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Tekinalp A, Gedük A, Akdeniz A, Terzi Demirsoy E, Gürsoy V, Aslaner Ak M, Bağcı M, Seçilmiş S, Keklik Karadağ F, Oruç Uysal A, Doğan A, Demircioğlu S, Erol HA, Aslan C, Özkalemkaş F, Ertop Ş, Dağlı M, Dal MS, Saydam G, Merter M, Ural C, Çeneli Ö. Experience of Daratumumab in Relapsed/Refractory Multiple Myeloma: A Multicenter Study from Türkiye. Turk J Haematol 2023; 40:242-250. [PMID: 37961952 PMCID: PMC10701322 DOI: 10.4274/tjh.galenos.2023.2023.0029] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 11/13/2023] [Indexed: 11/15/2023] Open
Abstract
Objective This study aimed to evaluate patients with relapsed/refractory multiple myeloma (RRMM) who underwent daratumumab (DARA) therapy. Materials and Methods This multicenter retrospective study included 134 patients who underwent at least two courses of DARA from February 1, 2018, to April 15, 2022. Epidemiological, disease, and treatment characteristics of patients and treatment-related side effects were evaluated. Survival analysis was performed. Results The median age at the start of DARA was 60 (range: 35-88), with 56 patients (41.8%) being female and 48 (58.2%) being male. The median time to initiation of DARA and the median follow-up time were 41.2 (5.1-223) and 5.7 (2.1-24.1) months, respectively. The overall response rate after DARA therapy was 75 (55.9%), and very good partial response or better was observed in 48 (35.8%) patients. Overall survival (OS) and progression-free survival (PFS) for all patients were 11.6 (7.8-15.5) and 8.0 (5.1-10.9) months, respectively. OS was higher for patients undergoing treatment with DARA and bortezomib-dexamethasone (DARA-Vd) compared to those undergoing treatment with DARA and lenalidomide-dexamethasone (DARA-Rd) (16.9 vs. 8.3 months; p=0.014). Among patients undergoing DARA-Rd, PFS was higher in those without extramedullary disease compared to those with extramedullary disease (not achieved vs. 3.7 months; odds ratio: 3.4; p<0.001). The median number of prior therapies was 3 (1-8). Initiation of DARA therapy in the early period provided an advantage for OS and PFS, although it was statistically insignificant. Infusion-related reactions were observed in 18 (13.4%) patients. All reactions occurred during the first infusion and most reactions were of grade 1 or 2 (94.5%). The frequency of neutropenia and thrombocytopenia was higher in the DARA-Rd group (61.9% vs. 24.7%, p<0.001 and 42.9% vs. 15.7%, p<0.001). Conclusion Our study provides real-life data in terms of DARA therapy for patients with RRMM and supports the early initiation of DARA therapy.
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Affiliation(s)
- Atakan Tekinalp
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Konya, Türkiye
| | - Ayfer Gedük
- Kocaeli University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Kocaeli, Türkiye
| | - Aydan Akdeniz
- Mersin University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Mersin, Türkiye
| | - Esra Terzi Demirsoy
- University of Health Sciences Türkiye, Derince Training and Research Hospital, Clinic of Hematology, Kocaeli, Türkiye
| | - Vildan Gürsoy
- Bursa City Hospital, Clinic of Hematology, Bursa, Türkiye
| | - Müzeyyen Aslaner Ak
- Bülent Ecevit University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Zonguldak, Türkiye
| | - Metin Bağcı
- Selçuk University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Konya, Türkiye
| | - Sema Seçilmiş
- Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Clinic of Hematology, Ankara, Türkiye
| | - Fatma Keklik Karadağ
- Ege University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, İzmir, Türkiye
| | - Ayşe Oruç Uysal
- Fırat University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Elazığ, Türkiye
| | - Ali Doğan
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Van, Türkiye
| | - Sinan Demircioğlu
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Konya, Türkiye
| | - Haşim Atakan Erol
- Kocaeli University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Kocaeli, Türkiye
| | - Ceyda Aslan
- University of Health Sciences Türkiye, Derince Training and Research Hospital, Clinic of Hematology, Kocaeli, Türkiye
| | - Fahir Özkalemkaş
- Bursa Uludağ University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Bursa, Türkiye
| | - Şehmus Ertop
- Bülent Ecevit University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Zonguldak, Türkiye
| | - Mehmet Dağlı
- Selçuk University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Konya, Türkiye
| | - Mehmet Sinan Dal
- Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Clinic of Hematology, Ankara, Türkiye
| | - Güray Saydam
- Ege University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, İzmir, Türkiye
| | - Mustafa Merter
- Fırat University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Elazığ, Türkiye
| | - Cihan Ural
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Van, Türkiye
| | - Özcan Çeneli
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Hematology, Division of Internal Medicine, Konya, Türkiye
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Karanfil E, Doğan A, Görgü M. Reply: Comparison of Two Anticoagulants for Pain Associated with Platelet-Rich Plasma Injections. Aesthetic Plast Surg 2023:10.1007/s00266-023-03652-0. [PMID: 37737874 DOI: 10.1007/s00266-023-03652-0] [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] [Received: 08/07/2023] [Accepted: 09/07/2023] [Indexed: 09/23/2023]
Abstract
We read the letter titled "Comparison of Two Anticoagulants for Pain Associated with Platelet-Rich Plasma Injections" authored by Pensato et al. in Aesthetic Plastic Surgery. The authors emphasized an important point. PRP treatments have a lot of variables; preparation method, application, amount of PRP injections, and content (such as number of platelet concentration, presence of leucocytes, and pH). However, in our study, we focused on the pain of injections. We showed that there is a pain difference by using different anticoagulants during PRP preparation, but we did not investigate for possible reason of this pain difference. The use of different anticoagulants may have caused changes in the content, and these alterations could be responsible for the variation in pain. Researches could be done to investigate the reason and the physiology of this effect.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Ertuğrul Karanfil
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, 14280, GölköyBolu, Turkey
| | - Ali Doğan
- Avicenna Atasehir International Hospital, Ataşehir, Küçükbakkalköy mah. Kayışdağı Cad. No:47, 34750, İstanbul, Turkey
| | - Metin Görgü
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, 14280, GölköyBolu, Turkey.
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Burulday V, Çelebi UO, Öğden M, Akgül MH, Doğan A, Özveren MF. Preoperative and postoperative ultrasound elastography findings of the sciatic nerve in patients with unilateral lumbar foraminal disc herniation: a pre-test and post-test design. Eur Rev Med Pharmacol Sci 2022; 26:1923-1929. [PMID: 35363341 DOI: 10.26355/eurrev_202203_28338] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The aim of this study was to compare preoperative and postoperative findings of the sciatic nerve by using B-mode ultrasound, strain elastography (SE), and shear wave elastography (SWE) in patients with unilateral lumbar foraminal disc herniation. PATIENTS AND METHODS In this prospective study group, patients with complaints of foraminal disc herniation due to one level (L4-5 or L5-S1) were included. Preoperative and postoperative (one month after surgery) B-mode ultrasound, SE, and SWE findings of the affected sciatic nerve in patients who underwent unilateral spinal decompression surgery were compared. Evaluations were performed on the axial plane from the gluteal region using a convex probe of 5-9L MHz. The reference method used to assess nerve root compression was 1.5-T Magnetic Resonance Imaging (MRI). RESULTS A total of 20 patients (9 males, 11 females) with a mean age of 46.2±13.1 years were included. The cross-sectional area (CSA), diameter, SWE values of the sciatic nerve were significantly higher in the affected side compared to those of the non-affected side (all for p<0.05). Blue and blue-green were the most common color codes in the affected side while green and green-yellow-red were the most common color codes in the non-affected side. The CSA, diameter, and SWE values of the sciatic nerve decreased after the surgery in the affected side (all for p<0.05), nonetheless. those did not differ in the non-affected side (all for p>0.05). CONCLUSIONS Lumbar decompression surgery decreases the sciatic nerve diameter, CSA, and stiffness of the sciatic nerve.
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Affiliation(s)
- V Burulday
- Department of Radiology, Inonu University, Faculty of Medicine, Malatya, Turkey.
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Akdeniz A, Ünüvar A, Ar MC, Pekpak E, Akyay A, Mehtap Ö, Karadağ FK, Acıpayam C, Doğan A, Ekinci Ö, Köker SA, Albayrak C, Demirci U, Güney T, Kurt M, Karaman S, Kimyon ÖŞ, Albayrak S, Öncül Y, Ünal S, Şahin F, Tuna R, Zulfikar B, Apak BB, Ümit EG, Demir AM. Results of multicenter registry for patients with inherited factor VII deficiency in Turkey. Scand J Clin Lab Invest 2021; 82:28-36. [PMID: 34915774 DOI: 10.1080/00365513.2021.2013524] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Inherited factor VII (FVII) deficiency (FVIID) is the most common of inherited rare bleeding disorders. Other determinants of clinical severity apart from FVII level (FVIIL) include genetic and environmental factors. We aimed to identify the cut-off FVIILs for general and severe bleedings in patients with FVIID by using an online national registry system including clinical, laboratory, and demographic characteristics of patients. METHODS Demographic, clinical, and laboratory data of patients with FVIID extracted from the national database, constituted by the Turkish Society of Hematology, were examined. Bleeding phenotypes, general characteristics, and laboratory features were assessed in terms of FVIILs. Bleeding rates and prophylaxis during special procedures/interventions were also recorded. RESULTS Data from 197 patients showed that 46.2% of patients had FVIIL< 10%. Most bleeds were of mucosal origin (67.7%), and severe bleeds tended to occur in younger patients (median age: 15 (IQR:6-29)). Cut-off FVIILs for all and severe bleeds were 16.5% and 7.5%, respectively. The major reason for long-term prophylaxis was observed as central nervous system bleeding (80%). CONCLUSION Our data are consistent with most of the published literature in terms of cut-off FVIIL for bleeding, as well as reasons for prophylaxis, showing both an increased severity of bleeding and younger age at diagnosis with decreasing FVIIL. However, in order to offer a classification similar to that in Hemophilia A or B, data of a larger cohort with information about environmental and genetic factors are required.
