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Yakut I, Kanal Y, Konte HC, Ozbay MB, Yüksekkaya B, Celebi OO, Ozeke O, Aydoğdu S. Baseline coronary artery stenosis severity is an independent predictor of subsequent poor sleep quality in patients with acute coronary syndrome. Coron Artery Dis 2024; 35:299-308. [PMID: 38656277 DOI: 10.1097/mca.0000000000001337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
AIM To investigate the relationship between coronary artery lesion severity determined using the baseline SYNTAX score and sleep problems that might occur after discharge determined using the Pittsburgh Sleep Quality Index (PSQI). METHODS This prospective study included patients with first acute coronary syndrome (ACS) who underwent percutaneous coronary angiography between February 2019 and August 2019. The severity of coronary artery stenosis was classified according to coronary angiography and SYNTAX scores. Patients were grouped as those with a SYNTAX score of ≤22 and >22. Sleep quality after discharge was classified according to the PSQI. PSQI ≤5 represented good sleep quality, and PSQI >5 represented poor sleep quality. Univariate and multivariate logistic regression was used to investigate the relationship between sleep quality and coronary artery stenosis severity. RESULTS A total of 424 patients were included in the study. Of these, 294 (69.34%) had a SYNTAX score of ≤22 and 130 (30.66%) had a SYNTAX score of >22. The mean age of all patients was 60.37 ± 12.23 years, 59.69 ± 11.85 years in the SYNTAX ≤22 groups and 61.90 ± 12.98 years in the SYNTAX >22 group (P = 0.086). The majority (78.54%) of the patients were male and there was no significant difference between the SYNTAX ≤22 group and the SYNTAX >22 group in terms of sex distribution (P = 0.383). According to the univariate logistic regression analysis, age (P = 0.014), diabetes (P = 0.027), left ventricular ejection fraction (P = 0.001), estimated glomerular filtration rate (P = 0.039), creatine kinase MB (P = 0.040) and SYNTAX scores (P < 0.001) were significantly associated with high PSQI global scores (>5). However, according to the multivariate logistic regression analysis results, high (>22) SYNTAX scores were the only factor independently associated with the high (>5) PSQI global scores [odds ratio, 3.477; 95% confidence interval (CI), (2.190-5.522); P < 0.001]. Complete revascularization group had significantly higher sleep latency and sleep duration time, sleep efficiency and the percentage of patients with PSQI global score of ≤5 than the incomplete revascularization group (P < 0.001 for all). CONCLUSION Among patients with ACS, those with high SYNTAX scores should be monitored more carefully for sleep disorders that may occur later.
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Affiliation(s)
- Idris Yakut
- Department of Cardiology, Medipol İstanbul University, İstanbul, Turkey
| | - Yücel Kanal
- Department of Cardiology, Sivas Cumhuriyet University, Sivas, Turkey
| | - Hasan Can Konte
- Department of Cardiology, Medipol İstanbul University, İstanbul, Turkey
| | - Mustafa Bilal Ozbay
- Metropolitan Hospital Center, New York Medical College, New York City, New York, USA
| | - Baran Yüksekkaya
- Department of Cardiology, Health Sciences University, Ankara City Hospital, Ankara, Turkey
| | - Ozlem Ozcan Celebi
- Department of Cardiology, Health Sciences University, Ankara City Hospital, Ankara, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, Health Sciences University, Ankara City Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Health Sciences University, Ankara City Hospital, Ankara, Turkey
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Başyiğit F, Gürsoy HT, Çelebi ÖÖ, Balcı KG, Elalmış ÖU, Özbek K, Karaaslan ÖÇ, Ileri M, Keleş T, Aydoğdu S. The association between CHA 2DS 2-VASc score and aortic valve sclerosis. Cardiovasc J Afr 2023; 34:1-6. [PMID: 37526976 DOI: 10.5830/cvja-2023-022] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 04/12/2023] [Indexed: 08/03/2023] Open
Abstract
BACKGROUND Antithrombotic therapy in atrial fibrillation is generally managed with the CHA2DS2-VASc score. Aortic valve sclerosis (AVS) is a focal thickening of the aortic valve without a restriction of motion. AVS is related to several cardiovascular risk factors. Our study was performed to evaluate whether the presence of AVS was associated with the CHA2DS2-VASc score. METHODS This cross-sectional, observational study comprised 411 patients with AVS grades 1-3 [AVS (+)] and 102 patients with AVS grade 0 [AVS (-)]. We compared CHA2DS2-VASc scores between the AVS (+) and AVS (-) groups. RESULTS We determined that the AVS (+) group had a higher CHA2DS2-VASc score than the AVS (-) group [3 (0-8) vs 1 (0-4), p < 0.001) ]. CONCLUSIONS In our study, the CHA2DS2-VASc score was found to be higher in patients with AVS than in those without AVS. AVS may predict cardiovascular risk in the general population.
