Assessment of Electrocardiographic and Echocardiographic Features in Patients Admitting with Syncope

Year 2017, , 237 - 242, 22.09.2017

Fatih Güneysu , Ayhan Sarıtaş , Harun Güneş , Feruza Turan Sönmez , Semih Güneysu

https://doi.org/10.18521/ktd.342578

Abstract

Objective: This study aims to investigate the ECG and ECO parameters in patients admitting to the emergency department with syncope and to
evaluate relationship between ECG and ECHO findings and the cause and feature
of syncope.

Methods: A
total of 90 patients admitted to our emergency department due to syncope
between 01.01.2016-31.12.2016 were included in the study. It is designed as a
prospective cross-sectional case study. Electrocardiographic and
echocardiographic parameters were measured and recorded. The type-1 error level
was determined as 0.05 for statistical significance

Results: Forty
(44.4%) of the patients were female, and
50 (55.6%) were male. The mean age of the
patients was 63,5 years of age. Most of the cases (%57,8) discharged with a follow-up decision, and 36
patients were hospitalized, and 2.2% of
patients died. When the relationship between the
syncope duration of the patients and the duration of PR, QRS, and QT at the
time of referral and 6th hour were examined, the only relation between QRS
duration and duration of syncope was found statistically significant. Tricuspid
insufficiency (41.1%), mitral regurgitation (37.8%), aortic insufficiency
(18.9), mitral stenosis (6.7%) and aortic stenosis (5.6%) were found to be the
most common cardiac valve diseases in the patients. The mean EF values of the
patients were 50.3% and mean PAP 30.8 mmHg.

Conclusion: The use of ECG and ECHO in all
patients who are referred for syncope is very useful in distinguishing cardiac
syncope patients, diagnosing syncope, and identifying patients at risk.

Keywords

Syncope, ECG, ECHO

Senkop İle Gelen Olgularda Elektrokardiyografik Ve Ekokardiyografik Özelliklerin Değerlendirilmesi

Abstract

Amaç: Bu
çalışmanın amacı senkop ile acil servise gelen hastalarda, EKG ve EKO bulguları
ile senkop nedenini ve senkop özelliklerini ortaya koymak, EKG ve EKO
parametrelerle ilişkisini araştırmaktır.

Gereç ve Yöntem: Acil servisimize 01.01.2016
ile 31.12.2016 tarihleri arasında senkop nedeniyle başvuran toplam 90 hasta
çalışmaya dâhil edilmiştir. Prospektif kesitsel bir vaka çalışması olarak
tasarlanmıştır. Elektrokardiyografik ve ekokardiyografik parametreleri
ölçülerek kaydedildi. İstatistiksel anlamlılık için tip-1 hata düzeyi 0,05
olarak belirlendi.

Bulgular: Hastaların 40’ı (%44,4)
kadın, 50’si (%55,6) erkek idi. Hastaların genel yaş ortalaması 63,5±18,0
olarak saptanmıştır. Olguların büyük çoğunluğu (%57,8) ayaktan takip kararı ile
taburcu edilmiş, 36 hasta hastaneye yatırıldı ve %2,2’si ölümle sonuçlanmıştır.
Hastaların senkop süreleri ile başvuru esnasındaki ve 6. saatteki PR, QRS ve QT
süreleri arasındaki ilişki incelendiğinde sadece QRS süreleri ile senkop süresi
arasında istatistiksel olarak anlamlı ilişki saptanmıştır. Hastalara ait kalp
kapak hastalıkları incelendiğinde sıklık sırasına göre trikuspit yetmezlik (%41.1),
mitral yetmezlik (%37.8), aort yetmezliği (18.9), mitral darlık (%6.7) ve aort
stenozu (%5.6) tespit edilmiştir. Hastaların EF değerlerinin ortalaması %50,3,
ortalama PAB ise 30,8 mmHg idi.

Sonuç: Senkop nedeniyle başvuran tüm
hastalara EKG ve EKO uygulanması kardiyak kökenli senkop hastalarını ayırt
etmek, senkopa neden olan hastalığın tanısını koymak ve riskli hasta grubunu
saptamakta oldukça faydalıdır. 

Keywords

Senkop, EKG, EKO

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