The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy

Yılmaz, Mustafa; GELERİ, Hikmet; AĞCA VATANSEVER, Fahriye; TENEKECİOĞU, Erhan; Peker, Tezcan; Kuzeytemiz, Mustafa; ÖZLÜK ARICAN, Özlem; KARAAĞAÇ, Kemal

The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy

Hikmet GELERİ, (Özel Müjde Hastanesi, Kardiyoloji Bölümü, Malatya, Türkiye)

Mustafa YILMAZ, (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Kemal KARAAĞAÇ, (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Fahriye AĞCA VATANSEVER, (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Erhan TENEKECİOĞU, (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Özlem ÖZLÜK ARICAN, (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Tezcan PEKER, (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Mustafa KUZEYTEMİZ (Sağlık Bakanlığı, Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Kardiyoloji Bölümü, Bursa, Türkiye)

Abant Tıp Dergisi

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Yıl: 2015 Cilt: 4 Sayı: 1 Sayfa Aralığı: 20 - 27 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy

Öz:

Amaç: Akut alt duvar miyokard infarktüsü (AAMİ) ST el evasyonlu Mİnin %40-50 sini oluşturur ve genellikle mortaitesi ön duvar Mİne göre daha düşüktür. ÇalışmalardaAAMİ'de çok damar hastalığı 40 -45% oranında gösterilmi ştir. Bu çalışma trombolitik tedavi uygulanan akut alt duvarmiyokard infarktüslerinde çok damar hastalığı nı saptam ada doku Doppler görüntüleme yönteminin kullanılıp kull a- nılmayacağını araştırmak için yapıldı. Yöntem : Çalışmaya ST elevasyonlu AAMİ tanısı ile servis imize yatırılan, primer perkütan girişimi kabul etmeyen vestreptokinaz uygulanan 49 hasta alındı. Tüm hastalarayatışlarının ilk gününde 2 -D Eko ve PW doku Dopplerncelemesi, İlk 10 gün içerisinde ise koroner anjıyografileriyapıldı. Hastalar anjiyografilerine göre tek damar lezyonusaptananlar Grup -I, 2 ve 3 damar lezyonu saptananlar iseGrup -II olarak belirlendi. Doku Doppler incelemesi ile Sm,SmVTİ, Em, Am, Em/Am oranı, DT, Q-Sm, CT, İVRT değerl eri ölçüldü.Bulgular: Çalışmaya alınan hastaların %45de çok damarhastalığı saptandı. Çok damar hastalarında duvar hareketskor indeksi yüksek bu lundu. Ancak geleneksel Dopplerparametreleri açısından gruplar arasında anlamlı farksaptanmadı. Doku Doppler görüntülemede ise sistolik vediyastolik parametreler açısından istatiksel olarak anlamlıfark bulundu. Grup IIde mitral anulus lateral, septal, posterior ve anterior bölgelerde Sm, Em, Em/Amninazaldığı, DT, Q-Sm, IVRTnin uzadığı saptandı. Regresyonanalizinde, çok damar hastalığının bağımsız belirleyicilerimitral lateral Sm(r=079, p Sonuç : Trombolitik tedavi uygulanan AAMİde çok damarhastal arının tespiti ve tedavilerinin planlamasında nonnvazif bir yöntem olarak doku Doppler görüntülemeyönteminin kullanılabileceği kanaatindeyiz.

Anahtar Kelime:

Konular: Cerrahi

Trombolitik tedavi uygulanan akut alt Duvar miyokard infarktüsünde Doku Doppler görüntülemenin çok damar hastalığını belirlemedeki yeri

Öz:

Objective : Acute inferior myocardial infarctions (AIMI)consists the 40 -50% of all ST elevated MI. Studies ha veshowed that the rate of multivessel disease (MVD) is 40 -45% in AIMI. Our study was designed to investigate whe ther tissue Doppler imaging can be used to determine MVDin patients with AIMI who were treated by thrombolytictherapy.Method : 49 patients with AIMI who were admitted to ourhospital and refused primary percutaneous angioplastywere enrolled in this study. Pateints were treated withstreptokinase as a thrombolytic therapy. All patients u nderwent to two dimensional echocardiographic and pulsewa ve tissue Doppler imaging examination on the day ofadmission and evaluated by coronary angiography within10 days of admission. Patients with one vessel diseaseconsisted the group I and patients with 2 or 3 vessel dise ase consisted the group II. Tissue D oppler imaging was pe rformed and Sm, SmVTİ, Em, Am, Em/Am, DT, Q-Sm, CT,IVRT values were estimated.Results : In our study group, 45% of patients were found tohave MVD. The differences between the groups accordingto traditional Doppler parameters and LVEF were not sign ificant. Tissue Doppler imaging showed that in group IIwhen compared to group I; Sm, Em, Em/Am values werereduced, whereas DT, Q-Sm, IVRT values were increased. Inregression analyses mitral lateral and septal Sm were foundto be indepe ndant indicators of MVD.Conclusion : We argued that the tissue Doppler imaging canbe a usefull tool as a non invasive method for determiningof MVD in patients with AIMI