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Affiliation(s)
- Aydan Akdeniz
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Mersin University, Mersin, Turkey
| | - Ayşegül Ünüvar
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Istanbul University Hospital, Istanbul, Turkey
| | - Muhlis Cem Ar
- Division of Hematology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Esra Pekpak
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Gaziantep Children's Hospital, Gaziantep, Turkey
| | - Arzu Akyay
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Inonu University, Malatya, Turkey
| | - Özgür Mehtap
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Kocaeli University, Kocaeli, Turkey
| | - Fatma Keklik Karadağ
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Ege University, İzmir, Turkey
| | - Can Acıpayam
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Sutcu Imam University, Kahramanmaras, Turkey
| | - Ali Doğan
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Yuzuncu Yıl University, Van, Turkey
| | - Ömer Ekinci
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Firat University, Elazığ, Turkey
| | - Sultan Aydın Köker
- Department of Pediatric Hematology and Oncology, Antakya State Hospital, Antakya, Turkey
| | - Canan Albayrak
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Ondokuz Mayıs University, Samsun, Turkey
| | - Ufuk Demirci
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Trakya University, Edirne, Turkey
| | - Tekin Güney
- Department of Hematology, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Meltem Kurt
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Ankara University, Ankara, Turkey
| | - Serap Karaman
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Istanbul University Hospital, Istanbul, Turkey
| | - Özge Şahin Kimyon
- Division of Hematology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sinan Albayrak
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Gaziantep Children's Hospital, Gaziantep, Turkey
| | - Yurday Öncül
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Inonu University, Malatya, Turkey
| | - Serkan Ünal
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Kocaeli University, Kocaeli, Turkey
| | - Fahri Şahin
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Ege University, İzmir, Turkey
| | - Rumeysa Tuna
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Medical Faculty, Istanbul University Hospital, Istanbul, Turkey
| | - Bulent Zulfikar
- Division of Pediatric Hematology-Oncology, Istanbul University, Cerrahpasa Medical Faculty & Istanbul University Oncology Institute, Istanbul, Turkey
| | - Burcu Belen Apak
- Division of Pediatric Hematology-Oncology, Department of Pediatrics, Baskent University, Ankara, Turkey
| | - Elif Gülsüm Ümit
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Trakya University, Edirne, Turkey
| | - Ahmet Muzaffer Demir
- Division of Hematology, Department of Internal Medicine, Medical Faculty, Trakya University, Edirne, Turkey
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5
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Civriz Bozdağ S, Cengiz Seval G, Yönal Hindilerden İ, Hindilerden F, Andıç N, Baydar M, Aydın Kaynar L, Koçak Toprak S, Göksoy HS, Balık Aydın B, Demirci U, Can F, Özkocaman V, Gündüz E, Güven ZT, Özkurt ZN, Demircioğlu S, Beksaç M, İnce İ, Yılmaz U, Eroğlu Küçükdiler H, Abishov E, Yavuz B, Ataş Ü, Mutlu YG, Baş V, Özkalemkaş F, Üsküdar Teke H, Gürsoy V, Çelik S, Çiftçiler R, Yağcı M, Topçuoğlu P, Çeneli Ö, Abbasov H, Selim C, Ar MC, Yücel OK, Sadri S, Albayrak C, Demir AM, Güler N, Keklik M, Terzi H, Doğan A, Yegin ZA, Kurt Yüksel M, Sadri S, Yavaşoğlu İ, Beköz HS, Aksu T, Maral S, Erol V, Kaynar L, İlhan O, Bolaman AZ, Sevindik ÖG, Akyay A, Özcan M, Gürman G, Ünal Ş, Yavuz Y, Diz Küçükkaya R, Özsan GH. Clinical Characteristics and Outcome of COVID-19 in Turkish Hematological Malignancy Patients. Turk J Haematol 2021; 39:43-54. [PMID: 34521187 PMCID: PMC8886271 DOI: 10.4274/tjh.galenos.2021.2021.0287] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 12/01/2022] Open
Abstract
Objective: Patients with solid malignancies are more vulnerable to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection than the healthy population. The outcome of SARS-CoV-2 infection in highly immunosuppressed populations, such as in patients with hematological malignancies, is a point of interest. We aimed to analyze the symptoms, complications, intensive care unit admissions, and mortality rates of patients with hematological malignancies infected with SARS-CoV-2 in Turkey. Materials and Methods: In this multicenter study, we included 340 adult and pediatric patients diagnosed with SARS-CoV-2 from March to November 2020. Diagnosis and status of primary disease, treatment schedules for hematological malignancies, time from last treatment, life expectancy related to the hematological disease, and comorbidities were recorded, together with data regarding symptoms, treatment, and outcome of SARS-CoV-2 infection. Results: Forty four patients were asymptomatic at diagnosis of SARS-CoV- 2 infection. Among symptomatic patients, fever, cough, and dyspnea were observed in 62.6%, 48.8%, and 41.8%, respectively. Sixty-nine (20%) patients had mild SARS-CoV-2 disease, whereas moderate, severe, and critical disease was reported in 101 (29%), 71 (20%), and 55 (16%) patients, respectively. Of the entire cohort, 251 (73.8%) patients were hospitalized for SARS-CoV-2. Mortality related to SARS-CoV-2 infection was 26.5% in the entire cohort; this comprised 4.4% of those patients with mild disease, 12.4% of those with moderate disease, and 83% of those with severe or critical disease. Active hematological disease, lower life expectancy related to primary hematological disease, neutropenia at diagnosis of SARS-CoV-2, ICU admission, and first-line therapy used for coronavirus disease-2019 treatment were found to be related to higher mortality rates. Treatments with hydroxychloroquine alone or in combination with azithromycin were associated with a higher rate of mortality in comparison to favipiravir use. Conclusion: Patients with hematological malignancy infected with SARS-CoV-2 have an increased risk of severe disease and mortality.
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Affiliation(s)
- Sinem Civriz Bozdağ
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | | | - İpek Yönal Hindilerden
- İstanbul University, İstanbul Faculty of Medicine, Department of Internal Medicine, İstanbul, Turkey
| | - Fehmi Hindilerden
- İstanbul Bakırköy Sadi Konuk Training and Research Hospital, Clinic of Hematology, İstanbul, Turkey
| | - Neslihan Andıç
- Eskişehir Osmangazi University Faculty of Medicine, Department of Hematology, Eskisehir, Turkey
| | - Mustafa Baydar
- Erciyes University Faculty of Medicine, Department of Internal Medicine, Kayseri, Turkey
| | - Lale Aydın Kaynar
- Gazi University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Selami Koçak Toprak
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Hasan Sami Göksoy
- Yeni yüzyıl University, Özel Gaziosmanpaşa Hospital, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
| | - Berrin Balık Aydın
- Medipol University Faculty of Medicine, Department of Internal Medicine, İstanbul, Turkey
| | - Ufuk Demirci
- Trakya University Faculty of Medicine, Department of Hematology, Edirne, Turkey
| | - Ferda Can
- Ankara City Hospital, Clinic of Internal Medicine, Ankara, Turkey
| | - Vildan Özkocaman
- Bursa Uludağ University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Bursa, Turkey
| | - Eren Gündüz
- Eskişehir Osmangazi University Faculty of Medicine, Department of Hematology, Eskisehir, Turkey
| | - Zeynep Tuğba Güven
- Erciyes University Faculty of Medicine, Department of Internal Medicine, Kayseri, Turkey
| | - Zübeyde Nur Özkurt
- Gazi University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Sinan Demircioğlu
- Necmettin Erbakan University, Meram Faculty of Medicine, Department of Hematology, Konya, Turkey
| | - Meral Beksaç
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - İdris İnce
- Dr. Ersin Arslan Training and Research Hospital, Clinic of Hematology, Gaziantep, Turkey
| | - Umut Yılmaz
- İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
| | | | - Elgün Abishov
- Yeni yüzyıl University, Özel Gaziosmanpaşa Hospital, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
| | - Boran Yavuz
- Dokuz Eylül University Faculty of Medicine, Department of Hematology, İzmir, Turkey
| | - Ünal Ataş
- Akdeniz University Faculty of Medicine, Department of Hematology, Antalya, Turkey
| | - Yaşa Gül Mutlu
- Medipol University Faculty of Medicine, Department of Internal Medicine, İstanbul, Turkey
| | - Volkan Baş
- Trakya University Faculty of Medicine, Department of Hematology, Edirne, Turkey
| | - Fahir Özkalemkaş
- Bursa Uludağ University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Bursa, Turkey
| | - Hava Üsküdar Teke
- Eskişehir Osmangazi University Faculty of Medicine, Department of Hematology, Eskisehir, Turkey
| | - Vildan Gürsoy
- Bursa City Hospital, Clinic of Hematology, Bursa, Turkey
| | - Serhat Çelik
- Erciyes University Faculty of Medicine, Department of Internal Medicine, Kayseri, Turkey
| | - Rafiye Çiftçiler
- Aksaray Training and Research Hospital, Clinic of Hematology, Aksaray, Turkey
| | - Münci Yağcı
- Gazi University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Pervin Topçuoğlu
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Özcan Çeneli
- Necmettin Erbakan University, Meram Faculty of Medicine, Department of Hematology, Konya, Turkey
| | - Hamza Abbasov
- Yeni yüzyıl University, Özel Gaziosmanpaşa Hospital, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
| | - Cem Selim
- Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, Turkey
| | - Muhlis Cem Ar
- İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
| | - Orhan Kemal Yücel
- Akdeniz University Faculty of Medicine, Department of Hematology, Antalya, Turkey
| | - Sevil Sadri
- Medipol University Faculty of Medicine, Department of Internal Medicine, İstanbul, Turkey
| | - Canan Albayrak
- Ondokuz Mayıs University Faculty of Medicine, Department of Pediatric Hematology, Samsun, Turkey
| | | | - Nil Güler
- Pamukkale University Faculty of Medicine, Department of Internal Medicine, Denizli, Turkey
| | - Muzaffer Keklik
- Erciyes University Faculty of Medicine, Department of Internal Medicine, Kayseri, Turkey
| | - Hatice Terzi
- Cumhuriyet University Faculty of Medicine, Department of Hematology, Sivas, Turkey
| | - Ali Doğan
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Hematology, Van, Turkey
| | - Zeynep Arzu Yegin
- Gazi University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Meltem Kurt Yüksel
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Soğol Sadri
- Yeni yüzyıl University, Özel Gaziosmanpaşa Hospital, Department of Internal Medicine, Division of Hematology, İstanbul, Turkey
| | - İrfan Yavaşoğlu
- Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, Turkey
| | - Hüseyin Saffet Beköz
- Medipol University Faculty of Medicine, Department of Internal Medicine, İstanbul, Turkey
| | - Tekin Aksu
- University of Health Sciences Turkey, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Department of Pediatric Hematology and Oncology, Ankara, Turkey
| | - Senem Maral
- University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Hematology, Ankara, Turkey
| | - Veysel Erol
- Pamukkale University Faculty of Medicine, Department of Internal Medicine, Denizli, Turkey
| | - Leylagül Kaynar
- Erciyes University Faculty of Medicine, Department of Internal Medicine, Kayseri, Turkey
| | - Osman İlhan
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Ali Zahit Bolaman
- Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, Turkey
| | - Ömür Gökmen Sevindik
- Medipol University Faculty of Medicine, Department of Internal Medicine, İstanbul, Turkey
| | - Arzu Akyay
- İnönü University Faculty of Medicine, Department of Pediatric Hematology and Oncology, Malatya, Turkey
| | - Muhit Özcan
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Günhan Gürman
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Şule Ünal
- Hacettepe University Faculty of Medicine, Department of Pediatric Hematology, Ankara, Turkey
| | - Yasemin Yavuz
- Ankara University Faculty of Medicine, Department of Hematology, Ankara, Turkey
| | - Reyhan Diz Küçükkaya
- İstanbul University Faculty of Science, Department of Molecular Biology and Genetic, İstanbul, Turkey
| | - Güner Hayri Özsan
- Dokuz Eylül University Faculty of Medicine, Department of Hematology, İzmir, Turkey
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Elçik D, Duran M, Keleşoğlu Ş, Çetinkaya Z, Boyluğ S, Yurt R, Doğan A, İnanç MT, Kalay N. Effect of nondipper hypertension on coronary artery disease progression in patients with chronic coronary syndrome. Turk J Med Sci 2021; 51:1273-1280. [PMID: 33453712 PMCID: PMC8283452 DOI: 10.3906/sag-2011-225] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 01/16/2021] [Indexed: 11/18/2022] Open
Abstract
Background/aim It has been suggested that there is a significant progress in coronary artery disease (CAD) by many pathophysiological mechanisms. Nondipper hypertension (NDH) has been shown to have higher target organ damage and have a higher rate of cardiovascular mortality and morbidity. In this study, we investigated the effect of nondipper hypertension on the progression of coronary atherosclerosis. Materials and methods A total of 186 patients who underwent coronary angiography twice between 6 months and 3 years were included in the study. Coronary angiography was repeated on the admission day due to angina or positive exercise test and the patients were divided into groups. Results Progression of coronary artery disease was detected in 58 of 186 patients. Seventy-one of the total patients were found to be nondipper hypertensive. Nondipper hypertension, hypertension, diabetes mellitus, low-density lipoprotein, and total cholesterol were found to be effective in the progression of CAD. Among these parameters, it was seen that nondipper hypertension and hyperlipidemia were the most important independent risk factors. Conclusion Coronary artery disease is a progressive disease, and this progression depends on many reasons. In our study, we showed that nondipper hypertension is a new parameter that is effective in CAD progression.
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Affiliation(s)
- Deniz Elçik
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Mustafa Duran
- Department of Cardiology, Ankara Research and Education Hospital, Ankara, Turkey
| | - Şaban Keleşoğlu
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Zeki Çetinkaya
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Sibel Boyluğ
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Rıdvan Yurt
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Ali Doğan
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Mehmet Tuğrul İnanç
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Nihat Kalay
- Department of Cardiology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
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Doğan A, Şengül İ, Aşkın A, Tosun A. Effect of static knee joint flexion on vastus medialis obliquus fiber angle in patellofemoral pain syndrome: An ultrasonographic study. PM R 2021; 14:802-810. [PMID: 34165244 DOI: 10.1002/pmrj.12655] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 05/30/2021] [Accepted: 06/11/2021] [Indexed: 11/12/2022]
Abstract
INTRODUCTION In patients with patellofemoral pain syndrome, the vastus medialis obliquus muscle fiber angle measured by ultrasound at knee extension was found to be different from that in healthy individuals. An important feature of patellofemoral pain syndrome is the increase in pain severity during activities that require knee flexion. OBJECTIVE To investigate whether there was an ultrasonographic change in the vastus medialis obliquus fiber angle by flexing the knee joint in patients with patellofemoral pain syndrome compared to healthy pain-free individuals. DESIGN A cross-sectional clinical study. SETTING An outpatient clinic of a tertiary care hospital. PARTICIPANTS Forty-seven patients with patellofemoral pain syndrome (median age of 40 years) and 43 healthy volunteers (median age of 39 years) were included in the study. INTERVENTIONS No intervention. MAIN OUTCOME MEASURES Vastus medialis obliquus fiber angle measured by ultrasonography at three different positions of knee joint including extension, 30° of flexion, and 45° of flexion. RESULTS There was no significant change in the vastus medialis obliquus fiber angle with knee flexion in both groups (p > .05 for each group). However, the median vastus medialis obliquus fiber angle values in the group with patellofemoral pain syndrome were significantly lower at all knee joint angles than those in the comparison group (p < .05 at all knee joint angles). CONCLUSIONS Although the vastus medialis obliquus fiber angle does not change with static knee flexion, the lower angle of the vastus medialis obliquus fiber in those with patellofemoral pain syndrome implicitly suggests that vastus medialis obliquus dysfunction may exist.
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Affiliation(s)
- Ali Doğan
- Department of Physical Medicine and Rehabilitation, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey
| | - İlker Şengül
- Department of Physical Medicine and Rehabilitation, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey
| | - Ayhan Aşkın
- Department of Physical Medicine and Rehabilitation, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey
| | - Aliye Tosun
- Department of Physical Medicine and Rehabilitation, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey
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Gökkaya A, Görgü M, Kızılkan J, Karanfil E, Doğan A. The measurement of wound tensile strength and the effect of PRP on wound tensile force: an experimental investigation on rabbits. J Plast Surg Hand Surg 2021; 56:38-46. [PMID: 34106813 DOI: 10.1080/2000656x.2021.1914637] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Platelets in PRP are used for their functions in the initiation and regulation of the wound healing process and are used for the repair of injured tissues and the rejuvenation of healthy tissues. In this study, we evaluated the effect of a single dose platelet-rich plasma on skin wound healing and we demonstrated the effect of platelet-rich plasma on skin wound healing by measuring changes in the wound tensile strength.Material and methods: A total of 8 incisions, each 3 cm long, were made on the back skin on both sides of the vertebral column of 12 rabbits. After suturing their backs with staples, platelet rich plasma (PRP) was injected into the edges of the wounds on the left side and saline solution (saline) was injected into the edges of the wounds on the right side. The tensile force that causes wounds to rupture by applying tension was measured on the 7th, 14th, 21st, and 28th days with the help of a special home-designed device.Results: The mean PRP enrichment was 3.19 fold over peripheral blood. The saline to PRP tensile strength ratios on the 7th, 14th, 21st, and 28th days were calculated as 75.7%, 104.0%, 105.3% and 86.5%, respectively. Overall, the difference in the tensile strength for wounds that had received saline or PRP was in-significant.Conclusion: The application of PRP increases the tensile strength of the wound in the early period. It is possible to measure the tensile strength precisely in in vivo studies with economical home-designed devices.
