Banu Şahin YILDIZ, Nazire Başkurt ALADAĞ, Hakan KAPTANOĞULLARI, Alparslan ŞAHİN

Hemodiyaliz Hastalarında Atriyal Fibrilasyon Prevalansı ve Bununla İlişkili Antropometrik, Hemodinamik ve Ekokardiyografi k Parametreler

Giriş: Atriyal fi brilasyon en sık görülen aritmi tipidir. Atriyal fi brilasyon insidansı hemodiyaliz hastalarında artmıştır. Bu çalışmanın amacı hemodiyaliz hastalarında atriyal fi brilasyon prevalansını ve bununla ilişkili antropometrik, hemodinamik ve ekokardiyografi k parametreleri araştırmaktır. Hastalar ve Yöntem: Toplam 154 [72 (%46.8) kadın, 82 (%53.2) erkek] hemodiyaliz hastası çalışmaya dahil edildi. Elektrokardiyografi de P dalgalarının olmaması ve düzensiz RR intervali varlığında atriyal fi brilasyon tanısı konuldu ve hastalar atriyal fi brilasyon olup olmamasına göre iki gruba ayrıldı. Tüm hastalara transtorasik ekokardiyografi yapıldı. Bulgular: Hastaların 7 (%4.5)'sinde atriyal fi brilasyon mevcuttu. Atriyal fi brilasyon olan grupta yaş, sol ventrikül diyastol sonu çapı, sol ventrikül sistol sonu çapı ve sol atriyum genişliği daha fazla iken; atriyal fi brilasyon olmayan grupta ejeksiyon fraksiyon daha yüksekti. Hemodiyaliz hastalarında sol atriyum çapı ve sol ventrikül sistol sonu çapı atriyal fi brilasyonu belirlemede bağımsız prediktörler olarak saptandı (p< 0.05). Sonuç: Hemodiyaliz hastalarında sol atriyum çapı ve sol ventrikül sistol sonu çapı atriyal fi brilasyonu belirlemede bağımsız prediktörlerdir.

Anahtar Kelimeler:

Atriyal fi brilasyon, sol atriyum, sol ventrikül, elektrokardiyografi, ekokardiyografi.

The Prevalence of Atrial Fibrillation and Related Factors Including Anthropometric, Hemodynamic and Echocardiographic Parameters in Patients with Hemodialysis

Introduction: Atrial fi brillation is the most common type of arrhythmia. The prevalence of atrial fi brillation is increased in hemodialysis patients. The aim of the present study was to investigate the prevalence of atrial fi brillation and related factors including anthropometric, hemodynamic and echocardiographic parameters in hemodialysis patients. Patients and Methods: We recruited 154 [72 (46.8%) woman, 82 (53.2%) man] hemodialysis patients in this study. Atrial fi brillation was determined electrocardiographically (the P waves was absent and RR intervals were irregular) and the patients were divided into two groups depending on the presence or absence of atrial fi brillation. Transthoracic echocardiography was performed in all patients. Results: There were 7 (4.5%) patients with atrial fi brillation. Although we found that the age, left ventricle end-diastolic diameter, left ventricle end-systolic diameter and left atrial diameter were increased in hemodialysis patients with atrial fi brillation, ejection fraction increased in hemodialysis patients with no atrial fi brillation. Left atrial diameter and left ventricle end-systolic diameter were shown to be independent predictors of atrial fi brillation in hemodialysis patients (p< 0.05). Conclusion: Left atrial diameter and end-systolic left ventricle diameter were independent predictors of atrial fi brillation in hemodialysis patients.

Keywords:

Atrial fi brillation, left atrium, left ventricle, electrocardiography, echocardiography,

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ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi