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Aruğaslan E, Çalapkulu Y, Örnek E, Karanfil M, Bayram H, Küçüker SA. Trombose Mecânica da Válvula Mitral em Paciente com Infecção por COVID-19. Arq Bras Cardiol 2022; 118:1141-1143. [PMID: 35703654 PMCID: PMC9345140 DOI: 10.36660/abc.20210581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 12/08/2021] [Indexed: 11/18/2022] Open
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Aruğaslan E, Zengin A, Karataş MB, Akyüz Ş. Prognostic Significance of Controlling Nutritional Status Score (CONUT) in Patients Undergoing Pericardiocentesis. Acta Cardiol Sin 2022; 38:84-90. [PMID: 35068887 PMCID: PMC8743483 DOI: 10.6515/acs.202201_38(1).20210718a] [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] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 07/18/2021] [Indexed: 01/24/2023]
Abstract
BACKGROUND Malnutrition is associated with a poor prognosis in cardiovascular diseases, however the prognostic impact of the Controlling Nutritional Status (CONUT) score in patients with pericardial effusion (PE) is not known. METHODS This was a retrospective study conducted among 301 consecutive patients with PE who underwent pericardiocentesis. CONUT score was calculated from serum albumin level, total cholesterol level and lymphocyte count. The prognostic role of admission CONUT score on long-term mortality was evaluated. RESULTS The patients were divided into two groups according to long-term mortality. A total of 131 patients died during follow-up. In multivariable regression analysis, chronic heart failure [hazard ratio (HR): 3.21, 95% confidence interval (CI): 1.18-8.70, p < 0.01], malignancy (HR: 5.67, 95% CI: 3.34-9.63, p < 0.01) and CONUT score (HR: 1.21, 95% CI: 1.10-1.33, p < 0.01) were found to be independent predictors of long-term mortality. CONUT score was significantly higher in the patients who died (5.8 ± 2.4 vs. 3.6 ± 2.2, p < 0.01). In receiver operating characteristics analysis, a CONUT score ≥ 4.5 predicted long-term mortality with 66% sensitivity and 69% specificity (area under curve: 0.73, 95% CI: 0.67-0.79, p < 0.01). CONCLUSIONS In patients with PE, CONUT score is an independent prognostic factor for mortality.
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Affiliation(s)
| | - Ahmet Zengin
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Baran Karataş
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Şükrü Akyüz
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
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Karanfil M, Gündüzöz M, Karakurt M, Aruğaslan E, Özbay MB, Ünal S, Akbuğa K, Akdi A, Erdöl MA, Ertem AG, Yayla Ç, Özeke Ö. Effect of chelation therapy on arrhythmogenic and basal ECG parameters of lead exposed workers. Arch Environ Occup Health 2021; 77:382-388. [PMID: 33840370 DOI: 10.1080/19338244.2021.1910116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Lead exposure has etiological role on cardiovascular system diseases as hypertension, atherosclerosis, stroke, and arrhythmic events. In this study, we aimed to compare the basal and arrhythmogenic ECG parameters of lead exposed workers before and after chelation therapy and to evaluate the effect of acute change of blood lead levels on ECG. Fourty consecutive occupationally lead exposed workers were enrolled, demographic, blood, echocardiographic, and electrocardiographic data's were analyzed before and after chelation therapy. Pmax, P min, P Wave Dispersion, and QT Dispersion values which are arrhythmia predictors were significantly lower after chelation therapy compared to values before chelation therapy. Lead exposed workers are under the risk of ventricular and atrial arrythmias and chelation treatment has a positive effect on these parameters.
