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Akboga MK, Inanc IH, Sabanoglu C, Akdi A, Yakut I, Yuksekkaya B, Nurkoc S, Yalcin R. Predictors of Acute Stent Thrombosis and High SYNTAX Score in Acute Coronary Syndrome. Angiology 2023; 74:997-998. [PMID: 37461920 DOI: 10.1177/00033197231190510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
Affiliation(s)
- Mehmet Kadri Akboga
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Ibrahim H Inanc
- Department of Cardiology, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey
| | - Cengiz Sabanoglu
- Department of Cardiology, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Idris Yakut
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Baran Yuksekkaya
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Serdar Nurkoc
- Department of Cardiology, Yozgat City Hospital, Yozgat, Turkey
| | - Ridvan Yalcin
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
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2
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Akboga MK, Inanc IH, Sabanoglu C, Akdi A, Yakut I, Yuksekkaya B, Nurkoc S, Yalcin R. Systemic Immune-Inflammation Index and C-Reactive Protein/Albumin Ratio Could Predict Acute Stent Thrombosis and High SYNTAX Score in Acute Coronary Syndrome. Angiology 2022:33197221125779. [PMID: 36069742 DOI: 10.1177/00033197221125779] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Acute stent thrombosis (AST) is associated with increased morbidity and mortality. The main aim of this study was to evaluate the prognostic value of the systemic immune-inflammation index (SII) and C-reactive protein (CRP) to albumin ratio (CAR) in predicting AST and high SYNTAX score in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI). The criteria of the Academic Research Consortium were used to determine definite stent thrombosis. A total of 2077 consecutive patients with ACS undergoing PCI were retrospectively enrolled. Platelet, white blood cell and neutrophil counts, as well as SII, CRP, CAR, and peak cardiac troponin I (cTnI) values were significantly higher, whereas the lymphocyte count and albumin values were significantly lower in the AST (+) group compared with the AST (-) group (P < .05). SYNTAX score showed significant positive correlations with SII (r = .429, P < .001) and CRP (r = .402, P < .001). Multivariate logistic regression analysis showed that SII and CAR, as well as age, diabetes mellitus, stent length, and peak cTnI are independent predictors of AST and high SYNTAX score. In conclusion, the SII and CAR are simple, relatively cheap, and reliable inflammatory biomarkers that can predict AST and high SYNTAX scores in ACS.
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Affiliation(s)
- Mehmet Kadri Akboga
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Ibrahim Halil Inanc
- Department of Cardiology, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey
| | - Cengiz Sabanoglu
- Department of Cardiology, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey
| | - Ahmet Akdi
- Department of Cardiology, 574949Ankara City Hospital University of Health Sciences, Ankara, Turkey
| | - Idris Yakut
- Department of Cardiology, 574949Ankara City Hospital University of Health Sciences, Ankara, Turkey
| | - Baran Yuksekkaya
- Department of Cardiology, 574949Ankara City Hospital University of Health Sciences, Ankara, Turkey
| | - Serdar Nurkoc
- Department of Cardiology, Yozgat City Hospital, Yozgat, Turkey
| | - Ridvan Yalcin
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
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3
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Çakmak Karaaslan Ö, Çöteli C, Özilhan MO, Akdi A, Başyiğit F, Selçuk H, Selçuk MT, Maden O. The predictive value of MAPH score for determining thrombus burden in patients with non-ST segment elevation myocardial infarction. Egypt Heart J 2022; 74:60. [PMID: 35969290 PMCID: PMC9378801 DOI: 10.1186/s43044-022-00299-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 08/08/2022] [Indexed: 08/30/2023] Open
Abstract
Background A high thrombus burden has been connected with poor clinical events in patients with non-ST segment elevation myocardial infarction (NSTEMI). In patients with STEMI, a high MAPH score has been associated with a large thrombus burden. However, the predictive value of the MAPH score in determining the thrombus burden in patients with NSTEMI is unclear. The present report aimed to evaluate the prognostic role of the MAPH score in the estimating coronary thrombus burden in NSTEMI patients. The study patients were split into two groups according to their thrombus grade. The low shear rate (LSR) and high shear rate (HSR) were estimated by haematocrit levels and serum total protein levels. The MAPH score was calculated by adding mean platelet volume (MPV) levels and age, in addition to total protein and haematocrit.
