Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri

Mevlüt Kuyumcu

doi:10.17343/sdutfd.447971

Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri

Abstract

Amaç: Mitral anüler kalsifikasyon (MAK) mortalite indikatörü olan azalmış kalp hızı değişkenliği, bozulmuş P dalgası dispersiyonu ve atriyal elektromekanik gecikme ile ilişkili olduğu saptanmıştır. MAK’ın potansiyel aritmojenik etkileri olabileceğini göz önüne alarak çalışmamızda MAK’ın kalbin elektrofizyolojisi üzerine etkilerini klasik EKG parametrelerine ek olarak f(QRS‐T) açısı ve Tp-e/QT gibi yeni aritmojenik idikatörleri kullanarak araştırmayı amaçladık.

Hastalar ve Yöntemler: Toplam 200 ardışık hasta [n=100 MAK (+) ve n=100 MAK (-)] çalışmaya dahil edildi. Toplanılan tüm veriler ve elektrokardiyogram parametreleri gruplar arasında karşılaştırıldı.

Bulgular: P Dalgası MAK (+) grubunda, kontrol grubuna göre anlamlı şekilde uzun izlenmiştir (p<0.001). Düzeltilmiş QT intervali MAK (+) grubunda, kontrol grubuna göre anlamlı olarak uzun izlenmiştir (p<0.001). Tp-e intervali MAK (+) grubunda, kontrol grubuna göre anlamlı olarak uzun izlenmiştir (p<0.001). Tp-e/ QT intervali ve Tp-e/ düzeltilmiş QT intervali oranı MAK (+) grubunda, kontrol grubuna göre anlamlı olarak uzun izlenmiştir (p<0.001). Frontal QRS-T açısı MAK (+) grubunda anlamlı olarak fazla izlenmiştir (p<0.001).

Sonuç: Çalışmamızda MAK’ın EKG üzerindeki etkileri değerlendirilmiştir ve literatürde ilk kez MAK’ın kalbin repolarizasyon parametreleri üzerinde negatif etkileri olduğu saptanmıştır.

Keywords

mitral anülüler kalsifikasyon,EKG,QRS-T açısı

References

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Details

Primary Language

Turkish

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Mevlüt Kuyumcu ^*
Türkiye

Publication Date

September 1, 2019

Submission Date

July 26, 2018

Acceptance Date

September 11, 2018

Published in Issue

Year 2019 Volume: 26 Number: 3

DOI

https://doi.org/10.17343/sdutfd.447971

IZ

https://izlik.org/JA79SU99XN

Cite

RIS / Bibtex

APA

Kuyumcu, M. (2019). Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Medical Journal of Süleyman Demirel University, 26(3), 274-279. https://doi.org/10.17343/sdutfd.447971

AMA

1.Kuyumcu M. Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Med J SDU. 2019;26(3):274-279. doi:10.17343/sdutfd.447971

Chicago

Kuyumcu, Mevlüt. 2019. “Mitral Anülüs Kalsifikasyonunun Elektrokardiyogram Parametreleri üzerinde Etkileri”. Medical Journal of Süleyman Demirel University 26 (3): 274-79. https://doi.org/10.17343/sdutfd.447971.

EndNote

Kuyumcu M (September 1, 2019) Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Medical Journal of Süleyman Demirel University 26 3 274–279.

IEEE

[1]M. Kuyumcu, “Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri”, Med J SDU, vol. 26, no. 3, pp. 274–279, Sept. 2019, doi: 10.17343/sdutfd.447971.

ISNAD

Kuyumcu, Mevlüt. “Mitral Anülüs Kalsifikasyonunun Elektrokardiyogram Parametreleri üzerinde Etkileri”. Medical Journal of Süleyman Demirel University 26/3 (September 1, 2019): 274-279. https://doi.org/10.17343/sdutfd.447971.

JAMA

1.Kuyumcu M. Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Med J SDU. 2019;26:274–279.

MLA

Kuyumcu, Mevlüt. “Mitral Anülüs Kalsifikasyonunun Elektrokardiyogram Parametreleri üzerinde Etkileri”. Medical Journal of Süleyman Demirel University, vol. 26, no. 3, Sept. 2019, pp. 274-9, doi:10.17343/sdutfd.447971.

Vancouver

1.Mevlüt Kuyumcu. Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Med J SDU. 2019 Sep. 1;26(3):274-9. doi:10.17343/sdutfd.447971