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Affiliation(s)
| | - Meşide Gündüzöz
- Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey
| | - Murat Karakurt
- Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Kürşat Akbuğa
- Rıdvan Ege Medical Faculty, Department of Cardiology, Ufuk University, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Özcan Özeke
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Zengin A, Karaca M, Aruğaslan E, Yıldırım E, Karataş MB, Çanga Y, Emre A, Tayyareci G. Performance of neutrophil to lymphocyte ratio for the prediction of long-term morbidity and mortality in coronary slow flow phenomenon patients presented with non-ST segment elevation acute coronary syndrome. J Cardiovasc Thorac Res 2021; 13:125-130. [PMID: 34326966 PMCID: PMC8302892 DOI: 10.34172/jcvtr.2021.12] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 06/08/2020] [Accepted: 12/18/2020] [Indexed: 12/05/2022] Open
Abstract
Introduction: In this study, we aimed to determine if neutrophil to lymphocyte ratio could predict long term morbidity and mortality in patients who hospitalized for non-ST segment elevation acute coronary syndrome (NSTE-ACS) and had coronary slow flow on coronary angiography. Methods: In this observational study, 111 patients who presented with NSTE-ACS and diagnosed with coronary slow flow phenomenon on angiographic examination were included. Neutrophil to lymphocyte ratio (NLR) calculated as the ratio of the number of neutrophils to the number of lymphocytes. Patients classified into three groups according to NLR values. The term coronary slow flow phenomenon was depicted by calculating Thrombolysis in Myocardial Infarction frame count.Patients were followed up and the occurrence of recurrent angina, recurrent myocardial infarction, and long-term mortality was determined using medical records, phone calls, or face-to-face interviews. P values <0.05 considered to indicate statistical significance. Results: Recurrent angina and myocardial infarction occurred more frequently in the highest NLR tertile compared with middle and lowest NLR tertiles. High NLR group (NLR≥ 3.88 n=38) was significantly associated with younger age and smoking status. WBC, troponin I and CRP levels increased as the NLR tertile increased. Recurrent myocardial infarction and angina showed strong relationship with increasing NLR values. In multivariate regression analyses smoking and high NLR levels were independent predictors of recurrent myocardial infarction (HR:4.64 95%CI 0.95-22.52 P=0.04, HR: 1.48 95%CI 1.16-1.90 P<0.01 respectively) in the long term follow up. Conclusion: Our study demonstrated that high NLR values can be a valuable prognostic tool in the long term follow up of patients who presented with NSTE-ACS and diagnosed with slow flow phenomenon on coronary angiography.
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Affiliation(s)
- Ahmet Zengin
- Department of Cardiology, University of Health Scienses, Dr. Siyami Ersek Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Karaca
- Department of Cardiology, Private Ataşehir Memorial Hospital, Istanbul, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, University of Health Scienses, Bilkent City Hospital, Ankara, Turkey
| | - Ersin Yıldırım
- Department of Cardiology, University of Health Sciences Ümraniye Training and Research Hospital Istanbul, Turkey
| | - Mehmet Baran Karataş
- Department of Cardiology, University of Health Scienses, Dr. Siyami Ersek Training and Research Hospital, Istanbul, Turkey
| | - Yiğit Çanga
- Department of Cardiology, University of Health Scienses, Dr. Siyami Ersek Training and Research Hospital, Istanbul, Turkey
| | - Ayşe Emre
- Department of Cardiology, University of Health Scienses, Dr. Siyami Ersek Training and Research Hospital, Istanbul, Turkey
| | - Gülşah Tayyareci
- Department of Cardiology, University of Health Scienses, Dr. Siyami Ersek Training and Research Hospital, Istanbul, Turkey
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Güvenç RÇ, Aruğaslan E, Güvenç TS, Karadeniz FÖ, Kaşıkçıoğlu H, Çam N. An Analysis of Myocardial Efficiency in Patients with Severe Asymptomatic Mitral Regurgitation. J Cardiovasc Imaging 2020; 28:267-278. [PMID: 33086443 PMCID: PMC7572264 DOI: 10.4250/jcvi.2020.0038] [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: 03/26/2020] [Revised: 05/31/2020] [Accepted: 06/23/2020] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND It is difficult to determine left ventricular systolic performance in patients with severe mitral regurgitation (MR) since left ventricular ejection fraction (EF) could be preserved until the end stages of the disease. Myocardial efficiency (MEf) describes the amount of external work (EW) done by the left ventricle per unit of oxygen consumed (mVO2). In the present study, we aimed to investigate MEf in patients with asymptomatic severe MR using a novel echocardiographic method. METHODS A total of 27 patients with severe asymptomatic MR and 26 healthy volunteers were included in this cross-sectional study. EW was measured using stroke volume and blood pressure, while mVO2 was estimated using double product and left ventricular mass. RESULTS There were no differences between the groups with regards to EF (66% ± 5% vs. 69% ± 7%), while MEf was significantly reduced in patients with severe MR (25% ± 11% vs. 44% ± 12%, p < 0.001). This difference was maintained even after adjustment for age, gender and body surface area (adjusted x-: 0.44, 95% CI: 0.39–0.49 for controls and adjusted x-: 0.24, 95% CI: 0.19–0.29 for patients with severe MR). Further analysis showed that this reduction was due to an increase in total mVO2 in the severe MR group. MEf of thepatients who were both on β-blockers and angiotensin converting enzyme inhibitors/angiotensin receptor blockers were higher than those who were not on any drugs, but this difference was not statistically significant (32% ± 15% vs. 23% ± 9%, p = 0.41). CONCLUSIONS MEf was significantly lower in patients with asymptomatic severe MR and preserved EF.
