Akut koroner sendrom hastalarında klinik özelliklerin ve transport zamanının akut koroner sendrom sınıflamasına göre karşılaştırılması
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Dosyalar
Tarih
2011
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Akut koroner sendrom hastalarında akut koroner sendrom sınıflarına göre klinik özelliklerin araştırılması amaçlanmıştır. Metot ve Materyal: Çalışma kesitsel tip bir çalışma olup bir universite hastanesi koroner yoğun bakım ünitesinde akut koroner sendrom (AKS) nedeni ile yatırılan hastalarda yapılandırılmış çalışma anketi uygulanarak yapılmıştır. Ankette hastaların klinik ve sosyodemografik özellikleri ile transport zamanaları sorgulanmıştır. Bulgular: 34-88 yaş arası ve yaş ortalaması 60,7412,43 olan 152 olgu alınmıştır. Olguların 39’u kadın geriye kalan 112’si erkek hastalardan oluşmaktadır. Hastaların çoğunluğu (n114,%74,5) STsegment Elevasyonlu miyokart Enfarktüsü (STEMI) olgularından oluşurken, %24,5’i ST-segment Elevasyonsuz Miyokart Enfarktüsü (NSTEMI) hastalarından (n37,%24,5) oluşmuştur. Çalışmadaki olguların çoğunluğunun eğitim düzeyi ilkokul veya altındaydı. Sigara içenlerin sayısı da (n84, %55,6) yüksek oranda saptandı. Olguların %84,8’inde (n128) tipik anginal semptomlar gözlemlenmiştir. Hastaların akut koroner sendrom başlangıcı esnasında %36,4’ünün (n55 ) istirahat halinde olduğu saptanmıştır. Hastalarımızın %60,9 u (n92) pre-enfarkt angina tariflemiştir. Çalışmadaki hastaların şikayetleri genellikle akşam ve sabah saatlerinde (n 46, %30,5; n45, %29,8 sırayla) ortaya çıkmıştır. STEMI olguları NSTEMI olgularına göre yaş ortalaması daha düşük (59,2 12,0; 65,513,3); kadın/erkek oranı ise NSTEMI grubunda daha yüksek bulunmuştur (13/24 vs 88/26). NSTEMI grubunda bulunan hastalar anlamlı olarak daha çok atipik göğüs ağrısı ile başvurdu (p0.03) ve yine NSTEMI grubunda, öncesinde Mİ hikayesi olan hasta sayısının da daha fazla olduğu saptanmıştır (p0.019). Eşlik eden diyabet, hipertansiyon ve koroner arter hastalığı NSTEMI hastalarında STEMI’ e göre sayıca daha fazla bulunmuştur (p0.02). Sonuç: Çalışmamızda STEMI ve NSTEMI vakaları klinik özellikler açısından aralarında bazı farklılıkların olduğu gösterilmiştir
Aim: Aimed to investigate clinical features in patients with acute coronary syndrome according to acute coronary syndrome classes. Materials and Methods: This cross-sectional study was conducted in coronary unit of a university hospital, applying structured study survey to patients who were hospitalized for acute coronary syndrome (ACS). With study survey, clinical and socio-demographic features along with transportation data of patients were interrogated. Findings: The study included 152 subjects with average age of 60.74±12.43 years between 34-88 yrs (Male112, female39). Whereas majority of patients were ST-segment elevation myocardial infarction (n114, 74.5%), remaining 37 had non-ST-segment elevation myocardial infarction (24.5%). Education level of majority in the study were primary school or under. Rate of smoking was detected as high (n84, 55.6%). 84.5% of subjects (n128) defined typical anginal chest pain. 36.6% of patients (n55) expressed that they were at rest at onset of ACS. Pre-infarct angina was detected in 92 patients (60.9%). Onset of acute coronary syndrome was usually seen in morning and evening time (n45, 29.8%; n 46, 30.5 % respectively). Mean of age in patients with STEMI was lower than in NSTEMI (59.2 ±12.0; 65.5±13.3), and femaleto- male ratio in patients with NSTEMI was greater than in STEMI (13/24 versus 88/26). Atypical chest pain was significantly higher in patients with NSTEMI (p0.03). Previous MI in patients with NSTEMI was more in number, compared with STEMI (p0.019). Co-morbid diseases such as diabetes, hypertension, coronary artery disease were seen more in NSTEMI than in STEMI (p0.02). Conclusion: some differences in respect of clinical features in STEMI and NSTEMI were shown in our study.
Aim: Aimed to investigate clinical features in patients with acute coronary syndrome according to acute coronary syndrome classes. Materials and Methods: This cross-sectional study was conducted in coronary unit of a university hospital, applying structured study survey to patients who were hospitalized for acute coronary syndrome (ACS). With study survey, clinical and socio-demographic features along with transportation data of patients were interrogated. Findings: The study included 152 subjects with average age of 60.74±12.43 years between 34-88 yrs (Male112, female39). Whereas majority of patients were ST-segment elevation myocardial infarction (n114, 74.5%), remaining 37 had non-ST-segment elevation myocardial infarction (24.5%). Education level of majority in the study were primary school or under. Rate of smoking was detected as high (n84, 55.6%). 84.5% of subjects (n128) defined typical anginal chest pain. 36.6% of patients (n55) expressed that they were at rest at onset of ACS. Pre-infarct angina was detected in 92 patients (60.9%). Onset of acute coronary syndrome was usually seen in morning and evening time (n45, 29.8%; n 46, 30.5 % respectively). Mean of age in patients with STEMI was lower than in NSTEMI (59.2 ±12.0; 65.5±13.3), and femaleto- male ratio in patients with NSTEMI was greater than in STEMI (13/24 versus 88/26). Atypical chest pain was significantly higher in patients with NSTEMI (p0.03). Previous MI in patients with NSTEMI was more in number, compared with STEMI (p0.019). Co-morbid diseases such as diabetes, hypertension, coronary artery disease were seen more in NSTEMI than in STEMI (p0.02). Conclusion: some differences in respect of clinical features in STEMI and NSTEMI were shown in our study.
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2