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Affiliation(s)
- Ali Gökkaya
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, Bolu, Turkey
| | - Metin Görgü
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, Bolu, Turkey
| | - Jehat Kızılkan
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, Bolu, Turkey
| | - Ertuğrul Karanfil
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, Bolu, Turkey
| | - Ali Doğan
- Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, Bolu, Turkey
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Sahin Tutak A, Söylemez F, Konuk HB, Çakmak E, Karakaya B, Doğan A, Sayiner HS, Aksöz S, Alev M. A patient presenting with ARDS after COVID-19 vaccination: A COVID-19 case report. J Infect Public Health 2021; 14:1395-1397. [PMID: 34175235 PMCID: PMC8170910 DOI: 10.1016/j.jiph.2021.05.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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] [Received: 05/04/2021] [Revised: 05/27/2021] [Accepted: 05/29/2021] [Indexed: 11/27/2022] Open
Abstract
COVID-19 is a disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). The introduction of vaccines against COVID-19 caused great enthusiasm around the world as immunization might end the pandemic. However, it was previously stated that COVID-19 cases would rarely continue to occur despite immunization. Fourteen days after the second dose of the vaccine, a 66-year-old male patient with a negative COVID-19 PCR test result and high levels of IgG and low levels of IgM-A against SARS-CoV-2 was admitted to our intensive care unit (ICU) due to the clinical picture of Acute Respiratory Distress Syndrome (ARDS). We aimed to stress the need for continuing preventive measures in vaccinated individuals, too, by presenting the clinical findings of the patient, who was considered to have developed ARDS due to COVID-19, as high levels of IgG and IgM-A against SARS-CoV-2 were detected on day 8 during ICU admission.
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Affiliation(s)
- Ayse Sahin Tutak
- Department of Internal Medicine, Adıyaman University School of Medicine, Adıyaman, Turkey.
| | - Fatih Söylemez
- Department of Internal Medicine, Adıyaman University of Training Hospital, Adıyaman, Turkey
| | - Hazal B Konuk
- Department of Internal Medicine, Adıyaman University of Training Hospital, Adıyaman, Turkey
| | - Erkan Çakmak
- Department of Internal Medicine, Adıyaman University of Training Hospital, Adıyaman, Turkey
| | - Bülent Karakaya
- Department of Internal Medicine, Adıyaman University of Training Hospital, Adıyaman, Turkey
| | - Ali Doğan
- Department of Internal Medicine, Adıyaman University of Training Hospital, Adıyaman, Turkey
| | - Hakan S Sayiner
- Department of Infectious Disease, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Selçuk Aksöz
- Department of Infectious Disease, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Mehtap Alev
- Department of Infectious Disease, Adıyaman University School of Medicine, Adıyaman, Turkey
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Savaş G, Şahin Ö, Yaşan M, Karabiyik U, Kalay N, Doğan A, Elmali F, Oğuzhan A. Does the volume overload exaggerate the severity of mitral regurgitation in patients with decompensated heart failure? Turk J Med Sci 2020; 50:1552-1558. [PMID: 32892550 PMCID: PMC7605096 DOI: 10.3906/sag-2001-220] [Citation(s) in RCA: 1] [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] [Received: 01/25/2020] [Accepted: 08/24/2020] [Indexed: 11/05/2022] Open
Abstract
Background/aim Diagnosing and managing functional mitral regurgitation (MR) is often challenging and requires an integrated approach including a comprehensive echocardiographic examination. However, the effects of volume overload on the echocardiographic assessment of MR severity are uncertain. The purpose of this study was to weigh the effects of volume overload in the echocardiographic assessment of MR severity among patients with heart failure (HF). Materials and methods Twenty-nine patients with decompensated HF, who had moderate or severe MR, were included in the present study. The volume status and the N-terminal pro-B-type natriuretic peptide (proBNP) levels were recorded and the echocardiographic parameters were assessed. After the conventional treatment for HF, the proBNP levels and the echocardiographic parameters were assessed again. Results The mean age of the patients was 72 ± 9 years and the average hospitalization time was 10.9 ± 5.9 days. Between the beginning and the end of the treatment, there were significant reductions in the effective regurgitant orifice area (EROA) (0.36 ± 0.09 cm2 to 0.29 ± 0.09 cm2, P < 0.001), vena contracta (VC) (P < 0.001), the regurgitant volume (RV) (P < 0.001), and systolic pulmonary artery pressure (sPAP) (P < 0.001). Conclusion This is the first study to investigate the relationship of changes in severity of MR with volume-load by monitoring the proBNP levels among patients with HF. The present results demonstrated that volume reduction, as evidenced by a decline in the proBNP levels, was accompanied by a marked reduction in the EROA, VC, and the RV among patients with left ventricular dysfunction.
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Affiliation(s)
- Göktuğ Savaş
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center Training and Research Hospital, İstanbul, Turkey
| | - Ömer Şahin
- Department of Cardiology, Kayseri Training and Research Hospital, Kayseri, Turkey
| | - Mustafa Yaşan
- Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
| | - Uğur Karabiyik
- Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
| | - Nihat Kalay
- Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
| | - Ali Doğan
- Department of Biostatistics and Bioinformatics, Erciyes University School of Medicine, Kayseri, Turkey
| | - Ferhan Elmali
- Department of Biostatistics and Bioinformatics, Erciyes University School of Medicine, Kayseri, Turkey
| | - Abdurrahman Oğuzhan
- Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
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Düzen Oflas N, Demircioğlu S, Yıldırım Doğan N, Eker E, Kutlucan A, Doğan A, Aslan M, Demir C. Comparison of the effects of oral iron treatment every day and every other day in female patients with iron deficiency anaemia. Intern Med J 2020; 50:854-858. [DOI: 10.1111/imj.14766] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 08/26/2019] [Accepted: 12/17/2019] [Indexed: 12/13/2022]
Affiliation(s)
- Nur Düzen Oflas
- Department of Internal MedicineFaculty of Medicine, Van Yüzüncü Yıl University Van Turkey
| | - Sinan Demircioğlu
- Department of HematologyFaculty of Medicine, Van Yüzüncü Yıl University Van Turkey
| | | | - Elife Eker
- Department of Internal MedicineVan Training and Research Hospital Van Turkey
| | - Ali Kutlucan
- Department of HematologyVan Training and Research Hospital Van Turkey
| | - Ali Doğan
- Department of HematologyFaculty of Medicine, Van Yüzüncü Yıl University Van Turkey
| | - Mehmet Aslan
- Department of Internal MedicineFaculty of Medicine, Van Yüzüncü Yıl University Van Turkey
| | - Cengiz Demir
- Department of HematologyFaculty of Medicine, Van Yüzüncü Yıl University Van Turkey
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Demircioğlu S, Özgökçe M, Doğan A, Bayram İ, Demir C. Renal Involvement in Chronic Lymphocytic Leukemia: A Case Report. Istanbul Med J 2020. [DOI: 10.4274/imj.galenos.2020.24356] [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: 12/01/2022] Open
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13
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Elçik D, Bireciklioğlu MF, Doğan A, İnanç MT. Cardiac resynchronization therapy in a case with single ventricle and concommitant noncompaction cardiomyopathy. Turk Kardiyol Dern Ars 2020; 48:167-170. [PMID: 32147646 DOI: 10.5543/tkda.2019.06730] [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
A 32-year-old male patient was admitted to the hospital with syncope. An electrocardiogram revealed complete atrioventricular (AV) block and a right bundle branch block with a QRS duration of 218 milliseconds. The heart rate was 40 beats/minute. Echocardiography revealed that both AV valves opened to a single ventricle as well as noncompaction of the myocardium. Due to New York Heart Association class III heart failure, cardiac resynchronization therapy with a defibrillator device (CRT-D) was performed. After the implantation, the electrocardiography QRS duration was reduced to 183 ms. To our knowledge, this was the first reported case of CRT-D implantation in a patient with a noncompacted single ventricle and complete AV block.
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Affiliation(s)
- Deniz Elçik
- Department of Cardiology, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | | | - Ali Doğan
- Department of Cardiology, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | - Mehmet Tuğrul İnanç
- Department of Cardiology, Erciyes University Faculty of Medicine, Kayseri, Turkey
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Demircioğlu S, Doğan A, Demir C. Successful treatment of transplant-associated thrombotic microangiopathy with eculizumab. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30346-7] [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: 11/30/2022]
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Demircioğlu S, Özgökçe M, Doğan A, Bayram İ, Demir C. Renal involvement in chronic lymphocytic leukemia: a case report. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30345-5] [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: 10/25/2022]
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Demircioğlu S, Doğan A, Altınbaşak M, Demir C. Primer Plazma Hücreli Lösemi: Olgu Sunumu. Dicle Tıp Dergisi 2019. [DOI: 10.5798/dicletip.575025] [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: 11/14/2022] Open
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Ceyhan Ö, Taşcı S, Elmalı F, Doğan A. The Effect of Acupressure on Cardiac Rhythm and Heart Rate Among Patients With Atrial Fibrillation: The Relationship Between Heart Rate and Fatigue. Altern Ther Health Med 2019; 25:12-19. [PMID: 30982782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVES Atrial fibrillation (AF) is the most common arrhythmia among rhythm disturbances causing symptoms such as dyspnea, palpitation, and fatigue. Various methods are used for control and treatment of the disease. This randomized controlled study was conducted to determine the effect of acupressure applied to patients with AF on their cardiac rhythm and heart rate, as well as relationship between heart rate and fatigue. DESIGN The study was conducted with 60 individuals (30 in the intervention group and 30 in the placebo group) who met the inclusion criteria of the study in cardiology service. The data in the study were collected using a questionnaire, patient observation form, and brief fatigue inventory. In the study, ethics committee approval, institutional permission, and written informed consent from individuals were obtained. INTERVENTIONS In addition to standard medical treatments, the individuals in the intervention group were applied with acupressure on their acupuncture points (PC-6, HT-7, CV-17), which were specified by using a specially developed acupressure device, twice per day (minimum 2 and maximum 4 sessions). The individuals in the placebo group were attached to the acupressure device in addition to their standard medical treatments, but the pressure was not applied. All the patients were connected to holter, their pulse and blood pressure were monitored and followed up by being before, during, and after the acupressure. The value of P < .05 was accepted as significant in comparisons. RESULTS After the acupressure administration, heart rate and systolic/diastolic blood pressures of the individuals in the intervention group decreased (P < .05), whereas only diastolic blood pressure of the individuals in the placebo group decreased at the first administration (P < .05), and the decrease in systolic blood pressure and heart rate was not significant (P < .05). In all patients in sample group, rhythm was not sinus and acupressure did not have a different effect on fatigue. CONCLUSION As a result of the study, it was determined that the acupressure decreased heart rate in patients with AF, it was effective in decreasing systolic and diastolic blood pressure at repeated administrations, and this decrease was not effective in reducing fatigue. According to these results, it could be recommended to perform the repeated acupressure administration along with pharmacological treatment for reducing heart rate and blood pressure in AF.
