Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri

Mevlüt Kuyumcu

doi:10.17343/sdutfd.447971

Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri

Öz

Amaç: Mitral anüler kalsifikasyon (MAK) mortalite indikatörü olan azalmış kalp hızı değişkenliği, bozulmuş P dalgası dispersiyonu ve atriyal elektromekanik gecikme ile ilişkili olduğu saptanmıştır. MAK’ın potansiyel aritmojenik etkileri olabileceğini göz önüne alarak çalışmamızda MAK’ın kalbin elektrofizyolojisi üzerine etkilerini klasik EKG parametrelerine ek olarak f(QRS‐T) açısı ve Tp-e/QT gibi yeni aritmojenik idikatörleri kullanarak araştırmayı amaçladık.

Hastalar ve Yöntemler: Toplam 200 ardışık hasta [n=100 MAK (+) ve n=100 MAK (-)] çalışmaya dahil edildi. Toplanılan tüm veriler ve elektrokardiyogram parametreleri gruplar arasında karşılaştırıldı.

Bulgular: P Dalgası MAK (+) grubunda, kontrol grubuna göre anlamlı şekilde uzun izlenmiştir (p<0.001). Düzeltilmiş QT intervali MAK (+) grubunda, kontrol grubuna göre anlamlı olarak uzun izlenmiştir (p<0.001). Tp-e intervali MAK (+) grubunda, kontrol grubuna göre anlamlı olarak uzun izlenmiştir (p<0.001). Tp-e/ QT intervali ve Tp-e/ düzeltilmiş QT intervali oranı MAK (+) grubunda, kontrol grubuna göre anlamlı olarak uzun izlenmiştir (p<0.001). Frontal QRS-T açısı MAK (+) grubunda anlamlı olarak fazla izlenmiştir (p<0.001).

Sonuç: Çalışmamızda MAK’ın EKG üzerindeki etkileri değerlendirilmiştir ve literatürde ilk kez MAK’ın kalbin repolarizasyon parametreleri üzerinde negatif etkileri olduğu saptanmıştır.

Anahtar Kelimeler

mitral anülüler kalsifikasyon,EKG,QRS-T açısı

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

Mevlüt Kuyumcu ^*
Türkiye

Yayımlanma Tarihi

1 Eylül 2019

Gönderilme Tarihi

26 Temmuz 2018

Kabul Tarihi

11 Eylül 2018

Yayımlandığı Sayı

Yıl 2019 Cilt: 26 Sayı: 3

DOI

https://doi.org/10.17343/sdutfd.447971

IZ

https://izlik.org/JA79SU99XN

Kaynak Göster

RIS / Bibtex

APA

Kuyumcu, M. (2019). Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Medical Journal of Süleyman Demirel University, 26(3), 274-279. https://doi.org/10.17343/sdutfd.447971

AMA

1.Kuyumcu M. Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. SDÜ Tıp Fak Derg. 2019;26(3):274-279. doi:10.17343/sdutfd.447971

Chicago

Kuyumcu, Mevlüt. 2019. “Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri”. Medical Journal of Süleyman Demirel University 26 (3): 274-79. https://doi.org/10.17343/sdutfd.447971.

EndNote

Kuyumcu M (01 Eylül 2019) Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. Medical Journal of Süleyman Demirel University 26 3 274–279.

IEEE

[1]M. Kuyumcu, “Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri”, SDÜ Tıp Fak Derg, c. 26, sy 3, ss. 274–279, Eyl. 2019, doi: 10.17343/sdutfd.447971.

ISNAD

Kuyumcu, Mevlüt. “Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri”. Medical Journal of Süleyman Demirel University 26/3 (01 Eylül 2019): 274-279. https://doi.org/10.17343/sdutfd.447971.

JAMA

1.Kuyumcu M. Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. SDÜ Tıp Fak Derg. 2019;26:274–279.

MLA

Kuyumcu, Mevlüt. “Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri”. Medical Journal of Süleyman Demirel University, c. 26, sy 3, Eylül 2019, ss. 274-9, doi:10.17343/sdutfd.447971.

Vancouver

1.Mevlüt Kuyumcu. Mitral anülüs kalsifikasyonunun elektrokardiyogram parametreleri üzerinde etkileri. SDÜ Tıp Fak Derg. 01 Eylül 2019;26(3):274-9. doi:10.17343/sdutfd.447971