Koroner anjiyografi ve perkütan koroner müdahale sonrası akut iskemik inmede risk faktörleri ve prognoz
DOI:
https://doi.org/10.5281/zenodo.7077581Anahtar Kelimeler:
Akut İskemik İnme, Koroner Anjiyografi, Perkütan Koroner MüdahaleÖzet
Amaç: Bu çalışmanın amacı, merkezimizde koroner anjiyografi ve perkütan koroner girişim yapılan hastalarda inme insidansını, predispozan faktörleri ve sonuçlarını incelemektir. Gereç-Yöntem: Bu çalışma Ankara/Türkiye'de bir üçüncü basamak sağlık merkezinde yapılmıştır. Koroner anjiyografi ve perkütan koroner girişim sonrası inme geçiren 16 hasta vaka grubu olarak çalışmaya dâhil edilmiştir. Kontrol grubu 80 hastadan oluşturulmuştur. Retrospektif bir çalışmadır. Hemorajik inme vakaları çalışma dışı bırakılmıştır. Tüm katılımcılar iskemik inme vakalarıdır. Bulgular: Katılımcıların yaş ortalaması 69,6+12,1'dir. Katılımcıların 59'u (%61,5) erkek, 37'si (%38,5) kadındır. Koroner anjiyografi veya perkütan koroner girişim sonrası semptomatik serebral enfarktüs insidansı 16 vakadır (%0.16). Sekiz hastaya koroner anjiyografi ve perkütan koroner girişim uygulanmıştır. Gruplar arasında antitrombosit ilaç, statin, beta bloker, varfarin ve oral antikoagülan kullanımı açısından anlamlı fark gözlenmemiştir. Sonuç: Çoklu damar hastalığı, konjestif kalp yetmezliği, düşük ejeksiyon fraksiyonu ve kronik böbrek yetmezliği, koroner anjiyografi veya perkütan koroner girişime bağlı inme gelişimi için risk faktörleri olarak bulunmuştur.
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