SummaryObjective: To evaluate the occurrence of variables detecting myocardial ischemia during or after dental treatment under anesthesia with vasoconstrictor (epinephrine).Methods: vasoconstrictor were included. They were divided into two groups (by drawing envelopes): group I (27 patients) using echocardiogram before and after dental intervention, and determination of biochemical markers (CK-MB mass, CK-MB pressure were also measured in the pre, post-anesthesia and post-dental extraction phases. Doppler echocardiography assessed left ventricular segmental contractility and the occasional occurrence of mitral regurgitation. The usual pharmaceutical treatment prescribed by the cardiologist was maintained in all cases.Results: other patients in group I had CK-MB mass elevation, and ischemia was not observed in any other case, as assessed by or mitral regurgitation were observed in the study. Conclusion:ischemic risks, as long as performed with good anesthetic technique and maintenance of the pharmacological treatment prescribed by the cardiologist.

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