Sezaryen ile Doğmuş Genç Erişkinlerin Kardiyovasküler Sistem Özellikleri

Öz

Amaç: Günümüzde sezaryen ile doğum (SD) sıklığı dünya genelinde alarm veren düzeyde artmaktadır. Sezaryen sıklığının artmasına parelel olarak obezite, otoimmün ve alerjik hastalıkların yaygınlığının arttığı bildirilmektedir. Bu çalışmanın amacı, SD’li genç erişkinlerin kardiyovasküler sistem özelliklerinin, vajinal yolla doğmuş (VD) genç erişkinlerden farklı olup olmadığını analiz etmektir. Materyal ve Metot: Çalışmaya toplam 112 katılımcı dahil edildi (40 SD grubu ve 82 VD yani kontrol grubu). Katılımcılara transtorasik ekokardiyografi ve karotis Doppler ultrasonografi yapıldı. Ayrıca, katılımcılar 24 saatlik EKG kaydı ile değerlendirildi. Bulgular: Triküspit E dalgası, triküspit A dalgası ve triküspit E/A oranı sezaryen grubunda kontrol grubuna göre daha düşüktü (57.6±8.6 ve 72.4±10.3, p<0.001; 46.7±8.8 ve 50.6±8.9, p=0.04 ; 1.2±0.14 ve 1.45±0.88, p<0.001). Epikardiyal yağ doku kalınlığı sezaryen grubunda kontrol grubuna göre daha yüksekti (4.8±1.3 ve 3.1±0.8, p<0.001). Sonuç: Bu çalışmanın sonuçları, CS ile doğan genç erişkinlerin kardiyovasküler sistem özelliklerinin VD ile doğanlardan farklı olduğunu göstermektedir. Bu bulguların daha sonra kardiyovasküler hastalıklara yol açıp açmayacağını anlamak için daha ileri takip çalışmalarına ihtiyaç vardır. Anahtar kelimeler: epikardiyal yağ dokusu, intima media kalınlığı, kalp hızı değişkenliği, sezaryen doğum

Anahtar Kelimeler

• epikardiyal yağ dokusu
• intima media kalınlığı
• kalp hızı değişkenliği
• sezaryen doğum

Cardiovascular System Features of Young Adults Born with Cesarean Section

Abstract

Aim: Currently, the prevalence of caesarean section (CS) has been increasing at an alarming rate across the world. In parallel with the increasing rate of CS, it is reported that there is an increasing prevalence of obesity, autoimmune and allergic diseases. The purpose of the present study is to analyse whether the cardiovascular system characteristics of young adults born by CS are different from those of young adults born by vaginal delivery (VD). Materials and Methods: A total of 112 participants were included in the study (40 CS group vs 82 VD ie control group). Transthoracic echocardiography and carotid Doppler ultrasonography were performed to the participants. In addition, participants were evaluated with a 24-hour ECG recording. Results: Tricuspid E wave, tricuspid A wave and tricuspid E/A ratio were lower in the CS group compared with the control group (57.6±8.6 vs. 72.4±10.3, p<0.001; 46.7±8.8 vs. 50.6±8.9, p=0.04 ; 1.2±0.14 vs 1.45±0.88, p<0.001). Epicardial fat tissue thickness were higher in the CS group compared with the control group (4.8±1.3 vs. 3.1±0.8, p<0.001). Conclusion: The results of this study show that cardiovascular system features of the young adults born with CS are different from those born with VD. Further follow-up studies are needed to understand whether these findings will subsequently result in cardiovascular diseases.

Keywords

• epicardial fat tissue
• intima media thickness
• heart rate variability
• cesarean section

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