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Yücel Karabay C, Taşolar H, Ülgen Kunak A, Çap M, Ali Astarcıoğlu M, Şen T, Kaplan M, Said Coşgun M, Vatansever Ağca F, Arslan U, Açıksarı G, Er F, Uğur Mert K, Özdoğan Ö, Çalışkan S, Akşit E, Seyda Yılmaz A, Aksakal E, Şimşek Z, Çağan Efe S, Aktüre G, Böyük F, Başaran Ö, Ballı M, Oğuz Aslan A, Babur Güler G, Batgerel U, Özkalaycı F, Caner Kaya B, Gönenç Kanar B, Karakayalı M, Erdoğan E, İş G, Kalkan S, Demirel S, Aksu U, Güray Ü, Aydın Baş H, Gök M, Fatih Yılmaz M, Şimşek B, Kolak Z, Öz M, Uluköksal U, Emre Kuloğlu H, Çabuk G, Köksal F, Cem Nizam A, Çoldur R, Şaylık F, Halil Tanboğa İ. Turkish Real Life Atrial Fibrillation in Clinical Practice: TRAFFIC Study. Anatol J Cardiol 2024; 28:87-93. [PMID: 38168008 PMCID: PMC10837672 DOI: 10.14744/anatoljcardiol.2023.3616] [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: 08/03/2023] [Accepted: 10/03/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia worldwide and is associated with an increased risk of thromboembolism, ischemic stroke, impaired quality of life, and mortality. The latest research that shows the prevalence and incidence of AF patients in Türkiye was the Turkish Adults' Heart Disease and Risk Factors study, which included 3,450 patients and collected data until 2006/07.The Turkish Real Life Atrial Fibrillation in Clinical Practice (TRAFFIC) study is planned to present current prevalence data, reveal the reflection of new treatment and risk approaches in our country, and develop new prediction models in terms of outcomes. METHODS The TRAFFIC study is a national, prospective, multicenter, observational registry. The study aims to collect data from at least 1900 patients diagnosed with atrial fibrillation, with the participation of 40 centers from Türkiye. The following data will be collected from patients: baseline demographic characteristics, medical history, vital signs, symptoms of AF, ECG and echocardiographic findings, CHADS2-VASC2 and HAS-BLED (1-year risk of major bleeding) risk scores, interventional treatments, antithrombotic and antiarrhythmic medications, or other medications used by the patients. For patients who use warfarin, international normalized ratio levels will be monitored. Follow-up data will be collected at 6, 12, 18, and 24 months. Primary endpoints are defined as systemic embolism or major safety endpoints (major bleeding, clinically relevant nonmajor bleeding, and minor bleeding as defined by the International Society on Thrombosis and Hemostasis). The main secondary endpoints include major adverse cardiovascular events (systemic embolism, myocardial infarction, and cardiovascular death), all-cause mortality, and hospitalizations due to all causes or specific reasons. RESULTS The results of the 12-month follow-up of the study are planned to be shared by the end of 2023. CONCLUSION The TRAFFIC study will reveal the prevalence and incidence, demographic characteristics, and risk profiles of AF patients in Türkiye. Additionally, it will provide insights into how current treatments are reflected in this population. Furthermore, risk prediction modeling and risk scoring can be conducted for patients with AF.
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Affiliation(s)
- Can Yücel Karabay
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Hakan Taşolar
- Department of Cardiology, İnönü University Faculty of Medicine, Malatya, Türkiye
| | | | - Murat Çap
- Department of Cardiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye
| | - Mehmet Ali Astarcıoğlu
- Department of Cardiology, University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | - Taner Şen
- Department of Cardiology, University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | - Mehmet Kaplan
- Department of Cardiology, Gaziantep University Faculty of Medicine, Gaziantep, Türkiye
| | - Muharrem Said Coşgun
- Department of Cardiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye
| | - Fahriye Vatansever Ağca
- Department of Cardiology, Bursa High Specialization Training and Research Hospital, Bursa, Türkiye
| | - Uğur Arslan
- Department of Cardiology, Samsun Training and Research Hospital, Samsun, Türkiye
| | - Gönül Açıksarı
- Department of Cardiology, İstanbul Medeniyet University Göztepe Training and Research Hospital, İstanbul, Türkiye
| | - Fahri Er
- Department of Cardiology, Ağrı Training and Research Hospital, Ağrı, Türkiye
| | - Kadir Uğur Mert
- Department of Cardiology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Türkiye
| | - Öner Özdoğan
- Department of Cardiology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye
| | - Serhat Çalışkan
- Department of Cardiology, İstanbul Bahçelievler Public Hospital, İstanbul, Türkiye
| | - Ercan Akşit
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Türkiye