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Abstract
Thrombotic thrombocytopenic purpura is a rare condition that presents with microangiopathic haemolytic anaemia, thrombocytopaenia, fever, renal impairment and neurological symptoms. Plasma exchange is a lifesaving treatment for this condition. However, some cases may be non-responsive to plasma exchange, or loss of response may occur. Treatment options for refractory cases include high-dose corticosteroids, rituximab, vincristine, cyclophosphamide, splenectomy, bortezomib and N-acetylcysteine. We present a refractory case of thrombotic thrombocytopenic purpura responding to the last of these therapies.
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Affiliation(s)
| | - Ömer Ekinci
- Department of Hematology, Van Yüzüncü Yil University, Turkey
| | - Ali Doğan
- Department of Hematology, Van Yüzüncü Yil University, Turkey
| | - Cengiz Demir
- Department of Hematology, Van Yüzüncü Yil University, Turkey
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Doğan A, Özdemir E, Kahraman S, Açıl T, Saltan Y, Kurtoğlu N. Impact of early (3 months) dual antiplatelet treatment interruption prior to renal transplantation in patients with second-generation DES on perioperative stent thrombosis and MACEs. Anatol J Cardiol 2017; 18:391-396. [PMID: 29256873 PMCID: PMC6282891 DOI: 10.14744/anatoljcardiol.2017.7885] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2017] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE Early cessation of dual antiplatelet therapy (DAPT) is related to stent thrombosis (ST). The use of second-generation everolimus- and zotarolimus-eluting stents is associated with low restenosis rates and short duration of clopidogrel usage. Non-cardiac surgery in recently stent-implanted patients is associated with major adverse cardiac events (MACEs). Chronic renal failure patients awaiting renal transplantation may also undergo coronary stent implantation prior to surgery. Here we aimed to investigate the safety of early (3 months) DAPT interruption in second-generation drug-eluting stent (DES)-implanted renal transplant recipients. METHODS In total, 106 previously stent-implanted chronic renal failure patients who underwent renal transplantation were retrospectively enrolled. Three groups were formed according to stent type and the duration of DAPT: early-interruption (3 months from DES implantation), lateinterruption (3-12 months from DES implantation), and bare-metal stent (BMS; at least 1 month from BMS implantation) groups. RESULTS Comparison among BMS, DES-early and DES-late groups indicated no difference in ST, myocardial infarction, death, and MACEs. In addition, no difference was observed in ST (p=0.998), myocardial infarction (p=0.998), death (p=0.999), and MACEs (p=0.998) between DES-early and DES-late groups. CONCLUSION Early (3 months) interruption of antiplatelet treatment with second-generation stents before renal transplantation seems to be safe and does not lead to increase in the occurrence of ST and MACEs.
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Affiliation(s)
- Ali Doğan
- Department of Cardiology, Gaziosmanpaþa Hospital, Faculty of Medicine, Istanbul Yeni Yüzyıl University, İstanbul-Turkey.
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Yurdakul S, Doğan A, Aytekin S. Assessment of subclinical left ventricular systolic function using strain imaging in the follow-up of patients with chronic mitral regurgitation. Turk Kardiyol Dern Ars 2017; 45:426-433. [PMID: 28694396 DOI: 10.5543/tkda.2017.92837] [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
OBJECTIVE Determining optimal timing for surgery in asymptomatic mitral regurgitation (MR) remains a challenge. The aim of this study was to evaluate subclinical changes in left ventricular (LV) systolic functions using velocity vector imaging (VVI) during follow-up of patients with chronic mitral regurgitation (MR). METHODS A total of 54 patients (mean age: 57.9±8 years; 55% male) with moderate-to-severe MR and normal LV ejection fraction (EF), and 30 healthy controls (mean age: 56±6.5 years; 55% male) were evaluated using conventional echocardiography and VVI at baseline. RESULTS At the end of 12 months, measurements of 45 MR patients were repeated. There was no significant change in LV dimensions or EF on follow-up. LV peak systolic strain and strain rate (SR) were decreased in patients with MR compared with controls (strain: 16.29±3.30 to 23.4±1.9; p=0.0001 and SR: 0.93±0.39 to 4.9±0.6; p=0.0001) at baseline. Impairment was more significant on follow-up. (strain: 13.76±2.68 and SR: 0.27±0.14; p=0.0001). CONCLUSION VVI-derived strain imaging might be used in the assessment of subclinical LV dysfunction and its progression during follow-up of patients with chronic MR especially in the decision of optimal timing for surgery.
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Affiliation(s)
| | | | - Saide Aytekin
- Department of Cardiology, İstanbul Florence Nightingale Hospital, İstanbul, Turkey.
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Doğan A. Author`s Reply. Anatol J Cardiol 2017; 17:417. [PMID: 28529282 PMCID: PMC5469097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Ali Doğan
- Department of Cardiology, Gaziosmanpaşa Hospital, Faculty of Medicine, İstanbul Yeni Yüzyil University; İstanbul-Turkey,Address for Correspondence: Dr. Ali Doğan İstanbul Yeni Yüzyil Üniversitesi Tıp Fakültesi Gaziosmanpaşa Hastanesi, Kardiyoloji Anabilim Dalı, Gaziosmanpaşa, İstanbul-Türkiye E-mail:
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Doğan A. Author`s Reply. Anatol J Cardiol 2017; 17:160-161. [PMID: 28209935 PMCID: PMC5336762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Ali Doğan
- Department of Cardiology, Faculty of Medicine, Gaziosmanpasa Hospital, İstanbul Yeni Yüzyıl University; İstanbul-Turkey,Address for Correspondence: Dr. Ali Doğan İstanbul Yeni Yüzyıl Üniversitesi Tıp Fakültesi, Gaziosmanpaşa Hastanesi Kardiyoloji Bölümü, Gaziosmanpaşa, İstanbul-Türkiye E-mail:
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Affiliation(s)
- Sinan İnci
- Departmant of Cardiology, Aksaray State Hospital; Aksaray-Turkey.
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Doğan A, Kahraman S, Usta E, Özdemir E, Görmüş U, Çiftçi C. Effect of obesity and serum leptin level on clopidogrel resistance. Turk Kardiyol Dern Ars 2016; 44:548-553. [PMID: 27774962 DOI: 10.5543/tkda.2016.44459] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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
OBJECTIVE Clopidogrel inhibits platelet aggregation by blockade of platelet adenosine diphosphate (ADP) P2Y12 receptor. Leptin is the obesity gene product, and its serum level increases with obesity. Platelets have leptin receptors on their surfaces. Hyperleptinemia may induce ADP-mediated platelet aggregation. It has been proposed that clopidogrel effect could be diminished with high serum leptin levels. The aim of the present trial was to further investigate the relationship between serum leptin level and clopidogrel resistance. METHODS A total of 100 subjects who underwent percutaneous coronary intervention were enrolled. Two groups were organized according to presence of clopidogrel resistance, and serum leptin levels were compared. Threshold for clopidogrel resistance and hyperleptinemia were accepted as ≥P2Y12 reaction unit (PRU) 240 and ≥15 ng/mL leptin, respectively. Body mass index (BMI) of 30 kg/m2 or greater was considered obese. RESULTS A total of 37% of patients were considered clopidogrel-resistant. Comparison of groups revealed significantly higher clopidogrel resistance (p=0.017) and PRU levels (p=0.001) in hyperleptinemic patients. No significant difference in serum leptin levels (p=0.116) was found. Increased clopidogrel resistance was observed in patients with BMI >30 kg/m2 (p=0.015). CONCLUSION Clopidogrel resistance is more common in obese and hyperleptinemic patients. Dosage should be individualized in these populations.
