Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü

Gökhan Bektaşoğlu; Mehmet Yılmaz; İzzet Tandoğan

EN TR

Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü

Öz

Özet

Randomize klinik çalışmalarda, orta ve ileri derecede kalp yetersizliğinin tedavisinde kardiyak resenkronizasyon tedavisinin (KRT) yararlı etkileri gösterilmiştir. Ancak KRT' ye verilen cevap kişiler arasında farklılıklar göstermektedir. Klinik takipte KRT uygulanan hastaların %30-50' sinde tedaviye yanıt gözlenememektedir. KRT den fayda görecek hastaları belirleyecek özgül tekniklere ihtiyaç duyulmaktadır. Bu teknikler içerisinden ekokardiyografi, son yıllarda, KRT implantasyonu öncesi mekanik dissenkroninin varolduğu hastaların belirlenebilmesi için tercih edilen yöntem olmuştur. Mekanik dissenkroniyi tespit edebilmesine rağmen, ekokardyografinin kullanımı yönünde tartışmalar halen devam etmektedir. Günümüzde hasta seçimi için rutin kullanımı önerilmemesine rağmen, önümüzdeki yıllarda KRT uygulanacak hastaların seçiminde ekokardiyografinin tercih edilecek yöntem olabileceği düşünülmektedir.

Anahtar sözcükler: Ekokardiyografi, kardiyak resenkronizasyon tedavisi, kalp yetersizliği, kardiyomiyopati, mekanik dissenkroni

Abstract

Numerous randomized clinical trials demonstrated the beneficial effects of cardiac resynchronization therapy (CRT) in the treatment of moderate to severe heart failure. However, response to CRT may vary significantly among individuals. 30-50 % of patients still do not respond to CRT in clinical practice. Specific techniques in order to determine the patients who will benefit from CRT are required. Among these techniques, echocardiography has emerged over recent years as the technique of choice to identify patients for the presence of mechanical dyssynchrony before CRT implantation. Despite its usefulness in detecting mechanical dyssynchrony, this issue is still a matter of debate. Although its routine use in patient selection is not recommended today, it seems echocardiography will be the method of choice in patient selection to CRT for the next years.

Keywords: Echocardiography, cardiac resynchronization therapy, heart failure, cardiomyopathy, mechanical dyssynchrony

Anahtar Kelimeler

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Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Gökhan Bektaşoğlu

Mehmet Yılmaz

İzzet Tandoğan

Yayımlanma Tarihi

24 Mart 2009

Gönderilme Tarihi

24 Mart 2009

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2009 Cilt: 31 Sayı: 3

IZ

https://izlik.org/JA35CC74XA

Kaynak Göster

RIS / Bibtex

APA

Bektaşoğlu, G., Yılmaz, M., & Tandoğan, İ. (2009). Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü. Cumhuriyet Medical Journal, 31(3), 316-330. https://izlik.org/JA35CC74XA

AMA

1.Bektaşoğlu G, Yılmaz M, Tandoğan İ. Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü. CMJ. 2009;31(3):316-330. https://izlik.org/JA35CC74XA

Chicago

Bektaşoğlu, Gökhan, Mehmet Yılmaz, ve İzzet Tandoğan. 2009. “Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü”. Cumhuriyet Medical Journal 31 (3): 316-30. https://izlik.org/JA35CC74XA.

EndNote

Bektaşoğlu G, Yılmaz M, Tandoğan İ (01 Eylül 2009) Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü. Cumhuriyet Medical Journal 31 3 316–330.

IEEE

[1]G. Bektaşoğlu, M. Yılmaz, ve İ. Tandoğan, “Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü”, CMJ, c. 31, sy 3, ss. 316–330, Eyl. 2009, [çevrimiçi]. Erişim adresi: https://izlik.org/JA35CC74XA

ISNAD

Bektaşoğlu, Gökhan - Yılmaz, Mehmet - Tandoğan, İzzet. “Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü”. Cumhuriyet Medical Journal 31/3 (01 Eylül 2009): 316-330. https://izlik.org/JA35CC74XA.

JAMA

1.Bektaşoğlu G, Yılmaz M, Tandoğan İ. Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü. CMJ. 2009;31:316–330.

MLA

Bektaşoğlu, Gökhan, vd. “Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü”. Cumhuriyet Medical Journal, c. 31, sy 3, Eylül 2009, ss. 316-30, https://izlik.org/JA35CC74XA.

Vancouver

1.Gökhan Bektaşoğlu, Mehmet Yılmaz, İzzet Tandoğan. Kardiyak resenkronizasyon tedavisinde ekokardiyografinin rolü. CMJ [Internet]. 01 Eylül 2009;31(3):316-30. Erişim adresi: https://izlik.org/JA35CC74XA