Vazovagal Senkoplu Hastaların Elektrokardiyografi Ve Ekokardiyografilerinin Değerlendirilmesi

Yıl 2016, Cilt: 13 Sayı: 2, 148 - 153, 29.08.2016

Eyyup Tusun , Abdulselam İlter Feyzullah Beşli

Öz

Amaç: Senkop genel popülasyonda oldukça sıkça görülür ve en sık görülen tipi, nöral (reflex) aracılı senkop
olarak, tanımlanan vazovagal senkop türüdür. Bu çalışmada vazovagal senkop tanısı alan hastaların
ekokardiyografi ve elektrokardiyografilerinin değerlendirilmesi amaçlanmıştır
Materyal ve metod: Kardiyoloji polkliniğinde vazovagal senkop tanısı konan 60 hasta ve kardiyak
değerlendirme sonucu herhangi bir patoloji saptanmayan, benzer demografik özelliklere sahip ardışık 30
sağlıklı birey, kontrol grubu olarak çalışmaya dâhil edildi. Hastaların ayrıntılı anamnez, öykü ve fizik
muayene sonrası elektrokardiyografik (EKG) ve ekokardiyografi değerlendirmeleri yapıldı
Sonuçlar: Vazovagal senkoplu hasta grubu ve kontrol grubu arasında yaş, cinsiyet, temel EKG ve
ekokardiyografik bulgular açısından anlamlı farklılık izlenmedi (tüm p değerleri >0,05). Bununa beraber
senkoplu hasta grubunda, EKG'de kalp hızı anlamlı olarak daha yüksek iken, E/Em oranı ise anlamlı olarak
daha düşük saptandı (sırasıyla, 85±8,7 vs 77±6,9, p=0,033 ve 8,6±1,2 vs 9,2±1,1 p=0,020).
Tartışma: Senkoplu hastaların EKG ve ekokardiyografik değerlendirmeleri kardiyak patolojilerin
tanınmasının yanında, vazovagalsenkoplu hastalarda sol ventikül doluş basınçlarının değerlendirilmesinde
ek ilgiler sağlayabilir

Anahtar Kelimeler

Vazovagal Senkop, Elektrokardiyografi, Ekokardiyografi.

The Assessment of Electrocardiography And Echocardiography in Vasovagal Syncope

Öz

Objective: Syncope is a common clinical problem in the general population. Vasovagal syncope (a type of
neural –reflex syncope) is the most common form of syncope. The aim of this was to evaluate the
electrocardiography and echocardiographic parameters in patients with vasovagal syncope
Material and method: Atotal of 60 consequently patients with vasovagal syncopeand 30 randomly age/sex
matched subjects with no cardiovascular or systemic disease were recruited in this study. Afterall study
population underwent a detailed history and physical examination, the electrocardiography (ECG) and
echocardiographic evaluation performed. Results: Vasovagal syncope group and control group were similar in terms ofthe age, sex, basic ECG and
echocardiographic parameters (all p values >0.05).However, heart rate on ECG was significantly higher,
while E/Em ratio was significantly lower in vasovagal syncope group (85±8,7vs77±6,9, p=0,033 ve 8,6±1,2
vs 9,2±1,1 p=0,020, respectively).
Conclusion: In addition to reveal the possible underlying cardiac pathologyin syncope patients, the
assessment of ECG and echocardiography can provide a usefulcontributionregardingleft ventricular filling
pressure in patients with vasovagal syncope

Anahtar Kelimeler

Vasovagal Syncope, Electrocardiography, Echocardiography

Kaynakça

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