SİNAN İNCİ
(Aksaray Devlet Hastanesi, Kardiyoloji Kliniği, Aksaray, Türkiye)
Özgül Muştu KORYÜREK
(Aksaray Devlet Hastanesi, Dermatoloji Kliniği, Aksaray, Türkiye)
GÖKAY NAR
(Ahi Evran Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kırşehir, Türkiye)
Gökhan AKSAN
(Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Çocuk Kardiyoloji, Anabilim Dalı, İstanbul, Türkiye)
İbrahim IZGU
(Aksaray Devlet Hastanesi, Kardiyoloji Kliniği, Aksaray, Türkiye)
Yıl: 2017Cilt: 20Sayı: 1ISSN: 2149-2972 / 2149-2980Sayfa Aralığı: 40 - 46Türkçe

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Psoriazis Vulgarisli Hastalarda Preklinik Sol Ventrikül Fonksiyon Bozukluğunun İki Boyutlu Speckle Tracking Ekokardiyografi ile Tespiti
Giriş: Bu çalışmada bilinen kalp hastalığı olmayan psoriazis vulgaris (PV)’li hastalarda subklinik sol ventri- kül işlev bozukluğunun araştırılması hedeflenmiştir.Hastalar ve Yöntem: Çalışmaya koroner arter hastalığı ve kalp yetersizliği olmayan 45 psoriazis vulgarisli hasta (22 E, 23 K, yaş 39 ± 14 yıl) ve yaş, cinsiyeti uygun 45 sağlıklı kontrol grubu alındı. Sol ventrikül işlev- leri speckle tracking ekokardiyografi (STE) ile longitudinal olarak apikal 4-3-2 boşluk görüntülerle mevcut software kullanılarak analiz edildi (QLAB 6.0).Bulgular: İki grup arasında standart ekokardiyografi ve Doppler parametreleri arasında fark yoktu. Psoriazis vulgaris hastalarında bazal septum ve lateral mitral anulustan doku Doppler görüntülemede S’ ve E’ para- metrelerinde anlamlı azalma görüldü. Sol ventrikül longitudinal ölçümlerde longitudinal strain ve strain hız parametreleri kontrol grubu ile karşılaştırıldığında anlamlı olarak azalmıştı. Global longitudinal strain (GLS) PV hasta grubunda %-20.8 ± 4.11 ve kontrol grubunda %-22.9 ± 3.73 olarak ölçüldü (p= 0.035). PV hasta grubunda GLS ile hastalık süresi ve şiddeti arasında anlamlı negatif korelasyon vardı.Sonuç: Çalışmamız PV’li hastaların standart ekokardiyografi parametreleri normal olmasına rağmen STE ile sol ventrikül fonksiyonlarının azaldığını göstermiştir.
Fen > Tıp > Kalp ve Kalp Damar Sistemi
Fen > Tıp > Endokrinoloji ve Metabolizma
Fen > Tıp > Genel ve Dahili Tıp
DergiAraştırma MakalesiErişime Açık
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