{"id":1121,"date":"2013-01-29T19:55:35","date_gmt":"2013-01-29T17:55:35","guid":{"rendered":"http:\/\/www.hvtd.org\/?p=1121"},"modified":"2014-02-20T00:35:30","modified_gmt":"2014-02-19T22:35:30","slug":"brugada-sendromu-ve-ucus-sertifkasyonu","status":"publish","type":"post","link":"https:\/\/www.hvtd.org\/?p=1121","title":{"rendered":"Brugada Sendromu ve u\u00e7u\u015f sertifikasyonu"},"content":{"rendered":"

\"brugada\"<\/a>Brugada Sendromu (BS) kendine \u00f6zg\u00fc bir EKG paterni ve ani \u00f6l\u00fcm riski ile karakterizedir. Yak\u0131n zamana kadar bu hastal\u0131\u011f\u0131 olan pilot adaylar\u0131na elveri\u015fsizlik karar\u0131 veriliyordu. Ara\u015ft\u0131rmac\u0131lar bu hastal\u0131kta u\u00e7u\u015fa elveri\u015flilik karar\u0131 vermeyi bir dayana\u011fa ba\u011flamak i\u00e7in bu sendromu s\u0131n\u0131fland\u0131rmaya \u00e7al\u0131\u015fm\u0131\u015flard\u0131r. (Wikipedia: BS, genetik ve \u00f6l\u00fcmc\u00fcl bir kalp hastal\u0131\u011f\u0131d\u0131r. Erkeklerde 8 kat fazla, g\u00f6r\u00fclme oran\u0131 %0.5’dir. EKG V1-2’de sa\u011f dal blo\u011fu, Tip-1’de \u00e7ad\u0131r tipi, Tip-2’de e\u011fer tipi ST \u22652 mm. g\u00f6r\u00fcl\u00fcr. Hastal\u0131k belirtileri: \u00c7arp\u0131nt\u0131, ritim bozuklu\u011fu, vent. fibrilasyona ba\u011fl\u0131 bay\u0131lma ve \u00f6l\u00fcm.)<\/p>\n

Olgular<\/b>: 1. S\u0131n\u0131f sa\u011fl\u0131k sertifikas\u0131 i\u00e7in ba\u015fvurmu\u015f olan 2 pilot aday\u0131n\u0131n EKG\u2019lerinde BS’dan \u015f\u00fcphelenildi\u011fi i\u00e7in kardiyoloji uzman\u0131na sevk edilmi\u015f. EKG\u2019ler elektrotlar\u0131n farkl\u0131 pozisyonlarda yerle\u015ftirilmesi ve provokatif testlerle tekrar edilmi\u015f. Risk s\u0131n\u0131flamas\u0131, ani \u00f6l\u00fcm riski a\u00e7\u0131s\u0131ndan %1 kural\u0131na g\u00f6re yap\u0131lm\u0131\u015f. (%1 kural\u0131: Belirli bir hastal\u0131k y\u00fcz\u00fcnden u\u00e7u\u015fta inkapasite olma ihtimali 1 y\u0131lda %1\u2019den fazla ise, u\u00e7u\u015fa uygunlu\u011funun onaylanmamas\u0131 gerekti\u011fi kural\u0131.)<\/p>\n

\u0130kisi de erkek olan adaylardan biri 46, di\u011feri 21 ya\u015f\u0131nda olup, ailelerinde ani \u00f6l\u00fcm \u00f6yk\u00fcs\u00fc yok; ta\u015fiaritmi veya senkop a\u00e7\u0131s\u0131ndan asemptomatik. 46 ya\u015f\u0131ndaki adayda Tip 1 ve Tip 2 BS-EKG bulgular\u0131, 21 ya\u015f\u0131ndaki adayda ise sadece Tip 2 BS-EKG bulgular\u0131 spontan olarak tespit edilmi\u015f. Sodyum kanal blokerleri ile yap\u0131lan provokasyon testinde her iki adayda da tan\u0131 koydurucu olan Tip 1 BS-EKG bulgular\u0131 tespit edilmi\u015f. Risk belirlenmesinde 46 ya\u015f\u0131ndaki aday i\u00e7in ani \u00f6l\u00fcm riski %1\u2019den fazla, 21 ya\u015f\u0131ndaki aday i\u00e7in %1\u2019den az bulundu\u011fu i\u00e7in 46 ya\u015f\u0131ndaki adaya elveri\u015fsizlik, 21 ya\u015f\u0131ndaki adaya elveri\u015flilik karar\u0131 verilmi\u015f.<\/p>\n

Ara\u015ft\u0131rmac\u0131lar BS olan pilot adaylar\u0131n\u0131n u\u00e7u\u015fa elveri\u015flilik durumlar\u0131n\u0131n modern risk s\u0131n\u0131flamas\u0131 sonu\u00e7lar\u0131na g\u00f6re belirlenmesini \u00f6nermi\u015fler. Asemptomatik, spontan olarak Tip 1 BS-EKG bulgular\u0131 olmayan, negatif aile \u00f6yk\u00fcs\u00fc olan adaylar\u0131n ani \u00f6l\u00fcm riski \u00e7ok d\u00fc\u015f\u00fck oldu\u011fu i\u00e7in u\u00e7u\u015fa elveri\u015flilik karar\u0131 verilebilece\u011fi sonucunu \u00e7\u0131karm\u0131\u015flard\u0131r.<\/p>\n

Kaynak<\/b>: Dobler D, Huber SW, Maire R. Brugada syndrome and fitness to fly: risk stratification in two pilot applicants. Aviat Space Environ Med. 2010 Aug;81(8):789-92.<\/p>\n

\u00c7eviri<\/b>: Dr. Naz\u0131m Ata. Hava ve Uzay Hek.Uzm. (USAEM)<\/p>\n","protected":false},"excerpt":{"rendered":"

Brugada Sendromu (BS) kendine \u00f6zg\u00fc bir EKG paterni ve ani \u00f6l\u00fcm riski ile karakterizedir. Yak\u0131n zamana kadar bu hastal\u0131\u011f\u0131 olan pilot adaylar\u0131na elveri\u015fsizlik karar\u0131 veriliyordu. Ara\u015ft\u0131rmac\u0131lar bu hastal\u0131kta u\u00e7u\u015fa elveri\u015flilik karar\u0131 vermeyi bir dayana\u011fa ba\u011flamak i\u00e7in bu sendromu s\u0131n\u0131fland\u0131rmaya \u00e7al\u0131\u015fm\u0131\u015flard\u0131r. (Wikipedia: BS, genetik ve \u00f6l\u00fcmc\u00fcl bir kalp hastal\u0131\u011f\u0131d\u0131r. Erkeklerde 8 kat fazla, g\u00f6r\u00fclme oran\u0131 %0.5’dir. EKG V1-2’de sa\u011f dal blo\u011fu, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1121","post","type-post","status-publish","format-standard","hentry","category-bulten"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/1121","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1121"}],"version-history":[{"count":3,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/1121\/revisions"}],"predecessor-version":[{"id":1476,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/1121\/revisions\/1476"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1121"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}