The Prognostic Value of Bendopnea In-Hospital Mortality In Patients With Acute Coronary Syndrome

Fatih Sivri; İlhan Koyuncu; İlker Gül; Mustafa Lütfüllah Ardiç; Yahya Kemal İçen

Makale detayları

The Prognostic Value of Bendopnea In-Hospital Mortality In Patients With Acute Coronary Syndrome

Yazarlar:

Fatih Sivri | İlhan Koyuncu | İlker Gül | Mustafa Lütfüllah Ardiç | Yahya Kemal İçen

Yayıncı:

Harran University

Ana Başlıklar:

Kardiyoloji

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 3, pp.509-515

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327489

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: Bendopnea, also known as flexi-dyspnea, has recently been defined as the development of shortness of breath within 30 seconds by bending forward in patients with systolic and decompensated heart failure. There is no clear data in the literature regarding acute coronary syndrome ACS patients and in-hos-pital mortality. This study investigated the effect of the presence of bendopnea on in-hospital mortality in ACS patients. Materials and Methods: A cross-sectional analysis was conducted on patients admitted with ACS unstable angina and non-ST elevation myocardial infarction NSTEMI between March 2023 and January 2024. The presence of orthopnea, bendopnea, paroxysmal nocturnal dyspnea PND and venous jugular distention VJD recorded. Coronary angiography was performed in all patients. A total of 395 patients were enrolled in this study. Results: The patients were divided into 2 groups as living and deceased. The deceased group was significantly older. Bendopnea, PND, and orthopnea were statistically higher in the deceased group. left ventricular ejec-tion fractionLVEF was statistically lower, syntax score was statistically higher in the deceased group. Age 95 CI:1.254-1.627 , OR: 1.411 p:0.001, uric acid 95 CI: 1.151-1.394 OR: 1.278 p:0.001, bendopnea 95 CI: 1.285-1.611 OR: 1.452 p: 0.001, syntax score 95 CI: 1.103-1.358 OR: 1.258 p:0.001 were shown to be independent risk factors for mortality. Conclusions: The presence of bendopnea in patients with ACS may be closely associated with in-hospital mor-tality.

 Background: Bendopnea, also known as flexi-dyspnea, has recently been defined as the development of shortness of breath within 30 seconds by bending forward in patients with systolic and decompensated heart failure. There is no clear data in the literature regarding acute coronary syndrome ACS patients and in-hos-pital mortality. This study investigated the effect of the presence of bendopnea on in-hospital mortality in ACS patients. Materials and Methods: A cross-sectional analysis was conducted on patients admitted with ACS unstable angina and non-ST elevation myocardial infarction NSTEMI between March 2023 and January 2024. The presence of orthopnea, bendopnea, paroxysmal nocturnal dyspnea PND and venous jugular distention VJD recorded. Coronary angiography was performed in all patients. A total of 395 patients were enrolled in this study. Results: The patients were divided into 2 groups as living and deceased. The deceased group was significantly older. Bendopnea, PND, and orthopnea were statistically higher in the deceased group. left ventricular ejec-tion fractionLVEF was statistically lower, syntax score was statistically higher in the deceased group. Age 95 CI:1.254-1.627 , OR: 1.411 p:0.001, uric acid 95 CI: 1.151-1.394 OR: 1.278 p:0.001, bendopnea 95 CI: 1.285-1.611 OR: 1.452 p: 0.001, syntax score 95 CI: 1.103-1.358 OR: 1.258 p:0.001 were shown to be independent risk factors for mortality. Conclusions: The presence of bendopnea in patients with ACS may be closely associated with in-hospital mor-tality.

