{"id":14075,"date":"2021-01-05T01:21:57","date_gmt":"2021-01-04T22:21:57","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/hivle-infekte-hastalarda-kardiyovaskuler-risk-degerlendirmesi-ve-riskin-trigliserid-yuksek-dansiteli-lipoprotein-kolesterol-oraniyla-iliskisi\/"},"modified":"2021-01-05T01:21:57","modified_gmt":"2021-01-04T22:21:57","slug":"hivle-infekte-hastalarda-kardiyovaskuler-risk-degerlendirmesi-ve-riskin-trigliserid-yuksek-dansiteli-lipoprotein-kolesterol-oraniyla-iliskisi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/hivle-infekte-hastalarda-kardiyovaskuler-risk-degerlendirmesi-ve-riskin-trigliserid-yuksek-dansiteli-lipoprotein-kolesterol-oraniyla-iliskisi\/","title":{"rendered":"HIV&#8217;le \u0130nfekte Hastalarda Kardiyovask\u00fcler Risk De\u011ferlendirmesi ve Riskin Trigliserid\/Y\u00fcksek Dansiteli Lipoprotein Kolesterol Oran\u0131yla \u0130li\u015fkisi"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: \u0130nsan imm\u00fcn yetmezlik virusu (HIV) ile infekte hastalarda kardiyovask\u00fcler hastal\u0131k (KVH) riskini \u00f6l\u00e7mek i\u00e7in genel kabul g\u00f6rm\u00fc\u015f referans bir y\u00f6ntem bulunmamaktad\u0131r. \u00c7al\u0131\u015fmam\u0131zda HIV-pozitif bireylerin KVH riski hakk\u0131nda \u00f6ng\u00f6r\u00fc sa\u011flayabilecek ve takiplerinde rahatl\u0131kla kullan\u0131labilecek bir de\u011fi\u015fkenin varl\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: Bu retrospektif g\u00f6zlemsel \u00e7al\u0131\u015fmaya 1 Ocak 1996-1 Haziran 2017 tarihleri aras\u0131nda takip edilen HIV ile infekte 160 eri\u015fkin olgu dahil edilmi\u015ftir. KVH risk fakt\u00f6rleri ve hastalar\u0131n takipleri s\u0131ras\u0131nda yeni geli\u015fen KVH\u2019lar kaydedilmi\u015ftir. Framingham 10 y\u0131ll\u0131k genel KVH risk skoru (FRS-KVH-10) ve Amerikan Kardiyoloji Derne\u011fi\/Amerikan Kalp Birli\u011fi risk tahmini (ACC\/AHA KVHRS) kullan\u0131larak, hastalar\u0131n ilk de\u011ferlendirme s\u0131ras\u0131ndaki ve g\u00fcn\u00fcm\u00fczdeki KVH riskleri hesaplanm\u0131\u015ft\u0131r. Hesaplanan bu de\u011ferlerle KVH riski yaratabilecek fakt\u00f6rler aras\u0131ndaki ili\u015fki incelenmi\u015ftir.<\/p>\n<p><strong>Bulgular<\/strong>: Hastalar\u0131n %82.5\u2019i erkek ve ya\u015f ortalamalar\u0131 40.06\u2019yd\u0131. %68.2\u2019si sigara kullanmaktayd\u0131 ve olgular\u0131n %92\u2019sinde dislipidemi vard\u0131. Takiplerde 113. ay\u0131n\u0131 tamamlayan hastalar\u0131n %25\u2019inde KVH geli\u015fti\u011fi g\u00f6zlendi. FRS-KVH-10 ve ACC\/AHA KVHRS ile hastalar\u0131n s\u0131ras\u0131yla %37.1 ve %39.4\u2019\u00fcn\u00fcn KVH geli\u015fimi a\u00e7\u0131s\u0131ndan y\u00fcksek riskli oldu\u011fu belirlendi. Trigliserid\/y\u00fcksek dansiteli lipoprotein kolesterol (Tg\/HDL-k) oran\u0131n\u0131n takipte KVH geli\u015fen ve KVH risk skorlar\u0131 y\u00fcksek olan olgularda daha y\u00fcksek oldu\u011fu bulundu. Birinci y\u0131l sonu Tg\/HDL-k oran\u0131 de\u011fi\u015fiminin, FRS-KVH-10 referans test olarak kabul edildi\u011finde, KVH riskini belirlemede pozitif prediktif de\u011ferinin %91.4 oldu\u011fu tespit edildi.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: Tg\/HDL-k oran\u0131n\u0131n HIV ile infekte olgularda KVH risk art\u0131\u015f\u0131n\u0131 g\u00f6steren, basit, ucuz ve g\u00fcvenilir bir de\u011fi\u015fken oldu\u011fu sonucuna var\u0131ld\u0131.\u00a0<\/p>\n<p>Klimik Dergisi 2019; 32(3): 285-91.<\/p>\n<p><strong>Cite this article as<\/strong>: G\u00fclten E, Dokuzo\u011fuz B. [Cardiovascular risk assessment and relationship of risk with triglyceride\/high density lipoprotein cholesterol ratio in HIV-infected patients]. Klimik Derg. 2019; 32(3): 285-91. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: \u0130nsan imm\u00fcn yetmezlik virusu (HIV) ile infekte hastalarda kardiyovask\u00fcler hastal\u0131k (KVH) riskini \u00f6l\u00e7mek i\u00e7in genel kabul g\u00f6rm\u00fc\u015f referans bir y\u00f6ntem bulunmamaktad\u0131r. \u00c7al\u0131\u015fmam\u0131zda HIV-pozitif bireylerin KVH riski hakk\u0131nda \u00f6ng\u00f6r\u00fc sa\u011flayabilecek ve takiplerinde rahatl\u0131kla kullan\u0131labilecek bir de\u011fi\u015fkenin varl\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Bu retrospektif g\u00f6zlemsel \u00e7al\u0131\u015fmaya 1 Ocak 1996-1 Haziran 2017 tarihleri aras\u0131nda takip edilen HIV ile [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[4956,3228,4958,4959],"class_list":["post-14075","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hdl","tag-hiv","tag-kardiyovaskuler-hastalik-riski","tag-trigliserid"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14075","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=14075"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14075\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14075"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14075"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}