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Affiliation(s)
- Rengin Çetin Güvenç
- Division of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey
| | - Emre Aruğaslan
- Division of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey
| | - Tolga Sinan Güvenç
- Division of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey.
| | - Fatma Özpamuk Karadeniz
- Division of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey
| | - Hülya Kaşıkçıoğlu
- Division of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey
| | - Neşe Çam
- Division of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey
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Akdi A, Ertem AG, Yayla Ç, Erdöl MA, Çakmak Karaaslan Ö, Özilhan MO, Karanfil M, Ertem Ş, Aruğaslan E, Ünal S, Balcı MM, Demirtaş K. Glycosylated Hemoglobin A 1c and Lipoprotein(a) in Patients Presenting With Premature Acute Coronary Syndrome. Angiology 2020; 71:762. [DOI: 10.1177/0003319719897491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | | | | | - Şeyma Ertem
- Department of Pediatrics, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Karanfil M, Erdöl MA, Açar B, Aruğaslan E, Ertem AG. Left main coronary artery stenosis treated with renal stents after Cabrol operation. Turk Gogus Kalp Damar Cerrahisi Derg 2020; 28:531-535. [PMID: 32953218 PMCID: PMC7493601 DOI: 10.5606/tgkdc.dergisi.2020.19151] [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] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Accepted: 03/24/2020] [Indexed: 06/11/2023]
Abstract
Cabrol procedure is an alternative technique of anastomosing coronary arteries to the aortic root graft by an extra graft, if direct implantation of coronary arteries to the aortic root graft is not possible. The left main coronary artery stenosis is a rarely seen complication after aortic root operations. Treatment of large coronary arteries with renal stents is a challenging procedure. Herein, we, for the first time in the literature, present a case of left main coronary artery stenosis treated with renal stents after Cabrol operation.
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Affiliation(s)
| | | | - Burak Açar
- Department of Cardiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Aruğaslan E, Karanfil M, Erdöl MA, Çöteli C, Demirtaş K, Akdi A, Ünal S, Karaaslan ÖÇ, Özilhan MO, Yayla Ç, Ertem AG. Role of Rhythm Control in Prevention of Recurrent Stroke. Angiology 2019; 71:382. [DOI: 10.1177/0003319719887650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Özilhan MO, Karaaslan ÖÇ, Çöteli C, Ünal S, Erdöl MA, Karanfil M, Akdi A, Demirtaş K, Aruğaslan E, Ertem AG, Yayla Ç. Is Admission Heart Rate an Optimal Predictor for Coronary Artery Disease Complexity? Angiology 2019; 71:290. [PMID: 31514511 DOI: 10.1177/0003319719874618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Çakmak Karaaslan Ö, Özilhan MO, Ünal S, Karanfil M, Çöteli C, Erdöl MA, Akdi A, Demirtaş K, Aruğaslan E, Ertem AG, Yayla Ç. Contrast-Induced Nephropathy After Acute Myocardial Infarction. Angiology 2019; 71:288. [PMID: 31476882 DOI: 10.1177/0003319719872628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
| | | | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Çöteli C, Aruğaslan E, Erdöl MA, Karanfil M, Demirtaş K, Akdi A, Ünal S, Çakmak Karaaslan Ö, Özilhan MO, Yayla Ç, Ertem AG. Which Comes First in Contrast-Induced Nephropathy? Inflammation or Thrombus Formation? Angiology 2019; 71:195. [DOI: 10.1177/0003319719871794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Cem Çöteli
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Koray Demirtaş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | | | - Çağrı Yayla
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Tanık VO, Çınar T, Velibey Y, Öz A, Kalenderoğlu K, Gümüşdağ A, Aruğaslan E, Keskin M, Eren M. Neutrophil-to-Lymphocyte Ratio Predicts Contrast-Induced Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention. J Tehran Heart Cent 2019. [DOI: 10.18502/jthc.v14i2.1373] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background: Development of contrast-induced acute kidney injury (CI-AKI) in patients with ST-elevation myocardial infarction (STEMI) treated via primary percutaneous coronary intervention (PCI) is a major cause of morbidity and mortality worldwide. The neutrophil-to-lymphocyte ratio (NLR), which is a marker of inflammation, has been demonstrated to be associated with the development of major adverse cardiovascular outcomes in many studies. From this point of view, in this study, we aimed to evaluate the predictive value of the NLR as regards the occurrence of CI-AKI in patients with STEMI undergoing primary PCI.
