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SAPD'Li HASTALARD A Tl-201 STRES-REİNJEKSİON SPECT, EKOKARDİOGRAFİ VE SERUM LİPİT PROFİLİ İLE ATEROSKLEROTİK KALP HASTALIĞININ ARAŞTIRILMASI

THE INVESTIGATION OF ATHEROSCLEROTIC HEART DISEASE BY THALLIUM-201 STRESS-REINJECTION SPECT, ECHOCARDIOGRAPHY AND SERUM LIPID PROFILES IN CAPD PATIENTS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aim of our study was to investigate coronary artery disease( CAD) in patients receiving continuous ambulatory peritoneal dialysis (CAPD) treatment. We performed thallium-201 stress-reinjection myocard perfusion SPECT, echocardiography (ECHO) and determined serum lipid profiles in 15 patients receiving CAPD treatment. Serum lipid profile abnormalities were detected in 10 patients. 'Left ventricular hypertrophy (LVH) and diastolic dysfunction (DD) were detected in 8 patients echocardiographically. Myocard perfusion abnormalities were observed in 3 of 5 patients with angina pectoris and one patient without angina pectoris. Anterolateral ischemia, anteroapical ischemia and anterior-inferior fixed perfusion defects were detected in 3 patients with angina pectoris and apical ischemia in a patient without anginal symptom. 2 of these 4 patients had lipid profile abnormalities and echocardiographically LVH, DD and wall motion abnormalities were detected in these patients. Because the incidence of CAD is high and the etiology is multifactoriel in patients receiving CAPD, to diagnose of CAD in early period is extremely important to decrease cardiovasculary morbidity and mortality.
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Abstract (Original Language): 
Çalışmamızın amacı sürekli ayaktan periton diyalizi (SAPD) uygulanan hastalarda koroner arter hastalığım araştırmaktı. Serum lipit profili saptanan 15 hastaya stress-reinjeksion Tl-201 nyokard perfüzyon sintigrafisi ve ekokardiografı yapıldı. On hastada serum lipit profilinde bozukluk, sekiz hastada Ekokardiografide sol ventrikül hipertrofisi(L VH) ve diastolik disfonksiyonu (DD) saptandı.Anjinal ağrılı beş hastanın üçünde (anterolateral iskemi.anteroapikal iskemi,anterior-inferior sabit defect),ağrısız bir hastada (apical iskemi) myokard perfüzyon sintigrafısinde bozukluk görüldü. Bu dört hastanın ikisinde lipit profili anormaldi ve Ekokardigrafi ile LVH ve DD tespit edildi. SAPD altındaki hastalarda koroner arter hastalığının insidensi yüksek ve etyolojisi de multifaktöryel olduğundan, erken dönemde hastalığın tanısı morbidite ve mortaliteyi azaltmak açısından oldukça önemlidir.
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  • 2
95-99
  • Turkish

REFERENCES

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