Вісник проблем біології і медицини, Випуск 3 (170)
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Документ State of the autonomous nervous system and stress at outpatient appointment of dental-surgeon's patients with syncopathic conditions(Полтавський державний медичний університет, 2023) Mamai, O. V.; Bilash, S. M.; Boiko, D. I.; Svyryda, O. S.; Oleksiienko, V. V.; Kopytko, N. S.; Kolomiiets, S. V.; Мамай, Олександр Володимирович; Білаш, Сергій Михайлович; Бойко, Дмитро Іванович; Свирида, Олександр Сергійович; Олексієнко, Владислав Віталійович; Копитько, Назар Станіславович; Коломієць, Світлана Веніамінівнаt. In clinical practice, a dental surgeon encounters a wide range of emergencies, including epileptic seizures, cardiac arrest, fainting (or syncope), and others. At the same time, syncope is often overlooked against the background of more severe and dangerous conditions. The aim is to assess the level of perceived stress and the state of the autonomic nervous system in outpatients of a dental surgeon at the beginning of the appointment, depending on the further development of syncope. We conducted a pilot prospective study that included 33 outpatients of a dental surgeon, who were divided into 2 groups: group 1 – patients who developed syncope (n=11); group 2 – patients who did not develop syncope during the visit to the clinic (n=22). During the medical history, patients were asked to complete a questionnaire to assess perceived stress (PSS-10). Every patient received a hemodynamic assessment that included measuring their blood pressure and pulse, determining the Kerdo Index, and examining their autonomic nervous system by checking for demographism. The amount of time spent in the queue was also documented. If a patient fainted, emergency care was immediately given.There were no significant differences in gender, age, diagnosis, or wait time between patients in both groups. There were no statistically significant differences between the groups of patients in terms of perceived stress. A statistically significant higher Kerdo index was found in group 1 with a tendency to sympathicotonia. Conclusions. Thus, we have determined that it is the increased activity of the sympathetic nervous system before an outpatient visit to a dental surgeon, rather than the subjective level of perceived stress, that may be potentially associated with the likelihood of developing syncope, which requires more detailed research. Although syncopal states are generally considered benign, frequent episodes of syncope can harm the patient’s quality of life, morbidity, and compliance with the dentist. Therefore, for safe dental treatment, dentists need to know the state of the autonomic nervous system before treatment to ensure a better therapeutic alliance and treatment outcomes