<\/p>\n
<\/p>\n
\n\tMardin’de ya\u015fayan 41 ya\u015f\u0131ndaki Do\u011fan, ge\u00e7meyen ba\u015f d\u00f6nmesi, g\u00f6z kararmas\u0131 ve g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u015fikayetleri \u00fczerine Diyarbak\u0131r Selahaddin Eyyubi Devlet Hastanesi’ne ba\u015fvurdu.<\/p>\n
\n\tKardiyoloji uzman\u0131 Dr. Ferdi Ekinci ve ekibi taraf\u0131ndan yap\u0131lan tetkikler sonucu, Do\u011fan’da t\u0131p literat\u00fcr\u00fcnde d\u00fcnyada nadir g\u00f6r\u00fclen kal\u0131tsal kalp rahats\u0131zl\u0131\u011f\u0131 olan Bundgaard Sendromu (Atriyal fibrilasyon, ventrik\u00fcler ta\u015fikardi ve ani kardiyak \u00f6l\u00fcm riskine yol a\u00e7abilen, ailesel ST segment depresyonu olarak da bilinen kal\u0131tsal kardiyak aritmi sendromu) tespit edildi.<\/p>\n
\n\tYap\u0131lan incelemede, kal\u0131tsal olan bu hastal\u0131\u011f\u0131n Do\u011fan’\u0131n 4 ya\u015f\u0131ndaki k\u0131z\u0131nda ve baz\u0131 aile fertlerinde de bulundu\u011fu belirlendi.<\/p>\n
\n\t\u0130la\u00e7 tedavisi uygulanan Do\u011fan ile aile fertlerinin sa\u011fl\u0131k durumu takibe al\u0131nd\u0131.<\/p>\n
\n\tDr. Ekinci, hastan\u0131n kendilerine ba\u015f d\u00f6nmesi, g\u00f6z kararmas\u0131 gibi \u015fikayetlerle geldi\u011fini, yapt\u0131klar\u0131 tetkiklerde \u00e7ok nadir bir hastal\u0131\u011f\u0131 bulundu\u011funu saptad\u0131klar\u0131n\u0131 s\u00f6yledi.<\/p>\n
\n\tT\u0131p d\u00fcnyas\u0131nda bu hastal\u0131\u011f\u0131n \u00e7ok az bilindi\u011fini ve bu nedenle g\u00f6zden ka\u00e7abildi\u011fini belirten Ekinci, \u015funlar\u0131 kaydetti:<\/p>\n
\n\t“D\u00fcnyada bu vaka d\u0131\u015f\u0131nda 67 hasta var. Biz 68’inci hastay\u0131 bulduk. T\u00fcrkiye’de ilk vaka olarak saptad\u0131k. Bu, ritim bozuklu\u011fu yapabilen, ani \u00f6l\u00fcme neden olabilen bir hastal\u0131k. Ailesel ge\u00e7i\u015fli bir hastal\u0131k oldu\u011fundan anne veya babada varsa \u00e7ocuklarda da bulunma ihtimali y\u00fcksek oluyor. Bu, 2018 y\u0131l\u0131nda Henning Bundgaard ve \u00e7al\u0131\u015fma arkada\u015flar\u0131n\u0131n Danimarka’da te\u015fhis etti\u011fi bir hastal\u0131k. Sonras\u0131nda yap\u0131lan \u00e7al\u0131\u015fmalarda 67 hasta saptanm\u0131\u015f. Bizim hastam\u0131z da 68’inci ki\u015fi olarak kay\u0131tlara ge\u00e7ti. Bu vakayla ilgili makaleyi d\u00fcnyaca \u00fcnl\u00fc kardiyoloji dergisi JACC’da yay\u0131nlad\u0131k. Hastam\u0131zda bu hastal\u0131\u011f\u0131n ailesel ge\u00e7i\u015fli oldu\u011funu da saptad\u0131k. \u00c7\u00fcnk\u00fc babas\u0131nda, babas\u0131n\u0131n day\u0131s\u0131nda, 4 ya\u015f\u0131ndaki k\u0131z\u0131nda, ablas\u0131nda, k\u0131z karde\u015finde mevcut oldu\u011funu g\u00f6rd\u00fck EKG sonu\u00e7lar\u0131nda. Bununla ilgili detayl\u0131 \u00e7al\u0131\u015fmalara devam ediyoruz.”<\/p>\n
