Fatih GÜNEYSU, HARUN GÜNEŞ, FERUZA TURAN SÖNMEZ, Semih GÜNEYSU, AYHAN SARITAŞ

Senkop İle Gelen Olgularda Elektrokardiyografik Ve Ekokardiyografik Özelliklerin Değerlendirilmesi

Amaç: Bu çalışmanın amacı senkop ile acil servise gelen hastalarda, EKG ve EKO bulguları ile senkop nedenini ve senkop özelliklerini ortaya koymak, EKG ve EKO parametrelerle ilişkisini araştırmaktır. Gereç ve Yöntem: Acil servisimize 01.01.2016 ile 31.12.2016 tarihleri arasında senkop nedeniyle başvuran toplam 90 hasta çalışmaya dâhil edilmiştir. Prospektif kesitsel bir vaka çalışması olarak tasarlanmıştır. Elektrokardiyografik ve ekokardiyografik parametreleri ölçülerek kaydedildi. İstatistiksel anlamlılık için tip-1 hata düzeyi 0,05 olarak belirlendi.Bulgular: Hastaların 40’ı (%44,4) kadın, 50’si (%55,6) erkek idi. Hastaların genel yaş ortalaması 63,5±18,0 olarak saptanmıştır. Olguların büyük çoğunluğu (%57,8) ayaktan takip kararı ile taburcu edilmiş, 36 hasta hastaneye yatırıldı ve %2,2’si ölümle sonuçlanmıştır. Hastaların senkop süreleri ile başvuru esnasındaki ve 6. saatteki PR, QRS ve QT süreleri arasındaki ilişki incelendiğinde sadece QRS süreleri ile senkop süresi arasında istatistiksel olarak anlamlı ilişki saptanmıştır. Hastalara ait kalp kapak hastalıkları incelendiğinde sıklık sırasına göre trikuspit yetmezlik (%41.1), mitral yetmezlik (%37.8), aort yetmezliği (18.9), mitral darlık (%6.7) ve aort stenozu (%5.6) tespit edilmiştir. Hastaların EF değerlerinin ortalaması %50,3, ortalama PAB ise 30,8 mmHg idi. Sonuç: Senkop nedeniyle başvuran tüm hastalara EKG ve EKO uygulanması kardiyak kökenli senkop hastalarını ayırt etmek, senkopa neden olan hastalığın tanısını koymak ve riskli hasta grubunu saptamakta oldukça faydalıdır.

Anahtar Kelimeler:

Senkop, EKG, EKO

Assessment of Electrocardiographic and Echocardiographic Features in Patients Admitting with Syncope

Objective: This study aims to investigate the ECG and ECO parameters in patients admitting to the emergency department with syncope and to evaluate relationship between ECG and ECHO findings and the cause and feature of syncope.Methods: A total of 90 patients admitted to our emergency department due to syncope between 01.01.2016-31.12.2016 were included in the study. It is designed as a prospective cross-sectional case study. Electrocardiographic and echocardiographic parameters were measured and recorded. The type-1 error level was determined as 0.05 for statistical significanceResults: Forty (44.4%) of the patients were female, and 50 (55.6%) were male. The mean age of the patients was 63,5 years of age. Most of the cases (%57,8) discharged with a follow-up decision, and 36 patients were hospitalized, and 2.2% of patients died. When the relationship between the syncope duration of the patients and the duration of PR, QRS, and QT at the time of referral and 6th hour were examined, the only relation between QRS duration and duration of syncope was found statistically significant. Tricuspid insufficiency (41.1%), mitral regurgitation (37.8%), aortic insufficiency (18.9), mitral stenosis (6.7%) and aortic stenosis (5.6%) were found to be the most common cardiac valve diseases in the patients. The mean EF values of the patients were 50.3% and mean PAP 30.8 mmHg. Conclusion: The use of ECG and ECHO in all patients who are referred for syncope is very useful in distinguishing cardiac syncope patients, diagnosing syncope, and identifying patients at risk.

Keywords:

Syncope, ECG, ECHO,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez