침습적 치과 치료 시 항응고제 복용 및 심내막염 위험환자에서의 고려사항 : 전문가적 접근 및 예방 전략
Considerations for Anticoagulation and Endocarditis Risk in Invasive Dental Procedures: Expert Approaches and Preventive Strategies
김현경, 김성태, 조영단,
소속 상세정보
김현경 ( Kim Hyun-Kyung ) -
김성태 ( Kim Sung-Tae ) -
조영단 ( Cho Young-Dan ) -
KMID : 1033920230190020072
Abstract
Cardiovascular diseases are globally prevalent conditions with high mortality and morbidity rates. As the elderly population increases, the proportion of individuals affected by these diseases is on the rise. In line, dentists frequently encounter patients taking anticoagulants for cardiovascular conditions and those at a higher risk of infective endocarditis due to heart valverelated issues. Dentists need to be mindful of considerations during invasive dental procedures. For individuals at a high risk of infective endocarditis, preventive antibiotic therapy, regular dental check-ups and oral hygiene management are essential.
Although, temporary discontinuation of anticoagulant therapy has been done to reduce bleeding risk, it is recommended not to stop anticoagulation due to the increased risk of thromboembolic events, which can lead to death. Instead, employing local methods such as appropriate hemostatic agents is advisable.
키워드
Antibiotic prophylaxis; Anticoagulants; Cardiovascular diseases; Direct oral anticoagulant(DOAC); Infective endocarditis; Invasive dental procedures; Thromboembolism events; Warfarin
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