Bilimsel \u00e7al\u0131\u015fmalara g\u00f6re, yo\u011fun emosyonel stresin kalp kas\u0131n\u0131 ge\u00e7ici olarak fel\u00e7 edebildi\u011fini, ritim bozukluklar\u0131n\u0131 tetikleyebildi\u011fini ve kimi zaman ger\u00e7ek bir kalp kriziyle neredeyse ayn\u0131 belirtilere yol a\u00e7abildi\u011fini s\u00f6yleyen Medicana Sa\u011fl\u0131k Grubu Kardiyoloji B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. \u0130stemihan Tengiz, “Modern kardiyoloji, art\u0131k ruhsal durumun kalp sa\u011fl\u0131\u011f\u0131n\u0131n ayr\u0131lmaz bir par\u00e7as\u0131 oldu\u011funu ve duygusal y\u00fcklenmenin biyolojik sonu\u00e7lar\u0131n\u0131n g\u00f6z ard\u0131 edilemeyece\u011fini net \u015fekilde ortaya koymaktad\u0131r” dedi.
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Ani yo\u011fun stres, \u00fcz\u00fcnt\u00fc, ayr\u0131l\u0131k ac\u0131s\u0131, maddi manevi kay\u0131plar ya da b\u00fcy\u00fck hayal k\u0131r\u0131kl\u0131klar\u0131 insan kalbinin duygularla ili\u015fkisi uzun y\u0131llard\u0131r metaforlarla anlat\u0131lsa da modern t\u0131p, duygusal travmalar\u0131n kalbi biyolojik olarak da etkiledi\u011fini art\u0131k \u00e7ok daha net ortaya koyabiliyor.
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G\u00fcnl\u00fck hayatta “Kalbim s\u0131k\u0131\u015f\u0131yor” diye tarif edilen his, kimi zaman sadece bir duygu de\u011fil, t\u0131pta kar\u015f\u0131l\u0131\u011f\u0131 olan ciddi bir tabloya i\u015faret edebiliyor. K\u0131r\u0131k kalp sendromunun ger\u00e7ek bir kalp krizini bire bir taklit edebildi\u011fi konusunda uyar\u0131larda bulunan Medicana International \u0130zmir Hastanesi Kardiyoloji Uzman\u0131 Prof. Dr. \u0130stemihan Tengiz, “Yo\u011fun stres alt\u0131nda veya ani \u00fcz\u00fcnt\u00fcler ya\u015fand\u0131\u011f\u0131nda s\u0131k\u00e7a kullan\u0131lan \u2018kalbim s\u0131k\u0131\u015f\u0131yor\u2019 ifadesi, asl\u0131nda t\u0131pta \u2018Takotsubo Kardiyomiyopatisi\u2019 ya da daha bilinen ad\u0131yla \u2018K\u0131r\u0131k Kalp Sendromu\u2019 olarak tan\u0131mlanan tabloyu d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Bu sendrom, Japonya\u2019da ahtapot av\u0131nda kullan\u0131lan dar boyunlu, geni\u015f tabanl\u0131 kaba benzeyen kalp \u015fekli nedeniyle bu ad\u0131 al\u0131r. Genellikle sevilen birinin kayb\u0131, ayr\u0131l\u0131k, b\u00fcy\u00fck bir tart\u0131\u015fma, i\u015f kayb\u0131, ekonomik kriz veya trafik kazas\u0131 gibi yo\u011fun emosyonel ya da fiziksel streslerin hemen ard\u0131ndan ortaya \u00e7\u0131kar. Bu t\u00fcr durumlarda v\u00fccutta a\u015f\u0131r\u0131 miktarlarda adrenalin ve katekolamin ortaya \u00e7\u0131kar ve kalp kas\u0131nda ge\u00e7ici s\u00fcreyle kas\u0131lma kusuru olu\u015fmas\u0131na neden olur. G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131, \u00e7arp\u0131nt\u0131 ve ba\u015f d\u00f6nmesi gibi kalp krizinde de g\u00f6r\u00fclen \u015fik\u00e2yetler g\u00f6r\u00fclebilir. Belirtilerin kalp krizini birebir taklit etmesi ise s\u0131k\u00e7a acil ba\u015fvurusuna yol a\u00e7ar. \u00c7\u00fcnk\u00fc EKG bulgular\u0131 ve kimi zaman kan de\u011ferleri bile kalp kriziyle kar\u0131\u015fabilir; ancak anjiyografi yap\u0131ld\u0131\u011f\u0131nda koroner damarlar\u0131n t\u0131kal\u0131 olmad\u0131\u011f\u0131 anla\u015f\u0131l\u0131r. Bu noktada do\u011fru tan\u0131n\u0131n konmas\u0131 ve uygun tedavinin planlanmas\u0131 i\u00e7in kardiyoloji uzmanlar\u0131n\u0131n de\u011ferlendirmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r” diye konu\u015ftu.<\/p>\n