Results The patients with a high thrombus burden (HTB) had a higher LSR, higher HSR and higher MAPH score compared to patients with low thrombus burden. MAPH score was found to be an independent predictors of HTB in Model 1 (OR: 1.124, 95% CI: 1.011–1.536; p = 0.039) and Model 2 (OR: 1.236; 95% CI: 1.002–1.525; p = 0.047). The cut-off value of the MAPH score for predicting HTB was 2 based on the Youden index. Conclusions The MAPH score, which calculated by adding MPV levels and age, in addition to total protein and haematocrit, is a novel, easily accessible score. The MAPH score at both LSR and HSR was an independent predictor of HTB.
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Ertem AG, Ozen Y, Yuksekkaya B, Akif Erdol M, Erdoğan M, Demirtas K, Karanfil M, Akdi A, Yayla C, Burak Akcay A. Association of the Novel Inflammatory Marker Systemic Immune-Inflammation index and Contrast-Induced Nephropathy in Patients Undergoing Transcatheter Aortic Valve Replacement for Severe Aortic Stenosis. Angiology 2022; 73:422-430. [DOI: 10.1177/00033197211045031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
This study investigated whether the systemic immune-inflammation index (SII) is an independent predictor of contrast-induced nephropathy (CIN) in patients undergoing transcatheter aortic valve replacement (TAVR) for severe aortic stenosis. TAVR patients (n = 130) were included in the study. The patients were divided into 2 groups: those who developed CIN [CIN (+)] and those who did not [CIN (−)]. The SII was calculated as the ratio of the product of the total neutrophil count and the total platelet count to the lymphocyte count. CIN developed in 20 (15.3%) patients after TAVR. White blood cell count (7.66 ± 1.75 vs 6.78 ± 1.71 103/mm3 P = .038), neutrophil count (5.1 (3.9–6.7) vs 4.2 (3.5-5.1) 103/mm3 P = .024), neutrophillymphocyte ratio (4.20 (2.39–7.00) vs 2.75 (2.06-3.88), P = .010) and SII index (1069 (616–1514) vs 598 (426-955), P = .003) were at higher levels in patients with CIN. In addition, the SII index was an independent predictor for the development of CIN. The SII index, which can be easily calculated from a complete blood count, is an independent predictor of CIN in patients undergoing TAVR for severe aortic stenosis.
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Affiliation(s)
- Ahmet Goktug Ertem
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Yasin Ozen
- Department of Cardiology, Sivas Numune Hospital, Sivas, Turkey
| | - Baran Yuksekkaya
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Mehmet Akif Erdol
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Mehmet Erdoğan
- Department of Cardiology, Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Koray Demirtas
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Mustafa Karanfil
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Cagri Yayla
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Adnan Burak Akcay
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
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Akdi A, Gayretli Yayla K. Whole blood viscosity in patients with aortic stenosis. Blood Coagul Fibrinolysis 2021; 32:491-495. [PMID: 34475332 DOI: 10.1097/mbc.0000000000001081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Whole blood viscosity (WBV) may promote endothelial shear stress, inflammation, and can accelerate the atherosclerotic process. We aimed to evaluate the relationship between WBV and aortic stenosis. The study included 209 participants of whom 49 patients had severe aortic stenosis, 98 patients had mild-to-moderate aortic stenosis and 62 patients served as control. WBV values were significantly higher for high shear rate (HSR) (P = 0.001) and for low shear rate (LSR) (P = 0.002) in severe aortic stenosis group. HSR and LSR were correlated with mean systolic transaortic gradient (P < 0.001 and P < 0.001, respectively). WBV for both LSR and HSR were found to be independent predictors for the aortic stenosis severity (P = 0.034 and P = 0.049, respectively). We found a significant relationship between WBV and aortic stenosis.
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Affiliation(s)
- Ahmet Akdi
- University of Health Sciences, Department of Cardiology, Ankara City Hospital
| | - Kadriye Gayretli Yayla
- University of Health Sciences, Department of Cardiology, Dr Abdurrahman Yurtaslan Ankara Onkoloji Education and Research Hospital, Ankara, Turkey
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Karanfil M, Gündüzöz M, Karakurt M, Aruğaslan E, Özbay MB, Ünal S, Akbuğa K, Akdi A, Erdöl MA, Ertem AG, Yayla Ç, Özeke Ö. Effect of chelation therapy on arrhythmogenic and basal ECG parameters of lead exposed workers. Arch Environ Occup Health 2021; 77:382-388. [PMID: 33840370 DOI: 10.1080/19338244.2021.1910116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Lead exposure has etiological role on cardiovascular system diseases as hypertension, atherosclerosis, stroke, and arrhythmic events. In this study, we aimed to compare the basal and arrhythmogenic ECG parameters of lead exposed workers before and after chelation therapy and to evaluate the effect of acute change of blood lead levels on ECG. Fourty consecutive occupationally lead exposed workers were enrolled, demographic, blood, echocardiographic, and electrocardiographic data's were analyzed before and after chelation therapy. Pmax, P min, P Wave Dispersion, and QT Dispersion values which are arrhythmia predictors were significantly lower after chelation therapy compared to values before chelation therapy. Lead exposed workers are under the risk of ventricular and atrial arrythmias and chelation treatment has a positive effect on these parameters.
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Affiliation(s)
| | - Meşide Gündüzöz
- Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey
| | - Murat Karakurt
- Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Kürşat Akbuğa
- Rıdvan Ege Medical Faculty, Department of Cardiology, Ufuk University, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Özcan Özeke
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Karaaslan O, Ekizler F, Coteli C, Unal S, Akdi A, Ozilhan M, Maden O. The relationship between monocyte HDL-C ratio and reduced left ventricular systolic function in patients among acute myocarditis. Med-Science 2021. [DOI: 10.5455/medscience.2020.10.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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8
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Akdi A, Ertem AG, Yayla Ç, Erdöl MA, Çakmak Karaaslan Ö, Özilhan MO, Karanfil M, Ertem Ş, Aruğaslan E, Ünal S, Balcı MM, Demirtaş K. Glycosylated Hemoglobin A 1c and Lipoprotein(a) in Patients Presenting With Premature Acute Coronary Syndrome. Angiology 2020; 71:762. [DOI: 10.1177/0003319719897491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | | | | | - Şeyma Ertem
- Department of Pediatrics, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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9
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Erdol MA, Ertem S, Ertem AG, Demirtas K, Unal S, Karanfil M, Akdi A, Yayla C. Adropin: Connection between Nonalcoholic Fatty Liver Disease and Coronary Artery Disease. Med Princ Pract 2020; 29:97. [PMID: 31291637 PMCID: PMC7024872 DOI: 10.1159/000502039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 07/10/2019] [Indexed: 01/01/2023] Open
Affiliation(s)
| | - Seyma Ertem
- bDepartment of Pediatrics, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Ahmet Goktug Ertem
- aDepartment of Cardiology, Ankara City Hospital, Ankara, Turkey
- *Mehmet Akif Erdol, Department of Cardiology, Ankara City Hospital, TR–06800 Ankara (Turkey), E-Mail
| | - Koray Demirtas
- aDepartment of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Unal
- aDepartment of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Ahmet Akdi
- aDepartment of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Cagri Yayla
- aDepartment of Cardiology, Ankara City Hospital, Ankara, Turkey
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10
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Erdol MA, Ertem AG, Demirtas K, Unal S, Karanfil M, Akdi A, Yayla C, Arugarslan E, Coteli C, Ozılhan MO, Karaaslan OC, Akcay AB. Association Between Chronic Obstructive Pulmonary Disease and Coronary Artery Disease Severity. Angiology 2019; 71:380. [DOI: 10.1177/0003319719893559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - Koray Demirtas
