TY  - JOUR
T1  - Acil Serviste Kreatinin Kinaz (CK) Yüksekliği Saptanan Hastaların Analizi
TT  - Analysis of the Patients with Elevated Creatinine Kinase (CK) Level at Emergency Department
AU  - Akdeniz, Yonca Senem
AU  - Aydın, Yavuz
AU  - Çakmak, Fatih
AU  - İpekci, Afşın
AU  - Kuşku Kıyak, Sevil
AU  - Öztürk, Mustafa
AU  - İkizceli, İbrahim
PY  - 2018
DA  - December
Y2  - 2018
JF  - Journal of Anatolian Medical Research
JO  - JAMER
PB  - Kayseri Şehir Eğitim ve Araştırma Hastanesi
WT  - DergiPark
SN  - 2587-1153
SP  - 1
EP  - 24
VL  - 3
IS  - 3
LA  - tr
AB  - Amaç: Acil Servise başvuran ve CK yüksekliği tespit edilen hastaların gelişşikâyetlerini ve CK yüksekliği yapan nedenleri tespit etmeyi amaçladık.Materyal ve Metod: Bu klinik çalışma, Ocak ve Haziran aylarıarasında altı ay boyunca çeşitli şikâyetlerle acil servisimize başvuran veyapılan ilk rutin tetkikleri neticesinde CK yüksekliği saptanan 118 hasta ileyapıldı. Hastalardan CK tetkikinin istemi acil serviste çalışan doktorun isteğidoğrultusunda gerçekleşti ve CK istem endikasyonu sorgulanmadı. CK değerleriyüksek olan 118 hastanın yaşı, cinsiyeti, şikâyeti, öz geçmişi, kullandığıilaçları ve kesin tanılarını içeren bilgiler ayrı olarak hazırlanmış formdatoplandı. CK yüksekliği saptanan hastalar 3 gruba ayrıldı. Elde edilen sonuçlaristatistiksel olarak değerlendirildi.Bulgular: Hastaların % 66,1’i erkek, % 33,9’u kadındı. CKdeğerleri 203 ile 6274 arasında değişmekte olup ortalama CK değeri812,17±975,45 olarak saptandı; medyan değeri ise 417 olarak bulundu. Olgularınşikâyetleri incelendiğinde; %29,7 oran ile göğüs ağrısı ve göğüste sıkışmahissi en sık olarak tespit edildi. CK yüksekliği nedenlerine baktığımızda ilksırada %24,6 ile AKS (Akut Koroner Sendromlar), sonrasında %16,1 ile enfeksiyonve %13,6 ile ilaç kullanımı geldiği tespit edildi. Çalışmamızda CK yükselmesiyapan ilaçları incelediğimizde birinci sırada beta blokörlerin olduğu, bunusırası ile statinler ve diüretiklerin izlediği tespit edildi. Sonuç: AcilServise başvuran hastalar arasında serum CK yüksekliği en fazla kardiyovaskülersistem hastalıklarında görülmektedir. Buna bağlı olarak da CK yüksekliği olanhastalarda en sık şikâyet göğüs ağrısı olarak karşımıza çıkmaktadır.
KW  - Acil Servis
KW  - Kreatinin Kinaz
KW  - Rabdomiyoliz.
N2  - Objective:The aim of this study was to analyse the clinical conditions and the causes ofthe CK elevation of the patients with elevated CK level at emergency department.Materialand Method: This clinical study was conducted on agroup of 118 patients admitted to emergency department with several clinicalconditions and whose CK level is elevated, during six months between Januaryand June. Claim of CK from patients was performed by the phsician who work atthe Emergency Department and request of indication was not questioned. The age,gender, clinical conditions, history, drugs used and the exact diagnosis of thepatients are gathered in a form previously prepared . Patients with high CKlevel was divided into 3 groups. Results were analysed stastistically.Results:Kreatin Kinaz elevation was found on % 66,1 (n=78) male patients, % 33,9 (n=40)female patients respectively. CK levels were between 203 and 6274. Mean CK levelwas 812,17±975,45 and median CK level was 417. According to the clinicalfindings, we have found that ; with a rate of 29,7 % chest pain was mostcommonly seen. According to the diagnosis; acute coronary syndromes (ACS) (24,6 %) was most commonly seen, fallowed by infections (16,1 %) and drugs (13,6%). Accordig to the drugs the most common drugs which caused CK elevation was beta blokers, fallowed by statins and diuretics.Conclusion:Among the patients who admitted to the Emergency Department, CK height ismostly seen at cardiovasculer system disorders, and dependent of this, the chestpain is most commonly seen complaint in patients with elevated CK levels.
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UR  - https://dergipark.org.tr/en/pub/jamer/issue//487474
L1  - https://dergipark.org.tr/en/download/article-file/589169
ER  -