Posterior Sirkülasyon İnfarktlarının Risk Faktörleri, Etyoloji Ve Klinik Özellikleri Bakınmından Cisiyetler Arası Farlılıkları: Gözlemsel Çalışma

Amaç: Bu çalışmada, posterior sirkülasyon infarktı (POCI) olan hastaların demografik özellikleri, risk faktörleri, etiyolojik ve klinik profilleri gözden geçirerek bu parametreler bakımından cinsiyetler arasında farklılık olup olmadığını değerlendirmeyi amaçladık. Materyal ve Metod: Bu çalışmaya Başkent Üniversitesi Adana Araştırma ve Uygulama Hastanesi, Kahramanmaraş Özel Hayat Hastanesi ve Şanlıurfa Mehmet Akif İnan Eğitim Araştırma Hastanesine 2014 yılı ilk 6 aylık süre içerisinde başvuran ve posterior sirkülasyon infarktları olan ardışık 11'i (% 26.2) kadın ve 31'i (%73.8) erkek toplam 42 hasta dahil edildi. Yaş, eğitim durumu, risk faktöleri, inme etiyolojisi ve ölüm oranı bakımından kadın ve erkek hastalar karşılaştırıldı. Bulgular: Kadın hastalarda erkek hastalara göre; geçici iskemik atak, mortalite oranı daha yüksek saptandı. Risk faktörlerinden koroner arter hastalığı, konjestif kalp yetmezliği, atrial fibrilasyon, hiperlipidemi, diabetes mellitus, hiperlipidemi varlığı daha yüksek oranda saptandı. Sonuç: Çalışmamızdaki bulgular, POCI sendromlu hastalarda cinsiyetin kadın olmasının inmenin klinik seyrini olumsuz yönde etkileyebileceğini düşündürmektedir.

Anahtar Kelimeler:

İskemik inme, posterior sirkülasyon infarktı, cinsiyet farklılığı

Sex differences in risk factors, etiology and clinical features of posterior circulation

Objective: In this study, we evaluated the risk factors, demographic, clinical and etiological characteristics of patients with total posterior circulation infarct (POCI) and we aimed to elucidate the impact of genderbased differences on these parameters.Material and Methods: In this study, 42 ( 11 (26.2%) famele, 31 (73.8%) male) consecutive posterior circulation infarct patients from which Başkent University Research and Training Hospital, Kahramanmaraş Private Hayat Hospital, and Şanlıurfa Mehmet Akif İnan Research and Training Hospital were included for the first six months of 2014. We compared the age, previous stroke, risk factors, education and the rate of death between genders. Results: Transient ischemic attack, the mortality rate was higher than female patients compared to male patients; Risk factors for coronary artery disease, congestive heart failure, atrial fibrillation, hyperlipidemia, diabetes mellitus and hyperlipidemia were higher in patints with total posterior circulation infarct (POCI). Conclusion: The result of the present study indicated that female gender has a negative effect on clinical outcome of POCI.

Keywords:

Ischemic stroke, total posterior circulation infarct, gender differences,

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