Evaluation of Military Recruits With Complaints of Palpitations After Physical Training: A Study From Turkey

Günlü, Serhat; Aktan, Adem

doi:10.7759/cureus.29284

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…Hypertension is significantly linked to being overweight and insufficient physical activity. The Turkish military population appears to be in better physical condition than any other Western military population (Günlü and Aktan, 2022). Youth alcohol and cigarette consumption are growing daily.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Hypertension in Military Personnel: A Study Conducted in Türkiye

Günlü

KARAHAN

2023

Black Sea Journal of Health Science

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Objective: Hypertension is a major global public health concern. There is a paucity of studies describing military populations with hypertension. We aimed to demonstrate Turkish military personnel with hypertension and review associated factors in a garrison of Diyarbakır City. Methods: This retrospective cross-sectional study comprised 22,141 individuals referred to an outpatient cardiology clinic between August 2016 and June 2022 with complaints of early morning headaches, abnormal heart rhythms, nosebleeds, visual problems, and buzzing in the ears. Sociodemographic characteristics were collected. Analyses of laboratory test findings and blood pressure measurements were conducted. Results: The study comprised a total of 174 patients with an average age of 32.68±6.51 years. 94.8 percent of the patients were not drug users, and 68.3 percent had no strong family history. The prevalence of hydration habits (29.4%) and sleep disturbances (22.5%) were lower. According to body mass index (BMI), the rate of overweight was higher (56.8%). Most patients' educational status was bachelor’s degrees (46.5%). The smoking rate was high (73%). Body mass index was a statistically significant predictive factor of hypertension (OR [95% CI], 2.69 [1.0-7.17], p= 0.048). Physical exercise rate in the past three months was a statistically significant predictive factor for hypertension (OR [95%CI], 2.98 [1.42-6.23], p=0.021). Conclusion: Hypertension was detected in 0.78 percent of all participants and was associated with being overweight and a lower frequency of physical exercise.

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Section: Discussionmentioning

confidence: 98%

Prevalence of Hypertension in Military Personnel: A Study Conducted in Türkiye

Günlü

KARAHAN

2023

Black Sea Journal of Health Science

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“…The majority of these diseases remain concealed and undetected until catastrophes occur. Turkish Armed Forces personnel are subject to periodic inspections within the scope of periodic inspections, necessary actions are taken against those who are found to be sick or malfunctioning, their place of duty is changed, when necessary, they are retired or they are followed up and treated (33). However, among the cardiovascular risk factors that are the subject of our study, lifestyle changes such as being overweight, smoking, and having sedentary life constitute a significant proportion, apart from conditions such as diabetes and hypertension that require medical treatment.…”

Section: Discussionmentioning

confidence: 99%

Askeri Personelde Kardiyovasküler Risk Faktörlerinin Değerlendirilmesi: Türkiye’de Yapılan Bir Araştırma

Günlü

Karahan

2022

Artuklu International Journal of Health Sciences

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Background: Cardiovascular (CV) risk factors are associated with high morbidity and mortality rates; however, prevalence data for Turkish military members are unknown. Aim: This study determines how common cardiovascular risk factors are among military members in the Corps Command Military Unit and how they relate to socio-demographic parameters. Materials and Methods: A cross-sectional research was conducted with 25222 active-duty individuals. A questionnaire was used to assess cardiovascular risk factors. This study included patients with more than two risk factors or current cardiac complaints. ECGs, echocardiograms, and biochemical testing were performed. Results: The study employed 835 individuals with an average age of 19.43±2.12 years. 19.6% of them had hypertension, 5.6% had dyslipidemia, 39.6% were smokers, 2.4% had diabetes mellitus, and 9.8% had a positive family history. Physical activity frequency was not observed in 54% of the patients before enlisting in the military. There was a significant positive correlation between smoking and mental stress (r=1.07, p<0.001). Conclusion: In terms of cardiovascular risk, hypertension and smoking were found to be the most prevalent among the Corps command staff. Therefore, this study provides compelling evidence that military healthcare providers should conduct annual periodic checks on those at risk for cardiovascular diseases.

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“…CSF may generate angina-like chest pain during rest or exertion [ 4 , 5 ]. It has been associated with myocardial ischemia, life-threatening arrhythmias, and sudden cardiac death [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Non-Dipper Blood Pressure Impact on Coronary Slow Flow in Hypertensive Patients With Normal Coronary Arteries

Özen¹,

Karahan²

2023

Cureus

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Objective: Coronary slow flow (CSF) is linked to myocardial ischemia, malignant arrhythmias, and cardiovascular mortality. On the other hand, hypertension (HTN) is an important risk factor for vascular disorders. There is limited research on the relationship between CSF and HTN. This study aimed to investigate TIMI frame count (TFC), which is an indicator of CSF, in dipper and non-dipper hypertensive individuals with normal coronary arteries.Methods: The study was conducted as a retrospective observational study. Patients diagnosed with CSF and dipper or non-dipper hypertension were included in this study. Blood tests were routinely conducted for all patients. ECG was conducted for each patient, and echocardiography was performed. Coronary artery images were obtained in the CAG laboratory. Blood pressure (BP) measurements were obtained from the ambulatory Holter records. The patients were separated into two groups based on ambulatory Holter monitoring. The relationship between CSF and HTN was also examined.Results: A total of 71 patients, comprising 25 women (37.2%) and 46 men (62.8%) with an average age of 52.75±9.42 years, were enrolled in the research. Based on ambulatory BP, the individuals were separated into two groups: non-dipper (n=36) and dipper (n=35). The pulse rate was significantly higher in the non-dipper group (p<0.001). In terms of mean systolic and diastolic blood pressure, there were no substantial differences across the groups (p = 0.326 and p = 0.654, respectively). The daytime mean systolic and diastolic BP did not significantly differ across the groups (p = 0.842 and p = 0.421). The dipper group had substantially lower nighttime systolic and diastolic BP values (p <0.001). The LAD, Cx, and RCA TIMI frame scores were significantly lower in the dipper group (p<0.001). Conclusion:In this study, non-dipper patients had a greater CSF rate than dipper.

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Evaluation of Military Recruits With Complaints of Palpitations After Physical Training: A Study From Turkey

Cited by 4 publications

References 25 publications

Prevalence of Hypertension in Military Personnel: A Study Conducted in Türkiye

Prevalence of Hypertension in Military Personnel: A Study Conducted in Türkiye

Askeri Personelde Kardiyovasküler Risk Faktörlerinin Değerlendirilmesi: Türkiye’de Yapılan Bir Araştırma

Non-Dipper Blood Pressure Impact on Coronary Slow Flow in Hypertensive Patients With Normal Coronary Arteries

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