Feyzullah BEŞLİ, Tunay ŞENTÜRK, Mehmet Fethi ALİŞİR, İbrahim BARAN, Ali AYDINLAR, Mesut KEÇEBAŞ, Bülent ÖZDEMİR

Uludağ Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı'na Bayılma Şikayeti ile Başvuran Hastalarda Etiyoloji

Bu çalışmada, Uludağ Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı'na bayılma şikayeti ile başvuran hastalarda geçici bilinç kaybınedenlerini ve senkop etiyolojisini araştırmak amaçlanmıştır. Uludağ Üniversitesi Hastanesi Kardiyoloji Anabilim Dalı'na Ocak 2010- Mayıs2011 tarihleri arasında bayılma şikayeti ile başvuran 167 hastanın kayıtları geriye dönük olarak incelenmiştir. 113 hastada senkop saptanmıştır. Senkop tanısı alan olguların %53,4'ü kadın, %43'ü 50 yaş üzeri olgulardan oluşmaktadır. Senkop tanısı alan hastalarda refleks senkop(%43,4) ilk sırada, kardiyak senkop (%39,8) ikinci sırada yer almaktadır. Senkop tanısı alan erkeklerin %50'sinde kardiyak senkop, kadınların %47,5'inde refleks senkop en sık neden olarak saptanmıştır. 50 yaş altı hastalarda en sık senkop nedeni refleks senkop iken 50 yaş üzerihastalarda en sık neden kardiyak senkop olarak bulunmuştur. Tüm yaş gruplarında ise refleks senkobun en sık nedeni vazovagal senkopolarak belirlenmiştir. Senkop popülasyonda sık görülmekle birlikte altta yüksek mortaliteye sahip kardiyak nedenler bulunabileceğindenhastalar ayrıntılı incelenmeli ve senkop etyolojisi ortaya koyulmalıdır.

Etiology of Patients with Complain of Loss of Consciousness who Applied to Cardiology Department of Uludag University Hospita

In this study, we aimed to analyze the causes of the transient loss of consciousness and etiology of syncope among the patients who appliedto Uludag University Hospital Cardiology Department with the complaint of faintness. We examined data charts of 167 patients with thecomplaint of syncope referred to Cardiology Depatment of Uludag University Hospital in between 01.01.2010- 30.05.2011 retrospectively.113 of the 167 patients had a syncope. 53,4 % of cases diagnosed with syncope were female. In this study 73 patients were aged 50 and older.In patients diagnosed syncope, the most common causes of syncope were revealed to reflex syncope with 43,4 % ratio and second mostcommon were cardiac syncope with 39,8 % ratio. The most common cause of syncope was cardiac in men with 50 % and women with47,5 % was reflex syncope. While reflex syncope was the most common in younger than 50 years, in older than 50 years patients was thecardiac syncope. At all age groups, vasovagal syncope was evaluated the most common subgroup of reflex syncope. Syncope in the population is common however the cardiac reasons underlying the high mortality should be evaluated in detail and the etiology should be ascer- tained.

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