Diabetes mellituslu hastalarda koroner sinüs gerginliğinin değerlendirilmesi

Yıl 2021, , 100 - 106, 31.12.2020

İbrahim Halil Özdemır , Ugur Tezcan

https://doi.org/10.34087/cbusbed.807737

Öz

Arka plan: Diabetes mellitus (DM) önemli bir halk sağlığı sorunu olmaya devam etmektedir. Eşlik eden küçük ve büyük damar hastalıkları, yüksek morbidite ve mortalite ile ilişkili organ disfonksiyonuna yol açar. Bu çalışma, koroner sinüs gerilmesinin (stain) değerlendirilmesi ile diyabetin kardiyak venöz sistem üzerindeki etkisini ele almıştır.
Yöntemler: Kalp yetersizliği ve kalp kapak patolojisi dışlanan 49 DM'li ve 53 DM'siz hasta çalışmaya dahil edildi. Her iki grupta da koroner sinüs gerilmesi (CSS) ekokardiyografi ile değerlendirildi. Ek olarak, DM'nin arteriyel sistem üzerindeki etkilerini değerlendirmek için her iki grupta aort gerilmesi (AS) değerlendirildi.
Sonuçlar: CSS hasta grubunda 113.16 ± 17.89, kontrol grubunda 165.12 ± 19.30 idi. Hastaların ve kontrollerin ortalama CSS'si arasında anlamlı bir fark gözlemledik (p <0.001). AS hasta grubunda 4,85 ± 1,31 ve kontrol grubunda 10,60 ± 2,64 idi. AS, DM ve kontrol grupları arasında istatistiksel olarak farklıydı (p <0,001).
Sonuç: Bu çalışmada, DM'nin arteriyel sistem üzerindeki etkileri AS tarafından değerlendirilmiş ve sonuçlar önceki araştırma ve yayınlarla uyumlu görünmektedir. Koroner sinüsün ekokardiyografik değerlendirmesi, DM hastalarında kardiyak venöz sistemde bir değişiklik olduğunu düşündürmektedir.

Anahtar Kelimeler

2D Ekokardiyografi, Koroner sinüs, Gerginlik, Diyabetes mellitus

Evaluation of Coronary Sinus Strain in Patients with Diabetes Mellitus

Öz

Background: Diabetes mellitus (DM) remains a major public health problem. The accompanying small and large vessel diseases lead to organ system dysfunction associated with a high morbidity and mortality This study adressed the effect of diabetes on cardiac venous system by assessment of the coronary sinus strain.
Methods: 49 patients with and 53 without DM were included in the study, whose heart failure and heart valve pathology were excluded. Coronary sinüs strain (CSS) was evaluated with echocardiography in both groups. In addition, the aortic strain (AS) was assessed in both groups to evaluate the effects of DM on the arterial system.
Results: CSS was 113.16±17.89 in the patient group and 165.12±19.30 in the control group. We observed a significant difference between the mean CSS of the patients and the controls (p <0.001). AS was 4.85±1.31 in the patient group and 10.60±2.64 in the control group. AS was statistically different between DM and control groups (p <0.001).
Conclusion: In the present study, the effects of DM on arterial system were evaluated by AS and results appear consistent with prior research and publications. The echocardiographic evaluation of the coronary sinus suggest an alteration of the cardiac venous system in DM patients.

Anahtar Kelimeler

2D Echocardiography, Coronary sinus, Strain, Diabetes mellitus

Kaynakça

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