Decreased aortic root elasticity-as a novel systemic manifestation of the pseudoexfoliation syndrome:
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Tarih
2012
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Psödoeksfoliyasyon sendromu olan hastalarda aorta kökü fonksiyonlarını değerlendirmek. Yöntemler: Bu gözlemsel, vaka kontrollü çalışmada, psödoeksfoliyasyon sendromu (PES) olan 31 hasta (ortalama yaş: 719 yıl) ve benzer yaştaki 29 kontrol (ortalama yaşSD: 699 yıl) olguda aorta kök fonksiyonu değerlendirmesi için M-mod transtorasik ekokardiyografi yapıldı. Aorta kök fonksiyonu değerlendirmesinde, M-mod ekokardiyografi ile aortanın kesitsel kompliansı (AKK), Peterson elastik modülü (indeks beta), aorta sertlik indeksi (ASİ) ve aort kökü gerilme kapasitesi (AKG) hesaplandı. Bu iki grup hastanın bulguları, Mann-Whitney U testi ile karşılaştırıldı. Bulgular: AKK ve AKG, psödoeksfoliyasyon sendromu olan hastalarda belirgin derecede azalmıştı. AKK, psödoeksfoliyasyonlu hastalarda 12.26.3 cm2/mmHg iken, kontrol grupta17.511.6 cm2/mmHg olarak bulundu (p0.015). AKG, psödoeksfoliyasyon sendromu olan hastalarda 1.560.80 cm2/dyne olarak, kontrol grubunda ise 2.231.48 cm2/dyne olarak bulundu (p0.021). Aorta kök fonksiyonu değerlendirmesinde iki grup arasında hesaplanan diğer iki indeks açısından belirgin fark bulunamadı. Sonuç: Psödoeksfoliyasyon sendromu olan hastalarda aorta kök fonksiyonu azalmıştır. PES, kardiyovasküler ve serebrovasküler olaylar için bir risk faktörü olarak değerlendirilebilir.
Objective: To assess the aortic root function in patients with pseudoexfoliation syndrome (PEXS). Methods: In this case- controlled observational study, aortic root function in 31 PEXS patients (mean age 71±9 years) and 29 controls of similar ages (mean age 69±9 years) were evaluated by M-mode transthoracic echocardiography. Aortic cross-sectional compliance (CSC), Peterson’s elastic modulus (index beta), aortic stiffness index (ASI) and aortic root distensibility (ARD) were calculated by M-mode echocardiography to evaluate the aortic root function. The findings of two groups of patients were compared by Mann-Whitney U test. Results: The CSC and ARD were significantly decreased in patients with PEXS. The CSC was 12.2±6.3 cm2/mmHg in patients with PEXS and 17.5±11.6 cm2/mmHg in the control group (p0.015). The ARD was 1.56±0.80 cm2/dyne in patients with PEXS and 2.23±1.48 cm2/dyne in the control group (p0.021). The other two indices of aortic root function were not significantly different between the two groups. Conclusion: Aortic root function decreases in patients with PEXS. PEXS may be regarded as a risk factor for cardiovascular and cerebrovascular events.
Objective: To assess the aortic root function in patients with pseudoexfoliation syndrome (PEXS). Methods: In this case- controlled observational study, aortic root function in 31 PEXS patients (mean age 71±9 years) and 29 controls of similar ages (mean age 69±9 years) were evaluated by M-mode transthoracic echocardiography. Aortic cross-sectional compliance (CSC), Peterson’s elastic modulus (index beta), aortic stiffness index (ASI) and aortic root distensibility (ARD) were calculated by M-mode echocardiography to evaluate the aortic root function. The findings of two groups of patients were compared by Mann-Whitney U test. Results: The CSC and ARD were significantly decreased in patients with PEXS. The CSC was 12.2±6.3 cm2/mmHg in patients with PEXS and 17.5±11.6 cm2/mmHg in the control group (p0.015). The ARD was 1.56±0.80 cm2/dyne in patients with PEXS and 2.23±1.48 cm2/dyne in the control group (p0.021). The other two indices of aortic root function were not significantly different between the two groups. Conclusion: Aortic root function decreases in patients with PEXS. PEXS may be regarded as a risk factor for cardiovascular and cerebrovascular events.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi
Kaynak
Anadolu Kardiyoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
6