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Unal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Cagri Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Arugarslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Cem Coteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Çakmak Karaaslan Ö, Özilhan MO, Çöteli C, Ünal S, Akdi A, Selçuk T, Selçuk H, Maden O. Gender and age differences in patients with atrial fibrillation referred for catheter ablation. Pacing Clin Electrophysiol 2019; 43:158. [PMID: 31782185 DOI: 10.1111/pace.13851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 11/06/2019] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Timur Selçuk
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Hatice Selçuk
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Orhan Maden
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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12
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Aruğaslan E, Karanfil M, Erdöl MA, Çöteli C, Demirtaş K, Akdi A, Ünal S, Karaaslan ÖÇ, Özilhan MO, Yayla Ç, Ertem AG. Role of Rhythm Control in Prevention of Recurrent Stroke. Angiology 2019; 71:382. [DOI: 10.1177/0003319719887650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Özilhan MO, Karaaslan ÖÇ, Çöteli C, Ünal S, Erdöl MA, Karanfil M, Akdi A, Demirtaş K, Aruğaslan E, Ertem AG, Yayla Ç. Is Admission Heart Rate an Optimal Predictor for Coronary Artery Disease Complexity? Angiology 2019; 71:290. [PMID: 31514511 DOI: 10.1177/0003319719874618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Çakmak Karaaslan Ö, Özilhan MO, Ünal S, Karanfil M, Çöteli C, Erdöl MA, Akdi A, Demirtaş K, Aruğaslan E, Ertem AG, Yayla Ç. Contrast-Induced Nephropathy After Acute Myocardial Infarction. Angiology 2019; 71:288. [PMID: 31476882 DOI: 10.1177/0003319719872628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
| | | | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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15
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Çöteli C, Aruğaslan E, Erdöl MA, Karanfil M, Demirtaş K, Akdi A, Ünal S, Çakmak Karaaslan Ö, Özilhan MO, Yayla Ç, Ertem AG. Which Comes First in Contrast-Induced Nephropathy? Inflammation or Thrombus Formation? Angiology 2019; 71:195. [DOI: 10.1177/0003319719871794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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16
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Ünal S, Yayla Ç, Yayla KG, Karanfil M, Ertem AG, Erdöl MA, Demirtaş K, Akdi A, Çöteli C, Özilhan MO, Karaaslan ÖÇ. Anticoagulants and No-Reflow. Angiology 2019; 71:192. [PMID: 31315418 DOI: 10.1177/0003319719863996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Çağri Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Kadriye Gayretli Yayla
- Department of Cardiology, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | | | | | | | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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17
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Yayla Ç, Yayla KG, Karanfil M, Ertem AG, Ünal S, Erdöl MA, Demirtaş K, Akdi A, Çöteli C, Özilhan MO, Karaaslan ÖÇ. The Nonalcoholic Fatty Liver Disease and Cardiovascular Diseases. Angiology 2019; 71:87. [DOI: 10.1177/0003319719863988] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Çağri Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Kadriye Gayretli Yayla
- Department of Cardiology, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | | | | | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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18
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Tekin Tak B, Özcan Çelebi Ö, Küçükşahin O, Tak S, Akdi A, Aydoğdu S. A Rare Cause of Multiple Pseudoaneurysms of Radial Artery After Coronary Angiography: Behcet's Disease. Turk Kardiyol Dern Ars 2019; 47:410-412. [PMID: 31311908 DOI: 10.5543/tkda.2018.73184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Patients with Behçet's disease are at risk for iatrogenic aneurysms after interventions. Presently described is the case of a 55-year-old male with multiple pseudoaneurysms occurring in the late period after a coronary angiography procedure performed via the radial artery. There was no previous diagnosis of vasculitis. Behçet's disease was revealed to be the underlying pathology.
