{"id":303,"date":"2025-08-11T13:01:25","date_gmt":"2025-08-11T13:01:25","guid":{"rendered":"https:\/\/esencaninternational.com\/?p=303"},"modified":"2025-08-18T10:57:41","modified_gmt":"2025-08-18T10:57:41","slug":"salgin-hastaliklar-3","status":"publish","type":"post","link":"https:\/\/esencaninternational.com\/tr\/salgin-hastaliklar-3\/","title":{"rendered":"Efor Testi Nedir? Nas\u0131l ve Ni\u00e7in Yap\u0131l\u0131r?"},"content":{"rendered":"\n<p>Kalp damar hastal\u0131klar\u0131 farkl\u0131l\u0131k g\u00f6stermektedir ve bu hastal\u0131klara tan\u0131 koymada \u00e7e\u015fitli tetkikler yap\u0131lmaktad\u0131r. Bu tetkik \u00e7e\u015fitlerinden biri de efor testidir. Efor testinde hasta motorlu ko\u015fu band\u0131na al\u0131n\u0131r ve test s\u00fcresince kan bas\u0131nc\u0131 (tansiyon) ve EKG kayd\u0131 izlenir. Bu nedenle test s\u00fcresinde hastaya kardiyolog doktor ve teknisyen e\u015flik etmektedir. Hareketli bant \u00fczerindeki hastan\u0131n y\u00fcr\u00fcy\u00fc\u015f h\u0131z\u0131 ve e\u011fimi doktor taraf\u0131ndan ayarlan\u0131r, b\u00f6ylece kalp ritminin artmas\u0131 ama\u00e7lan\u0131r. Test esnas\u0131nda hastan\u0131n g\u00f6\u011fs\u00fcnde a\u011fr\u0131, nefes darl\u0131\u011f\u0131, yorgunluk, ba\u015f d\u00f6nmesi vb. gibi \u015fikayetleri sorgulan\u0131r. Efor testi \u00f6ncesinde hastan\u0131n muayenesinin ve istirahat EKG\u2019lerinin izlenmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. \u0130stirahat elektrokardiyografisinde saptanamayan rahats\u0131zl\u0131klar egzersiz testi ile saptanabilir. EKG de\u011fi\u015fikli\u011fi olan hastalar\u0131n testi do\u011fru yorumlanamayabilir. Bu gibi durumlarda hastalara, kendilerine uygun ba\u015fka testler uygulan\u0131r.<\/p>\n\n\n\n<p><strong>Efor testi nas\u0131l yap\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<p>Hastan\u0131n g\u00f6\u011fs\u00fcne elektrodlar\u0131n yap\u0131\u015ft\u0131r\u0131lmas\u0131yla ba\u015flayan istirahat testinde hasta dinlenme halindeyken EKG ile nab\u0131z ve tansiyonu kay\u0131t alt\u0131na al\u0131n\u0131r. \u0130stirahat efor testinin devam\u0131nda ise hasta yatarken, ayakta ve bir dakika s\u00fcreyle derin nefes egzersizleri s\u0131ras\u0131nda da hastan\u0131n EKG\u2019si \u00e7ekilir. Standart testin ba\u015flang\u0131c\u0131nda ko\u015fu band\u0131 yava\u015f ve az e\u011fimle hareket ederken sonras\u0131nda \u00fc\u00e7er dakikada bir h\u0131z ve e\u011fim artt\u0131r\u0131l\u0131r. Testin ba\u015flang\u0131c\u0131nda tempolu y\u00fcr\u00fcmeniz yeterli olacakt\u0131r. \u0130leri a\u015famalarda ise ko\u015fman\u0131z gerekebilir. Uygulanan tempo artt\u0131r\u0131lmalar\u0131n\u0131n sebebi kalbe sistematik bir \u015fekilde artan y\u00fck getirmek ve nabz\u0131n ya\u015f\u0131n\u0131za g\u00f6re hesaplanmas\u0131n\u0131 sa\u011flamakt\u0131r. Bu nedenle yapt\u0131r\u0131lan egzersizler hastan\u0131n ya\u015f\u0131 ve efor kapasitesine g\u00f6re de\u011fi\u015fkenlik g\u00f6sterebilir. Efor testinin ortalama s\u00fcresi 8 ila 10 dakika aras\u0131nda olabilir. Efor testinde hastan\u0131n nabz\u0131 devaml\u0131 olarak takip edilir ve her kademede tansiyon \u00f6l\u00e7\u00fcl\u00fcr.<\/p>\n\n\n\n<p><strong>Efor testi ni\u00e7in yap\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kalp damar hastal\u0131\u011f\u0131 ara\u015ft\u0131r\u0131lmas\u0131<\/li>\n\n\n\n<li>Hastal\u0131\u011f\u0131n ciddiyetinin belirlenmesi<\/li>\n\n\n\n<li>Kalp krizi ge\u00e7iren hastalarda risk d\u00fczeyinin saptanmas\u0131<\/li>\n\n\n\n<li>Tedavinin etkinli\u011finin \u00f6l\u00e7\u00fclmesi<\/li>\n\n\n\n<li>G\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131n\u0131n kalp hastal\u0131\u011f\u0131 kaynakl\u0131 olma ihtimalinin belirlenmesi<\/li>\n\n\n\n<li>40 ya\u015f \u00fcst\u00fc ki\u015filerde \u015fikayet bulunmamas\u0131na ra\u011fmen birden fazla kalp rahats\u0131zl\u0131\u011f\u0131 riski ta\u015f\u0131yan ki\u015filerde kalp damar hastal\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131<\/li>\n\n\n\n<li>Ezersizle ortaya \u00e7\u0131kan kalp ritim bozuklu\u011fu tetkiki<\/li>\n\n\n\n<li>Efor kapasitesinin tespiti<\/li>\n\n\n\n<li>\u00c7e\u015fitli kalp hastal\u0131\u011f\u0131na sahip hastalarda efor kapasitesinin