The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure
on Coronary Slow Flow Phenomenon in Women Living in the
Eastern Region of Turkey

ŞAYLIK, FAYSAL; Akbulut, Tayyar

doi:10.4274/MMJ.galenos.2022.41948

The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey

Tayyar AKBULUT, (University of Health Sciences Turkey, Van Training and Research Hospital, Clinic of Cardiology, Van, Turkey)

Faysal SAYLIK (University of Health Sciences Turkey, Van Training and Research Hospital, Clinic of Cardiology, Van, Turkey)

Medeniyet Medical Journal

8 1

Yıl: 2022 Cilt: 37 Sayı: 1 Sayfa Aralığı: 21 - 28 Metin Dili: İngilizce DOI: 10.4274/MMJ.galenos.2022.41948 İndeks Tarihi: 23-06-2022

The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey

Öz:

Objective: Biomass fuel (BMF) is still widely used in rural areas for cooking and heating worldwide. BMF smoke inhalation is a prominent cause of respiratory and cardiovascular disease. The slow coronary flow (SCF) phenomenon is known as the delayed opacification of distal coronary arteries on a coronary angiogram. SCF is known to be related to cardiovascular morbidity and mortality. Thus, we aimed to investigate the relationship between exposure to BMF and SCF in women in this study. Methods: A total of 457 consecutive women who underwent coronary angiography were retrospectively enrolled in this study. Patients were divided into two groups according to the use of BMF during their lives, from birth to older ages, as biomass exposure group (BEG) and non-exposure group. The presence of SCF was calculated based on thrombolysis in myocardial infarction frame count. Results: Two hundred fifty nine patients were in the BEG, whereas 198 patients were in the non-exposure group. The prevalence of SCF was higher in the BEG compared to the non-exposure group (47.9% vs. 13.1%, respectively, p<0.001). The presence of biomass exposure, body mass index, white blood cell count, low-density lipoprotein cholesterol, C-reactive protein, serum creatinine, and hypertension were independent predictors of SCF. The optimal cutoff point of biomass exposure time in years to detect the presence of SCF was 30 years (Area under the curve: 0.71, sensitivity: 0.65, specifity: 0.71). Conclusions: Exposure to indoor BMF was associated with a SCF phenomenon in women.

Anahtar Kelime:

Kronik Ev İçi Biyolojik Yakıt Dumanına Maruz Kalmanın Türkiye’nin Doğu Bölgesinde Yaşayan Kadınlarda Koroner Yavaş Akım Fenomeni Üzerine Etkisi

Öz:

Amaç: Biyokütle yakıtı (BY), dünya genelinde kırsal kesimlerde yemek pişirmek ve ısınmak için halen yaygın olarak kullanılmaktadır. BY dumanının solunması, solunum ve kardiyovasküler hastalıkların önemli bir nedenidir. Koroner yavaş akım (KYA) fenomeni, koroner anjiyogramda uç koroner arterlerin gecikmiş opaklaşması olarak bilinmektedir. KYA'nın, kardiyovasküler morbidite ve mortalite ile ilişkili olduğu bilinmektedir. Bu nedenle, biz bu çalışmada kadınlarda BY'ye maruz kalma ile KYA arasındaki ilişkiyi araştırmayı amaçladık. Yöntemler: Bu çalışmaya koroner anjiyografi yapılmış olan toplam 457 ardışık kadın retrospektif olarak alındı. Hastalar, doğumdan ileri yaşlarına kadar yaşamları boyunca BY kullanımlarına göre hayvansal maruziyet grubu (HMG) ve maruz kalmayan grup olmak üzere iki gruba ayrıldı. KYA varlığı, miyokard enfarktüsünde trombolizis kare sayısına göre hesaplandı. Bulgular: HMG'de 259 hasta varken, maruz kalmayan grupta 198 hasta vardı. KYA prevalansı HMG'de maruz kalmayan gruba kıyasla daha yüksekti (sırasıyla %47,9'a karşı %13,1, p<0,001). HY'ye maruz kalma varlığı, vücut kitle indeksi, beyaz kan hücre sayısı, düşük yoğunluklu lipoprotein kolesterol, C-reaktif protein, serum kreatinin ve hipertansiyon, KYA'nın bağımsız öngörücüleriydi. KYA varlığını saptamak için yıl cinsinden biyokütle maruziyet süresinin optimal kesme noktası 30 yıl idi (Eğrinin altındaki alan: 0,71, duyarlılık: 0,65, özgüllük: 0,71). Sonuçlar: Ev içi BY'ye maruz kalma, kadınlarda KYA fenomeni ile ilişkiliydi

Anahtar Kelime:

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

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APA	Akbulut T, ŞAYLIK F (2022). The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. , 21 - 28. 10.4274/MMJ.galenos.2022.41948
Chicago	Akbulut Tayyar,ŞAYLIK FAYSAL The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. (2022): 21 - 28. 10.4274/MMJ.galenos.2022.41948
MLA	Akbulut Tayyar,ŞAYLIK FAYSAL The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. , 2022, ss.21 - 28. 10.4274/MMJ.galenos.2022.41948
AMA	Akbulut T,ŞAYLIK F The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. . 2022; 21 - 28. 10.4274/MMJ.galenos.2022.41948
Vancouver	Akbulut T,ŞAYLIK F The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. . 2022; 21 - 28. 10.4274/MMJ.galenos.2022.41948
IEEE	Akbulut T,ŞAYLIK F "The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey." , ss.21 - 28, 2022. 10.4274/MMJ.galenos.2022.41948
ISNAD	Akbulut, Tayyar - ŞAYLIK, FAYSAL. "The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey". (2022), 21-28. https://doi.org/10.4274/MMJ.galenos.2022.41948

APA	Akbulut T, ŞAYLIK F (2022). The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. Medeniyet Medical Journal, 37(1), 21 - 28. 10.4274/MMJ.galenos.2022.41948
Chicago	Akbulut Tayyar,ŞAYLIK FAYSAL The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. Medeniyet Medical Journal 37, no.1 (2022): 21 - 28. 10.4274/MMJ.galenos.2022.41948
MLA	Akbulut Tayyar,ŞAYLIK FAYSAL The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. Medeniyet Medical Journal, vol.37, no.1, 2022, ss.21 - 28. 10.4274/MMJ.galenos.2022.41948
AMA	Akbulut T,ŞAYLIK F The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. Medeniyet Medical Journal. 2022; 37(1): 21 - 28. 10.4274/MMJ.galenos.2022.41948
Vancouver	Akbulut T,ŞAYLIK F The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey. Medeniyet Medical Journal. 2022; 37(1): 21 - 28. 10.4274/MMJ.galenos.2022.41948
IEEE	Akbulut T,ŞAYLIK F "The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey." Medeniyet Medical Journal, 37, ss.21 - 28, 2022. 10.4274/MMJ.galenos.2022.41948
ISNAD	Akbulut, Tayyar - ŞAYLIK, FAYSAL. "The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey". Medeniyet Medical Journal 37/1 (2022), 21-28. https://doi.org/10.4274/MMJ.galenos.2022.41948