Methods: This study was conducted at Dr. Siyami Ersek Training and Research Hospital from May 2008 to June 2016. A total of 2000 patients with STEMI treated via primary PCI were enrolled in the study. The NLR was calculated as the ratio of the number of neutrophils to the number of lymphocytes. All venous blood samples were obtained within 8 hours after admission. CI-AKI was the primary end point of the study. Then, the relationship between CI-AKI and the NLR was assessed.
Results: CI-AKI was detected in 148 (7.4%) patients. The patients who developed CI-AKI had a significantly higher NLR than those who did not (7.08±4.43 vs. 6.18±3.98; P=0.011). In the multivariate logistic regression analyses, the NLR remained a significant independent predictor of CI-AKI (OR: 1.78, 95% CI: 1.21–2.61, and P=0.003).
Conclusion: The NLR may be a significant independent predictor of CI-AKI in patients with STEMI treated via primary PCI and higher NLR values could be independently associated with a greater risk for CI-AKI.
J Teh Univ Heart Ctr 2019;14(2):59-66
This paper should be cited as: Tanık VO, Çınar T, Velibey Y, Öz A, Kalenderoğlu K, Gümüşdağ A, Aruğaslan E, Keskin M, Eren M. Neutrophil-to-Lymphocyte Ratio Predicts Contrast-Induced Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention. J Teh Univ Heart Ctr 2019;14(2):59-66.
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Tanık VO, Çınar T, Velibey Y, Öz A, Kalenderoğlu K, Gümüşdağ A, Aruğaslan E, Keskin M, Eren M. Neutrophil-to-Lymphocyte Ratio Predicts Contrast-Induced Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention. J Tehran Heart Cent 2019; 14:59-66. [PMID: 31723347 PMCID: PMC6842023] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background: Development of contrast-induced acute kidney injury (CI-AKI) in patients with ST-elevation myocardial infarction (STEMI) treated via primary percutaneous coronary intervention (PCI) is a major cause of morbidity and mortality worldwide. The neutrophil-to-lymphocyte ratio (NLR), which is a marker of inflammation, has been demonstrated to be associated with the development of major adverse cardiovascular outcomes in many studies. From this point of view, in this study, we aimed to evaluate the predictive value of the NLR as regards the occurrence of CI-AKI in patients with STEMI undergoing primary PCI. Methods: This study was conducted at Dr. Siyami Ersek Training and Research Hospital from May 2008 to June 2016. A total of 2000 patients with STEMI treated via primary PCI were enrolled in the study. The NLR was calculated as the ratio of the number of neutrophils to the number of lymphocytes. All venous blood samples were obtained within 8 hours after admission. CI-AKI was the primary end point of the study. Then, the relationship between CI-AKI and the NLR was assessed. Results: CI-AKI was detected in 148 (7.4%) patients. The patients who developed CI-AKI had a significantly higher NLR than those who did not (7.08±4.43 vs. 6.18±3.98; P=0.011). In the multivariate logistic regression analyses, the NLR remained a significant independent predictor of CI-AKI (OR: 1.78, 95% CI: 1.21-2.61, and P=0.003). Conclusion: The NLR may be a significant independent predictor of CI-AKI in patients with STEMI treated via primary PCI and higher NLR values could be independently associated with a greater risk for CI-AKI.
