How can I undergo tooth surgery if I have severe heart failure?

I have an infection caused by hole in my tooth! I'm in agony and pain killers seem to be not working! I'm thinking of visiting a dentist but I'm concerned about my heart condition! I have been suffering from heart disease for the past 10 years and I'm not taking any medication! I know dentists use local anesthesia to extract tooth and I am afraid it may stop my heart! Any advice pls? Can I get my tooth pulled without the administration of anesthesia? Guys I can't even drink Caffeine containing drinks, energy drinks, and alcohol due to my heart condition!