Case Report

AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome

Volume: 9 Number: 4 December 27, 2019

AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome

Abstract

ÖZET Amaç: Akut koroner sendrom olgularında ciddi darlık olan koroner arter sayısı ile kardiyovasküler risk faktörleri arasındaki ilişki değerlendirildi. Yöntemler: Bu çalışma retrospektif olarak dizayn edildi. 2016–2018 tarihleri arasında akut koroner sendrom sebebiyle koroner anjiografi yapılan 904 hasta çalışmaya dahil edildi. Ciddi koroner arter darlığı olmayan ve koroner operasyon geçiren hastalar çalışma dışı bırakıldı. Hastalar kritik koroner arter darlıklarına göre tek damar hastalığı (TDH) ve çok damar hastalığı (ÇDH) olacak şekilde iki gruba ayrıldı. ÇDH ile TDH olanlar klasik kardiyovasküler risk faktörleri açısından karşılaştırıldı. Bulgular: Hastaların 544’ünde (%60) ÇDH 365’inde (%40) TDH saptandı. ÇDH olan grupta yaş, hipertansiyon ve diyabet mellitus istatistiksel olarak daha fazla saptandı (sırasıyla p<0.001, p=0.003, p=0.005). TDH olan grupta ise erkek cinsiyet, aile öyküsü ve sigara içiciliği istatistiksel olarak daha fazla saptandı (sırasıyla p=0.006, p<0.001, p<0.001). Sonuç: Diyabet ve hipertansiyon ÇDH grubunda yüksek saptanırken aile öyküsü ve sigara içiciliği TDH grubunda yüksek saptandı. Akut koroner sendrom hastalarında bu risk faktörlerin göz önünde bulundurulması önemlidir. Anahtar Kelimeler: Koroner arter hastalığı; Kardiyovasküler risk faktörleri; Koroner anjiografi ABSTRACT Aim: The relationship between the number of coronary arteries with severe stenosis and cardiovascular risk factors was evaluated in patients with acute coronary syndrome. Material-Method: This study was designed retrospectively. 904 patients who underwent coronary angiography for acute coronary syndrome between 2016–2018 were included in the study. Patients who underwent coronary bypass surgery and didn’t have severe coronary artery disease were excluded. The patients were divided into two groups according to critical coronary artery stenosis as single vessel disease and multiple vessel disease. The relationship between multivessel disease and risk factors was compared. Results: Multivessel disease was detected in 544 (60%) patients and single vessel disease in 365 (40%) patients. Age, hypertension and diabetes were found to be higher in multivessel disease (respectively p<0.001, p=0.003, p=0.005). Male gender, family history and smoking were found to be higher in the single vessel disease. Conclusion: Diabetes and hypertension were higher in multivessel disease group, while family history and smoking were higher in single vessel disease group. It is important to consider these risk factors in patients with acute coronary syndrome. Key Words: Coronary artery disease; Cardiovascular risk factors; Coronary angiography

Keywords

References

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Muhammed Karadeniz This is me
Türkiye

Taner Sarak This is me
Türkiye

Vahit Demir This is me
Türkiye

Publication Date

December 27, 2019

Submission Date

December 1, 2019

Acceptance Date

-

Published in Issue

Year 2019 Volume: 9 Number: 4

APA
Alp, Ç., Karadeniz, M., Sarak, T., & Demir, V. (2019). AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome. Bozok Tıp Dergisi, 9(4), 131-135. https://doi.org/10.16919/bozoktip.600489
AMA
1.Alp Ç, Karadeniz M, Sarak T, Demir V. AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome. Bozok Tıp Dergisi. 2019;9(4):131-135. doi:10.16919/bozoktip.600489
Chicago
Alp, Çağlar, Muhammed Karadeniz, Taner Sarak, and Vahit Demir. 2019. “AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients With Acute Coronary Syndrome”. Bozok Tıp Dergisi 9 (4): 131-35. https://doi.org/10.16919/bozoktip.600489.
EndNote
Alp Ç, Karadeniz M, Sarak T, Demir V (December 1, 2019) AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome. Bozok Tıp Dergisi 9 4 131–135.
IEEE
[1]Ç. Alp, M. Karadeniz, T. Sarak, and V. Demir, “AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome”, Bozok Tıp Dergisi, vol. 9, no. 4, pp. 131–135, Dec. 2019, doi: 10.16919/bozoktip.600489.
ISNAD
Alp, Çağlar - Karadeniz, Muhammed - Sarak, Taner - Demir, Vahit. “AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients With Acute Coronary Syndrome”. Bozok Tıp Dergisi 9/4 (December 1, 2019): 131-135. https://doi.org/10.16919/bozoktip.600489.
JAMA
1.Alp Ç, Karadeniz M, Sarak T, Demir V. AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome. Bozok Tıp Dergisi. 2019;9:131–135.
MLA
Alp, Çağlar, et al. “AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients With Acute Coronary Syndrome”. Bozok Tıp Dergisi, vol. 9, no. 4, Dec. 2019, pp. 131-5, doi:10.16919/bozoktip.600489.
Vancouver
1.Çağlar Alp, Muhammed Karadeniz, Taner Sarak, Vahit Demir. AKUT KORONER SENDROMLU HASTALARDA ÇOK DAMAR HASTALIĞI İLE KARDİYOVASKÜLER RİSK FAKTÖRLERİ ARASINDAKİ İLİŞKİ The Association Between Multivessel Disease and Cardiovascular Risk Factors in Patients with Acute Coronary Syndrome. Bozok Tıp Dergisi. 2019 Dec. 1;9(4):131-5. doi:10.16919/bozoktip.600489