Zekeriya ARSLAN, Mustafa APARCI, Ejder KARDEŞOĞLU, Atila İYİSOY, Sedat KÖSE, Hürkan KURŞAKLIOĞLU, Ersoy IŞIK

TSK personelinde kardiyovasküler risk değerlendirmesi

AMAÇ: Bu çalışmada TSK personelinin kardiyovasküler risk profilini çıkarmak ve yüksek riskli bireylerin değerlendirme sonuçlarını sunmak amaçlanmıştır. YÖNTEM: 2006-2007 yıllarında bir garnizondaki 1311 TSK personelinde anket ile sigara kullanımı, hipertansiyon, diyabet, hiperlipidemi, aile hikayesi, fiziksel aktivite, kardiyovasküler hastalık tanısı veya yakınması olup olmadığı sorgulandı. Risk faktörü sayısı ≥2 veya risk faktörü olmasa da aktif kardiyak yakınması olan toplam 249 kişiden 176’sına (%71) fiziki muayene, EKG, ekokardiyografi ve biyokimyasal testler (lipid profili, açlık kan şekeri), yüksek riskli olanlara (n=14) eforlu EKG testi uygulandı. İstatistiki analizler Ki-Kare testi, Fisher’s exact test veya Student-t test ile SPSS 11.0 kullanılarak yapıldı. BULGULAR: 1311 bireyin (yaş 32,6 ± 6,7 yıl, %98,7 erkek) %24,3’ünde risk faktörü yoktu. Sigara %43,0, hipertansiyon %5,2, diyabet %2,7, hiperkolesterolemi %17,5, aile hikayesi %28,8, kilo fazlalığı (VKİ>25) %20,8, hareketsiz yaşam %18,0 oranlarında bulundu. Yaşla birlikte kilo fazlalığı, hareketsiz yaşam, tipik göğüs ağrısı, nefes darlığı, çarpıntı gibi yakınmalarda anlamlı bir artış izlendi (p

Cardiovascular risk assesment at the personnel of Turkish armed forces

AIM: In this study we aimed to evaluate the cardiovascular risk profile of Turkish Armed Forces (TSK) personnel and also to determine the ones at high risk. METHOD: Totally, 1311 individuals were participated in a questionnaire. Smoking, hypertension, diabetes, hyperlipidemia, family history, physical activity, previous cardiovascular disease or symptoms were interrogated. Of the 249 individuals with ≥2 risk factors or even not exist risk factors but having active cardiac complaint; 176 volunteers (%71) were performed physical examination, ECG, echocardiography, and biochemical tests (fasting glucose, lipid profiles etc) and the ones with high risk (n=14) were performed exercise stress test. Statistical analysis was performed by Chi-Square test, Fisher’s exact test and Student t test using SPSS 11.0 for Windows. RESULTS: Of 1311 subjects (age 32.6 ± 6.7, %98.7 male), 24.3 % had no risk factors. Rate of Smoking, hypertension, hyperlipidemia, family history, overweight (BMI>25 kg/m2), and inactivity were 43.0%, 5.2%, 2.7%, 17.5%, 28.8%, 20.8% and 20%, respectively. Rate of overweight, inactivitiy, and typical chest discomfort were significantly increased with age (p<0.001). Smoking was similar in all age groups. While the the ten year-Framingham risk score was %1.6 before 40 years old, it was significantly increased then. Of 176 subjects, when rated general poll population, cardiovascular diseases rate was 2.7% (coronary 0.6%, valvular 1.1%, rhytm-conductance 0.8%, and other -congenital, peripheral vascular etc. 0.2%) compared to whole group. 22 patient had left ventricular hypertrophy due to valvular diseases or hypertension. Newly diagnosed 15 patients were started on medication, and three subjects referred advanced medical center. CONLUSION: Risk stratification and modification gain importance for an earlier diagnosis and treatment of cardiovascular diseases worldwide. Similar society based projects could also reduce the morbidity and mortality of cardiovascular disease in our country.

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