Akut kolesistitli hastalarda yeni elektrokardiyografik parametrelerin değerlendirilmesi

Yıl 2019, , 236 - 240, 26.10.2019

Can Ramazan Oncel , Hasan Calis

https://doi.org/10.30565/medalanya.558816

Öz

Amaç: Akut kolesistit (AC), kardiyovasküler hastalıkları taklit eden elektrokardiyografik değişiklikler gösterebilir. Bu çalışmanın amacı AC'li hastalarda elektrokardiyografik değişiklikleri yeni parametrelerle değerlendirmektir. 

Yöntemler: Çalışmaya AC 'li 34 hasta ve 30 kontrol dahil edildi. Kontrol grubu, herhangi bir kardiyovasküler ve sistemik hastalığı olmayan yaş ve cinsiyet uyumlu bireylerden oluşuyordu. Demografik ve klinik veriler kaydedildi. Elektrokardiyografik ölçümler QT aralığını, düzeltilmiş QT (QTc) aralığını, T dalgasının tepe noktası ve sonu (Tp-e), Tp-e / QT oranını ve p dalga sürelerini hesaplamak için yapıldı. 

Bulgular: Çalışmamızda demografik veriler ve klinik özellikler açısından iki grup arasında anlamlı fark yoktu. QT aralığı, düzeltilmiş QT (QTc) aralığı, T dalgasının tepe noktası ve sonu (Tp-e) ve p dalgası süreleri iki grupta benzerdi. İki grup arasında p dalga dispersiyonu ve Tp-e / QT oranı açısından istatistiksel olarak anlamlı bir fark bulunmadı. 

( 38.0 ± 3.9 vs 37.9 ± 4.4, p: 0.930 ; 0.21 ± 0.07 vs 0.20 ± 0.09 , p: 0.260 sırasıyla ) 

Sonuç: Akut kolesistitli hastalar, sağlıklı kontroller ile karşılaştırıldığında elektrokardiyografide miyokard ve atriyumun benzer elektrofizyolojik özelliklerine sahiptir. 

Anahtar Kelimeler

Kolesistit, elektrokardiyografi, elektrofizyoloji

Evaluation of the novel electrocardiographic parameters in patients with acute cholecystitis

Öz

Aim: Acute cholecystitis (AC) can display electrocardiographic changes mim-icking cardiovascular disorders. The aim of this study is to evaluate electrocardio-graphic changes with novel parameters in patients with AC. Methods: This study included 34 patients with AC and 30 controls. Control group was consisted of age and gender matched individuals without any cardiovascular and systemic disease. Demographic and clinical data were recorded. The electro-cardiographic measurements were done in order to calculate QT interval , corrected QT (QTc) interval, peak and the end of the T wave (Tp-e), Tp-e/QT ratio and p wave durations.

Results: In our study there was no significant difference between two groups in terms of demographic data and clinical features. QT interval , corrected QT (QTc) interval, peak and the end of the T wave (Tp-e), and p wave durations were similiar in the two groups. No statistically significant difference was found between two groups in terms of p wave dispersion and Tp-e/QT ratio. ( 38.0±3.9 vs 37.9±4.4, p:0.93; 0.21±0.07 vs 0.20±0.09, p:0.26 respectively)

Conclusion: Patients with acute cholecystitis have similiar electrophysiological prop-erties of myocardium and atrium on electrocardiography as compared with healthy controls. 

Anahtar Kelimeler

Cholecystitis, electrocardiography, electrophsiology

Kaynakça

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