 Background: Bendopnea, also known as flexi-dyspnea, has recently been defined as the development of shortness of breath within 30 seconds by bending forward in patients with systolic and decompensated heart failure. There is no clear data in the literature regarding acute coronary syndrome ACS patients and in-hos-pital mortality. This study investigated the effect of the presence of bendopnea on in-hospital mortality in ACS patients. Materials and Methods: A cross-sectional analysis was conducted on patients admitted with ACS unstable angina and non-ST elevation myocardial infarction NSTEMI between March 2023 and January 2024. The presence of orthopnea, bendopnea, paroxysmal nocturnal dyspnea PND and venous jugular distention VJD recorded. Coronary angiography was performed in all patients. A total of 395 patients were enrolled in this study. Results: The patients were divided into 2 groups as living and deceased. The deceased group was significantly older. Bendopnea, PND, and orthopnea were statistically higher in the deceased group. left ventricular ejec-tion fractionLVEF was statistically lower, syntax score was statistically higher in the deceased group. Age 95 CI:1.254-1.627 , OR: 1.411 p:0.001, uric acid 95 CI: 1.151-1.394 OR: 1.278 p:0.001, bendopnea 95 CI: 1.285-1.611 OR: 1.452 p: 0.001, syntax score 95 CI: 1.103-1.358 OR: 1.258 p:0.001 were shown to be independent risk factors for mortality. Conclusions: The presence of bendopnea in patients with ACS may be closely associated with in-hospital mor-tality.

 Amaç: Flexi-dispne olarak da bilinen bendopne, son zamanlarda sistolik ve dekompanse kalp yetmezliği olan hastalarda öne doğru eğilerek 30 saniye içinde nefes darlığı gelişmesi olarak tanımlanmıştır. Bu çalışmada AKS hastalarında bendopne varlığının hastane içi mortalite üzerine etkisi araştırıldı. Materyal ve Metod: Mart 2023 ile Ocak 2024 arasında AKS kararsız anjina ve ST yükselmesiz miyokard en-farktüsü NSTEMI ile başvuran hastalar üzerinde kesitsel bir analiz yapıldı. Bendopne varlığı kaydedildi. Tüm hastalara koroner anjiyografi yapıldı. Bu çalışmaya toplam 395 hasta dahil edildi. Bulgular: Hastalar yaşayanlar ve ölenler olarak 2 gruba ayrıldı. Ölen grup istatististiksel olarak daha yaşlıydı. Bendopne, paroksismal nokturnal dispne PND ve ortopne, ölen grupta istatistiksel olarak daha yüksekti. Ölen grupta sol ventrikül ejeksiyon fraksiyonu istatistiksel olarak daha düşük, syntax skoru ise istatistiksel olarak daha yüksekti. Yaş 95 CI:1.254-1.627 , OR: 1.411 p:0.001, ürik asit 95 CI: 1.151-1.394 OR: 1.278 p:0.001, bendopne 95 CI: 1.285-1.611 OR: 1.452 p: 0.001, syntax skoru 95 CI: 1.103-1.358 OR: 1.258 p:0.001, mortalite için bağımsız risk faktörleri olduğu gösterilmiştir. Sonuç: AKSli hastalarda bendopnenin varlığı hastane içi mortalite ile yakından ilişkili olabilir.

Makale detayları

The Prognostic Value of Bendopnea In-Hospital Mortality In Patients With Acute Coronary Syndrome

Yazarlar:

Fatih Sivri | İlhan Koyuncu | İlker Gül | Mustafa Lütfüllah Ardiç | Yahya Kemal İçen

Yayıncı:

Harran University

Ana Başlıklar:

Kardiyoloji

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 3, pp.509-515

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327489

pISSN:

1304-9623

Bendopnea

Acute Coronary Syndrome

In-Hospital MortalityBendopnenin

Akut Koroner Sendrom

Hastane İçi Mortalite

Sayı

Makale detayları

The Prognostic Value of Bendopnea In-Hospital Mortality In Patients With Acute Coronary Syndrome

Yazarlar: Fatih Sivri | İlhan Koyuncu | İlker Gül | Mustafa Lütfüllah Ardiç | Yahya Kemal İçen

Yayıncı: Harran University

Ana Başlıklar: Kardiyoloji

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 3, pp.509-515

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001327489

pISSN: 1304-9623

Bendopnea

Acute Coronary Syndrome

In-Hospital MortalityBendopnenin

Akut Koroner Sendrom

Hastane İçi Mortalite

Sayı

Yazarlar:

Fatih Sivri | İlhan Koyuncu | İlker Gül | Mustafa Lütfüllah Ardiç | Yahya Kemal İçen

Yayıncı:

Harran University

Ana Başlıklar:

Kardiyoloji

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 3, pp.509-515

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327489

pISSN:

1304-9623