Duygular ve hormonlarla \u015fekillenen denge
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Takotsubo\u2019nun \u00e7o\u011fu zaman ge\u00e7ici bir tablo olmas\u0131 ve birka\u00e7 hafta i\u00e7inde kalp fonksiyonlar\u0131 normale d\u00f6nmesinin hafife al\u0131nacak bir durum olarak de\u011ferlendirilmemesi gerekti\u011finin alt\u0131n\u0131 \u00e7izen Prof. Dr. \u0130stemihan Tengiz, “\u00d6zellikle ileri ya\u015f kad\u0131nlarda daha s\u0131k g\u00f6r\u00fclmesi, ritim bozukluklar\u0131 ve kalp yetersizli\u011fi gibi komplikasyonlara yol a\u00e7abilmesi nedeniyle dikkatle izlenmesi gerekir. Modern kardiyoloji, art\u0131k ruhsal durumun kalp sa\u011fl\u0131\u011f\u0131n\u0131n ayr\u0131lmaz bir par\u00e7as\u0131 oldu\u011funu ve duygusal y\u00fcklenmenin biyolojik sonu\u00e7lar\u0131n\u0131n g\u00f6z ard\u0131 edilemeyece\u011fini net \u015fekilde ortaya koymaktad\u0131r. Stres hormonlar\u0131n\u0131n kalp \u00fczerindeki etkileri yaln\u0131zca Takotsubo\u2019yla s\u0131n\u0131rl\u0131 de\u011fildir. Yo\u011fun stres d\u00f6nemlerinde aritmiler, tansiyon y\u00fckselmeleri, belirgin \u00e7arp\u0131nt\u0131lar ve mevcut kalp hastal\u0131klar\u0131n\u0131n alevlenmesi s\u0131k kar\u015f\u0131la\u015f\u0131lan durumlard\u0131r. Bu nedenle stres y\u00f6netimi, d\u00fczenli fiziksel aktivite, kaliteli uyku, sosyal destek sistemleri ve psikolojik dayan\u0131kl\u0131l\u0131\u011f\u0131 art\u0131ran ya\u015fam al\u0131\u015fkanl\u0131klar\u0131, uzun vadede kalbi koruyan \u00f6nemli fakt\u00f6rler h\u00e2line gelir. G\u00fcn\u00fcm\u00fczde \u015fehir ya\u015fam\u0131n\u0131n getirdi\u011fi yo\u011fun tempo, ekonomik kayg\u0131lar ve duygusal y\u00fcklerin g\u00f6r\u00fcn\u00fcrl\u00fc\u011f\u00fcn\u00fcn artmas\u0131, k\u0131r\u0131k kalp sendromunun daha fazla konu\u015fulmas\u0131na neden olurken, bize kalbin sadece biyolojik bir pompa olmad\u0131\u011f\u0131n\u0131; duygular ve hormonlarla \u015fekillenen k\u0131r\u0131lgan bir denge i\u00e7inde \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 hat\u0131rlat\u0131r” ifadelerini kulland\u0131.<\/p>\n
Kalbi koruyucu al\u0131\u015fkanl\u0131klar edinin
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Takotsubo\u2019nun belirtileri ve bulgular\u0131 ger\u00e7ek bir kalp kriziyle neredeyse bire bir ayn\u0131 oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof. Dr. \u0130stemihan Tengiz, g\u00f6\u011f\u00fcste bask\u0131, s\u0131k\u0131\u015fma, yanma hissi, nefes darl\u0131\u011f\u0131, \u00e7arp\u0131nt\u0131, kola, boyna ya da \u00e7eneye yay\u0131lan a\u011fr\u0131, terleme, bulant\u0131 ve ba\u015f d\u00f6nmesi gibi belirtilerde acilen hastaneye ba\u015fvurulmas\u0131nda fayda oldu\u011funu s\u00f6yledi. Prof. Dr. \u0130stemihan Tengiz, “Tan\u0131 s\u00fcrecinde EKG, kalp kas\u0131 enzimleri ve kalp ultrasonu gibi y\u00f6ntemler kullan\u0131l\u0131r; gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fcnde