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Affiliation(s)
- Ali Doğan
- Department of Cardiology, İstanbul Bilim University Faculty of Medicine, İstanbul, Turkey.
| | - Serkan Kahraman
- Department of Cardiology, İstanbul Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Emrah Usta
- Department of Cardiology, İstanbul Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Emrah Özdemir
- Department of Cardiology, İstanbul Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Uzay Görmüş
- Department of Biochemistry, İstanbul Bilim University Faculty of Medicine, İstanbul, Turkey
| | - Cavlan Çiftçi
- Department of Cardiology, İstanbul Bilim University Faculty of Medicine, İstanbul, Turkey
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Uyar A, Yener Z, Doğan A. Protective effects of Urtica dioica seed extract in aflatoxicosis: Histopathological and biochemical findings. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1653] [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: 10/21/2022]
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Uçar A, Aydemir Y, Doğan A, Tunçez E. Relative hypoaldosteronism in a patient with Wolcott-Rallison syndrome. Diabet Med 2016; 33:e13-6. [PMID: 26433138 DOI: 10.1111/dme.12968] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Revised: 06/22/2015] [Accepted: 09/28/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND Wolcott-Rallison syndrome is an autosomal recessive, multisystem disorder with onset of diabetes in the neonatal period or early infancy. CASE REPORT A 9-year-old girl with diabetes and growth failure from 2 months of age presented with ketoacidosis and multiple organ failure. Evaluation for short stature revealed epiphyseal dysplasia. A homozygous mutation in the EIF2AK3 gene confirmed the clinical diagnosis of Wolcott-Rallison syndrome. She was euthyroid. Biochemical evaluation for potential adrenal dysfunction because of persistently elevated serum potassium (range 5.9-6.3 meq/l) and low serum sodium levels (range 128-130 meq/l) 2 weeks after resolution of ketoacidosis yielded normal findings with respect to basal corticotropin (31 pg/ml) and cortisol (18.7 μg/dl) levels. Estimated GFR-Schwartz (36.9 ml/min/1.73 m(2) ) was consistent with stage 3 chronic renal failure. The transtubular potassium gradient was 1.39 (normal value in hyperkalemic states: > 4.1). The plasma aldosterone (upright: 241.3 pmol/l) was within normal ranges, and plasma renin [39 pg/ml (range 5.41-34.53 pg/ml)] was slightly elevated. The patient was diagnosed as having relative hypoaldosteronism and was started on a sodium-rich diet and low potassium. Failure to respond to the dietary intervention prompted a trial of oral fludrocortisone with subsequent normalization of electrolyte levels. CONCLUSIONS This is the first case report of Wolcott-Rallison syndrome complicated with relative hypoaldosteronism. Further research is needed to probe the causal inference of relative hypoaldosteronism with chronic renal failure in patients with Wolcott-Rallison syndrome.
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Affiliation(s)
- A Uçar
- Department of Pediatric Endocrinology and Diabetes, Şişli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Y Aydemir
- Department of Pediatric Gastroenterology, Hepatology and Nutrition, Children's State Hospital of Sanliurfa, Sanliurfa, Turkey
| | - A Doğan
- Intensive Care Unit, Children's State Hospital of Sanliurfa, Sanliurfa, Turkey
| | - E Tunçez
- Department of Genetics, Children's State Hospital of Sanliurfa, Sanliurfa, Turkey
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İnci S, Aksan G, Doğan A. Author`s Reply. Anatol J Cardiol 2016; 16:227-8. [PMID: 27067576 PMCID: PMC5336828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Sinan İnci
- Departmant of Cardiology, Aksaray State Hospital, Aksaray-Turkey,Address for Correspondence: Dr. Sinan İnci Aksaray Devlet Hastanesi, Zafer Mah., Nevşehir Cad., No:117, Aksaray-Türkiye Phone:+90 382 212 35 02 E-mail:
| | - Gökhan Aksan
- Departmant of Cardiology, Şişli Etfal Education and Tracking Hospital, İstanbul-Turkey
| | - Ali Doğan
- Departmant of Cardiology, Faculty of Medicine, Erciyes University, Kayseri-Turkey
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Doğan A, Karabay I, Hatipoğlu C, Özgirgin N. Authors' Reply to Ultrasound vs MRI for stroke shoulder: Apples and pears or simply N/A? Top Stroke Rehabil 2016; 23:458-459. [PMID: 26893252 DOI: 10.1080/10749357.2016.1152048] [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: 10/22/2022]
Affiliation(s)
- A Doğan
- a Department of Physical Medicine And Rehabilitation , Ankara Physical Medicine and Rehabilitation Training and Research Hospital , Turkey
| | - I Karabay
- a Department of Physical Medicine And Rehabilitation , Ankara Physical Medicine and Rehabilitation Training and Research Hospital , Turkey
| | - C Hatipoğlu
- b Department of Radiology , Ankara Physical Medicine and Rehabilitation Training and Research Hospital , Turkey
| | - N Özgirgin
- a Department of Physical Medicine And Rehabilitation , Ankara Physical Medicine and Rehabilitation Training and Research Hospital , Turkey
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Eyigor S, Kutsal YG, Duran E, Huner B, Paker N, Durmus B, Sahin N, Civelek GM, Gokkaya K, Doğan A, Günaydın R, Toraman F, Cakir T, Evcik D, Aydeniz A, Yildirim AG, Borman P, Okumus M, Ceceli E. Frailty prevalence and related factors in the older adult-FrailTURK Project. Age (Dordr) 2015; 37:9791. [PMID: 25948502 PMCID: PMC4422824 DOI: 10.1007/s11357-015-9791-z] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Accepted: 04/30/2015] [Indexed: 06/04/2023]
Abstract
Frailty is one of the geriatric syndromes and has an important relationship with mortality and morbidity. The aim of this study is to present the characteristics, prevalence, and related factors of frailty in older adults in our country. The study included 1126 individuals over 65 years of age from 13 centers. Frailty was evaluated using the Fried Frailty criteria, and patients were grouped as "frail," "pre-frail," and "non-frail." Nutritional status was assessed with "Mini Nutritional Test," psychological status with the "Center for Epidemiological Studies Depression Scale-CES-D," and additional diseases with the "Charlson Comorbidity index." Approximately 66.5 % of the participants were between 65 and 74 years of age and 65.7 % were women. Some 39.2 and 43.3 % of the participants were rated as frail and pre-frail, respectively. The multinomial logistic regression analysis was used to determine the factors associated with frailty. It was observed that age, female gender, low education level, being a housewife, living with the family, being sedentary, presence of an additional disease, using 4 or more drugs/day, avoiding to go outside, at least one visit to any emergency department within the past year, hospitalization within the past year, non-functional ambulation, and malnutrition increased the risk of frailty (p < 0.05). Establishing the factors associated with frailty is highly important for both clinical practice and national economy. This is the first study on this subject in our country and will provide guidance in determining treatment strategies.
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Affiliation(s)
- S Eyigor
- Physical Therapy and Rehabilitation Department, Faculty of Medicine, Ege University, 35100, Bornova, Izmir, Turkey,
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Doğan A, Oylumlu M, Kilit C, Amasyalı B. PP-301 Behçet Disease Presented with Acut Cerebral and Coronary Infarct Caused by Left Main Coronary Artery Aneurysm. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.329] [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: 11/15/2022]
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Oylumlu M, Doğan A, Oylumlu M, Yıldız A, Yüksel M, Kayan F, Kilit C, Amasyalı B. PP-266 Relationship Between Platelet to Lymphocyte Ratio and Coronary Slow Flow. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.293] [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: 10/25/2022]
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Kilit C, Oylumlu M, Doğan A, Amasyalı B. PP-237 Cor Triatriatum Dexter in a Patient with Pectus Excavatum: A Rare Cause of Right Heart Failure. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.259] [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: 10/25/2022]
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Kilit C, Oylumlu M, Doğan A, Amasyalı B. Cor triatriatum dexter in a patient with pectus excavatum. A rare cause of right heart failure. Herz 2014; 40:725-7. [PMID: 24671663 DOI: 10.1007/s00059-014-4076-3] [Citation(s) in RCA: 2] [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] [Received: 11/17/2013] [Accepted: 02/04/2014] [Indexed: 10/25/2022]
Affiliation(s)
- C Kilit
- Department of Cardiology, Faculty of Medicine, Dumlupınar University, 100. Yıl Mahallesi, Dumlupınar Bulvarı, Beylikkent Sitesi, No: 48/D, Daire 6, 43100, Kütahya, Turkey,
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Doğan A, Aksoy H, Şimşek H. Friedreich’s ataxia associated with subaortic membrane. Herz 2014; 39:282-3. [DOI: 10.1007/s00059-013-3812-4] [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] [Received: 12/22/2012] [Revised: 02/28/2013] [Accepted: 03/15/2013] [Indexed: 10/26/2022]
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Doğan A, Duygun F, Kalender AM, Bayram I, Sungur I. Iloprost inhibits fracture repair in rats. Chin Med J (Engl) 2014; 127:2960-2965. [PMID: 25131235] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND Previous studies have shown that prostaglandins (PGs) dramatically stimulate healing processes in bone. However, the effect of prostaglandin I2 (PGI2) on fracture healing remains unclear. To investigate the effect of PGI2, a study on fracture healing process in closed tibia fractures was designed. METHODS Thirty-six Sprague-Dawley male rats were randomized into two groups. On the first day, their right tibias were fractured by three-point bending technique. The study group (n = 18) received a single injection of 10 µg/kg iloprost for 5 days, while the control group (n = 18) received saline solution in the same way. On the 7th, 14th and 28th days following the fracture, six rats were sacrificed and their right legs were harvested in each group. The progression of fracture healing was assessed for each specimen by the scores of radiography (by Lane-Sandhu) and histology (by Huo et al). RESULTS On the 7th day, the radiographic and histologic scores were equal. On the 14th day radiographic total score was 6 and histologic total score was 23 in the iloprost group, whereas radiographic total score was 11 and histologic total score was 33 in the control group. On the 14th day radiographic and histologic scores were significantly decreased in the iloprost group compared to the control group (P < 0.05). On the 28th day radiographic total score was 12 and histologic total score was 37 in the iloprost group, whereas radiographic total score was 15 and histologic total score was 40 in the control group. On the 28th day although there was a decrease in radiographic and histologic scores of the iloprost group acording to control group, it was not statistically significant (P > 0.05). CONCLUSION Iloprost delays fracture healing in early stage in rats.
