Uludağ üniversitesi tıp fakültesi kardiyoloji anabilim dalı'na bayılma şikayeti ile başvuran hastalarda etiyoloji

Abstract

Bu çalışmada, Uludağ Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı'na bayılma şikayeti ile başvuran hastalarda geçici bilinç kaybı nedenlerini ve senkop etiyolojisini araştırmak amaçlanmıştır. Uludağ Üniversitesi Hastanesi Kardiyoloji Anabilim Dalı'na Ocak 2010- Mayıs 2011 tarihleri arasında bayılma şikayeti ile başvuran 167 hastanın kayıtları geriye dönük olarak incelenmiştir. 113 hastada senkop saptanmıştır. Senkop tanısı alan olguların %53,4'ü kadın, %43'ü 50 yaş üzeri olgulardan oluşmaktadır. Senkop tanısı alan hastalarda refleks senkop (%43,4) ilk sırada, kardiyak senkop (%39,8) ikinci sırada yer almaktadır. Senkop tanısı alan erkeklerin %50'sinde kardiyak senkop, kadınların %47,5'inde refleks senkop en sık neden olarak saptanmıştır. 50 yaş altı hastalarda en sık senkop nedeni refleks senkop iken 50 yaş üzeri hastalarda en sık neden kardiyak senkop olarak bulunmuştur. Tüm yaş gruplarında ise refleks senkobun en sık nedeni vazovagal senkop olarak belirlenmiştir. Senkop popülasyonda sık görülmekle birlikte altta yüksek mortaliteye sahip kardiyak nedenler bulunabileceğinden hastalar ayrıntılı incelenmeli ve senkop etyolojisi ortaya koyulmalıdır.

In this study, we aimed to analyze the causes of the transient loss of consciousness and etiology of syncope among the patients who applied to Uludag University Hospital Cardiology Department with the complaint of faintness. We examined data charts of 167 patients with the complaint of syncope referred to Cardiology Depatment of Uludag University Hospital in between 01.01.2010- 30.05.2011 retrospectively. 113 of the 167 patients had a syncope. 53,4 % of cases diagnosed with syncope were female. In this study 73 patients were aged 50 and older. In patients diagnosed syncope, the most common causes of syncope were revealed to reflex syncope with 43,4 % ratio and second most common were cardiac syncope with 39,8 % ratio. The most common cause of syncope was cardiac in men with 50 % and women with 47,5 % was reflex syncope. While reflex syncope was the most common in younger than 50 years, in older than 50 years patients was the cardiac syncope. At all age groups, vasovagal syncope was evaluated the most common subgroup of reflex syncope. Syncope in the population is common however the cardiac reasons underlying the high mortality should be evaluated in detail and the etiology should be ascertained.In this study, we aimed to analyze the causes of the transient loss of consciousness and etiology of syncope among the patients who applied to Uludag University Hospital Cardiology Department with the complaint of faintness. We examined data charts of 167 patients with the complaint of syncope referred to Cardiology Depatment of Uludag University Hospital in between 01.01.2010- 30.05.2011 retrospectively. 113 of the 167 patients had a syncope. 53,4 % of cases diagnosed with syncope were female. In this study 73 patients were aged 50 and older. In patients diagnosed syncope, the most common causes of syncope were revealed to reflex syncope with 43,4 % ratio and second most common were cardiac syncope with 39,8 % ratio. The most common cause of syncope was cardiac in men with 50 % and women with 47,5 % was reflex syncope. While reflex syncope was the most common in younger than 50 years, in older than 50 years patients was the cardiac syncope. At all age groups, vasovagal syncope was evaluated the most common subgroup of reflex syncope. Syncope in the population is common however the cardiac reasons underlying the high mortality should be evaluated in detail and the etiology should be ascertained.