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GELERİ H, Yılmaz M, KARAAĞAÇ K, AĞCA VATANSEVER F, TENEKECİOĞU E, ÖZLÜK ARICAN Ö, Peker T, Kuzeytemiz M (2015). The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. , 20 - 27.
Chicago	GELERİ Hikmet,Yılmaz Mustafa,KARAAĞAÇ Kemal,AĞCA VATANSEVER Fahriye,TENEKECİOĞU Erhan,ÖZLÜK ARICAN Özlem,Peker Tezcan,Kuzeytemiz Mustafa The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. (2015): 20 - 27.
MLA	GELERİ Hikmet,Yılmaz Mustafa,KARAAĞAÇ Kemal,AĞCA VATANSEVER Fahriye,TENEKECİOĞU Erhan,ÖZLÜK ARICAN Özlem,Peker Tezcan,Kuzeytemiz Mustafa The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. , 2015, ss.20 - 27.
AMA	GELERİ H,Yılmaz M,KARAAĞAÇ K,AĞCA VATANSEVER F,TENEKECİOĞU E,ÖZLÜK ARICAN Ö,Peker T,Kuzeytemiz M The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. . 2015; 20 - 27.
Vancouver	GELERİ H,Yılmaz M,KARAAĞAÇ K,AĞCA VATANSEVER F,TENEKECİOĞU E,ÖZLÜK ARICAN Ö,Peker T,Kuzeytemiz M The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. . 2015; 20 - 27.
IEEE	GELERİ H,Yılmaz M,KARAAĞAÇ K,AĞCA VATANSEVER F,TENEKECİOĞU E,ÖZLÜK ARICAN Ö,Peker T,Kuzeytemiz M "The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy." , ss.20 - 27, 2015.
ISNAD	GELERİ, Hikmet vd. "The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy". (2015), 20-27.

APA	GELERİ H, Yılmaz M, KARAAĞAÇ K, AĞCA VATANSEVER F, TENEKECİOĞU E, ÖZLÜK ARICAN Ö, Peker T, Kuzeytemiz M (2015). The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. Abant Tıp Dergisi, 4(1), 20 - 27.
Chicago	GELERİ Hikmet,Yılmaz Mustafa,KARAAĞAÇ Kemal,AĞCA VATANSEVER Fahriye,TENEKECİOĞU Erhan,ÖZLÜK ARICAN Özlem,Peker Tezcan,Kuzeytemiz Mustafa The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. Abant Tıp Dergisi 4, no.1 (2015): 20 - 27.
MLA	GELERİ Hikmet,Yılmaz Mustafa,KARAAĞAÇ Kemal,AĞCA VATANSEVER Fahriye,TENEKECİOĞU Erhan,ÖZLÜK ARICAN Özlem,Peker Tezcan,Kuzeytemiz Mustafa The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. Abant Tıp Dergisi, vol.4, no.1, 2015, ss.20 - 27.
AMA	GELERİ H,Yılmaz M,KARAAĞAÇ K,AĞCA VATANSEVER F,TENEKECİOĞU E,ÖZLÜK ARICAN Ö,Peker T,Kuzeytemiz M The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. Abant Tıp Dergisi. 2015; 4(1): 20 - 27.
Vancouver	GELERİ H,Yılmaz M,KARAAĞAÇ K,AĞCA VATANSEVER F,TENEKECİOĞU E,ÖZLÜK ARICAN Ö,Peker T,Kuzeytemiz M The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy. Abant Tıp Dergisi. 2015; 4(1): 20 - 27.
IEEE	GELERİ H,Yılmaz M,KARAAĞAÇ K,AĞCA VATANSEVER F,TENEKECİOĞU E,ÖZLÜK ARICAN Ö,Peker T,Kuzeytemiz M "The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy." Abant Tıp Dergisi, 4, ss.20 - 27, 2015.
ISNAD	GELERİ, Hikmet vd. "The value of tissue Doppler imaging in prediction of multivessel disease in patients with acute inferior myocardial infarction treated by thrombolytic therapy". Abant Tıp Dergisi 4/1 (2015), 20-27.