Gökhan ALICI, Birol ÖZKAN, Göksel AÇAR, Mustafa BULUT, Müslüm ŞAHİN, Bilal BOZTOSUN, Ali Metin ESEN

Aortik Nabız Basıncı ile Koroner Arter Hastalığı Arasındaki İlişki: Koroner Anjiyografik Çalışma

Amaç: Nabız basıncı (NB) kardiyovasküler mortalitenin önemli bir belirtecidir. Tanısal amaçlı koroner anjiyografi (KAG) uygulanan hastalarda aortik NB ile koroner arter hastalığı (KAH) varlığı ve yaygınlığı arasındaki ilişki araştırılmıştır. Hastalar ve Metod: Çalışma grubu 550 hastadan oluşmuştur (363 erkek, 187 kadın). Hastalar NB

Anahtar Kelimeler:

Koroner Arter Hastalığı, Nabız Basıncı, Koroner Anjiyografi.

The Relation Between Aortic Pulse Pressure and Coronary Artery Disease

Objective: Pulse pressure (PP) is a significant marker of cardiovascular morbidity.We investigated the relation between aortic PP and the presence and extent of coronary artery disease (CAD) in patients undergoing diagnostic coronary angiography (CAG). Patients and Method: The study group consisted of 550 patients (363 men, 187 women).We evaluated patients in two different groups, PP < 60 mmHg and ? 60 mmHg. Results: In univariate analysis gender and presence of hyperlipidemia showed no statistically significant differences between both groups. However, the ratio of patients having diabetes mellitus, hypertension or smoking were significantly higher in ? 60 mmHg PP group. The mean age was 55.2 ±11.9 in < 60 mmHg PP group and 61.3±9.3 in the other group (p

Keywords:

Coronary Artery Disease, Pulse Pressure, Coronary Angiography.,

PDF

___

Madhavan S, Ooi Wl, Cohen H, Alderman MH. Relation of pulse pressure and blood pressure reduction to the incidence of myocardial infarction. Hypertension 1994;23:395–401.
Benetos A, Safar M, Rudnichi A, Smulyan H, Richard JL, Ducimetiere P, et al. Pulse pressure: a predictor of long-term cardiovascular mortality in a French male population. Hyper- tension 1997;30:1410–5.
Mitchell GF, Moye LM, Braunwald E, Rouleau J-L, Bern- stein V, Geltman EM, Flaker GC, Pfeffer MA. Sphygmomano- metrically determined pulse pressure is a powerful independ- ent predictor of recurrent events after myocardial infarction in patients with impaired left ventricular function: SAVE Investi- gators. Circulation 1997;96:4254–60.
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Pede S, Porcellati C. Ambulatory pulse pressure: a potent predictor of total cardiovascular risk in hypertension. Hypertension ;32:983–8. ship suggests whether increased PP plays an induc- % Confidence Interval ,926-2,675 ,567-3,797 ,077-3,054 ,713-1,670 ,179-2,419 ,803-48,379 ,732-5,935 09

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi