| Sažetak | Cilj istraživanja: Cilj istraživanja je bio utvrditi učestalost sinkope i presinkope kao razloga pregleda na Hitnom internom prijmu i hospitalizacije u Klinici za bolesti srca i krvnih žila KBC-a Split.
Materijali i metode: Retrospektivna studija za koju su tijekom izrade analizirani podaci o bolesnicima zaprimljenim pod dijagnozom sinkope/presinkope na Hitni interni prijam (HIP) KBC-a Split u razdoblju od 1.1.2017. do 1.1.2018. godine. Iz protokola i povijesti bolesti prikupljeni su podaci o uzroku sinkope/presinkope u bolesnika hospitaliziranih u Klinici za bolesti srca i krvnih žila, duljini trajanja hospitalizacije te podaci o terapijskim postupcima provedenim u bolesnika s kardiogenom sinkopom.
Rezultati: U jednogodišnjem periodu (2017.-2018.) na Hitnom internom prijmu pregledan je 24 281 bolesnik, a zbog prolazne krize svijesti njih 498 (2,05%). Sinkopa je definirana u 69,5%, a presinkopa u 30,5% ovih bolesnika. Srednja dob bolesnika pregledanih na HIP-u zbog sinkope/presinkope iznosila je 69 godina, muškarci su činili 60% populacije, a učestalost hospitalizacije bila je 39%. Od 194 hospitalizirana bolesnika, 155 (79,9%) je zaprimljeno u Kliniku za bolesti srca i krvnih žila, 23 (11,9%) u Kliniku za unutarnje bolesti te 16 (8,2%) bolesnika u Kliniku za neurologiju.
Razlog hospitalizacije u Klinici za bolesti srca i krvnih žila bila je sumnja na kardiogenu sinkopu koja je potvrđena u 50% bolesnika. U 30% bolesnika uzrok nije definiran, a u 8,67% bolesnika je postavljena dijagnoza refleksne sinkope. Aritmije su bile uzrok 72% kardiogenih sinkopa, a ostalih 28% strukturne bolesti srca. Ugradnja trajnog elektrostimulatora srca te revaskularizacija su bili najčešći terapijski postupci u bolesnika s kardiogenom sinkopom. Prosječna duljina trajanja hospitalizacije u Klinici za bolesti srca i krvnih žila iznosila je 7,78 ± 5,1 dana. Većina bolesnika (83,3%) bila je starija od 60 godina.
Zaključak: Učestalost sinkope i presinkope u bolesnika pregledanih na HIP-u tijekom jedne godine bila je 2,05%. Gotovo jedna trećina ovih bolesnika je hospitalizirana, najvećim dijelom u Kliniku za bolesti srca i krvnih žila (79,9%) zbog sumnje na kardiogenu sinkopu koja je potvrđena u 50% bolesnika. Unatoč učinjenim pretragama u 30% bolesnika uzrok sinkope nije bio definiran. Muškarci starije životne dobi (>60 godina) činili su većinu pregledanih kao i hospitaliziranih bolesnika zbog sinkope/presinkope. |
| Sažetak (engleski) | Objective: The aim of this study was to determine the frequency of syncope and presyncope as a reason for examination at Emergency department and Department of Cardiology of University Hospital of Split.
Materials and methods: This is a retrospective study for which data on patients admitted under the diagnosis of syncope/presyncope at the Emergency department (ED) of University Hospital of Split in the period from 1st of January 2017 to 1st of January 2018 was analyzed. The data on the cause of syncope/presyncope in patients hospitalized at the Department of Cardiology, duration of hospitalization and terapeutic procedures perfomed in patients with cardiogenic syncope were collected from Department of Cardiology's archive of hospital records.
Results: In the one year period (2017-2018) 24 281 patients were examined at the Emergency department, 498 (2.05%) of them for transient loss of consciousness. Syncope was defined in 69.5 percent and presyncope in 30.5 percent. The mean age of patients examined at the ED due to the syncope/presyncope was 69 years. 60 percent of the population were men. Hospitalization rate was 39 percent. Among 194 hospitalized patients, 155 (79.9%) were hospitalized at the Department of Cardiology, 23 (11.9%) at the Department of Internal medicine and 16 (8.2%) patients at the Department of Neurology.
The reason for hospitalization in the Department of cardiology was a suspicion of cardiogenic syncope that was confirmed in 50 percent of patients. In 30 percent of patients the cause was not defined and in 8.67 percent of patients the diagnosis of reflex syncope was set. Arrhytmia was the cause of 72 percent of cardiogenic syncope, while the other 28 percent were structural heart diseases. The implantation of heart electrostimulator and revascularization were the most common therapeutic procedures in patients with cardiogenic syncope. Average duration of hospitalization in the Cardiology department was 7.78 ± 5.1 days. Most patients (83.3%) were older than 60 years.
Conclusion: The incidence of syncope and presyncope in patients examined in the ED over one year period was 2,05 percent. Almost one-third of these patients were hospitalized, mostly in the Cardiology department (79.9%) for suspicion of cardiogenic syncope which was confirmed in 50 percent of patients. Despite the examinations made, in 30 percent of patients the cause of the syncope was not defined. Elderly men (>60 years) were the majority of the examined as well as hospitalized patients due to syncope/presyncope. |