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Affiliation(s)
- Veysel Ozan Tanık
- Department of Cardiology, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
| | - Tufan Çınar
- Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey.,Corresponding Author: Tufan Çinar, Sultan Abdülhamid Han Training and Research Hospital, Tibbiye Street, Uskudar, Istanbul, Turkey. Tel: +90 2165422020. Fax: +90 2165422010. E-mail: .
| | - Yalçın Velibey
- Department of Cardiology, Siyami Ersek Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
| | - Ahmet Öz
- Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
| | - Koray Kalenderoğlu
- Department of Cardiology, Siyami Ersek Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
| | - Ayça Gümüşdağ
- Department of Cardiology, Siyami Ersek Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
| | - Emre Aruğaslan
- Department of Cardiology, Sivas Numune Hospital, Sivas, Turkey.
| | - Muhammed Keskin
- Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
| | - Mehmet Eren
- Department of Cardiology, Siyami Ersek Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
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Tanık VO, Aruğaslan E, Çinar T, Keskin M, Kaya A, Tekkeşin AI. Association of the CHA2DS2VASc Score with Acute Stent Thrombosis in Patients with an ST Elevation Myocardial Infarction Who Underwent a Primary Percutaneous Coronary Intervention. Med Princ Pract 2019; 28:115-123. [PMID: 30448849 PMCID: PMC6545906 DOI: 10.1159/000495526] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 11/18/2018] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE In this study, we aimed to determine the predictive value of the CHA2DS2VASc score for acute stent thrombosis in patients with an ST elevation myocardial infarction treated with a primary percutaneous coronary intervention (pPCI). METHODS This was a retrospective study conducted among 3,460 consecutive patients with STEMI who underwent a pPCI. The stent thrombosis was considered a definite or confirmed event in the presence of symptoms suggestive of acute coronary syndrome and angiographic confirmation of stent thrombosis based on the diagnostic guidelines of the Academic Research Consortium. The stent thrombosis was classified as acute if it developed within 24 h. RESULTS The mean CHA2DS2VASc score was 3.29 ± 1.73 in the stent thrombosis group, whereas it was 2.06 ± 1.14 in the control group (p < 0.001). In multivariable logistic regression analysis, CHA2DS2VASc scores ≥ 4 were independently associat ed with acute stent thrombosis (OR = 1.64; 95% CI 1.54-1.71, p < 0.001). In a receiver operating characteristic curve ana-lysis, the best cut-off value for the CHA2DS2VASc score was ≥4, with 60% sensitivity and 73% specificity. Of note, pa tients with a CHA2DS2VASc score of 4 had a 4.3 times higher risk of acute stent thrombosis compared to those with a CHA2DS2VASc score of 1. CONCLUSIONS The CHA2DS2VASc score may be a significant independent predictor of acute stent thrombosis in patients with STEMI treated with a pPCI. Therefore, the CHA2DS2VASc score may be used to assess the risk of acute stent thrombosis in patients with STEMI following a pPCI.
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Affiliation(s)
- Veysel Ozan Tanık
- Department of Cardiology, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Sivas Numune Hospital, Sivas, Turkey
| | - Tufan Çinar
- Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey,
| | - Muhammed Keskin
- Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
| | - Adnan Kaya
- Düzce University Department of Cardiology, Düzce, Turkey
| | - Ahmet Ilker Tekkeşin
- Department of Cardiology, Dr. Siyami Ersek Training and Research Hospital, Health Sciences University, Istanbul, Turkey
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15
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Çınar T, Tanık VO, Aruğaslan E, Karabağ Y, Çağdaş M, Rencüzoğulları İ, Keskin M. The association of PRECISE-DAPT score with development of contrast-induced nephropathy in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Cardiovasc Interv Ther 2018; 34:207-215. [DOI: 10.1007/s12928-018-0545-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Accepted: 09/03/2018] [Indexed: 02/02/2023]
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16
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Aruğaslan E, Karaca M, Özcan KS, Zengin A, Tatlısu MA, Bozbeyoğlu E, Satılmış S, Yıldırımtürk Ö, Yekeler İ, Nurkalem Z. Authors' reply. Turk Kardiyol Dern Ars 2016. [PMID: 27372632 DOI: 10.5543/tkda.2016.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Emre Aruğaslan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
| | - Mehmet Karaca
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Kazım Serhan Özcan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Ahmet Zengin
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Mustafa Adem Tatlısu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Emrah Bozbeyoğlu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Seçkin Satılmış
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Özlem Yıldırımtürk
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - İbrahim Yekeler
- Department of Cardiovascular Surgery, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Zekeriya Nurkalem
- Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey
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Aruğaslan E, Özcan KS, Güngör B, Karataş B, Karaca M, Bolca O. PP-137 Percutaneous Closure of Atrial Septal Defects Were Associated With Decreased İntra-Atrial and İnter-Atrial Conduction Times. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.236] [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: 11/16/2022]
