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Demir eksikliği anemisinin sol ventrikül diyastolik fonksiyonları üzerine etkisi

Iron deficiency anemia affect of left ventricular diastolic fonction

  1. Tez No: 242419
  2. Yazar: YÜKSEL KAYA
  3. Danışmanlar: YRD. DOÇ. DR. MUSTAFA TUNCER
  4. Tez Türü: Tıpta Uzmanlık
  5. Konular: Kardiyoloji, Cardiology
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2009
  8. Dil: Türkçe
  9. Üniversite: Yüzüncü Yıl Üniversitesi
  10. Enstitü: Tıp Fakültesi
  11. Ana Bilim Dalı: Kardiyoloji Ana Bilim Dalı
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: 89

Özet

Amaç: Hafif (Hb 7-10 g/dl) ve derin (Hb

Özet (Çeviri)

Aim: Investigation of the affect of anemia on diastolic echocardiographic parametrs in people having mild (Hb 7-10 g/dl) and deep anemia (Hb < 7 g/dl) and comparison these findings with non-anemic healthy people.Material and Method: 40 patients having iron- deficiency anemia whose Hb parameters are below 7 gr/dl without any other accompanying illness and 40 other light iron-deficiency anemic patients (Hb 7-10 g/dl ) are included in the study. As the control group 20 healthy volunteers having similar demographic charesteristics were recruited in the study. At the beginning all subjects were asssesed for medical history, cardiac risk factors and general systematic problems after which blood pressure and pulse were determined and a medical examination was performed. Hb and creatinine levels were determined in all patients. An ECG and transtorasic echocardiographic examination were performed on each subject. The cardiac rithym was determined by a 12-derivation ECG. In the echocardiographic examination, beside all conventional parameters, mitral valvular PW Doppler, mitral annulus PW tissue doppler and mitral valve M-mod propogation velocity examinations were done.Findings: In the anemic patients hemoglobin, hemotocrit and MCV were significantly compared to the control group. The heart rate was higher in the anemic patients. In the anemic patients the left atrial diameter and LV end diastolic diameter were significantly greater than the controls. Five patients in the deep and 7 patients in the mild anemic groups were found to have insufficient diastolic filling.Results: Anemia negatively affects the cardiac diastolic functions. According to the severity of anemia the left atrial diameter and LV end diastolic diameter increases and LV diastole prolongs. Our study has revealed comparable results with the literature.

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