İskemik İnme ve Cinsiyet

Öz

Amaç: İnme bir beyin bölgesinin beslenmesinin bozulmasına bağlı olarak fonksiyon kaybına uğramasıdır. İnme ve buna bağlı gelişen komplikasyonları önlemenin yolu değiştirilebilir risk faktörlerini kontrol altına almaktan geçmektedir. Cinsiyet değiştirilemeyen risk faktörlerinden olup cinsiyetler arası farklılıklar önleme konusunda bize yol gösterici olacaktır. Bu sebeple çalışmamızda iskemik inme etiyolojisinin cinsiyetler arasındaki farklılıklarını ortaya koymaya çalıştık.Gereç ve Yöntemler: 2011-2016 yılları arasında akut iskemik inme tanısıyla yatırılarak takip edilen hastaların dosyaları retrospektif olarak incelendi. Cinsiyet, Hipertansiyon, Diyabet, Koroner kalp hastalığı, geçirilmiş inme öyküsü, sigara ve alkol kullanımı, Atriyal fibrilasyon varlığı, boy kilo değerleri, hiperkolesterolemi varlığı, ekokardiyografi, karotis-vertebral USG Doppler, vasküler inceleme, hemorajik transformasyon gelişimi ve ölüm durumları kayıt edilmiştir. Toplam 560 hasta çalışmaya dahil edildi. Bulgular: Çalışmaya katılan hastaların Kadın/erkek 249/311 yaş ortalaması 74,05±10,9’dur. Erkek hastalarda 80 yaşına kadar inme daha sık olurken bu yaştan sonra kadınlarda daha fazla olduğu ve yaşla bu farkın giderek arttığı görüldü. En sık görülen risk faktörü %68,5 ile hipertansiyondu. İkinci en sık görülen risk faktörü Hiperkolesterolemi olarak saptandı %50,2 . Hipertansiyon kadınlarda daha sık görülürken alkol ve sigara kullanımı erkek hastalarda daha sık izlendi. Sonuç: Yaş kadın bireylere inme riskini artıran büyük bir etken olarak göze çarpmaktadır. Hipertansiyonun ve hiperkolesterolemi başta olmak üzere diğer risk faktörlerinin kontrol altına alınması yaşlı kadın hastalarda daha da önem arz etmektedir

Anahtar Kelimeler

• İnme, Cinsiyet, Yaş, İskemik inme, Hipertansiyon

Ischaemic Stroke and Gender

Abstract

Objective: Stroke is dysfunction of a brain region due to loss of blood supply. The effective method to prevent stroke and its comorbidities is the adequate control of the risk factors. Sex is one of the nonmodifiable risk factors for stroke. We therefore aimed to evaluate differences in the aetiology of ischemic stroke between genders. Material and Methods: Patients with a diagnosis of acute ischemic stroke treated in our service between 2011 and 2016 were selected from the hospital system. The parameters evaluated included age, sex, hypertension, diabetes mellitus, coronary heart disease, history of prior stroke, smoking, alcohol use, atrial fibrillation, Body mass index, hypercholesterolaemia, echocardiography, carotid and vertebral Doppler ultrasound, angiography reports, haemorrhagic transformations and death. A total of 560 patients was included in the study. Results: The mean age of the patients was 74.05±10.9 years; 249 44.5% were female and 311 55.5% were male. Men had more stroke episodes than women until the age of 80 years but women had more stroke after 80 years and this difference increased over the years. Hypertension was the most common risk factor at 68.5%. The second most common risk factor was hypercholesterolemia 50.2% . Hypertension was more common in women, while alcohol and smoking were more common in male patients.Conclusion: Age is an important factor that increases the risk of stroke in women more than men. Control of risk factors, especially hypertension and hypercholesterolemia, is more important in elderly female patients

Keywords

• Stroke, Gender, Age, Ischaemic stroke, Hypertension

Kaynakça

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