| | - Ahmet Seyda Yılmaz
- Department of Cardiology, Recep Tayyip Erdoğan University Faculty of Medicine, Rize, Türkiye
| | - Emrah Aksakal
- Department of Cardiology, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye
| | - Zeki Şimşek
- Department of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye
| | - Süleyman Çağan Efe
- Department of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye
| | - Gülşah Aktüre
- Department of Cardiology, Düzce University Training and Research Hospital, Düzce, Türkiye
| | - Ferit Böyük
- Department of Cardiology, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Özcan Başaran
- Department of Cardiology, Muğla Sıtkı Kocaman University Faculty of Medicine, Muğla, Türkiye
| | - Mehmet Ballı
- Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye
| | - Ahmet Oğuz Aslan
- Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Türkiye
| | - Gamze Babur Güler
- Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | | | - Flora Özkalaycı
- Department of Cardiology, Hisar Hospital Intercontinental, İstanbul, Türkiye
| | - Bedri Caner Kaya
- Department of Cardiology, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Türkiye
| | - Batur Gönenç Kanar
- Department of Cardiology, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye
| | - Muammer Karakayalı
- Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Türkiye
| | - Emrah Erdoğan
- Department of Cardiology, Van Yüzüncü Yıl University Faculty of Medicine, Van, Türkiye
| | - Gürkan İş
- Department of Cardiology, Lösante Children’s and Adult Hospital, Ankara, Türkiye
| | - Sedat Kalkan
- Department of Cardiology, Pendik State Hospital, İstanbul, Türkiye
| | - Sinan Demirel
- Department of Cardiology, Pendik State Hospital, İstanbul, Türkiye
| | - Uğur Aksu
- Department of Cardiology, Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, Türkiye
| | - Ümit Güray
- Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye
| | - Hasan Aydın Baş
- Department of Cardiology, Isparta City Hospital, Isparta, Türkiye
| | - Murat Gök
- Department of Cardiology, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Mehmet Fatih Yılmaz
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Barış Şimşek
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Zeynep Kolak
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Melih Öz
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Utku Uluköksal
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Hüseyin Emre Kuloğlu
- Department of Cardiology, İnönü University Faculty of Medicine, Malatya, Türkiye
| | - Gizem Çabuk
- Department of Cardiology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye
| | - Fatma Köksal
- Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye
| | - Ahmet Cem Nizam
- Department of Cardiology, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye
| | - Rabia Çoldur
- Department of Cardiology, Van Yüzüncü Yıl University Faculty of Medicine, Van, Türkiye
| | - Faysal Şaylık
- Department of Cardiology, Van Training and Research Hospital, Van, Türkiye
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Çabuk AK, Çabuk G, Karamanlıoğlu M, Eliz Uzel K, Bağlan Uzunget S, Aslantürk ÖF, Güray Ü. Is there a relationship between slow coronary flow and normal to mildly impaired renal function? Turk Kardiyol Dern Ars 2016; 44:207-14. [PMID: 27138309 DOI: 10.5543/tkda.2015.02428] [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 The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation is more effective at estimating glomerular filtration rate (GFR) than the Modification of Diet in Renal Disease (MDRD) equation, particularly in patients with mildly impaired renal function. Recent studies have demonstrated, using the Cockroft-Gault and MDRD formulas, a significant correlation between slow coronary flow (SCF) and normal to mildly impaired renal function. However, these studies had some limitations. The aim of the present study was to investigate the relationship between SCF and normal to mildly impaired renal function using the CKD-EPI equation. METHODS A total of 370 patients were included, 172 with normal coronary flow (NCF) and 198 with SCF. All participants had normal to mildly impaired renal function. Both the CKD-EPI and MDRD formulas were used to calculated estimated glomerular filtration rate (eGFR), which was compared between groups. RESULTS No significant difference in mean values of eGFR was found between the NCF and SCF groups (CKD-EPI: 92.9±14.7 vs 92.7±14.2, p=0.72; MDRD: 89.5±19.5 vs 88.2±17.0, p=0.70, respectively). Among patients with eGFR(MDRD) ≥90 mL/min/1.73 m2, mean eGFR levels were lower among patients with SCF (107.0±12.7 vs 102.7±10.0, p=0.02). CONCLUSION No correlation was found between SCF and normal to mildly impaired renal function.