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Affiliation(s)
- Ali Doğan
- Department of Orthopedics and Traumatology, Education and Research Hospital,Antalya, Turkey.
| | - Fatih Duygun
- Department of Orthopedics and Traumatology, Education and Research Hospital,Antalya, Turkey
| | - A Murat Kalender
- Department of Orthopedics and Traumatology, Sutcu Imam University School of Medicine, Kahramanmaras, Turkey
| | - Irfan Bayram
- Department of Pathology, Yuzuncu Yil University School of Medicine, Van, Turkey
| | - Ibrahim Sungur
- Department of Orthopedics and Traumatology, Haseki Education and Research Hospital, Istanbul, Turkey
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Karadağ Z, Yıldız H, Günebakmaz Ö, Şarlı B, Yarlıoğlueş M, Doğdu O, Ardıç İ, Gül İ, Doğan A, Kaya MG, Ergin A, Aktaş E. Relation between Severity of the Disease and Arrhythmia Incidence in Patients with Psoriasis. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.369] [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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Doğan A, Aksoy H. Pericardial, myocardial, and extracardiac cysts diagnosed by transthoracic echocardiography. Herz 2013; 38:511-2. [DOI: 10.1007/s00059-012-3716-8] [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] [Received: 07/09/2012] [Revised: 07/28/2012] [Accepted: 10/13/2012] [Indexed: 11/30/2022]
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Karapolat HU, Kurtaiş Y, Tur BS, Demirsoy N, Özyemişci Taşkiran Ö, Sarp Ü, Hafiz M, Külcü DG, Sarikaya S, Soyupek F, Sütbeyaz ST, Delialioğlu SÜ, Alemdaroğlu E, Ordu Gökkaya NK, Doğan A, Köseoğlu F, Ekşioğlu E, Duyur Çakit B, Dülgeroğlu Erdoğdu D, Tuncay F, Figen Ayhan F, Güzel R. What do patients really know about cardiopulmonary rehabilitation: a cross-sectional survey study. Eur J Phys Rehabil Med 2012; 48:223-230. [PMID: 22510677] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Although it is known that cardiopulmonary rehabilitation (CPR) reduces mortality and morbidity, it is not widely implemented as is in Turkey. One factor might be lack of demand since the levels of knowledge and awareness among patients who are eligible for CPR seem to be insufficient. AIM It is aimed to investigate the level of awareness and knowledge of CPR among patients with cardiopulmonary problems. DESIGN Cross-sectional survey study. SETTING Outpatient. METHODS Knowledge regarding CPR was assessed by questionnaires given to 690 patients recruited in seven university hospitals and six training and research hospitals in which either comprehensive or limited CPR services are available. POPULATION Patients who have cardiopulmonary problems RESULTS Of the patients, 34.7% were given information on CPR by healthcare staff, and 25.3% reported that their source of information was physicians. Although 49.9% of the patients knew that they needed to exercise for their cardiac/pulmonary problems, only 23.4% and 32.1% of those were aware that fast walking and climbing stairs, respectively, would not pose a risk to their cardiac/pulmonary health. The majority of the patients believed that activities of daily living, which comprise the most important component of exercise-based CPR, were harmful for their cardiopulmonary health. We found that 31.1% of the patients exercised regularly. During their stay at the hospital, certain kinds of exercises were suggested to 62.7% of the patients, and 34.7% of these patients performed various exercises. Of the patients who were given detailed information on cardiopulmonary rehabilitation, 69% stated that they would be willing to participate in a similar program. CONCLUSION Although nearly half of the patients stated that they needed CR, it was observed that the ratio of patients who had true knowledge of CPR was low among patients. It is imperative to furnish patients with information on CPR, both in the field of PMR and throughout Turkey, and to put more effort into running those services effectively. Furthermore, we should make an effort to increase the level of liaison between patients and physicians and other healthcare professionals who participate in the treatment of cardiac/pulmonary patients.
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Affiliation(s)
- H U Karapolat
- Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Ege University, Ege, Turkey
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Doğan A, Celik A, Doğan S, Ozdoğru I. Acute myocardial infarction due to a large coronary aneurysm in Behçet's disease. Turk Kardiyol Dern Ars 2012; 39:737. [PMID: 22257816 DOI: 10.5543/tkda.2011.01639] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Ali Doğan
- Department of Cardiology, Medicine Faculty of Erciyes University, Kayseri, Turkey
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Doğan A, Özkara S, Sarı MM, Uzun L, Denizli A. Evaluation of human interferon adsorption performance of Cibacron Blue F3GA attached cryogels and interferon purification by using FPLC system. J Chromatogr B Analyt Technol Biomed Life Sci 2012; 893-894:69-76. [DOI: 10.1016/j.jchromb.2012.02.036] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Revised: 02/18/2012] [Accepted: 02/23/2012] [Indexed: 11/27/2022]
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Akpek M, Keleşoğlu S, Doğan A, Ozdoğru I. [Fistula between the aorta and left atrium after mitral valve surgery]. Turk Kardiyol Dern Ars 2011; 39:523. [PMID: 21918327 DOI: 10.5543/tkda.2011.01590] [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: 11/04/2022] Open
Affiliation(s)
- Mahmut Akpek
- Department of Cardiology, Medicine Faculty of Erciyes University, Kayseri, Turkey.
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Cengiz M, Özyiğit G, Yazici G, Doğan A, Yildiz F, Zorlu F, Gürkaynak M, Gullu IH, Hosal S, Akyol F. Salvage reirradiaton with stereotactic body radiotherapy for locally recurrent head-and-neck tumors. Int J Radiat Oncol Biol Phys 2010; 81:104-9. [PMID: 20675075 DOI: 10.1016/j.ijrobp.2010.04.027] [Citation(s) in RCA: 106] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2010] [Revised: 03/19/2010] [Accepted: 04/26/2010] [Indexed: 12/19/2022]
Abstract
PURPOSE In this study, we present our results of reirradiation of locally recurrent head-and-neck cancer with image-guided, fractionated, frameless stereotactic body radiotherapy technique. METHODS AND MATERIALS From July 2007 to February 2009, 46 patients were treated using the CyberKnife (Accuray, Sunnyvale, CA) at the Department of Radiation Oncology, Hacettepe University, Ankara, Turkey. All patients had recurrent, unresectable, and previously irradiated head-and-neck cancer. The most prominent site was the nasopharynx (32.6%), and the most common histopathology was epidermoid carcinoma. The planning target volume was defined as the gross tumor volume identified on magnetic resonance imaging and computed tomography. There were 22 female and 24 male patients. Median age was 53 years (range, 19-87 years). The median tumor dose with stereotactic body radiotherapy was 30 Gy (range, 18-35 Gy) in a median of five (range, one to five) fractions. RESULTS Of 37 patients whose response to therapy was evaluated, 10 patients (27%) had complete tumor regression, 11 (29.8%) had partial response, and 10 (27%) had stable disease. Ultimate local disease control was achieved in 31 patients (83.8%). The overall survival was 11.93 months in median (ranged, 11.4-17.4 months), and the median progression free survival was 10.5 months. One-year progression-free survival and overall survival were 41% and 46%, respectively. Grade II or greater long-term complications were observed in 6 (13.3%) patients. On follow-up, 8 (17.3%) patients had carotid blow-out syndrome, and 7 (15.2%) patients died of bleeding from carotid arteries. We discovered that this fatal syndrome occurred only in patients with tumor surrounding carotid arteries and carotid arteries receiving all prescribed dose. CONCLUSIONS Stereotactic body radiotherapy is an appealing treatment option for patients with recurrent head-and-neck cancer previously treated with radiation to high doses. Good local control with considerable 1-year survival is achieved with a relatively high rate of morbidity and related mortality.
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Affiliation(s)
- Mustafa Cengiz
- Department of Radiation Oncology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
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Koç F, Günebakmaz Ö, Doğan A, Doğdu O, Kaya MG. Uncorrected Tetralogy of Fallot in a 51-Year-Old Patient. ELECTRON J GEN MED 2010. [DOI: 10.29333/ejgm/82878] [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: 11/21/2022]
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Avcu S, Gündüz AM, Arslan H, Etlik Ö, Doğan A, Ünal Ö. The Value of Flexion MRI Acquisition in Detection of Meniscal Tears. ELECTRON J GEN MED 2010. [DOI: 10.29333/ejgm/82837] [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: 11/21/2022]
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Ardiç I, Kaya MG, Kasapkara A, Sarli B, Doğdu O, Doğan A, Inanç T, Kalay N, Oğuzhan A. [Evaluation of adult congenital heart diseases]. Turk Kardiyol Dern Ars 2010; 38:25-31. [PMID: 20215839] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
OBJECTIVES Data on adult congenital heart diseases (CHD) are limited in Turkey. We evaluated the types and clinical features of CHDs in adult patients followed-up in our center. STUDY DESIGN This study included 200 adult patients (age >16 years) who were diagnosed as having CHD in our clinic between April 2006 and January 2009. The patients were evaluated in three groups based on the complexity of adult CHD (simple, moderate, or great) according to the most recent ACC/AHA guidelines. RESULTS There were 121 females (60.5%) and 79 males (39.5%). The mean age was 34.7+/-13.4 years (range 16 to 75 years) and female-to-male ratio was 1.53. The mean age was 32.8+/-14.0 years in males, and 36.0+/-12.9 in females. Nearly half of the patients were in the age groups of 20-29 years (n=46, 23%) and 30-39 years (n=49, 24.5%). According to the ACC/AHA criteria, 145 patients (72.5%) had simple CHD, 34 patients (17%) had moderate CHD, and 21 patients (10.5%) had severe-complex CHD. The mean age tended to decrease as the severity of CHD increased (35.7+/-13.7, 33.2+/-12.4, and 30.5+/-12.2 years, respectively). The most common adult CHD was atrial septal defect (n=105, 52.5%), followed by ventricular septal defect (n=34, 17%), Ebstein's anomaly (n=7, 3.5%), and Eisenmenger's syndrome (n=6, 3%). Aortic coarctation, transposition of the great vessels, patent foramen ovale, pulmonary stenosis, and aortic valve disease showed equal distribution with five patients (2.5%). CONCLUSION In our study, atrial and ventricular septal defects accounted for the majority of CHDs in adult patients (69.5%). Multicenter studies are required to determine the incidence of CHD among adult population in Turkey.
