Akut kolesistitli hastalarda yeni elektrokardiyografik parametrelerin değerlendirilmesi

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.

Evaluation of the novel electrocardiographic parameters in patients with acute cholecystitis

Aim: Acute cholecystitis (AC) can display electrocardiographic changes mim-ickingcardiovascular disorders. The aim of this study is to evaluate electrocardiographic changes with novel parameters in patients with AC.Methods: This study included 34 patients with AC and 30 controls. Control groupwas consisted of age and gender matched individuals without any cardiovascularand systemic disease. Demographic and clinical data were recorded. The electrocardiographic measurements were done in order to calculate QT interval , correctedQT (QTc) interval, peak and the end of the T wave (Tp-e), Tp-e/QT ratio and p wavedurations.Results: In our study there was no significant difference b etween two g roups interms 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 inthe two groups. No statistically significant difference was found between two groupsin 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 properties of myocardium and atrium on electrocardiography as compared with healthycontrols.

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