A healthy 66 year old patient who had a myocardial infarct eight years previously requires an extraction. The most appropriate management is to

extract the tooth in the office using local anesthesia with a vasoconstrictor.

extract the tooth in the office using preoperative sedation and local anesthesia without a vasoconstrictor.

admit the patient to hospital for extraction with general anesthesia.

admit the patient to hospital for extraction with local anesthesia.