anjiyografi yap\u0131l\u0131r. Hastalar\u0131n \u00e7o\u011fu erken d\u00f6nemde ritim bozuklu\u011fu, akut kalp yetmezli\u011fi veya kapak hastal\u0131\u011f\u0131 geli\u015febilece\u011fi i\u00e7in yo\u011fun bak\u0131m ya da kardiyoloji servisinde k\u0131sa s\u00fcre izlenir. Tedavi ki\u015fiye g\u00f6re planlanmakla birlikte genellikle kalp h\u0131z\u0131n\u0131 azaltan ila\u00e7lar, kalp kas\u0131 fonksiyonunu destekleyen tedaviler ve gerekirse kan suland\u0131r\u0131c\u0131lar tercih edilir. T\u0131kal\u0131 damar olmad\u0131\u011f\u0131 i\u00e7in balon veya stent uygulanmas\u0131 gerekmez” diye konu\u015ftu. \u0130yile\u015fme s\u00fcreciyle ilgili de bilgi veren Prof. Dr. \u0130stemihan Tengiz, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: “\u0130yile\u015fme d\u00f6neminde a\u011f\u0131r fiziksel aktivitelerden uzak durmak, kafein ve nikotin gibi uyar\u0131c\u0131lar\u0131 azaltmak, d\u00fczenli kontrol yapt\u0131rmak ve stres kaynaklar\u0131n\u0131n y\u00f6netilmesine \u00f6zen g\u00f6stermek \u00f6nem ta\u015f\u0131r. Kalbi koruyucu ya\u015fam tarz\u0131 al\u0131\u015fkanl\u0131klar\u0131 aras\u0131nda ise d\u00fczenli egzersiz, nefes \u00e7al\u0131\u015fmalar\u0131, meditasyon, bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi y\u00f6ntemleri, uyku hijyeninin d\u00fczenlenmesi ve g\u00fc\u00e7l\u00fc sosyal ba\u011flar kurmak \u00f6ne \u00e7\u0131kar. Ara\u015ft\u0131rmalar, yaln\u0131zl\u0131\u011f\u0131n kalp hastal\u0131\u011f\u0131 riskini belirgin \u015fekilde art\u0131rabildi\u011fini, d\u00fczenli egzersiz ve gev\u015feme tekniklerinin ise stres hormonlar\u0131n\u0131 d\u00fc\u015f\u00fcrerek kalp fonksiyonlar\u0131n\u0131 dengeledi\u011fini ortaya koymaktad\u0131r.”
<\/p>\n","protected":false},"excerpt":{"rendered":"
Bilimsel \u00e7al\u0131\u015fmalara g\u00f6re, yo\u011fun emosyonel stresin kalp kas\u0131n\u0131 ge\u00e7ici olarak fel\u00e7 edebildi\u011fini, ritim bozukluklar\u0131n\u0131 tetikleyebildi\u011fini ve kimi zaman ger\u00e7ek bir kalp kriziyle neredeyse ayn\u0131 belirtilere yol a\u00e7abildi\u011fini s\u00f6yleyen Medicana Sa\u011fl\u0131k Grubu Kardiyoloji B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. \u0130stemihan Tengiz, “Modern kardiyoloji, art\u0131k ruhsal durumun kalp sa\u011fl\u0131\u011f\u0131n\u0131n ayr\u0131lmaz bir par\u00e7as\u0131 oldu\u011funu ve duygusal y\u00fcklenmenin biyolojik sonu\u00e7lar\u0131n\u0131n g\u00f6z ard\u0131…<\/p>\n","protected":false},"author":1,"featured_media":75689,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-75688","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/75688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=75688"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/75688\/revisions"}],"predecessor-version":[{"id":75690,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/75688\/revisions\/75690"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/75689"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=75688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=75688"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=75688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}