“Perkütan Koroner Girişim” Sonrası Periyodik Muayene Zaman Aralığı ve Sıklığının İkinci "Akut Koroner Sendrom" Yaşanmasına Etkisi

Year 2022, Volume: 14 Issue: 3, 454 - 460, 20.10.2022

Yakup Balaban Kahraman Coşansu

https://doi.org/10.18521/ktd.1112235

Abstract

Amaç: Bu çalışmayla perkütan koroner(PKG) girişim geçiren hastaların 6 aydan kısa ve uzun sürelerle kontrol edilmelerinin ve medyanın akut koroner sendrom(AKS) yaşamalarına etkisi araştırılmıştır.
Gereç ve Yöntem: Kliniğimizde iki kez PKG geçirmiş 281 hastanın bilgileri retrospektif olarak incelenmiştir. Bu hastalar 6 ay ve daha kısa süreli düzenli takibe gelenler (Grup 1, n: 157) ve 6 aydan uzun sürelerle veya düzensiz takibe gelenler (Grup2, n: 124) ve olarak iki gruba ayrılmışlardır. Düzenli takiplerin yeterli statin kullanımında, akut koroner sendrom geçirmede ve kardiyak sebeple ölüm üzerinde etkili olup olmadığı araştırılmıştır.
Bulgular: AKS sıklığı (87.8 e karşı 20.6% <0.001), yetersiz statin kullanım oranı[86.4 e karşı 16.7%, p<0.001], medyanın etkisiyle (%64.0 e karşı %5.1, p<0.001) statin kullanımını bırakanların oranı, Grup 2 de, Grup 1 den yüksek bulunmuştur.
Sonuç: Çalışmanın sonuçlarına bakılınca; kardiyak olay yaşayan hastaların 6 ay aralarla düzenli takibe gelmelerinin, akut koroner sendrom yaşama oranlarını azalttığı ve tedavi uyumunun bu kişilerde daha iyi olduğu söylenebilir.

Keywords

Akut koroner sendrom, anjiyoplasti, düzenli klinik takip, tedavi uyumu

Supporting Institution

yok

Project Number

yok

The Effect of Periodic Examination Time Interval and Frequency After “Percutaneous Coronary Intervention” on Experiencing Second "Acute Coronary Syndrome"

Abstract

Objective: The aim of this study was to evaluate the effect of follow-ups of patients who underwent percutaneous coronary intervention (PCI) at short (<6 months) and long-term intervals and media on their experiencing attacks of acute coronary syndrome (ACS).
Methods: The data of 281 patients who underwent twice PCI in our clinic were retrospectively analyzed. The patients were divided into two groups as those who came to the controls regularly at intervals of ≤ 6 months (Group 1, n: 157) and those who came irregularly or at intervals of more than 6 months (Group 2, n: 124). We investigated whether regular periodic controls have any positive effect on adequate statin use, experiencing acute coronary syndrome episodes and cardiac mortality.
Results: In Group 2; frequency of ACS [87.8% versus 20.6%, p<0.001], insufficient use of statins [86.4% versus 16.7% p <0.001], and withdrawal of statins by media influence [64.0% versus 5.1% p <0.001] was higher than Group 1.
Conclusions: Looking at the results of the study; it can be said that regular follow-up of patients with a cardiac event at 6-month intervals reduces the rate of acute coronary syndrome experience and treatment compliance is better in these people.

Keywords

Acute Coronary Syndrome, Angioplasty, Follow-Up Studies, Therapeutics Compliance

Project Number

yok

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