\n\tEkinci, hastalarda ritim bozuklu\u011funun ne s\u0131kl\u0131kla oldu\u011funu holter cihaz\u0131 ile takip ettiklerini anlatarak “Y\u00fcksek riskli g\u00f6r\u00fcrsek kalp pili, \u015fok pilleri \u00f6neriyoruz. Hastam\u0131z\u0131n \u015fu an ciddi bir aritmi y\u00fck\u00fc yok. Ritim bozuklu\u011fu y\u00fck\u00fcn\u00fcn \u00e7ok fazla olmad\u0131\u011f\u0131n\u0131 holter cihaz\u0131 ile yapt\u0131\u011f\u0131m\u0131z takipte g\u00f6rd\u00fck. Bu nedenle \u015fu an hastam\u0131z\u0131 sadece ayaktan takip ediyoruz. Hastan\u0131n \u015fikayetleri, verdi\u011fimiz ila\u00e7 tedavisi ile \u015fu an ge\u00e7mi\u015f durumda. Genel olarak stabil durumda, ailesini de takip ediyoruz.” dedi.<\/p>\n
\n\tHastal\u0131\u011f\u0131n kimi zaman kalp kriziyle de kar\u0131\u015ft\u0131r\u0131labildi\u011fini dile getiren Ekinci, \u015fu bilgileri payla\u015ft\u0131:<\/p>\n
\n\t“Kalp krizi kalbi besleyen 3 damar\u0131n herhangi birisinde ani t\u0131kanma sonucu kalp kas\u0131n\u0131n yeterince kanlanamamas\u0131ndan kaynaklanan bir \u015fey. Hastam\u0131z\u0131n EKG sonucunda ritim bozuklu\u011fu de\u011fil de bizim g\u00f6rd\u00fc\u011f\u00fcm\u00fcz kalp krizine benzeyen bir paterni (Bir bulgunun, dokunun veya hastal\u0131\u011f\u0131n v\u00fccutta g\u00f6sterdi\u011fi da\u011f\u0131l\u0131m ve g\u00f6r\u00fcn\u00fcm d\u00fczeni) vard\u0131. Hastaya anjiyo yapt\u0131k, damarlar\u0131n t\u0131kal\u0131 olmad\u0131\u011f\u0131n\u0131 g\u00f6rd\u00fck. Sonras\u0131nda yapt\u0131\u011f\u0131m\u0131z \u00e7al\u0131\u015fmalarda bu te\u015fhisi do\u011frulad\u0131k. Hekim arkada\u015flar\u0131m\u0131z\u0131n \u00f6zellikle dikkat etmesi, bu tarz durumlar\u0131n g\u00f6zden ka\u00e7mamas\u0131 gerekir \u00e7\u00fcnk\u00fc \u00f6l\u00fcmc\u00fcl olabilen bir hastal\u0131k. Bu hastal\u0131\u011f\u0131n tan\u0131nmas\u0131, hayatta kalmalar\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemli. Bu hastal\u0131k bilinmedi\u011fi zaman ani kardiyak \u00f6l\u00fcm riski olabiliyor. Bu y\u00fczden \u00f6nemli bir hastal\u0131k.”<\/p>\n
\n\t\u015eehmus Do\u011fan, \u015fikayetlerinin ba\u015f d\u00f6nmesi, g\u00f6z kararmas\u0131 ve g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 olarak ba\u015flad\u0131\u011f\u0131n\u0131, daha \u00f6nce ba\u015fvurdu\u011fu hastanede sonu\u00e7 alamay\u0131nca Diyarbak\u0131r’a geldi\u011fini s\u00f6yledi.<\/p>\n
\n\tDr. Ferdi Ekinci taraf\u0131ndan yap\u0131lan tetkiklerde \u00e7ok nadir g\u00f6r\u00fclen bir hastal\u0131\u011f\u0131 oldu\u011funu \u00f6\u011frendi\u011fini belirten Do\u011fan, “Bu hastal\u0131\u011f\u0131n ailemde de olabilece\u011fi s\u00f6ylendi. 4 ya\u015f\u0131ndaki k\u0131z\u0131m da da tespit edildi. Hocam\u0131z\u0131n verdi\u011fi ila\u00e7lar\u0131 kulland\u0131m, etkisini g\u00f6rd\u00fcm. G\u00f6\u011f\u00fcs a\u011fr\u0131m ve ba\u015f d\u00f6nmesi \u015fikayetim azald\u0131. Hocam\u0131z ile bu hastal\u0131\u011f\u0131 takip ediyoruz. \u0130n\u015fallah k\u0131sa zamanda iyile\u015firim, sa\u011fl\u0131\u011f\u0131ma kavu\u015furum.” diye konu\u015ftu.\u00fc<\/p>\n