The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation

ÇÖPLÜ, Lutfi; YILMAZ, Ayşe; ÖCAL, ARSLAN; İSKİT TOPELİ, Arzu; doruk, sibel; Öcal, Serpil; Tanriover, Mine Durusu; Erkorkmaz, Ünal

The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation

Serpil ÖCAL, (Hacettepe Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Mine Durusu TANRIÖVER, (Hacettepe Üniversitesi, Tıp Fakültesi, Ankara, Türkiye)

Arslan ÖCAL, (Gaziosmanpaşa Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Tokat, Türkiye)

Ayşe YILMAZ, (Gaziosmanpaşa Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Tokat, Türkiye)

Sibel DORUK, (Gaziosmanpaşa Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Tokat, Türkiye)

Ünal ERKORKMAZ, (Sakarya Üniversitesi, Tıp, Fakültesi ve Tıp Bilişimi, Biyoistatistik Anabilim Dalı, Sakarya, Türkiye)

Arzu İSKİT TOPELİ, (Hacettepe Üniversitesi, Tıp Fakültesi, Ankara, Türkiye)

Lütfi ÇÖPLÜ (Hacettepe Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Erciyes Tıp Dergisi

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Yıl: 2013 Cilt: 35 Sayı: 2 Sayfa Aralığı: 63 - 67 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation

Öz:

Amaç: Dispneli hastalarda olası nedenlerin bilinmesi hastanın mortalite ve morbiditesini azaltabilir. Bazı hastalarda dispne nedeni kalp orijinli mi akciğer orijinli mi karar vermek zor olabilmektedir. Çalışmamızda klinik olarak kronik dispne nedeni kalp orijinli mi akciğer orijinli mi karar verilemeyen hastalarda ekokardiyografi ve spirometri yardımıyla hem kalp hem akciğer hastalığı varlığını değerlendirmeyi amaçladık. Gereç ve Yöntemler: Kronik dispneli (>1 ay) 250 hastayı içeren retrospektif çalışmadır. Kronik dispne şikayeti olan, klinik değerlendirmeyle kalp ve/veya akciğer hastalığı olup olmadığına karar verilemeyen, 1 ay içinde hem spirometri hem de ekokardiyografik değerlendirilmesi yapılmış olan hastalar çalışmaya dahil edilmiştir. Bulgular: Hastaların %83ünün kalp ve/veya akciğer hastalığı mevcuttu. Hastaların 95inde (38%) kalp ve akciğer hastalığı eş zamanlı izlenmekteydi. Kronik dispne nedeni olarak en sık izlenilen akciğer hastalıkları KOAH ve astımdı. KOAH ve astımlı hastalarda diyastolik kalp yetmezliği en sık izlenilen kalp hastalığıydı. Hastaların 155i bir kalp hastalığına sahipken en sık izlenilen kalp hastalığı diyastolik kalp yetmezliğiydi. Sonuç: Kronik dispne nedeni kalp ve/veya akciğer orijinlimi klinik değerlendirmeyle karar verilemediğinde, kronikdispneli hastaların yaklaşık 1/3ünün hem kalp hem de akciğerhastalığına sahip olduğu görülmüştür.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Klinik olarak kronik dispne nedenine karar verilemediği durumlarda hem kalp hem akciğer hastalığının varlığı

Öz:

