ST-Elevasyonlu Miyokard Enfarktüsü Tatil Dinler mi?

Year 2022, , 312 - 319, 30.12.2022

Esra Polat , Mehmet Cihat Demir

https://doi.org/10.47493/abantmedj.1148583

Abstract

Amaç: Türkiye’nin yerli ve yabancı turist bakımından en gözde beldelerinden olan Fethiye ilçesinde ST elevasyonlu miyokard infarktüsü tanısı alan hastalarının epidemiyolojik inceleme çalışmasıdır. Kateter laboratuarı olmayan, en yakın kateter laboratuarına 2 saat mesafede olan bir tatil yöresi için STEMI açısından riskli olabilecek olan ve dikkat edilmesi gerekecek turist grubunu belirleyebilmek amaçlandı.
Gereç ve Yöntemler: Bu çalışma retrospektif bir çalışmadır. 01.06.2021-01.10.2021 tarihleri arasında yaz tatil döneminde 1’i devlet 2’si özel hastane olmak üzere ilçedeki tüm hastanelerde STEMI tanısı alan hastalar incelendi. Hastaların en sık MI geçirme tarih, gün, saat dilimleri incelendi. Hastalar yerli halk ve turist olmak üzere demografik özellikleri, komorbiditeleri karşılaştırıldı.
Bulgular: Toplam 331 adet STEMI hastası olduğu saptandı. Hastaların %76,7 (n=254)’si yerleşik Türk, %1,8 (n=6) yerleşik yabancı, %19,3 (n=64) Yerli turist ve %2,1 (n=7) yabancı turist idi. Yerleşik halkın yaş ortalaması turist grubuna göre istatistiksel anlamlı olarak daha yüksek izlenmiştir (64,15 vs 57,83, [p=0,01]). Komorbidite olarak sadece hipertansiyon ile istatistiksel olarak anlamlı bir farklılık saptanmıştır (p=0,034).
Sonuç: Turist grubunda ST elevasyonlu MI açısından yerli halktan farklı özellikle dikkat edilmesi gereken spesifik bir hasta grubu yoktur. İnsan ömrünün uzaması ile sağlık problemleri olan yaşlı turistlerle daha sık karşılaşılacağı gözönünde bulundurularak, tatil bölgelerinde özellikle STEMI gibi acil müdahale edilmesi gereken durumlar için katater laboratuarına erişimin daha da kolaylaşması için çabalar devam etmelidir.

Keywords

Miyokardiyal İnfarktüs, Turist, Yerleşik Halk, Yaz, Tatil

Does St-Elevation Myocardial Infarction Wait for The Vacation to End?

Abstract

Objective: This is an epidemiological study of patients diagnosed with ST-elevation myocardial infarction (STEMI) in Fethiye, one of Turkey's most popular destinations for domestic and foreign tourists. It aimed to determine a tourist group at risk for STEMI and needs attention for a holiday region that does not have a catheter laboratory and is two hours away from the nearest catheter laboratory.
Materials and Methods: The study was retrospective. Patients diagnosed with STEMI in all hospitals in the district, one state, and two private hospitals during the summer holiday period between June 1, 2021, and October 1, 2021, were examined. The most common STEMI dates and time intervals in tourists admitted to the emergency department were examined. Demographic characteristics and comorbidities of patients, including residents and tourists, were compared.
Results: A total of 331 STEMI patients were observed. 76.7 % (n =254) of the patients were Turkish residents, 1.8 % (n =6) resident foreigners, 19.3 % (n =64) domestic tourists, and 2.1% (n =7) foreign tourists. The average age of the residents was statistically significantly higher than the tourist group (64.15 vs. 57.83, [p=0.01]). A statistically significant difference was found only with hypertension as a comorbidity (P = 0.034).
Conclusion: In STEMI, no situation differs from the local people in the tourist group. Considering that elderly tourists with health problems will be encountered more frequently with the prolongation of human lifespan, efforts should continue to facilitate access to catheter laboratories in holiday regions, mainly for situations that require urgent intervention such as STEMI.

Keywords

Myocardial Infarction, Tourists, Residents, Summer, Vacation, Miyokardiyal İnfarktüs, Turist, Yerleşik Halk, Yaz, Tatil

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