İlhan KORKMAZ, KUKUL Fatma Mutlu GÜVEN, Şevki Hakan EREN, Abuzer COŞKUN

ST segmenti yüksekliği olan ve olmayan hastalarda aVR derivasyonunun epidemiyolojik ve prognostik önemi

Amaç: aVR derivasyonunda ST segmenti elevasyonu olan hastalar majör ve minor olarak iki gruba ayrıldı ve kan lipid düzeyleri, başvuru sırasındaki kan şekeri seviyeleri, anjiyografi sonuçları ve prognoz açısından karşılaştırıldı. Çalışma planı: Çalışmanın klinik verileri Ocak 2004 - Aralık 2008 tarihleri arasında hastanemizin acil servisine göğüs ağrısı nedeniyle başvuran ve kardiyoloji kliniğine yatırılan aVR elevasyonlu 887 hastanın (550 erkek, 337 kadın) dosyalarının geriye dönük olarak taranması sonucu elde edildi. Hastalar aVR’de ST segmenti yüksekliğine göre minör (grup 1; 0.5-1 mm) ve majör (grup 2; >1 mm) olarak iki gruba ayrıldı ve yaş, cinsiyet, acil servise geliş süresi, kan şekeri seviyesi, lipid profili, ejeksiyon fraksiyonu (EF), anjiyografi sonuçları, Gensini skoru ve mortalite oranları açısından karşılaştırıldı. Bulgular: Grup 2’de erkek cinsiyet, yüksek Gensini skoru, düşük EF, yüksek kan şekeri seviyesi, artmış ST segment elevasyonlu miyokard infarktüslü hasta sayısı, üçdamar hastalığı ve yüksek mortalite arasında anlamlı bir ilişki saptandı (p

The epidemiological and prognostic importance of the aVR lead among patients with and without ST segment elevation

Background: Patients with ST segment elevation in the aVR lead were divided into major and minor groups and compared with respect to blood lipid levels, admission glucose levels, angiography results and prognosis. Methods: The clinical data of the study was obtained by a retrospective review of the charts of 887 patients (550 males, 337 females) with aVR elevation, who were admitted to our emergency department between January 2004 and December 2008 with chest pain and hospitalized in the cardiology ward. The patients were divided into minor (group 1; 0.5-1 mm) and major (group 2; >1 mm) groups according to the ST segment elevation in aVR and compared with respect to age, gender, emergency room arrival time, blood glucose level, lipid profile, ejection fraction (EF), angiography results, Gensini score, and mortality rates. Results: Group 2 had a significant correlation with male gender, increased Gensini score, low EF, high blood glucose level, number of myocardial infarction patients with ST segment elevation, three-vessel disease and high mortality (p

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