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18
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Aruğaslan E, Karaca M, Özcan KS, Zengin A, Tatlısu MA, Bozbeyoğlu E, Satılmış S, Yıldırımtürk Ö, Yekeler İ, Nurkalem Z. Authors' reply. Turk Kardiyol Dern Ars 2016; 44:357-8. [PMID: 27372632 DOI: 10.5543/tkda.2016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023] Open
Affiliation(s)
- Emre Aruğaslan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
| | - Mehmet Karaca
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Kazım Serhan Özcan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Ahmet Zengin
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Mustafa Adem Tatlısu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Emrah Bozbeyoğlu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Seçkin Satılmış
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Özlem Yıldırımtürk
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - İbrahim Yekeler
- Department of Cardiovascular Surgery, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Zekeriya Nurkalem
- Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey
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Aruğaslan E, Karaca M, Özcan KS, Zengin A, Tatlısu MA, Bozbeyoğlu E, Satılmış S, Yıldırımtürk Ö, Yekeler İ, Nurkalem Z. Neurologic outcome in patients with cardiac arrest complicating ST elevation myocardial infarction treated by mild therapeutic hypothermia: The experience of a tertiary institution. Turk Kardiyol Dern Ars 2016; 44:100-4. [PMID: 27111307 DOI: 10.5543/tkda.2015.76436] [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 Therapeutic hypothermia improves neurologic prognosis after cardiac arrest. The aim of this study was to report clinical experience with intravascular method of cooling in patients with cardiac arrest resulting from ST-segment elevation myocardial infarction (STEMI). METHODS Thirteen patients (11 male, 2 famele; mean age was 39.6±9.4 years) who had undergone mild therapeutic hypothermia (MTH) by intravascular cooling after cardiac arrest due to STEMI were included. Clinical, demographic, and procedural data were analyzed. Neurologic outcome was assessed by Cerebral Performance Category (CPC) score. RESULTS Anterior STEMI was observed in 9 patients. One patient died of cardiogenic shock complicating STEMI. Mean cardiopulmonary resuscitation (CPR) duration and door-to-invasive cooling were 32.9±20.1 and 286.1±182.3 minutes, respectively. Precooling Glasgow Coma Scale score was 3 in 9 subjects. Twelve patients were discharged, 11 with CPC scores of 1 at 1-year follow-up. No major complication related to procedure was observed. CONCLUSION In comatose survivors of STEMI, therapeutic hypothermia by intravascular method is a feasible and safe treatment modality.
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Affiliation(s)
- Emre Aruğaslan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
| | - Mehmet Karaca
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Kazım Serhan Özcan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Ahmet Zengin
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Mustafa Adem Tatlısu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Emrah Bozbeyoğlu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Seçkin Satılmış
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Özlem Yıldırımtürk
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - İbrahim Yekeler
- Department of Cardiovascular Surgery, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Zekeriya Nurkalem
- Department of Cardiology, Medipol University Faculty of Medicine, İstanbul, Turkey
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Zengin A, Aruğaslan E, Karaca M, Özcan KS, Tatlısu MA, Çalık AN, Karataş MB, Uysal BA, Demir E. PP-064 Relationship of Admission Neutrophil Lymphocyte Ratio with Long Term Mortality and Morbidity in Patients Who Have Coronary Slow Flow Presented with Acute Coronary Syndrome? Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.420] [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: 11/28/2022]
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Affiliation(s)
- Ufuk Gürkan
- Clinic of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Hospital; İstanbul-Turkey.
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Gürkan U, Tatlısu MA, Aruğaslan E, Bolca O. Successful management of left main coronary artery thrombus with intracoronary thrombolysis. Turk Kardiyol Dern Ars 2014; 42:475-7. [PMID: 25080957 DOI: 10.5543/tkda.2014.93213] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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
The management of valvular heart diseases with mechanical valves has been performed for several years. Warfarin has been used in patients with mechanical heart valves to protect against thromboembolic complications; nevertheless, in these patients, thromboembolic event rates range from 0.5% to 1.7%. Acute occlusive embolism to the coronary arteries due to a mechanical valve is an uncommon occurrence. In this report, we present a case of a left coronary system occlusion due to thrombus embolization from a prosthetic aortic valve, which was successfully treated by thrombolytic therapy.
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Affiliation(s)
- Ufuk Gürkan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey.
| | - Mustafa Adem Tatlısu
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey
| | - Emre Aruğaslan
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey
| | - Osman Bolca
- Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey
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