2010

Giriş ve Amaç: Bu çalışmada başarılı stent implantasyonu yapılmış aort koarktasyonu olan olgularda klinik ve ambulatuvar kan basıncı monitorizasyonu ile devam eden sistemik hipertansiyonu araştırmak amaçlandı. Gereç ve Yöntemler: Çalışmaya stent impl

Objective: This study aimed to investigate the frequency of systemic hypertension by clinical and ambulatory blood pressure monitoring in subjects with stent implanted aortic coarctation. Materials and Methods: The study included in 31 subjects with stent implanted aortic coarctation before at least 6 months to 3 years. Related features of subjectes, procedure, echocardiografhic findings were evaluated retrospectively. Blood pressure were examined by classical method and 24-hour ambulatory blood pressure monitoring. Results: 22 of subjects were male and 9 were female. Mean age was 14.50 ±6.56 years. The mean body mass index was found to be 18.61 ±4,02.16 of them had native coarctation, others had recoarctation. The efficiency of procedure on blood pressure, echocardiographic and angiocardiographic gradients was found to be statistically significant. 11 subjects were using antihypertensive drug. Six normotensive subjects had hypertensive in ambulatory blood pressure monitoring.17 subject were considered hypertensive group, others normotensive. There was not statistically significant difference between hypertensive group and normotensive group in demographic paramaters, coarctation type and diameter, the stent type and size, echocardiographic and catheter gradients before and after the procedure. Conclusion: Despite optimal treatment, hypertension persists in an important part of the subjects. Some normotensive subjects had hypertensive with ambulatory blood pressure monitoring. The study showed that clinical blood pressure monitoring does not sufficient to determined hypertension alone. Ambulatory blood pressure measurement with regular intervals will be beneficial in the follow-up of these subjects for hypertension.

Clinical and Ambulatory Blood Pressure Monitoring in Subjects with Stent Implanted Aortic Coarctation

Giriş ve Amaç: Bu çalışmada başarılı stent implantasyonu yapılmış aort koarktasyonu olan olgularda klinik veambulatuvar kan basıncı monitorizasyonu ile devam eden sistemik hipertansiyonu araştırmak amaçlandı.Gereç ve Yöntemler: Çalışmaya stent implantasyonunun üzerinden en az 6 ay olmak üzere maksimum 3 yıl geçmişolan aort koarktasyonlu 31 olgu dahil edildi. Olgulara ait demografik, koarktasyonlarına ve stent implantasyonuna aitözellikler, ekokardiyografik bulgular retrospektif olarak incelendi. Çalışma sırasında kan basıncı klasik yöntem ve 24saatlik ambulatuvar kan basıncı monitorizasyonu ile incelendi. Ekokardiyografileri yapıldı.Bulgular: Olguların 22'si erkek, 9'u kadındı. Yaş ortalaması 14,50 ± 6,56 yıl idi. Ortalama vücut kitle indeksi 18,61± 4,02 bulundu. Olguların 16'sı nativ koarktasyon olgusu iken, diğerleri rekoarktasyon olguları idi. Stentimplantasyonu işleminin kan basıncı, ekokardiyografik ve anjiyokardiyografik gradiyentler üzerindeki etkinliğiistatistiksel olarak anlamlı bulundu. 11 olgu çalışma sırasında antihipertansif ilaç kullanıyordu. 6 normotansif olgudaambulatuvar kan basıncı izleminde hipertansiyon saptandı. Total bu 17 olgu hipertansif grup, diğerleri normotansifolarak kabul edildi. Hipertansif ve normotansif grup arasında; İşlem öncesi ve sonrası demografik parametreler,koarktasyon tipi ve çapı, stent tipi ve boyutu, ekokardiyografik ve kateter gradiyentlerinde istatistiksel olarak anlamlıfark yoktu.Sonuç: Optimal tedaviye rağmen, deneklerin önemli bir bölümünde hipertansiyon devam etmekteydi. Bazınormotansif deneklerde ambulatuvar kan basıncı takibi ile hipertansiyon saptandı. Çalışma, klinik kan basıncıizlemenin sadece hipertansiyonu belirlemek için yeterli olmadığını göstermiştir. Stent implante edilmiş aortkoarkatsyonlu olgularda kan basıncı takibinde belirli aralıklarla ambulatuvar kan basıncı ölçümü faydalı olacağısaptanmıştır

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