Sinüs ritmindeki hafif derecede mitral stenozlu hastalarda taşiaritmi sıklığının değerlendirilmesi
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızın amacı sinüs ritminde olan hafif derecede mitral stenozlu hastalarda taşiaritmi sıklığının belirlenmesidir. Gereç ve Yöntem: Çalışmamıza sinüs ritminde olan hafif derecede mitral darlığı olan 63 hasta (7 erkek, 56 kadın, ortalama yaş: 40.2 ± 10.0 yıl) dahil edildi. Orta ve ciddi derecede kalp kapaklarında hastalığı olanlar, mitral balon valvüloplasti veya kapak cerrahisi uygulanmış hastalar çalışmaya dahil edilmedi. Hastalara M-mode, 2-boyutlu ve Doppler ekokardiyografi ve 24 saaatlik Holter monitörizasyonu yapılarak sonuçlar iki araştırmacı tarafından değerlendirildi. Bulgular: Sol atriyum ortalama çapı, mitral kapak alanı ve ekokardiyografik kapak skoru sırasıyla 47,4±4,2 mm, 1,67±0,38 cm2 ve 7,7 ±1,4 olarak ölçüldü. Altmışiki hastada (%89,8) supraventriküler erken kompleksler ve 25 (%39,7) hastada supraventriküler taşiaritmiler saptandı. Hastaların 6’sında paroksismal atriyal taşikardi (%8,6) ve 4’ünde (%5,7) multifokal atriyal taşikardi saptandı. Paroksismal atriyal fibrilasyon 23 (%33,3) hastada görüldü ve toplam 188 atak/gün saptandı. Paroksismal taşiaritmilerin süresi 5,1± 7,0 sn idi ve paroksismal taşiaritmi ataklarının %38’i asemptomatikti. Sol atriyal çapı geniş olan hastalarda Holter EKG ile AF atakları daha sık saptanırken (p=0,045), yine sol atriyum çapı arttıkça atriyal erken vuru sıklığının da arttığı görüldü (p=0,006). Sonuç: Bu çalışma ile sinüs ritmindeki hafif derecede mitral darlığı olan hastalarda görülen taşiaritmi epizotlarının kısa süreli ve asemptomatik olduğu ve bu aritmi sıklığının mitral kapak alanı ve sol atriyum çapı ile arttığı görülmüştür.
Aim: the aim of this study was to determine the frequency of tachyarrhythmias in mild mitral stenosis patients with sinus rhythm. Material and Method: We included 63 (7 male, 56 female, mean age: 40.2 ± 10.0 years) mild mitral stenosis patients with sinus rhythm. the patients had moderate and severe valve diseases, mitral balloon valvuloplasty and valve surgery excluded. M-Mode, 2- Dimensional and Doppler echocardiographic examination and 24 hours Holter monitorization were performed to the patients and evaluated by two investigators. Results: the mean left atrial dimension, mitral valve area and echocardiographic valve score were 47.4 ± 4.2 mm, 1.67±0.38 cm2 and 7.7 ± 1.4, respectively. Sixty-two (89.8%) patients had supraventricular premature complexes and 25 (%39.7) had supraventricular tachyarrhythmia. Six (8.6%) patients had paroxysmal atrial tachycardia and 4 (5.7%) patients had multifocal atrial tachycardia. Paroxysmal atrial fibrillation was seen in 23 (33.3%) patients and total episodes were 118. the duration of paroxysmal tachyarrhythmia was between 5.1±7.0 second and 38% of paroxysmal tachyarrhythmia episodes were asymptomatic. While increased AF frequency observed by the Holter monitorization in the patients with increased left atrial diameter (p=0.045), again increased premature atrial beats were also observed in patients with increased left atrial diameter (p=0.006). Conclusion: in this study brings about mild mitral stenotic patients with sinus rhythm are more prone to increased frequency of tachyarrhythmia. Most of the episodes are short lasting and asymptomatic while increased frequency is related with mitral valve area and left atrial diameter.
Aim: the aim of this study was to determine the frequency of tachyarrhythmias in mild mitral stenosis patients with sinus rhythm. Material and Method: We included 63 (7 male, 56 female, mean age: 40.2 ± 10.0 years) mild mitral stenosis patients with sinus rhythm. the patients had moderate and severe valve diseases, mitral balloon valvuloplasty and valve surgery excluded. M-Mode, 2- Dimensional and Doppler echocardiographic examination and 24 hours Holter monitorization were performed to the patients and evaluated by two investigators. Results: the mean left atrial dimension, mitral valve area and echocardiographic valve score were 47.4 ± 4.2 mm, 1.67±0.38 cm2 and 7.7 ± 1.4, respectively. Sixty-two (89.8%) patients had supraventricular premature complexes and 25 (%39.7) had supraventricular tachyarrhythmia. Six (8.6%) patients had paroxysmal atrial tachycardia and 4 (5.7%) patients had multifocal atrial tachycardia. Paroxysmal atrial fibrillation was seen in 23 (33.3%) patients and total episodes were 118. the duration of paroxysmal tachyarrhythmia was between 5.1±7.0 second and 38% of paroxysmal tachyarrhythmia episodes were asymptomatic. While increased AF frequency observed by the Holter monitorization in the patients with increased left atrial diameter (p=0.045), again increased premature atrial beats were also observed in patients with increased left atrial diameter (p=0.006). Conclusion: in this study brings about mild mitral stenotic patients with sinus rhythm are more prone to increased frequency of tachyarrhythmia. Most of the episodes are short lasting and asymptomatic while increased frequency is related with mitral valve area and left atrial diameter.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi
Kaynak
MN Kardiyoloji
WoS Q Değeri
Scopus Q Değeri
Cilt
21
Sayı
2
