{"id":64596,"date":"2025-08-05T23:09:08","date_gmt":"2025-08-05T23:09:08","guid":{"rendered":"https:\/\/ikimisli.tr\/?p=64596"},"modified":"2025-08-05T23:09:08","modified_gmt":"2025-08-05T23:09:08","slug":"genc-yasta-kalp-krizi-sporcu-bedenlerin-sessiz-cokusu","status":"publish","type":"post","link":"https:\/\/ikimisli.tr\/index.php\/2025\/08\/05\/genc-yasta-kalp-krizi-sporcu-bedenlerin-sessiz-cokusu\/","title":{"rendered":"Gen\u00e7 ya\u015fta kalp krizi: Sporcu bedenlerin sessiz \u00e7\u00f6k\u00fc\u015f\u00fc"},"content":{"rendered":"

\u2018Hi\u00e7bir \u015feyi yoktu sporcuydu\u2019 c\u00fcmlesi \u00e7o\u011fald\u0131<\/span><\/b><\/p>\n

Kalp krizinin ya\u015f ortalamas\u0131 d\u00fc\u015f\u00fcyor. Son 10 y\u0131lda, 40 ya\u015f alt\u0131 bireylerde kalp krizi oran\u0131 %20 artt\u0131 (Kaynak: JAMA Cardiology, 2022).\u00a0<\/p>\n

Dahas\u0131, bu bireylerin birden fazla sigara i\u00e7meyen, \u00e7ok kilolu olmayan, hatta spor yapan bireylerdi. Pekala bu nas\u0131l m\u00fcmk\u00fcn oluyor?<\/p>\n

Bir hadise: 43 ya\u015f\u0131nda triatloncuydu<\/span><\/b><\/p>\n

2023 y\u0131l\u0131nda Almanya\u2019da yap\u0131lan bir \u00e7al\u0131\u015fmada, atlet kimli\u011fiyle tan\u0131nan ve triatlon yar\u0131\u015flar\u0131na kat\u0131lan bir ki\u015finin 43 ya\u015f\u0131nda ani kalp durmas\u0131 sonucu hayat\u0131n\u0131 kaybetti\u011fi bildirildi.<\/p>\n

Otopsi sonucu: <\/strong><\/p>\n

Damarlar % 90 t\u0131kal\u0131yd\u0131, fakat ki\u015fi hi\u00e7 belirti vermemi\u015fti (Kaynak: Deutsches \u00c4rzteblatt, 2023).<\/p>\n

Gen\u00e7lerin kalbi neden daha savunmas\u0131zd\u0131r?<\/span><\/b><\/p>\n

– Belirti vermezler: <\/strong>Gen\u00e7 bireylerin damarlar\u0131 esnek oldu\u011fu i\u00e7in, plak olu\u015fsa bile kan ak\u0131\u015f\u0131 bir m\u00fcddet devam eder.<\/p>\n

– A\u011fr\u0131 e\u015fi\u011fi y\u00fcksektir: <\/strong>Kalp krizinin klasik belirtisi olan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131n\u0131 hafife alabilirler.<\/p>\n

– Ge\u00e7 te\u015fhis konur: <\/strong>Hekimler ya\u015f fakt\u00f6r\u00fcnden dolay\u0131 kardiyak nedenleri daha ge\u00e7 akla getirir.<\/p>\n

– Damarlar k\u00fc\u00e7\u00fck ancak t\u0131kanmaya daha yatk\u0131nd\u0131r: <\/strong>\u00d6zellikle genetik yatk\u0131nl\u0131\u011f\u0131 olanlarda k\u00fc\u00e7\u00fck bir plak bile b\u00fcy\u00fck risk yaratabilir.<\/p>\n

– En riskli k\u00fcme: <\/strong>Gen\u00e7, gerilimli ve ailesinde kalp hikayesi olanlar<\/p>\n

\u00d6zellikle \u015fu \u00f6zellikleri ta\u015f\u0131yan bireyler y\u00fcksek risk grubundad\u0131r:<\/strong><\/p>\n

– Babas\u0131 yahut erkek karde\u015fi 55 ya\u015f\u0131ndan evvel kalp krizi ge\u00e7irmi\u015fse.<\/p>\n

– Trigliserit\/HDL oran\u0131 \u00a0 3\u2019\u00fcn \u00fczerindeyse.<\/strong><\/p>\n

– Bel etraf\u0131 erkeklerde 102 cm\u2019yi, bayanlarda 88 cm\u2019yi ge\u00e7tiyse.<\/p>\n

– Uyku m\u00fchleti 6 saatin alt\u0131ndaysa.<\/strong><\/p>\n

(Kaynak: Cleveland \u00a7Clinic, 2023)<\/p>\n

Damar t\u0131kan\u0131kl\u0131\u011f\u0131 art\u0131k 30\u2019lu ya\u015flarda ba\u015fl\u0131yor<\/span><\/b><\/p>\n