Objective: An understanding of the causes of dyspnoea can reduce morbidity and mortality. It may be difficult to decide whether dyspnoea is secondary to heart or lung disease. The objective of this study was to evaluate the coexistence of heart and lung diseases in patients with chronic dyspnoea, when clinical evaluation was not helpful. Materials and Methods: We conducted a retrospective review of 250 patients with chronic dyspnoea (>1 month). Patients were selected according to the following inclusion criteria: patients presented with a complaint of chronic dyspnoea; clinical evaluation was not sufficient; and both spirometry and TTE had been performed within 1 month. Results: Eighty-three percent of the patients had a diagnosis of heart and/or lung diseases. Ninety-five (38%) of the 250 patients with chronic dyspnoea had lung and heart diseases concomitantly. Diastolic heart failure was the most common heart disease seen with COPD or asthma. The most common lung diseases were COPD and asthma. One hundred and fifty-five of the patients had a heart disease, with diastolic heart failure being the most common. Conclusion: When it was unclear whether the chronic dys-pnoea was of a heart and/or lung origin based on clinical eval-uation, more than one-third of the patients with chronic dys- pnoea were shown to have coexisting lung and heart disease.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Öcal S, Tanriover M, ÖCAL A, YILMAZ A, doruk s, Erkorkmaz Ü, İSKİT TOPELİ A, ÇÖPLÜ L (2013). The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. , 63 - 67.
Chicago	Öcal Serpil,Tanriover Mine Durusu,ÖCAL ARSLAN,YILMAZ Ayşe,doruk sibel,Erkorkmaz Ünal,İSKİT TOPELİ Arzu,ÇÖPLÜ Lutfi The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. (2013): 63 - 67.
MLA	Öcal Serpil,Tanriover Mine Durusu,ÖCAL ARSLAN,YILMAZ Ayşe,doruk sibel,Erkorkmaz Ünal,İSKİT TOPELİ Arzu,ÇÖPLÜ Lutfi The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. , 2013, ss.63 - 67.
AMA	Öcal S,Tanriover M,ÖCAL A,YILMAZ A,doruk s,Erkorkmaz Ü,İSKİT TOPELİ A,ÇÖPLÜ L The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. . 2013; 63 - 67.
Vancouver	Öcal S,Tanriover M,ÖCAL A,YILMAZ A,doruk s,Erkorkmaz Ü,İSKİT TOPELİ A,ÇÖPLÜ L The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. . 2013; 63 - 67.
IEEE	Öcal S,Tanriover M,ÖCAL A,YILMAZ A,doruk s,Erkorkmaz Ü,İSKİT TOPELİ A,ÇÖPLÜ L "The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation." , ss.63 - 67, 2013.
ISNAD	Öcal, Serpil vd. "The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation". (2013), 63-67.

APA	Öcal S, Tanriover M, ÖCAL A, YILMAZ A, doruk s, Erkorkmaz Ü, İSKİT TOPELİ A, ÇÖPLÜ L (2013). The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. Erciyes Tıp Dergisi, 35(2), 63 - 67.
Chicago	Öcal Serpil,Tanriover Mine Durusu,ÖCAL ARSLAN,YILMAZ Ayşe,doruk sibel,Erkorkmaz Ünal,İSKİT TOPELİ Arzu,ÇÖPLÜ Lutfi The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. Erciyes Tıp Dergisi 35, no.2 (2013): 63 - 67.
MLA	Öcal Serpil,Tanriover Mine Durusu,ÖCAL ARSLAN,YILMAZ Ayşe,doruk sibel,Erkorkmaz Ünal,İSKİT TOPELİ Arzu,ÇÖPLÜ Lutfi The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. Erciyes Tıp Dergisi, vol.35, no.2, 2013, ss.63 - 67.
AMA	Öcal S,Tanriover M,ÖCAL A,YILMAZ A,doruk s,Erkorkmaz Ü,İSKİT TOPELİ A,ÇÖPLÜ L The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. Erciyes Tıp Dergisi. 2013; 35(2): 63 - 67.
Vancouver	Öcal S,Tanriover M,ÖCAL A,YILMAZ A,doruk s,Erkorkmaz Ü,İSKİT TOPELİ A,ÇÖPLÜ L The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation. Erciyes Tıp Dergisi. 2013; 35(2): 63 - 67.
IEEE	Öcal S,Tanriover M,ÖCAL A,YILMAZ A,doruk s,Erkorkmaz Ü,İSKİT TOPELİ A,ÇÖPLÜ L "The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation." Erciyes Tıp Dergisi, 35, ss.63 - 67, 2013.
ISNAD	Öcal, Serpil vd. "The coexistence of heart and lung diseases in patients with chronic dyspnoea that is unexplained by clinical evaluation". Erciyes Tıp Dergisi 35/2 (2013), 63-67.