Supraventriküler Taşikardilerin Ayırıcı Tanısında Yaş ve Cinsiyetin Önemi

Year 2019, Volume: 22 Issue: 3, 162 - 167, 24.12.2019

Kürşat Akbuğa , Murat Eren Mustafa Karanfil Turgay Aslan İlknur Can

Abstract

Giriş: Supraventriküler taşikardilerin ayırıcı tanısı için birçok algoritma önerilmiştir. Bununla birlikte, bu algoritmaların farklı cinsiyet ve yaş grupları üzerindeki etkisi araştırılmamıştır. Amacımız, bilinen elektrokardiyografi (EKG) parametrelerinin farklı yaş ve cinsiyet gruplarındaki dağılımını gözlemlemektir.

Hastalar ve Yöntem: Retrospektif olarak, taşikardi esnasında EKG’si olan ve elektrofizyoloji çalışması (EPS) veya radyofrekans ablasyonu (RF) ile atriyoventriküler nodal reentrant taşikardi (AVNRT) veya atriyoventriküler reentrant taşikardi (AVRT) tanısı alan 114 hastanın EKG parametreleri incelenmiştir.

Bulgular: Kadınlar için V1 ve aVR’de yalancı r’-dalgaları AVNRT grubunda daha anlamlıydı (p< 0.05); QRS alternansı AVRT grubunda anlamlıydı (p< 0.05). AVNRT grubunda 60 yaşın altındaki bireylerde sağ prekordiyalde ST depresyonu anlamlı görüldü; aynı gruptaki 60 yaşın üzerindeki bireyler için, yukarı eğimli ST depresyonu anlamlı bir parametre olarak saptandı (p< 0.05). Altmış yaş üstündeki AVRT hastalarında ortalama ST depresyon amplitüdünün ortalaması, 60 yaş altındakilere göre daha yüksekti (p< 0.05).

Sonuç: Bu çalışmada bilinen EKG parametrelerinin yaşa ve cinsiyete göre farklılık gösterdiği gösterilmiştir. SVT ayırıcı tanı ve algoritmalarında yaş ve cinsiyetin yer alabileceği ortaya koyulmuştur.

Keywords

Atriyoventriküler nodal re-entran taşikardi, atriyoventriküler resiprokal taşikardi, ayırıcı tanı, elektrokardiyografi

Value of Age and Sex in Differential Diagnosis of Supraventricular Tachycardia

Abstract

Introduction: Many algorithms have been proposed for the differential diagnosis of supraventricular tachycardia (SVT). However, the effect of these algorithms on different sex and age groups has not been investigated. Our aim in this study is to observe the distribution of known electrocardiography (ECG) parameters in different age and sex groups.

Patients and Methods: The ECG parameters (during tachycardia) of 114 patients diagnosed with atrioventricular nodal re-entrant tachycardia (AVNRT) or atrioventricular re-entrant tachycardia (AVRT) by electrophysiology or radiofrequency ablation were evaluated retrospectively.

Results: For women, pseudo r’-waves in V1 and in aVR were significant in the AVNRT group (p< 0.05), whereas the QRS alternans was significant in the AVRT group (p< 0.05). In the AVNRT group, the ST depression in the right precordial leads was found to be significant in individuals aged < 60 years; the up-sloping ST depression was found to be a significant parameter for individuals aged > 60 years in the same group (p< 0.05). The mean ST depression amplitude was higher in the AVRT patients aged > 60 years than individuals aged < 60 years in the same group (p< 0.05).

Conclusion: In this study, it was shown that known ECG parameters differ according to age and gender. It was also demonstrated that age and gender may be included in the SVT differential diagnosis and algorithms.

Keywords

Atrioventricular nodal re-entrant tachycardia, atrioventricular reciprocating tachycardia, differential diagnosis, electrocardiography

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