Korunmuş ejeksiyon fraksiyonlu kalp yetmezliği

Şükriye Miray Kılınçer Bozgül; Devrim Bozkurt

doi:10.19161/etd.863647

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Korunmuş ejeksiyon fraksiyonlu kalp yetmezliği

Öz

Kalp yetmezliği tanısı olan ve sıklıkla yaşlı kadın hasta popülasyonunda korunmuş ejeksiyon fraksiyonlu kalp yetmezliği (HFpEF) görülmektedir. Bu hastalar efor ile gelen ciddi semptomlar, sık hastaneye yatış, kötü hayat kalitesi ve daha yüksek mortaliteye sahiptir. HFpEF prevalansı giderek artarken prognoz kötüdür. Tetikleyen inflamatuar süreç tedavi edilmedikçe semptom ve bulgular hızla ilerleyecektir. Bu hasta grubunda özellikle romatolojik hastalık tanısı olanlarda altta yatan hastalığın alevlenmesine bağlı sitokin fırtınası sonucu HFpEF gelişmiş olabileceği akla gelmelidir. Romatolojik hastalığın ilk bulgusu HFpEF de olabilir. Bu nedenle kalp yetmezliği semptomları ile başvuran hastaların değerlendirilmesinde EF dışında kriterlerin de önemli olacağı bilinmelidir. Tedavide öncelikle tetikleyen faktörlerin düzeltilmesi, kan basıncı kontrolü, yaşam tarzı değişikliğini içermektedir.

Anahtar Kelimeler

Heart failure with preserved ejection fraction

Abstract

Older patients who have heart failure; often women, have a heart failure with preserved ejection fraction (HFpEF). They have severe symptoms with efort, frequent hospitalization, poor quality of life and high mortality. The prevalence of HFpEF is increasing while the prognosis is poor. Symptoms and signs will progress rapidly unless the triggering inflammatory process is treated. It should be kept in mind that HFpEF may have developed as a result of cytokine storm due to exacerbation of the underlying disease, especially in patients with rheumatological disease. The first sign of rheumatological disease may also be HFpEF. For this reason, it should be known that criteria other than EF will be important in the evaluation of patients presenting with heart failure symptoms. The treatment primarily includes treatment of the triggering factors, blood pressure control, and lifestyle changes.

Keywords

References

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Şükriye Miray Kılınçer Bozgül
0000-0002-3995-5096
Türkiye

Devrim Bozkurt ^*
0000-0003-4557-3390
Türkiye

Publication Date

January 20, 2021

Submission Date

April 6, 2020

Acceptance Date

August 28, 2020

Published in Issue

Year 2021

DOI

https://doi.org/10.19161/etd.863647

IZ

https://izlik.org/JA49UB28EP

Cite

RIS / Bibtex

Vancouver

1.Şükriye Miray Kılınçer Bozgül, Devrim Bozkurt. Korunmuş ejeksiyon fraksiyonlu kalp yetmezliği. EJM. 2021 Jan. 1;94-7. doi:10.19161/etd.863647