ara\u015ft\u0131r\u0131lmas\u0131<\/li>\n\n\n\n<li>Hipertansiyon hastalar\u0131nda eforun kan bas\u0131nc\u0131 \u00fczerine etkileri<\/li>\n\n\n\n<li>Kalp ameliyat\u0131 (bypass, kalp kapak ameliyatlar\u0131 vb.), koroner damarlara y\u00f6nelik giri\u015fim (balon, stent) uygulanm\u0131\u015f hastalar\u0131n takibi<\/li>\n<\/ul>\n\n\n\n<p>i\u00e7in kullan\u0131lan bir testtir. Efor testi, kalbe y\u00fck bindirildi\u011finde kalbin tepkisini \u00f6l\u00e7er. Bu nedenle efor testi kalp hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131nda kullan\u0131l\u0131r. Testle tan\u0131 konulan kalp hastal\u0131\u011f\u0131nda vakit kaybetmeden tedaviye ba\u015flanabilir.<\/p>\n\n\n\n<p><strong>Efor testi kimlere yap\u0131lmamal\u0131?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Konjestif kalp yetmezli\u011fi olanlar<\/li>\n\n\n\n<li>\u0130leri d\u00fczeyde aort kapak darl\u0131\u011f\u0131 olanlar<\/li>\n\n\n\n<li>Ciddi hipertrofik kardimyopatisi olanlar<\/li>\n\n\n\n<li>Malign hipertansiyonu olanlar<\/li>\n\n\n\n<li>\u0130leri derecede kalp ritm bozukluklar\u0131 olanlar<\/li>\n\n\n\n<li>Kalp adale veya zar\u0131 iltihab\u0131 hastal\u0131\u011f\u0131 olanlarda<\/li>\n<\/ul>\n\n\n\n<p>efor testi yap\u0131lamaz. Yukar\u0131da belirtilen hastalarda efor testinin uygulanmas\u0131 ciddi rahats\u0131zl\u0131klara yol a\u00e7abilir.<\/p>\n\n\n\n<p><strong>Efor testinden \u00f6nce dikkat edilmesi gerekenler<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yakla\u015f\u0131k 3 saat \u00f6ncesine kadar bir \u015fey yenmemeli<\/li>\n\n\n\n<li>Sigara i\u00e7ilmemeli<\/li>\n\n\n\n<li>S\u00fcrekli kullan\u0131lan ila\u00e7lar hakk\u0131nda doktor bilgilendirilmeli<\/li>\n\n\n\n<li>\u00d6ncesinde \u00e7ekilen EKG\u2019niz var ise doktora g\u00f6sterilmeli<\/li>\n\n\n\n<li>Kad\u0131nlar tek par\u00e7a k\u0131yafet giymemeli<\/li>\n\n\n\n<li>Erkekler g\u00f6\u011f\u00fcs k\u0131llar\u0131n\u0131 t\u0131ra\u015f etmeli<\/li>\n\n\n\n<li>Test esnas\u0131nda yak\u0131nman\u0131z olur ise doktora aktar\u0131lmal\u0131<\/li>\n\n\n\n<li>Dideral, Visken, Lopresol, Prent, Nortan, Tensinor, Beloc, Concor, Dilatrend, Digoxin vb. kalp ritmini etkileyici ila\u00e7 kullanan hastalar test \u00f6ncesinde ila\u00e7 kullan\u0131m\u0131n\u0131n azalt\u0131lmas\u0131 veya kesilmesi konusunda doktora dan\u0131\u015fmal\u0131<\/li>\n\n\n\n<li>Hipertansiyon hastalar\u0131 tansiyon d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7 al\u0131m\u0131 konusunda doktora dan\u0131\u015fmal\u0131<\/li>\n<\/ul>\n\n\n\n<p>Salg\u0131n Hastal\u0131klar 3<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kalp damar hastal\u0131klar\u0131 farkl\u0131l\u0131k g\u00f6stermektedir ve bu hastal\u0131klara tan\u0131 koymada \u00e7e\u015fitli tetkikler yap\u0131lmaktad\u0131r. Bu tetkik \u00e7e\u015fitlerinden biri de efor testidir. Efor testinde hasta motorlu ko\u015fu band\u0131na al\u0131n\u0131r ve test s\u00fcresince kan bas\u0131nc\u0131 (tansiyon) ve EKG kayd\u0131 izlenir. Bu nedenle test s\u00fcresinde hastaya kardiyolog doktor ve teknisyen e\u015flik etmektedir. Hareketli bant \u00fczerindeki hastan\u0131n y\u00fcr\u00fcy\u00fc\u015f h\u0131z\u0131 ve [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":768,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[62,1],"tags":[],"class_list":["post-303","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kardioloji","category-uncategorized-tr"],"acf":[],"_links":{"self":[{"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/posts\/303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/comments?post=303"}],"version-history":[{"count":2,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/posts\/303\/revisions"}],"predecessor-version":[{"id":604,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/posts\/303\/revisions\/604"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/media\/768"}],"wp:attachment":[{"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/media?parent=303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/categories?post=303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/esencaninternational.com\/tr\/wp-json\/wp\/v2\/tags?post=303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}