The echocardiographic assesment of subclinical cardiac involvement in patients with nasal septum deviation

Nasal septum deviation is one of the most frequently encountered nasal pathology in ear nose throat clinics with a high prevelance among the adult population. Diseas with a high comorbidity such as Obstructive Sleep Apnea Syndrome(OSAS), among whose etiology septum deviation takes place, can cause subclinical patologies like atrial fibrilation.In this study, patients who have nasal septum deviation and who do not have other forms of nasal pathologies, are compared with other healthy patients who do not have any nasal pathologies.In the study, the patient and the control group are subjected to visual anologue scale (VAS), rhinomanometry, echocardiography and surface electrocardiography and the results are compared between two groups. In the patient group while the VAS and transnasal pressure were found meaningful higher, the transnasal flow was found meaningful lower than the control group. In the patient group PA septum, PA tricuspide, PA lateral-tricuspide, PA septum-tricuspide values, which domanstrate that interatrial and intraatrial conduction prolonged, were found meningful higher than the control group. In the patient group left atrium width (LA), LA volume maximum, LA volume minimum and LA volume p values, which show the size of left atrium, were found meningful high in comparison to the control group. As a result of the data obtained from this study, the dissertation domanstrates that nasal septumdeviation can cause subclinical cardiac pathologies such as atrial fibrilation and these pathologies can be detected with noninvasive methods such as echocardiography. Keywords: Nasal septum deviation, atrial fibrilation, echocardiography, rhinomanometry.