EKOKARDİYOGRAFİ LABORATUARINDA TORASİK AORT ANEVRİZMASININ TESPİTİ VE İLİŞKİLİ DURUMLAR

Öz

Giriş: Torakal aort anevrizması (TAA) genellikle asemptomatik olan ve semptomatik hale geldiğin- de çoğunlukla fatal seyreden bir hastalıktır. Biz bu çalışmada ekokardiyografi laboratuarında her- hangi bir nedenle transtorasik ekokardiyoggrafi uygulanan ve vücut yüzey alanına göre asendan
TAA saptanan kişileri tespit etmeyi ve TAA ile ilişkili olan sosyodemografik verileri tespit etmeyi
amaçladık.
Yöntem: Hastanemiz ekokardiyografi laboratuarına başvuran hastalardan ortalama yaş 60 olan 51
adet torakal aort genişliği 4 cm ve üzeri olan hasta çalışmaya dahil edilmiştir. Kalp boşlukları ve
aortik ölçümler 2-D ve M-mode ile alınmıştır.
Bulgular: Çalışmaya alınan populasyonun ortalama yaşı 60±10 idi. Çalışmaya alınan populasyonun %62’si (32) erkek idi. Çalışma grubundaki hastaların %59’unda (30 kişi) hipertansiyon mevcut idi.
Diyabet tanılı hasta toplamda %14 (7 kişi) idi. hiperlipidemi hastaların %8’inde ve koroner arter has- talığı %6’sında tespit edildi. Çalışmaya alınan erkek hastalar istastistiki olarak anlamlı şekilde
kadınlardan uzun tespit edilmiştir (p<0.001). Erkek hastaların torakal aortaları kadın hastalardan
daha geniş olarak ölçülmüştür ve fakat bu istastistiki olarak anlamlılık derecesine ulaşmamıştır
(p>0.05).
Sonuç: Sonuç olarak TAA ekokardiyografi laboratuarında kolaylık ile tespit edilebilmekte olup
hipertansiyon ile kuvvetli bir ilişkisi bulunmaktadır

Anahtar Kelimeler

• Aort
• torasik aort anevrizması
• transtorasik ekokardiyograf

IDENTIFICATION OF THE THORACIC AORTIC ANEURYSM AND RELATED CONDITIONS IN ECHOCARDIOGRAPHY LABORATORY

Öz

IntroductionThoracic aortic aneurysm (TAA) is generally asymptomatic. When TAA become symptomatic it is fatal. In the present study we aimed to detect TAA via transthorasic echocardiography
and the related conditions.
Method: To the present study 51 patients whose mean age was 60, with thoracic aorta larger than
4 cm were enrolled. The cardiac chamber and aortic measurement were made by 2-D and M-mode.
Results: The mean age of the studied population was 60±10. The majority of the patients were
male (%62). Hypertension was present in 59% of patients. Diabetes was diagnosed in 14% of
patients (7 patients). Similarly a small percent of patients had hyperlipidemia and coronary artery
disease (8% and 6%). Male patients were significantly taller than female (p<0.001). Thoracic aorta
in male patients was nonsignificantly larger than female (p>0.05).
Conclusion: Thoracic aortic aneurysm can be easily diagnosed with transthoracic echocardiog- raphy and hypertension is significantly associated with TAA.

Anahtar Kelimeler

• Aorta
• thoracic aortic aneurysm
• transthoracic echocardiography

Kaynakça

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