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Affiliation(s)
- Funda Başyiğit
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey.
| | | | | | | | | | - Kerem Özbek
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | | | - Mehmet Ileri
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Telat Keleş
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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Kızılırmak P, Öngen Z, Güleç S, Kayıkçıoğlu M, Kılıçkap M, Abacı A, Özer N, Aydoğdu S, Temizhan A, Yılmaz MB, Bozkurt E, Dölek B, Tokgözoğlu L, Tokgozoglu L. Lipid Modification to Reduce Cardiovascular Risk in Secondary Prevention Patients with Special Emphasis on PCSK9 Inhibitor Requirement: An Analysis Based on Delphi Panel Approach. Turk Kardiyol Dern Ars 2022; 50:554-560. [PMID: 35976247 DOI: 10.5543/tkda.2022.22367] [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: 01/14/2023] Open
Abstract
OBJECTIVE The aim of this study is to analyze the low-density lipoprotein cholesterol-lowering therapies in secondary prevention patients by analyzing their plasma low-density lipoprotein cholesterol levels, current treatment, considering their inadequate response to medications (as defined in current guidelines), and the requirement for a protein convertase subtilisin/kexin type 9 inhibitor. METHODS Delphi panel is used to seek expert consensus of experienced 12 cardiologists. A questionnaire consisting of 6 main questions is used to reflect the opinion of the expert panelists on the practices of low-density lipoprotein cholesterol-lowering therapies of patients with high and very high cardiovascular risk. Patients with atherosclerotic cardiovascular disease are covered in this present analysis. RESULTS According to expert opinion data, 18.6% of the patient population with atherosclerotic cardiovascular disease is estimated to have experienced recurrent vascular events. The current treatment of the patient population is 39.7% on high dose, 36.9% on low/moderate dose of statin, 13.1% on maximum tolerated dose statin+ezetimibe, and 1.2% on maximum tolerated dose statin+ezetimibe+protein convertase subtilisin/kexin type 9 inhibitor. The percentage of atherosclerotic cardiovascular disease patients with inadequate treatment response is estimated to be 20.2% in those using "maximum tolerated dose statin+ezetimibe." The proportion of patients who will need to be treated with a protein convertase subtilisin/kexin type 9 inhibitor increases as their low-density lipoprotein cholesterol levels rises from 9.1% in 70-99 mg/dL to 50.8% in ≥160 mg/dL for these patients. CONCLUSION According to expert opinion, although a substantial proportion of patients with secondary prevention have not achieved low-density lipoprotein cholesterol goals, the use of protein convertase subtilisin/kexin type 9 inhibitors is very low. Since the questionnaire subject to panel discussion did not include any question elaborating the issue, the discrepancy between the recommendation of the related guidelines and Turkish practice needs further studies for the explanation.