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Affiliation(s)
- Idris Ardiç
- Department of Cardiology, Medicine Faculty of Erciyes University, Kayseri, Turkey
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Ozdoğru I, Günebakmaz O, Kaya MG, Doğan A. [A case of aortic coarctation mimicking interrupted aorta]. Turk Kardiyol Dern Ars 2009; 37:141-144. [PMID: 19404039] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
An asymptomatic, healthy, 19-year-old male patient was examined for aortic coarctation upon detection of a heart murmur and hypertension on routine physical examination. Transthoracic echocardiography (TTE) showed rupture of the sinus of Valsalva and bicuspid aortic valve. Findings of aortography and computed tomography (CT) angiography were compatible with an interrupted aorta. For further delineation, transesophageal echocardiography (TEE) was performed and color Doppler imaging showed passage at the site of the descending aorta, which was suggestive of interruption by other imaging methods. The patient underwent surgery for aortic coarctation. At surgery, severe aortic coarctation was noted and corrected. Although TTE is usually adequate for the diagnosis of aortic coarctation, even aortography and CT angiography were misleading in this particular case, and differentiation from interrupted aorta was only possible by TEE.
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Affiliation(s)
- Ibrahim Ozdoğru
- Department of Cardiology, Medicine Faculty of Erciyes University, Kayseri, Turkey.
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Inanç MT, Doğdu O, Kaya MG, Doğan A. [Prosthetic mechanic valve thrombosis in pregnant women: a report of two cases]. Turk Kardiyol Dern Ars 2009; 37:57-60. [PMID: 19225257] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
Patients with prosthetic mechanical heart valves should always be on prophylactic anticoagulation therapy for thromboembolic events. As pregnancy represents a high-risk period for thrombosis, those with mechanical heart valves should be accorded greater importance. We presented two pregnant patients with prosthetic mechanical mitral valves, who developed mechanical valve thrombosis while on fractionated and unfractionated heparin treatment, respectively. One patient received intensive anticoagulation treatment, and the other underwent redo valve replacement. Both patients were free of symptoms.
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Affiliation(s)
- Mehmet Tuğrul Inanç
- Erciyes Universitesi Tip Fakültesi, Kardiyoloji Anabilim Dali, Kayseri, Turkey.
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Ozsoy T, Türkoğlu E, Doğan A, Serin DS. A study of ionic composition and inorganic nutrient fluxes from rivers discharging into the Cilician Basin, Eastern Mediterranean. Environ Monit Assess 2008; 145:17-29. [PMID: 17968668 DOI: 10.1007/s10661-007-0013-8] [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] [Subscribe] [Scholar Register] [Received: 06/05/2007] [Accepted: 09/26/2007] [Indexed: 05/25/2023]
Abstract
Present water quality of the perennial rivers; Göksu, Lamas, Efrenk, Tarsus and Seyhan discharging into the Cilician Basin have been investigated. Monthly surface samples collected from three stations downstream of the rivers during the period of October 2004-May 2005 were analyzed to determine ionic composition (Cl(-), SO(2-)(4), N(O-)(3), PO(3-)(4), N(H+)(4), Ca(2+), Mg(2+), Na(+) and K(+)), in addition to measurements of pH, electrical conductivity, alkalinity and total hardness. The results have been compared with recommended water quality standards. Excluding Göksu, Seyhan and Efrenk river mouths, values for almost all measured parameters, except N(H+)(4), were found to be lower than the desirable limits. In particular, inorganic ammonium, phosphate and nitrate concentrations for Göksu and Seyhan Deltas were 10(1) or 10(2) orders of magnitude higher than the concentrations of the rest of the samples. Temporal variation in levels, primarily observed in PO(3-)(4), suggest the impact of agricultural fertilizers intensively used around Göksu and Seyhan Rivers. According to Turkish National Water Pollution Control Regulations, all rivers were found to be unpolluted with respect to their nitrate, chloride, sulfate and sodium ion contents, while they all could be considered as slightly polluted with respect to their phosphate contents. In contrast to nitrate and phosphate, ammonium exceeded the maximum permissible limits of water quality criteria in almost all samples. Among the sampled rivers, Tarsus River was better in water quality, with the lowest electrical conductivity, alkalinity, total hardness and nutrient concentration values. Calculated values of elemental inorganic N and P fluxes suggest a substantial increase in nitrogen loads within the last decade, compared to a significant decrease in phosphorus loads of the rivers during the same period.
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Affiliation(s)
- T Ozsoy
- Department of Chemistry, Mersin University, Ciftlikköy Campus, 33342 Mersin, Turkey.
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Kaya MG, Ozdoğru I, Baykan A, Doğan A, Inanç T, Doğdu O, Uzüm K, Narin N, Topsakal R, Ergin A, Oğuzhan A, Eryol NK. [Transcatheter closure of secundum atrial septal defects using the Amplatzer septal occluder in adult patients: our first clinical experiences]. Turk Kardiyol Dern Ars 2008; 36:287-293. [PMID: 18984979] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
OBJECTIVES We evaluated short-term results of transcatheter closure of secundum atrial septal defects (ASD) with the Amplatzer septal occluder (ASO) in adults. STUDY DESIGN The study included 12 patients (6 males, 6 females; mean age 31+/-9 years; range 17 to 54 years) who underwent transcatheter ASD closure with the ASO device. Prior to the procedure, the mean pulmonary to systemic flow ratio was 1.9+/-0.3 (range 1.5 to 2.6). The mean ASD diameter measured by transesophageal echocardiography was 13.9+/-2.8 mm, the mean stretched diameter of ASD measured by balloon sizing was 15.8+/-3.4 mm, and the mean ASO device diameter was 17.3+/-4.7 mm. The patients were evaluated before and six months after the procedure by echocardiography, electrocardiography, and the New York Heart Association (NYHA) functional classification. RESULTS Transcatheter ASD closure was successfully performed in 11 patients (91.7%). The mean procedure time was 72 minutes. There was no residual shunt at six months after closure. No serious complications occurred during the procedure and within a mean follow-up of 11.6+/-2.3 months. Echocardiographic examination at six months showed significant decreases in right ventricular end-diastolic diameter (VEDD) (p=0.007), right/left VEDD ratio (0.003), systolic pulmonary artery pressure (p=0.017), and significant increases in left ventricular ejection fraction (p=0.014) and left VEDD (p=0.005). There were significant decreases in maximum (p=0.003) and minimum (p=0.006) P-wave durations, and P-wave dispersion (p=0.028). The NYHA functional capacity improved significantly from 1.8+/-0.8 to 1.3+/-0.5 (p=0.014). CONCLUSION Transcatheter closure of secundum ASD with the ASO device is a safe and effective method in adult patients, resulting in significant improvement in clinical symptoms and cardiac dimensions.
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Affiliation(s)
- Mehmet Güngör Kaya
- Erciyes Universitese Tip Fakültesi, Kardiyoloji Anabilim Dali, Kayseri, Turkey.
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Sebik A, Doğan A. A technique for arthroscopic fasciotomy for the chronic exertional tibialis anterior compartment syndrome. Knee Surg Sports Traumatol Arthrosc 2008; 16:531-4. [PMID: 18043906 DOI: 10.1007/s00167-007-0454-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2007] [Accepted: 11/09/2007] [Indexed: 10/22/2022]
Abstract
Chronic exertional anterior compartment syndrome (CECS) is a condition that causes pain over the front of the shin bone that usually occurs in physically active people, especially runners. It may require sometimes an immediate fasciotomy. A longitudinal incision just over the fibula has used as surgical treatment bad cosmetic appearance. Although nowadays mini surgical incisions are preferred. The aim of this study to evaluate a simple fasciotomy technique with a minimal incision by using arthroscope. Nine legs of six patients that diagnosed as CECS has underwent fasciotomy operation with a 1 cm incision. Complaints had disappeared after operation. The mean follow-up time is 2 years. The results were good all of the patients and they never experienced exertional pain episodes. The arthroscopic assisted mini incisional fasciotomy technique has advantage such as early rehabilitation and good cosmetic appearance.
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Affiliation(s)
- Ahmet Sebik
- Orthopaedics and Trauma Department, School of Medicine, Yüzüncü Yil University, Kazim Karabekir Cad, 65100 Van, Turkey.
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