Zarema KARBEN, Alper SERCELİK, Fikret BESNİLİ

Kadın Hastalarda Koroner Yavaş Akımın Klinik Blirleyicileri

ÖZGİRİŞ ve AMAÇ: Önceden, koroner yavaş akışın (KYA) erkek cinsiyet, yüksek BMI ve sigara kullanımı ile ilgili olduğu bildirilmişti. Ancak KYA, kadınlarda da görülen bir klinik durumdur ve bu konuda herhangi bir çalışma yapılmamıştır. Bu çalışmada kadın hastalarda KYA ‘nın belirleyicilerini araştırmayı amaçladık.YÖNTEM ve GEREÇLER: 40'ı normal (ortalama yaş: 51.9 ± 5.2 yıl) ve 40 ‘I KYA (ortalama yaş: 54.6 ± 7.7 yıl) toplam 80 kadın hasta seçildi. TIMI frame sayıları hesaplandı ve demografik özellikler, komorbiditeler ve ilaç kullanımı ile ilgili veriler toplandı. CSF, frame sayısı> 27 olarak tanımlandı.BULGULAR: KYA grubunda diyabetes mellitus (DM) yüzdesi anlamlı olarak yüksekti (% 52.5'e karşılık% 22.5; p: 0.005). DM, çok değişkenli lojistik regresyon analizinde KYA 'lı kadın hastaların anlamlı belirleyicisi olarak bulundu (O.R: 3.44,% 95 CI: 1.14–10.36; p: 0.028).TARTIŞMA ve SONUÇ: KYA 'lı kadın hastalarda DM'nin anlamlı derecede arttığını ve çok değişkenli analizde KYA ‘nın bağımsız belirleyicisi olduğunu bulduk.

Clinical Predictors of Coronary Slow Flow in Female Patients

ABSTRACTINTRODUCTION: Previously, the coronary slow flow (CSF) has been reported to be related to male sex, high BMI, and smoking. However, CSF is a clinical conditionseen in women and no studies have been conducted on this subject. We aimed to investigate predictors of coronary slow flow in female patients.METHODS: A total of 80 female patients, 40 of whom were normal (mean age: 51.9±5.2 years) and 40 with coronary slow flow(mean age: 54.6 ±7.7 years) were selected. TIMI frame counts were calculated, and data on demographics, comorbidities, and medication use were collected. CSF was defined as frame count >27.RESULTS: Percentage of diabetes mellitus (DM) was significantly higher in the CSF group ( 52.5 % vs. 22.5 %; p: 0.005). DM was found to be significant predictor of femalepatients with CSF in the multivariate logistic regression analysis (O.R: 3.44, 95%CI: 1.14–10.36; p: 0.028).DISCUSSION and CONCLUSION: We found that DM was significantly increased and only independent predictor of CSF in female patients with CSF.

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