Geli\u015fmi\u015f g\u00f6r\u00fcnt\u00fcleme teknikleri sayesinde art\u0131k biliyoruz…<\/p>\n

Damar plaklar\u0131, \u015fik\u00e2yet ba\u015flamadan y\u0131llar evvel olu\u015fmaya ba\u015fl\u0131yor.<\/p>\n

2021 tarihli bir \u00e7al\u0131\u015fmaya nazaran, \u00a0 35 ya\u015f\u0131ndaki bireylerin % 45\u2019inde damar i\u00e7inde fark edilmeyen kire\u00e7lenmeler tespit edildi (Kaynak: European Heart Journal, 2021).<\/p>\n

Bu plaklar k\u00fc\u00e7\u00fck, stabil ve sessiz olabilir lakin bir g\u00fcn y\u0131rt\u0131ld\u0131\u011f\u0131nda kriz ka\u00e7\u0131n\u0131lmazd\u0131r.<\/p>\n

Spor yapmak kalbini kurtarmaya yetmez<\/span><\/b><\/p>\n

Spor kalp i\u00e7in elbette kollay\u0131c\u0131. Lakin yaln\u0131zca kas g\u00fcc\u00fc, kalp s\u0131hhati manas\u0131na gelmez.<\/p>\n

Hatta birtak\u0131m durumlarda, \u00e7ok efor ve bilin\u00e7siz destekler kalp \u00fczerinde aksi tesir yapabilir.<\/p>\n

– A\u015f\u0131r\u0131 y\u00fcklenme ani ritim bozukluklar\u0131na yol a\u00e7abilir.<\/strong><\/p>\n

– V\u00fccut geli\u015ftirme hedefli kullan\u0131lan steroidler kalp kas\u0131n\u0131 b\u00fcy\u00fct\u00fcr lakin esnekli\u011fini bozar.<\/strong><\/p>\n

– Enerji i\u00e7ecekleri kalp ritmini h\u0131zland\u0131r\u0131r, damar bas\u0131nc\u0131n\u0131 art\u0131r\u0131r. <\/strong><\/p>\n

(Kaynak: Mayo Clinic, 2021)<\/p>\n

E\u011fer testlerde her \u015fey ola\u011fansa?<\/span><\/b><\/p>\n

Baz\u0131 bireylerde t\u00fcm testler ola\u011fan \u00e7\u0131kar fakat kalp krizi ge\u00e7irebilirler.<\/p>\n

Bu duruma \u201cmaskelenmi\u015f risk profili\u201d denir.<\/p>\n

\u00d6zellikle Lipoprotein (a) d\u00fczeyi, genetik riskin en k\u0131ymetli belirtecidir.<\/p>\n

T\u00fcrkiye\u2019de bu test rutin olarak bak\u0131lmaz ancak istemek m\u00fcmk\u00fcnd\u00fcr. (Kaynak: Lancet, 2022).<\/p>\n

Korunmak i\u00e7in 6 \u00f6neri<\/p>\n

1. Ailenizde <\/strong>kalp hastas\u0131 varsa 30 ya\u015f\u0131ndan sonra EKG ve efor testi yapt\u0131r\u0131n.<\/p>\n

2. Trigliserit<\/strong>\/HDL oran\u0131n\u0131z\u0131 2\u2019nin alt\u0131na \u00e7ekin.<\/p>\n

3. Spor <\/strong>yap\u0131n ancak steroid ve g\u00fc\u00e7 i\u00e7eceklerinden uzak durun.<\/p>\n

4. Uyku <\/strong>d\u00fczenine itina g\u00f6sterin, gece 6 saatten az uyumay\u0131n.<\/p>\n

5. Omega-3<\/strong>, D vitamini ve magnezyum seviyenizi \u00f6l\u00e7t\u00fcr\u00fcn.<\/p>\n

6. Nab\u0131z <\/strong>\u00f6l\u00e7\u00fcm\u00fc yap\u0131n, dinlenme nabz\u0131n\u0131z 80\u2019in \u00fczerindeyse tabibe dan\u0131\u015f\u0131n.(Kaynak: ESC Guidelines, 2022)<\/p>\n

Ergen ya\u015fta krizin 7 g\u00f6r\u00fcnmeyen nedeni<\/span><\/b><\/p>\n

1. Ailede<\/strong> erken ya\u015fta kalp hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc<\/p>\n

2. Genetik <\/strong>LDL y\u00fcksekli\u011fi (ailesel hiperkolesterolemi)<\/p>\n

3. Protein <\/strong>tozu, g\u00fc\u00e7 i\u00e7ece\u011fi, steroid \u00fczere takviyeler<\/p>\n

4. Gece <\/strong>\u00e7al\u0131\u015fanlar, vardiya sistemi ve uyku bozuklu\u011fu<\/p>\n

5. A\u015f\u0131r\u0131 <\/strong>stres ve \u00f6fke denetim bozuklu\u011fu<\/p>\n

6. \u0130ns\u00fclin <\/strong>direnci ve karaci\u011fer ya\u011flanmas\u0131<\/p>\n

