Kronik Aort Yetmezliği Olan Hastalarda Hipertansiyon Sıklığı

Yıl 2022, Cilt: 17 Sayı: 2, 167 - 171, 15.07.2022

Oguzhan Yücel Hakan Güneş Mehmet Birhan Yılmaz

https://doi.org/10.17517/ksutfd.848436

Öz

Amaç: Bu çalışmanın amacı kronik aort yetersizliğinde hipertansiyon sıklığını ve hipertansiyon ile kronik aort yetersizliğinin ciddiyeti arasındaki ilişkiyi araştırmaktır.
Gereç ve Yöntemler: Çalışma retrospektif olarak dizayn edilmiş olup aralık 2006 ile ocak 2009 tarihleri arasında Cumhuriyet Üniversitesi Tıp Fakültesi kardiyoloji polikliniğine başvuran ekokardiyografi ve 24 saatlik kan basıncı monitörizasyon yapılan 2457 hasta taranmıştır. Bu hastalardan orta ya da ileri
derecede sol ventrikül sistolik fonksiyon bozukluğu olan hastalar, herhangi bir başka kalp kapak hastalığı olanlar, aort darlığı, protez kalp kapağı veya herhangi bir kalp kapak hastalığından dolayı kardiyak cerrahi geçiren, kronik böbrek yetersizliği, kronik antihipertansif tedavi altında olan hastalar çalışma dışı
bırakılmış olup 135 kronik aort yetersizliği hastası çalışmaya dahil edilmiştir. Hastalar ekokardiyografik olarak aort yetersizliğinin ciddiyetine göre iki gruba ayrılmıştır. Bu iki grup sistolik ve diyastolik tansiyon değerlerine ve sıklığına göre karşılaştırılmıştır.
Bulgular: Ciddi aort yetersizliği olan hasta gurubunda gündüz ortalama diyastolik tansiyon arteriyel değerleri, gece ortalama diyastolik tansiyon değerleri ve tüm gün ortalama diyastolik tansiyon değerleri düşük olarak bulundu (p <0.001, p=0.002, p=0.001 sırası ile). Ayrıca ciddi aort yetersizliği olan grupta sistolik hipertansiyon varlığı daha sık izlendi (p=0.013).
Sonuç: Sonuç olarak aort yetersizliği olan hastalarda hipertansiyon daha sık rastlanmaktadır. Bu nedenle aort yetersizliği olan hastalar sistolik hipertansiyon açısından ayrıntılı bir şekilde araştırılmalı ve kılavuzların önerileri doğrultusunda tedavi edilmelidir.

Anahtar Kelimeler

Diyastolik hipertansiyon, Hipertansiyon, Kronik ciddi aort yetersizliği

Destekleyen Kurum

YOK

Frequency of Hypertension in Patients with Chronic Aortic Regurgitation

Öz

Objective: The aim of this study is to investigate the frequency of hypertension and the relationship between hypertension and the severity of chronic aortic regurgitation in chronic aortic regurgitation.
Material and Methods: The study was designed retrospectively and 2457 patients who applied to the Cumhuriyet University Faculty of Medicine Cardiology Clinic between December 2006 and January 2009, who underwent echocardiography and 24-hour blood pressure monitoring were screened. Among these
patients, patients with moderate or severe left ventricular systolic dysfunction, patients with any other valvular heart disease, patients who have undergone cardiac surgery due to aortic stenosis, prosthetic heart valve or any valvular heart disease, chronic renal failure, patients under chronic antihypertensive treatmentwere excluded from the study while 135 chronic aortic regurgitation patients were included in the study. The patients were divided into two groups according to the severity of aortic insufficiency echocardiographically. These two groups were compared according to systolic and diastolic blood pressure values and their frequency.
Results: In the patient group with severe aortic regurgitation , the mean diastolic blood pressure arterial values during the day, the mean diastolic blood pressure arterial values at night and the average diastolic blood pressure values all day were found to be low (p<0.001, p=0.002, p=0.001, respectively). In addition, presence of systolic hypertension was observed more frequently in the group with severe aortic regurgitation. (p=0.013).
Conclusion: As a result, hypertension is more common in patients with aortic regurgitation. Therefore, patients with aortic insufficiency should be investigated in detail in terms of systolic hypertension and should be treated according to the recommendations of the guidelines.

Anahtar Kelimeler

Chronic severe aortic regurgitation, Diastolic hypertension, Hypertension

Kaynakça

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