Abstract
The high prevalence of cardiovascular diseases among the adult population leads to the risk of disability and mortality of people of working age. At the same time, this group of patients also needs comprehensive dental management and consideration of pharmacotherapeutic features. The growing cost of dental services leads to a decrease in the availability of dental care, especially taking into account the age criteria of patients with heart rhythm disorders. According to opinion polls, less than 5% go to the dentist for preventive purposes. However, patients taking anticoagulant therapy are at high risk of developing complications during dental interventions, which means they require increased preventive control by the dental care organization system.
 Purpose: to evaluate aspects of the organization of dental care for patients with a history of cardiac arrhythmia and taking anticoagulant therapy.
 Methodology: a prospective study based on the data of the copy, based on the results of an objective examination conducted by dentists (n=105), as well as an anonymous questionnaire of patients with rhythm disorders (N= 100) about the subjective assessment of the oral cavity and their awareness of methods and tools of prevention.
 Results: patients with cardiac arrhythmia taking anticoagulant therapy have an increased risk of bleeding as part of dental interventions. For the studied group of patients, an objective examination revealed a characteristic clinical picture of the oral cavity. The characteristics required for drawing up a personalized treatment plan for patients with cardiac arrhythmia were also identified. As part of the study, data on the degree of awareness of patients and their subjective assessment of the state of the oral cavity were obtained.
 Conclusion: patients taking anticoagulant therapy require increased attention during an appointment with a dentist. It is important to identify all predictors of the development of complications, during the collection of anamnesis, to identify and level the low awareness of the patient about the methods and tools of prevention, as well as to conduct personalized oral care training.
Highlights
Cardiovascular diseases occupy a leading position in the structure of morbidity and mortality in Russia, and in the world [1,2]
The prospective study included the results of an objective examination conducted by dentists of various specialties (therapeutic dentistry (47.6%), orthopedic dentistry (18.1%), surgical dentistry (21%), general dentist (13.3%), as well as subjective assessments of patients about the condition of the oral cavity according to anonymous questionnaires
Dental management and treatment of patients with cardiac arrhythmia taking anticoagulant therapy are at increased risk of complications and require increased vigilance on the part of the doctor
Summary
Cardiovascular diseases occupy a leading position in the structure of morbidity and mortality in Russia, and in the world [1,2]. One of the main methods of prevention of cardiovascular diseases is oral anticoagulant therapy [3]. Due to the high prevalence of this group of diseases, the dentist is increasingly confronted at the reception with patients taking anticoagulant therapy [4]. Dental interventions are always associated with the risk of blood loss, and a specialist with limited knowledge in the field of pharmacotherapy features of this category of patients creates an increased risk of extensive bleeding, which will threaten the patient's life [5]. Many authors are conducting research on the management of patients taking anticoagulant therapy [6,7,8]. Taking into account the risk of bleeding during dental intervention, the organization of stages of dental treatment is critically important
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