Türkiye'deki deprem felaketinin kardiyak implante edilebilir elektronik cihazların kullanımı ve hasta kliniği üzerindeki etkisi

Year 2024, Volume: 49 Issue: 4, 985 - 995, 30.12.2024

Oğuz Akkuş , Ramazan Yasdıbaş , Hülya Binokay

https://doi.org/10.17826/cumj.1572277

Abstract

Amaç: Bu çalışmanın amacı Hatay ilindeki kardiyoloji kliniğimizde depremin kardiyak implante edilebilir elektronik cihazlar (KİEC) endikasyonuna olan etkilerini ve hastaların hastane yatış klinikleri üzerinde bir etkisi olup olmadığının araştırılmasıdır.
Gereç ve Yöntem: Kliniğimizde depremden önce (n=120) ve depremden sonraki (n=66) 1’er yıllık süreçte KİEC (CRT, ICD, VVIR/DDDR) implantasyonu yapılan 186 hasta retrospektif olarak çalışmaya dahil edildi.
Bulgular: KİEC oranları deprem öncesi ve sonrası gruplar arasında benzerdi. Kliniğimizde depremden sonraki ilk 3 ay boyunca KİEC uygulanmadı. Koroner arter hastalığının şiddeti ve koroner girişim oranları deprem öncesi ve sonrası gruplar arasında benzerdi. NYHA sınıfı deprem öncesi grupta deprem sonrası gruba göre anlamlı derecede daha yüksekti (NYHA III-IV oranları sırasıyla %24,3 ve %9,4). Depremden önce ve sonra, KİEC implantasyonu sonrası komplikasyon ve ölüm oranları benzerdi.
Sonuç: Yıkıcı depremin etkisi olarak kliniğimizdeki KİEC implantasyon sayısı azalmış olsa da oranlar benzerdi. İleri dekompanse kalp yetmezliği bulguları olan hastalar depremden sonra daha az sıklıkta kliniğimize başvurdu.

Keywords

Emosyonel stres, deprem, kalp pili, KİEC

Impact of the earthquake disaster in Türkiye on the use of cardiac implantable electronic devices and clinical presentation of patients

Abstract

Purpose: The aim of this study is to investigate the effects of the earthquake on the indication for cardiac implantable electronic devices (CIED) and whether it had an effect on the hospitalization clinics of the patients in our cardiology clinic in Hatay province of Türkiye.
Materials and Methods: A total of 186 consecutive patients who underwent an CIED (CRT, ICD, VVIR/DDDR) implantation in our clinic in the 1-year period before (n=120) and after the earthquake (n=66) were retrospectively included in our study.
Results: CIED rates were similar between the pre- and post-earthquake groups. Cardiac devices were not implanted in our clinic during the first 3 months after the earthquake. The severity of coronary artery disease and the rates of previous interventional coronary procedures were similar between the pre- and post-earthquake groups. New York Heart Association (NYHA) class was significantly higher in the pre-earthquake group compared to the post-earthquake group (NYHA III-IV rates were 24.3% and 9.4%, respectively). Complication and mortality rates after CIED implantation before and after the earthquake were similar.
Conclusion: Although the devastating earthquake reduced the number of CIED implantations in our clinic, the rates were similar. Patient groups with decompensated heart failure findings were detected less frequently after the earthquake.

Keywords

emotional stress, earthquake, pacemaker, CIED

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