Yusuf Türkmen, Cüneyt Koçaş, Işıl Uzunhasan, Cengizhan TÜRKOĞLU, Mustafa Yıldız

Bradikardiye Sekonder Paroksismal Atriyum Fibrilasyonu Ataklarını Nasıl Önleriz?

AMAÇ: Her geçen gün insan ömrünün uzaması ile birlikte kronik hastalıkların da görülme sıklığı artmaktadır. Bunlardan biri de paroksismal atriyum fibrilasyonu (PAF)'dur. Ne var ki PAF tedavisinde etkin bir yöntem henüz belirlenmiş olmayıp, sık uygulanan tedavilerin başında pulmoner ven izolasyonu gelmektedir, ancak bu yönteme rağmen alternatif tedavi yaklaşımlarına ihtiyaç duyulmaktadır. Dolayısıyla bradikardiye sekonder PAF hastalarına DDDR (dual-chamber, rate-modulated pacing) "pacemaker" implantasyonu yaparak PAF atak sıklığını değerlendirmek istedik.YÖNTEMLER: Bu amaçla son bir yıl içerisinde en az iki kez PAF atağı olan toplam 54 akut AF'lı hasta çalışmaya dâhil edildi. Tüm hastaların ritimleri sinüs ritmine çevrildikten sonra 48 saat içerisinde hastalara ritim holteri takıldı. Ortalama kalp hızları BULGULAR: Hastaların yaş ortalaması 60±15,5 yıl idi. Ortalama sol atriyum çapı 42,4±6,3 mm olarak ölçüldü. Koroner arter hastalığı veya mitral kapak hastalığı bulunanlarda bulunmayanlara oranla PAF'a girme oranı anlamlı oranda daha yüksek bulundu. (sırasıyla %41,7'ye %28,57 ve %44,4'e %28,9), (p

Anahtar Kelimeler:

Bradikardi, paroksismal atriyum fibrilasyonu; pacemaker

How Would We Prevent Paroxysmal Atrial Fibrillation Attacks Secondary to Bradicardia?

OBJECTIVE: The incidence of chronic diseases increases along with the extension of the life of humans day by day. One of them is a paroxysmal atrial fibrillation (PAF). However, there has been no accurate treatment method for PAF yet and the most commonly applied method is radiofrequency isolation of pulmonary veins. But still alternative treatment approaches are needed. For this reason we implanted dual-chamber, rate-modulated pacing (DDDR) pacemaker in patients with PAF secondary to bradycardia and evaluated the frequency of PAF attacks.METHODS: For this reason 54 patients with acute AF who had at least two PAF attacks within the last year were enrolled our study. After converting the cardiac rhythms of the patients to sinus rhythm, rhythm holter device was connected to the patients within first 48 hours. Patients with average heart rate RESULTS: The mean age of patients were 60±15.5 years. Mean left atrium diameter was measured as 42.4±6.3 mm. The rate of PAF was significantly higher in patients with coronary artery disease or mitral valve disease as compared to those without these diseases (41.7% vs 28.57% and 44.4% vs 28.9%, respectively), (p

Keywords:

Bradycardia, paroxysmal atrium fibrillation; pacemaker.,

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