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Affiliation(s)
- Bahar Tekin Tak
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Özlem Özcan Çelebi
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Orhan Küçükşahin
- Department of Rheumatology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Sercan Tak
- Department of Cardiovascular Surgery, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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Ertem Ş, Ertem AG, Erdol MA, Demirtas K, Unal S, Karanfil M, Akdi A, Yayla C. γ-Glutamyltransferase Subtype and Major Adverse Cardiac Events. Angiology 2019; 71:292. [PMID: 31307204 DOI: 10.1177/0003319719862961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- Şeyma Ertem
- Department of Pediatrics, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | | | | | - Koray Demirtas
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Unal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Cagri Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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20
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Affiliation(s)
| | - Kürşat Akbuğa
- Department of Cardiology, Ufuk University Medical Faculty, Ankara, Turkey
| | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Sefa Unal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Burak Açar
- Department of Cardiology, Kocaeli University Medical Faculty, Kocaeli, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Özcan Ozeke
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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21
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Demirtas K, Ertem AG, Akdi A, Tak BT, Ekizler FA, Akboga MK. Status of Diabetes Mellitus or HbA1c Levels for Burden of Coronary Artery Disease. Angiology 2018; 70:185. [DOI: 10.1177/0003319718800542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Koray Demirtas
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ahmet Goktuğ Ertem
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ahmet Akdi
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Bahar Tekin Tak
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | | | - Mehmet Kadri Akboga
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
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22
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Akboga MK, Okutucu S, Ertem AG, Sabanoglu C, Demirtas K, Akdi A, Karanfil M. Systemic Low-Grade Inflammation and Cardiovascular Disease in Systemic Lupus Erythematosus. Angiology 2018; 70:374-375. [PMID: 30122069 DOI: 10.1177/0003319718794326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Mehmet Kadri Akboga
- 1 Department of Cardiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Sercan Okutucu
- 2 Department of Cardiology, Memorial Ankara Hospital, Ankara, Turkey
| | - Ahmet G Ertem
- 1 Department of Cardiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Cengiz Sabanoglu
- 3 Department of Cardiology, Kirikkale Yuksek Ihtisas Hospital, Ankara, Turkey
| | - Koray Demirtas
- 1 Department of Cardiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Ahmet Akdi
- 1 Department of Cardiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Mustafa Karanfil
- 1 Department of Cardiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
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23
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Demirtas K, Yayla Ç, Akdi A, Karanfil M, Akboga MK, Ertem AG. Manual Heating and Prevention of Radial Artery Occlusion. Angiology 2018; 71:473. [PMID: 30103614 DOI: 10.1177/0003319718793808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Koray Demirtas
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Çağri Yayla
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ahmet Akdi
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mustafa Karanfil
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mehmet Kadri Akboga
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ahmet Goktuğ Ertem
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
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24
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Cetin EHO, Cetin MS, Akdi A, Aras D, Topaloglu S, Temizhan A, Aydogdu S. Response to the letter concerning the article: "Platelet distribution width and plateletcrit: novel biomarkers of ST elevation myocardial infarction in young patients". Kardiol Pol 2018; 76:228. [PMID: 29399775 DOI: 10.5603/kp.2018.0023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Accepted: 01/23/2018] [Indexed: 11/25/2022]
Affiliation(s)
| | | | - Ahmet Akdi
- Cardiology Department, Türkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey.
