Kalp Yetersizliği ile Takip Edilen Hastalarda Anemi Sıklığı : Pilot Çalışma

Abstract

Giriş:

Anemi kalp yetersizliği (KY) olan hastalarda sık görülen bir komorbiditedir ve kötü fonksiyonel kapasite, artmış mortalite ve morbidite oranları ile ilişkili olduğu gösterilmiştir. Yaşlanan nüfusla birlikte KY olan hastalarda artış görülmektedir. Bu çalışmada kliniğimizde takip etmekte olduğumuz KY hastalarında anemi oranının saptanması amaçlanmış ve nedenleri tartışılmaya çalışılmıştır.

Metod:

Ocak 2018 ile Haziran 2018 arasındaki 6 aylık sürede kardiyoloji polikliniğine başvurmuş hastalar geriye dönük olarak taranmış ve KY olan hastaların hemogram, biyokimya, transferrin saturasyonu (TSAT) ve ferritin değerleri kayıt edilmiştir.

Sonuçlar:

Retrospektif olarak taranan 221 hastanın 114 tanesinde (%51.6) anemi olduğu saptandı. Bu anemik hastaların cinsiyet dağılımlarına bakıldığında % 53’ünün erkek, % 48.6 tanesinin ise kadın olduğu görüldü. Kronik böbrek hastalığı (KBH) bulunanların istatistiksel olarak anlamlı olacak şekilde daha fazla anemiye sahip oldukları saptandı (p= 0.003). Ferritin ve B12 değerleri açısından iki grup arasında anlamlı bir fark görülmedi (p>0.05). TSAT açısından değerlendirildiğinde anemisi bulunan hastalarda bu değerin anlamlı olarak daha düşük olduğu saptandı (p<0.001).

Tartışma:

Takip etmekte olduğumuz KY hastalarının yarısında anemi bulunmaktadır. KY hastalardaki aneminin düzeltilmesi bu hastaların prognozunda fayda sağlayacaktır.

Keywords

• kalp yetersizliği,anemi

Frequency of Anemia in Patients with Heart Failure : A Plot Study

Abstract

Introduction:

Anemia is a common comorbidity in patients with heart failure (HF) and it is associated with poor functional capacity, increased mortality and morbidity rates. Because of aging population, the number of patients with HF is increasing. In this study, it is aimed that determine to frequency of anemia in patient with HF following in our clinic.

Methods:

Patients admitted to cardiology clinic for 6 months between January-June 2018 was screened retrospectively and hemogram, biochemistry, transferrin saturation (TSAT) and ferritin values of patients with HF were recorded.

Results:

Anemia was detected in 114 (51.6%) of 221 retrospectively screened patients. When analyzed to gender distributions of these patients, 53% were male, 48.6% were female. Number of anemic patients was statistically higher than number of non-anemic patients in the group of chronic kidney disease (p=0.003). Levels of ferritin and vitamin B12 were not significantly different between two groups (p> 0.05). When evaluated in terms of TSAT, this value was found to be significantly lower in patients with anemia (p <0.001).

Conclusion:

We have found that anemia present in half of the patients with HF admitted in our clinic. Correction of the anemia in patients with HF will benefit the prognosis of these patients.

Keywords

• heart failure,anemia

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