Full-Face Chemical Peel Has Low Risk of Cardiac Arrhythmia

Using minimal amounts of phenol and ensuring proper hydration are key to keeping risk down
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TUESDAY, Feb. 27 (HealthDay News) -- The incidence of cardiac arrhythmia in patients who undergo a full-face chemical peel is lower than previously thought, according to a report published in the February issue of Dermatologic Surgery.

Marina Landau, M.D., of Wolfson Medical Center in Holon, Israel, analyzed data on 181 female patients ranging from 30 to 77 years old who underwent full-face deep chemical peels and noted the incidence of arrhythmia and medical intervention.

Cardiac arrhythmia was recorded in 12 patients (6.6 percent). In eight of these cases, 100 mg of intravenous lidocaine was administered to control the arrhythmia, while in four patients the arrhythmia was self-limiting. Patients with diabetes mellitus, hypertension and depression were more likely to have arrhythmia.

The risk was reduced to this level by "a combination of intravenous hydration, proper ventilation, and prophylactic administration of propranolol," the author writes. "Phenol-based chemical peel is a rewarding and safe procedure when performed in appropriate conditions by a properly trained physician," Landau concludes.

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