Levent ALBAYRAK, Atakan SAVRUN, Emre GÖKÇEN, Şiho HİDAYET, İbrahim ÇALTEKİN, Mikail KUŞDOĞAN, Yaşar TURAN

ACİL SERVİSE BAŞVURAN HASTALARDA AKUT KORONER SENDROMUN DİURNAL VARYASYONUN KORONER ANJİYOGRAFİYE GÖRE DEĞERLENDİRİLMESİ

Amaç: Bu çalışmanın amacı, akut miyokard enfarktüslü hastaların diurnal varyasyon gösterip göstermediğini ve etkilenen koroner arter ile bu diurnal varyasyon arasındaki ilişkiyi araştımaktı. Material ve Metodlar: Ocak-Aralık 2017 tarihleri arasında akut koroner sendrom semptomları ile Yozgat Bozok Üniversitesi Acil Servisine başvuran hastalar retrospekti olarak incelendi. 24 saatlik zaman dilimi içinde diurnal değişimler 6 grupta (00:01-04:00, 04:01-08:00, 08:01-12:00, 12:01-16:00, 16:01-20:00, 20:01- 00:00), mevsimsel değişimler 4 grupta (İlkbahar, Yaz, Sonbahar, Kış), haftlık değişimler ise 2 grupta (Haft içi, Haft sonu) analiz edilmişti. Bulgular: Koroner arterlerin gün içindeki diurnal etkilenimleri incelendiğinde istatitisel olarak anlamlı bir sonuç bulunamadı. Diurnal etkilenimin haft içi ile haft sonu değişimleri incelendiğinde ise haft içi olgularında her üç koroner arter lezyonlarının haft sonu görülen lezyonlara oranla istatitisel olarak artmış olduğu saptandı (p

Evaluation of Acute Coronary Syndrome with Coronary Angiography Due To Diurnal Variatin in the Patients who Admitted to The Emergency Department

Backround: The aim of this study is to investiate whether patints with acute myocardial infarctin exhibited diurnal variatin and the relatinship between the affcted coronary artery and this diurnal variatin.Material and Methods: The patints admittd to the emergency department of Yozgat Bozok Universitywith symptoms of acute coranary syndrome between January and December 2017 were retrospectielyanalyzed. In 24 hour period diurnal changes were analyzed in 6 groups (00:01-04:00, 04:01-08:00, 08:01-12:00, 12:01-16:00, 16:01-20:00, 20:01-00:00), seasonal changes were analyzed in 4 groups (Spring,Summer, Autumn, Winter), and weekly changes were analyzed in 2 groups (Weekday, Weekend).Results: When diurnal effcts coronary arteries were examined, no statitially signifiant results werefound. When the changes of diurnal effct were observed at weekdays and weekends, it was found thatall three coronary artery lesions were statitially increased at weekdays compared to the lesions seen atweekends (p

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