7. Sigara <\/strong>veya t\u00fct\u00fcnl\u00fc nargile kullan\u0131m\u0131<\/p>\n

(Kaynak: American Heart Association, 2022)<\/p>\n

Kalp ya\u015f\u0131n\u0131z 40\u2019tan b\u00fcy\u00fckse siz de risk alt\u0131ndas\u0131n\u0131z<\/span><\/b><\/p>\n

Framingham Risk Skoru \u00fczere algoritmalarla biyolojik kalp ya\u015f\u0131 hesaplanabilir. 35 ya\u015f\u0131nda olsan\u0131z da kalp ya\u015f\u0131n\u0131z 50 ise, kriz riski o ya\u015f k\u00fcmesine nazaran hesaplan\u0131r.<\/p>\n

Yani takvime de\u011fil, damarlar\u0131n\u0131za itimad\u0131n.<\/p>\n

Hesaplamada kullan\u0131lan veriler<\/strong><\/p>\n

– Ya\u015f ve cinsiyet.<\/p>\n

– Tansiyon. (sistolik bas\u0131n\u00e7)<\/strong><\/p>\n

– LDL ve HDL kolesterol seviyeleri.<\/p>\n

– Sigara kullan\u0131m\u0131.<\/p>\n

– Diyabet yahut ins\u00fclin direnci varl\u0131\u011f\u0131.<\/p>\n

– Ailede erken ya\u015fta kalp hastal\u0131\u011f\u0131 hikayesi.<\/p>\n

\u00d6rnek: <\/strong>35 ya\u015f\u0131nda, tansiyonu 140, LDL\u2019si 160 olan, sigara i\u00e7en bir erke\u011fin kalp ya\u015f\u0131 55 \u00e7\u0131kabilir.<\/p>\n

Nas\u0131l hesaplan\u0131r?<\/span><\/b><\/p>\n

\u0130nternette \u201cFramingham Risk Calculator\u201d yahut \u201cKalp Ya\u015f\u0131 Hesaplama Arac\u0131\u201d olarak ge\u00e7en bir\u00e7ok fiyats\u0131z test bulunur. T\u00fcrkiye i\u00e7in T\u00fcrk Kardiyoloji Derne\u011fi\u2019nin dijital ara\u00e7lar\u0131 da kullan\u0131labilir.<\/p>\n

– Kalp ya\u015f\u0131n\u0131z,\u00a0<\/strong>takvim ya\u015f\u0131n\u0131zdan\u00a0<\/strong>5 ya\u015f b\u00fcy\u00fckse dikkat.<\/strong><\/p>\n

– 10 ya\u015f ve \u00fczeri\u00a0<\/strong>fark varsa, kesinlikle denetim gereklidir.<\/strong><\/p>\n

(Kaynak: Framingham Heart Study, AHA Cardiovascular Risk Tools, 2023)<\/p>\n

YARIN:<\/span><\/b><\/p>\n

– Seks haplar\u0131 kalp krizine yol a\u00e7ar m\u0131?<\/p>\n

– Performans art\u0131r\u0131c\u0131 ila\u00e7lar kalbi nas\u0131l etkiliyor?<\/p>\n

– G\u00f6r\u00fcn\u00fcrde sa\u011fl\u0131kl\u0131 bireylerde ani kriz riski neden art\u0131yor?<\/p>\n

– Damarlar\u0131 geni\u015fleten tesir nas\u0131l \u00f6l\u00fcmc\u00fcl hale gelir?<\/p>\n

– Hangi bireyler katiyen kullanmamal\u0131?<\/p>\n

– \u201cTestler normaldi\u201d diyen lakin kriz ge\u00e7irenlerin ortak \u00f6zelli\u011fi ne?<\/p>\n","protected":false},"excerpt":{"rendered":"

Son y\u0131llarda 40\u2019l\u0131, hatta 30\u2019lu ya\u015flarda kalp krizi ge\u00e7irenlerin say\u0131s\u0131 art\u0131yor. \u00dcstelik birden fazla etkin spor yapan, sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcnen bireyler. Damar t\u0131kan\u0131kl\u0131\u011f\u0131 art\u0131k erken ba\u015fl\u0131yor. Genetik miras, kronik gerilim, destekler, g\u00f6r\u00fcnmeyen riskler. Kalp krizinin yeni y\u00fcz\u00fc gen\u00e7le\u015fti.<\/p>\n","protected":false},"author":1,"featured_media":64597,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[700,1554,353,2604,702],"class_list":["post-64596","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-kalp","tag-kriz","tag-risk","tag-test","tag-yas"],"_links":{"self":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/64596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/comments?post=64596"}],"version-history":[{"count":1,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/64596\/revisions"}],"predecessor-version":[{"id":64598,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/posts\/64596\/revisions\/64598"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/media\/64597"}],"wp:attachment":[{"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/media?parent=64596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/categories?post=64596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ikimisli.tr\/index.php\/wp-json\/wp\/v2\/tags?post=64596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}