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25
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Cetin MS, Ozcan Cetin EH, Akdi A, Aras D, Topaloglu S, Temizhan A, Aydogdu S. Platelet distribution width and plateletcrit: novel biomarkers of ST elevation myocardial infarction in young patients. Kardiol Pol 2017; 75:1005-1012. [PMID: 28715073 DOI: 10.5603/kp.a2017.0135] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 03/27/2017] [Accepted: 05/11/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND Platelets play a central role in myocardial infarction, and platelet activity can be evaluated with platelet indices, including platelet distribution width (PDW) and plateletcrit (PCT). These indices have been demonstrated as markers of prothrombotic state in cardiovascular diseases. AIM Therefore, we aimed to investigate, the usefulness of these biomarkers in ST-elevation myocardial infarction (STEMI) in young patients. METHODS This cross-sectional study consisted of 565 subjects who were classified into three groups: group 1 (168 young patients with STEMI), group 2 (173 non-young patients with STEMI), and group 3 (224 age-matched controls with angiographically normal coronary arteries). Male patients aged under 45 years and female patients aged under 55 years were defined as young STEMI. RESULTS In group 1, PDW and PCT (17.2 ± 0.67, 0.249 ± 0.05, respectively) were significantly higher than the other groups (group 2, 16.4 ± 0.56, 0.231 ± 0.04; group 3, 15.1 ± 0.63, 0.227 ± 0.04). PDW and PCT had moderate negative correlation (r = -0.305, r = -0.330, respectively) with age and moderate positive correlation with peak creatine kinase MB (r = 0.259, r = 0.320, respectively). At multivariate analysis, adjusted for other factors, 1 fL increase in PDW levels was 13.5% more likely to be associated with young STEMI, and similarly, a 1% increase in PCT levels was 18.9% more likely associated with young STEMI. CONCLUSIONS Platelet distribution width and plateletcrit levels seem to be independent markers of STEMI in young patients and may reflect prothrombotic state in this specific population.
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Affiliation(s)
| | | | - Ahmet Akdi
- Cardiology Department, Türkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey.
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26
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Acar B, Ozeke O, Tak BT, Akdi A, Ekizler FA, Kafes H, Ocak K, Golbasi Z, Tufekcioglu O, Ilkay E. The importance of recognizing the prominent Eustachian valve in the evaluation of atrial septal defects before percutaneous or surgical closure. Indian Heart J 2017. [PMID: 28648433 PMCID: PMC5485441 DOI: 10.1016/j.ihj.2017.04.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Atrial septal defect closure is now routinely performed using a percutaneous approach under echocardiographic guidance. Since some echocardiographic features play an important role in the assessment of the defect and safety of the procedure, the salient features of the anatomical variations seen in adults undergoing transcatheter device closure should be well known to prevent inadvertent adverse effect or complications. It has been reported that the valve of the inferior vena cava, Eustachian valve, could be mistaken as the atrial septum thus ending in a wrong diagnosis and causing inadvertent surgical or percutaneous closure of an Eustachian valve to interatrial septum. We present a concise article that brings out a practical issue encountered during device closure of atrial septal defects.
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Affiliation(s)
- Burak Acar
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Ozcan Ozeke
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
| | - Bahar Tekin Tak
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Ahmet Akdi
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Firdevs Aysenur Ekizler
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Habibe Kafes
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Kadir Ocak
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Zehra Golbasi
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Omac Tufekcioglu
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Erdogan Ilkay
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
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27
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Ozcan Cetin EH, Cetin MS, Canpolat U, Akdi A, Aras D, Temizhan A, Aydogdu S. Platelet-to-lymphocyte ratio as a novel marker of in-hospital and long-term adverse outcomes among patients with acute pulmonary embolism: A single center large-scale study. Thromb Res 2016; 150:33-40. [PMID: 28011405 DOI: 10.1016/j.thromres.2016.12.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Revised: 11/25/2016] [Accepted: 12/08/2016] [Indexed: 11/27/2022]
