles S, et al. Tumour thickness predicts cervical nodal metastases and survival in early oral tongue cancer. Oral Oncol. 2003; 39:386-90.
Ariyoshi Y, Shimahara M, Omura K, Yamamoto E, Mizuki H, Chiba H, et al. Epidemiological study of malignant tumours in the oral and maxillofacial region: survey of member institutions of the japanese society of oral and maxillofacial surgeons, 2002. Int J Oncol. 2008; 13:220-8.
Barros SSLV. Expressão imuno-histoquímica de metaloproteinases em carcinoma epidermóide de lábio inferior e língua. [tese]. Natal: Faculdade de Odontologia da UFRN; 2006.
Goiato MC, Miessi AC, Fernandes AUR, et al. Condições intra e extra orais dos pacientes geriátricos portadores de prótese total. PCL. 2002; 4:380-6.
Mac Entte M. Oral health in old age practical problems and practical solutions. Probe. 1992; 26:116-20.
Lima SG, Nascimento LS, Santos Filho CN, Albuquerque MFPM, Victor EG. Hipertensão arterial sistêmica no setor de emergência: o uso de medicamentos sintomáticos como alternativa de tratamento. Arquivos Bras Cardiol. 2005; 85:82-94
Miyachi S, Sassi LM. Centro de Diagnóstico de Lesões Bucais: potencial impacto na epidemiologia do câncer de boca em Curitiba. Rev Bras Cir Implant. 2002; 9:80-5.
Kaplan MS. The psychosocial determinants of hypertension. Nutr Metab Cardiovasc Dis. 2003; 13:52-9.