Majid POURSHAİKHİAN, Mohammad Taghi MOGHADAMNİA, Maryam GHİASMAND

Akut Kalp Krizinin Duygusal, Çevresel, Fiziksel ve Kimyasal Tetkileyicileri: Analitik Bir Demografik Çalışma

Amaç: Akut tetikleyiciler doğrudan kalp krizininin başlangıcına yol açan akut patofizyolojik değişiklikler üreten dış uyaranlardır. Akut kalp krizi mortalitenin başlıca nedenlerinden biridir. Son yıllarda yapılan çalışmalar, akut tetikleyicilerin akut kalp krizi oluşumundaki etkisini doğrulamaktadır ancak demografik özellikler açısından farklılıklarını değerlendirmemiştir. Bu çalışma, çeşitli demografik gruplarda akut tetikleyicilerin akut kalp krizi üzerindeki etkisini araştırmak için yürütülmüştür. Yöntemler: Bu, 2015 ve 2016 yıllarında İran'da iki hastanede akut kalp krizinden etkilenen 269 hasta üzerinde yapılan analitik kesitsel bir çalışmadır. Çalışmanın amaçlarına ulaşmak için, akut tetikleyiciler duygusal, çevresel, fiziksel ve kimyasal olmak üzere dört gruba ayrıldı. Veri toplamak için araştırmacı tarafından geliştirilen bir anket ve mülakat kullanılmıştır. Her tetikleyici için risk ve kontrol periyotları da değerlendirildi. Veriler, betimsel istatistikler ve istatistiksel lojistik regresyon gibi çıkarımsal istatistikler ve SPSS 21'i kullanarak McNemar testi ile analiz edildi. P-değeri 0.05'e ayarlandı. Bulgular: Sonuçlar, erkeklerde sıcak/soğuk havaya ani maruziyetin (P = 0.03, OR = 3.4), altta yatan hastalıkların (P = 0.03, OR = 1.8), ağır aktivitelerin (P = 0.03, OR = 1.6) ve erkeklerde tüketilen çay/kahve (P = 0.01, OR = 1.8) akut kalp krizi riskini artırığını gösterdi. Pulmoner enfeksiyonlar, aşırı yeme ve/veya aşırı yağlı gıdalarla yeme gibi demografik değişkenlere bağımlı olmayan tetikleyicilerin akut kalp krizi riskini arttırdığı da keşfedildi (P

The Emotional, Environmental, Physical and Chemical Triggers of Acute Myocardial Infarction: An Analytical Demographic Study

Objective: Acute triggers are external stimuli that produce acute pathophysiologic changes directly leading to the onset of myocardial infarction (MI). Acute myocardial infarction (AMI) is one of the main causes of mortality. Recent studies have confirmed the impact of acute triggers on the occurrence of AMI, but have not evaluated their differences in terms of demographic characteristics. This study was conducted to investigate the impact of acute triggers on AMI in various demographic groups. Methods: This is an analytical cross-sectional study on 269 patients affected by AMI in two hospitals in 2015 and 2016 in Iran. To attain the goals of the study, acute triggers were divided into four groups of emotional, environmental, physical, and chemical. A researcher-developed questionnaire and interview were used to collect data. The risk and control periods were also evaluated for each trigger. The data were analyzed by descriptive statistics and inferential statistics such as statistical logistic regression and McNemar's test using SPSS 21. The P-value was set at 0.05. Results: The results showed that sudden exposure to hot/cold weather in men (P=0.03, OR=3.4), underlying diseases (P=0.03, OR=1.8), heavy activities (P=0.03, OR=1.6) and consuming tea/coffee in men (P=0.01, OR=1.8) increased the chance of AMI. It was also discovered that triggers such as pulmonary infections, overeating and/or eating high-fat foods that are not dependent on demographic variables promoted the chance of AMI (P

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