Abstract
BACKGROUND The interaction of platelets with leukocytes is a well-known process both in progression and prognosis of acute pulmonary embolism (PE). Recently, platelet to lymphocyte ratio (PLR) is emerged as an indirect inflammatory indicator which was shown to be associated with adverse cardiovascular events in various clinical conditions, including acute PE. However, the long-term prognostic value of PLR in acute PE has not been investigated thoroughly. Therefore, we aimed to assess the impact of PLR on both in-hospital and long-term adverse outcomes in acute PE. METHODS A total of 459 patients with definite diagnosis of acute PE between January 2009 and January 2016 were enrolled. On admission, blood sampling to calculate PLR and detailed clinical data were obtained. Patients were divided into tertiles according to the admission PLR levels. Simplified PE severity index (sPESI) score and computerized tomography (CT) based pulmonary artery obstruction index were calculated for each patient. RESULTS Mean sPESI score of the study population was 1.6. A total of 34 patients (7.4%) died during index hospitalization. At median 28.8months follow-up, all-cause mortality was observed in 81 patients (1.9%). Patients in the highest tertile of PLR revealed a higher rate of in-hospital adverse events including cardiogenic shock, the necessity for thrombolytic therapy and in-hospital mortality as well as long-term all-cause mortality. In multivariate analysis, the PLR was found to be a significant predictor of both in-hospital adverse events (OR: 1.588, 95% CI:1.116-2.154, p=0.004) and long-term all-cause mortality (OR:1.746, 95% CI:1.211-2.865, p=0.001). CONCLUSIONS The PLR, as a simple, inexpensive and available marker of inflammatory and prothrombotic status, seemed to be a novel predictor of in-hospital and long-term adverse outcomes in patients with acute PE.
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Affiliation(s)
- Elif Hande Ozcan Cetin
- Turkey Yuksek Ihtisas Training and Research Hospital, Cardiology Department, Ankara, Turkey.
| | - Mehmet Serkan Cetin
- Turkey Yuksek Ihtisas Training and Research Hospital, Cardiology Department, Ankara, Turkey
| | - Ugur Canpolat
- Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
| | - Ahmet Akdi
- Turkey Yuksek Ihtisas Training and Research Hospital, Cardiology Department, Ankara, Turkey
| | - Dursun Aras
- Turkey Yuksek Ihtisas Training and Research Hospital, Cardiology Department, Ankara, Turkey
| | - Ahmet Temizhan
- Turkey Yuksek Ihtisas Training and Research Hospital, Cardiology Department, Ankara, Turkey
| | - Sinan Aydogdu
- Turkey Yuksek Ihtisas Training and Research Hospital, Cardiology Department, Ankara, Turkey
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28
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Ozeke O, Akdi A, Cay S, Ozcan F, Aras D, Topaloglu S. Implantation of a single coil ICD via persistent left superior vena cava. Int J Cardiol 2016; 208:26-7. [PMID: 26826626 DOI: 10.1016/j.ijcard.2016.01.198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Accepted: 01/15/2016] [Indexed: 12/14/2022]
Affiliation(s)
- Ozcan Ozeke
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
| | - Ahmet Akdi
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Serkan Cay
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Firat Ozcan
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Dursun Aras
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Serkan Topaloglu
- Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
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29
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Bilge M, Alemdar R, Ali S, Yasar AS, Kırbas Ö, Akdi A, Kurmus Ö, Aslan T, Koseoglu C, Duran BK, Erdogan M, Sivri S, Süygün H. Carotid Artery Back Pressure and Cerebral Intolerance During the Occlusion in Carotid Stenting with the Mo.Ma Proximal Embolic Protection Device. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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30
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Koçak Ü, Bilen E, Akdi A, Erdoğan M, Ayhan H, Bozkurt E. Assessment of Right Ventricular Function by Echocardiography in Patient with Ischemic Cardiomyopathy and Non-ischemic Cardiomyopathy. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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31
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Bilen E, Akdi A, Tanboga I, Kurt M, Koçak U, Keleş T, Bozkurt E. PP-215 ASSOCIATION OF ADMISSION MEAN PLATELET VOLUME WITH INFARCT RELATED CORONARY ARTERY PATENCY IN PATIENTS WITH ST SEGMENT ELEVATION MYOCARDIAL INFARCTION. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70415-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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