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Affiliation(s)
- Ali Kemal Çabuk
- Department of Cardiology, Tepecik Training and Research Hospital, İzmir, Turkey.
| | - Gizem Çabuk
- Department of Cardiology, Buca Seyfi Demirsoy State Hospital, İzmir, Turkey
| | - Murat Karamanlıoğlu
- Department of Cardiology, Atatürk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara, Turkey
| | - Kader Eliz Uzel
- Department of Cardiology, Besni State Hospital, Adıyaman, Turkey
| | | | | | - Ümit Güray
- Department of Cardiology, Ankara Numune Training and Research Hospital, Ankara, Turkey
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Güray Y, Gücük İpek E, Acar B, Kuyumcu MS, Uçar F, Kafes H, Asarcıklı L, Çabuk G, Demirkan B, Güray Ü. Long-term outcome in patients with prosthetic valve endocarditis: results from a single center in Turkey. Turk Kardiyol Dern Ars 2016; 44:105-13. [PMID: 27111308 DOI: 10.5543/tkda.2015.21504] [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 Prosthetic valve endocarditis (PVE) is associated with increased mortality and morbidity. Information regarding the long-term outcome of PVE is scarce in Turkey. The aim of this study was to evaluate long-term mortality rates of PVE and identify predictors of mortality in these patients. METHODS From January 2008 through August 2013, 44 patients (25 male, 19 female; mean age 49.3±12.1 years) who received a definitive diagnosis of PVE enrolled in the study.Median follow-up period was 23 months. Survival status was assessed for each patient by reviewing charts and making contact by phone. Cox regression analysis was used to evaluate outcome predictors. RESULTS The mitral valve was the most commonly affected valve and Staphylococcus aureus the most prevalent microorganism. Fourteen patients (32%) underwent surgery, 7 of whom underwent early surgery. Overall mortality and in-hospital mortality rates were 39% (n=17) and 25% (n=11), respectively. In multivariate analysis, NYHA classification >2 (hazard ratio [HR] 3.7; 95% confidence interval [CI], 1.16-11.8; p=0.03), early-onset PVE (HR 4.23; 95% CI, 1.1-16.42; p=0.04), vegetation size ≥10 mm (HR 3.94; 95% CI, 1.1-14.75; p=0.04), and heart failure (HR 4.18; 95% CI, 1.36-12.8; p=0.01) were found to be independent predictors of mortality. CONCLUSION Our findings suggest that PVE is associated with increased long-term mortality rates. Poor functional status, early-onset PVE, heart failure, and vegetation size are independent predictors of survival in patients with PVE.
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Affiliation(s)
- Yeşim Güray
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
| | - Esra Gücük İpek
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Burak Acar
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Mevlüt Serdar Kuyumcu
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Fatih Uçar
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Habibe Kafes
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Lale Asarcıklı
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Gizem Çabuk
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Burcu Demirkan
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Ümit Güray
- Department of Cardiology, Numune Training and Research Hospital, Ankara, Turkey
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Çabuk G, Guray U, Kafes H, Guray Y, Cabuk AK, Bayir PT, Asarcikli LD. Aortic valve sclerosis is associated with lower serum adiponectin levels. J Cardiovasc Med (Hagerstown) 2016; 16:451-5. [PMID: 25010503 DOI: 10.2459/jcm.0000000000000137] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
AIMS The sclerotic lesions of the aortic valve share common features with atherosclerosis. An anti-inflammatory protein, adiponectin, seems to have a protective effect on the cardiovascular system. The goal of our study is to determine adiponectin levels in patients with aortic sclerosis and to compare these values with the control group with similar age and cardiovascular risk profile. METHODS Sixty-eight patients with aortic sclerosis and 40 controls were included. Serum adiponectin levels were measured by solid-phase enzyme-linked immunosorbent assay. RESULTS There were no significant differences regarding age, sex and other cardiovascular risk factors between groups. Also, mean body mass index values were similar. The rate of mitral annular calcification and left ventricular hypertrophy were significantly higher in patients with aortic sclerosis. Among laboratory variables, high-sensitive C-reactive protein (hsCRP) levels were significantly higher in patients with aortic sclerosis than in those without (4.0 ± 2.9 vs. 2.9 ± 2.3 mg/dl, P = 0.04). Adiponectin levels were found to be significantly lower in aortic sclerosis group than in controls (9.7 ± 4.4 vs. 11.7 ± 4.9 μg/ml, P = 0.034). In the whole group, adiponectin levels were significantly correlated with BMI (r = -0.22, P = 0.02), white blood cell count (r = -0.2, P = 0.03), hsCRP (r = -0.25, P = 0.008), total cholesterol (r = -0.18, P = 0.05), high-density lipoprotein (HDL) cholesterol (r = 0.31, P = 0.001) and triglyceride (r = -0.36, P < 0.001). CONCLUSION In patients with aortic sclerosis, serum adiponectin levels were significantly lower compared with those with normal aortic valves. Our findings suggested that adiponectin might play a role in the progression of degenerative aortic valve disease.
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Affiliation(s)
- Gizem Çabuk
- Department of Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
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