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阿塔图尔克(1881 - 1938 年)的心脏病:一项定性研究

Atatürk's (1881-1938) Heart Disease: A Qualitative Research.

作者信息

Köken Arif Hüdai, Bolat Mahmut, Çelik İbrahim Etem

机构信息

Department of History of Medicine and Ethcis, Kırşehir Ahi Evran University Faculty of Medicine, Kırşehir, Türkiye.

Department of History of Republic, Kırşehir Ahi Evran University Faculty of Science and Letters, Kırşehir, Türkiye.

出版信息

Anatol J Cardiol. 2025 May 29;29(8):431-43. doi: 10.14744/AnatolJCardiol.2025.5379.

Abstract

OBJECTIVE

This study aims to examine Atatürk's heart disease through historical documents and evaluate it in the context of the medical capabilities of the time and current cardiology knowledge. The symptoms, diagnosis, and treatment of his condition, along with physicians' practices, were retrospectively analyzed.

METHODS

Qualitative research methods (document analysis and case study) were employed. Primary sources such as memoirs, newspapers from the period, and official records related to Atatürk's health were examined. The data were thematically analyzed and interpreted by comparing the medical understanding of the era with contemporary cardiology guidelines.

RESULTS

Atatürk experienced 2 cardiac episodes in 1923 and 1927, both characterized by chest pain radiating to the left arm. Due to limited scientific knowledge and the absence of modern diagnostic tools (e.g., ECG, cardiac troponin, echocardiography, angiography), diagnosis was based solely on clinical observation and physical examination. His diagnosis was labeled Angine de Poitrine (angina pectoris), reflecting the terminology of the period. However, in light of current medical knowledge, these episodes can be reinterpreted as acute coronary syndrome (either unstable angina or acute myocardial infarction).

CONCLUSION

This study is one of the first systematic evaluations of Atatürk's heart disease from both historical and cardiological perspectives. It also highlights the evolution of diagnostic and treatment methods in cardiology and underscores the value of historical research in understanding the progression of medical knowledge.

摘要

目的

本研究旨在通过历史文献审视阿塔图尔克的心脏病情况,并结合当时的医学能力和当前的心脏病学知识对其进行评估。回顾性分析了他病情的症状、诊断和治疗情况以及医生的诊疗操作。

方法

采用定性研究方法(文献分析和案例研究)。查阅了回忆录、当时的报纸以及与阿塔图尔克健康相关的官方记录等一手资料。通过将那个时代的医学认知与当代心脏病学指南进行比较,对数据进行了主题分析和解读。

结果

阿塔图尔克在1923年和1927年经历了两次心脏发作,均表现为胸痛放射至左臂。由于科学知识有限且缺乏现代诊断工具(如心电图、心肌肌钙蛋白、超声心动图、血管造影),诊断仅基于临床观察和体格检查。他的诊断被标记为“心绞痛”(Angine de Poitrine),反映了那个时期的术语。然而,根据当前医学知识,这些发作可重新解释为急性冠状动脉综合征(不稳定型心绞痛或急性心肌梗死)。

结论

本研究是从历史和心脏病学角度对阿塔图尔克心脏病进行的首批系统评估之一。它还突出了心脏病学诊断和治疗方法的演变,并强调了历史研究在理解医学知识进展方面的价值。

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