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Affiliation(s)
| | - Zeki Öngen
- Department of Cardiology, Cerrahpaşa University Faculty of Medicine, İstanbul Turkey
| | - Sadi Güleç
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Meral Kayıkçıoğlu
- Department of Cardiology, Ege University Faculty of Medicine, İzmir, Turkey
| | - Mustafa Kılıçkap
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Adnan Abacı
- Department of Cardiology, Ege University Faculty of Medicine, İzmir, Turkey
| | - Necla Özer
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ahmet Temizhan
- Department of Cardiology, Health Sciences University Ankara City Hospital, Ankara, Turkey
| | - Mehmet Birhan Yılmaz
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Engin Bozkurt
- Department of Cardiology, Medicana International Ankara Hospital, Ankara, Turkey
| | | | - Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Arısoy F, Ozcan Celebi O, Erbay İ, Tufekcioglu O, Aydoğdu S, Temizhan A. Selvester score predicts implantable cardioverter defibrillator shocks in patients with non-ischemic cardiomyopathy. J Arrhythm 2021; 37:1046-1051. [PMID: 34386131 PMCID: PMC8339102 DOI: 10.1002/joa3.12571] [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: 01/08/2021] [Revised: 05/03/2021] [Accepted: 05/11/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND The implantable cardiac defibrillator is the cornerstone of prevention of sudden cardiac death in non-ischemic cardiomyopathy. The Selvester score, which is frequently investigated in ischemic cardiomyopathy, has not been investigated in the field of non-ischemic cardiomyopathy. AIM The aim of this study was to evaluate the Selvester score for determining appropriate implantable cardiac defibrillator shocks in non-ischemic cardiomyopathy patients. MATERIALS AND METHODS In all, 131 non-ischemic cardiomyopathy patients were included in the study. A simplified Selvester score was calculated from ECG data. Patients were divided into two groups according to whether they received ICD shock. RESULTS Of the patients, 28.2% received appropriate implantable cardiac defibrillator shock. The Selvester score was significantly higher in patients receiving appropriate shock when compared to patients with no implantable cardiac defibrillator shocks (8.8 ± 4.6 vs 7.2 ± 3.3, P = .040). The median QRS duration was significantly longer in patients receiving appropriate shock than in patients with no shocks (130.14 ± 35.08 ms vs 120.12 ± 20.57 ms, P = .045). We determined that the cutoff value for the Selvester score to predict ICD shocks was 6.5 with a sensitivity of 72.0% and a specificity of 83% (AUC = 0.717; %95 GA: 0.627-0.807, P < .001). CONCLUSION Selvester score was higher in patients receiving appropriate shock than in patients who did not receive any implantable cardiac defibrillator shock. From this study, the Selvester score is associated with the risk of ventricular tachycardia/ventricular fibrillation in non-ischemic cardiomyopathy so that careful attention is necessary to manage the patients with high Selvester score.
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Affiliation(s)
- Fazıl Arısoy
- Department of CardiologyKilis State HospitalKilisTurkey
| | - Ozlem Ozcan Celebi
- Department of CardiologyUniversity of Health ScienceAnkara City HospitalAnkaraTurkey
| | - İlke Erbay
- Department of CardiologyUniversity of Health ScienceAnkara City HospitalAnkaraTurkey
| | - Omaç Tufekcioglu
- Department of CardiologyUniversity of Health ScienceAnkara City HospitalAnkaraTurkey
| | - Sinan Aydoğdu
- Department of CardiologyUniversity of Health ScienceAnkara City HospitalAnkaraTurkey
| | - Ahmet Temizhan
- Department of CardiologyUniversity of Health ScienceAnkara City HospitalAnkaraTurkey
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5
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Balci KG, Özcan Çelebi Ö, Balcı MM, İleri M, Aydoğdu S. Mood disorders, survival and medical compliance. Acta Cardiol 2020; 75:809. [PMID: 31522613 DOI: 10.1080/00015385.2019.1666228] [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: 10/26/2022]
Affiliation(s)
| | | | | | - Mehmet İleri
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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6
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Şimşek-Yavuz S, Akar AR, Aydoğdu S, Berzeg Deniz D, Demir H, Hazırolan T, Ozatik MA, Özer N, Sargın M, Topçuoğlu N, Turhan N, Yılmaz MB, Azap Ö, Başaran S, Çağ Y, Çağatay AA, Çınar Aydın G, Doğan Kaya S, Hızmalı L, Işık ME, Kılıçaslan N, Menekşe Ş, Meriç-Koç M, Öztürk S, Şensoy A, Tezer-Tekçe Y, Tükenmez-Tigen E, Uygun-Kızmaz Y, Velioğlu-Öcalmaz MŞ, Yeşilkaya A, Yılmaz E, Yılmaz N, Yılmaz-Karadağ F. Diagnosis, treatment and prevention of infective endocarditis: Turkish consensus report-2019. Turk Kardiyol Dern Ars 2020; 48:187-226. [PMID: 32147661 DOI: 10.5543/tkda.2020.89689] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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)
- Serap Şimşek-Yavuz
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Ahmet Rüçhan Akar
- Turkish Society of Cardiovascular Surgery (Ankara University, Ankara City Hospital, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital), İstanbul, Turkey
| | - Sinan Aydoğdu
- Turkish Society of Cardiology (Ankara City Hospital, Hacettepe University, Dokuz Eylül University), İstanbul, Turkey
| | - Denef Berzeg Deniz
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Hakan Demir
- Turkish Society of Nuclear Medicine (Kocaeli University), Ankara, Turkey
| | - Tuncay Hazırolan
- Turkish Society of Radiology (Hacettepe University), Ankara, Turkey
| | - Mehmet Ali Ozatik
- Turkish Society of Cardiovascular Surgery (Ankara University, Ankara City Hospital, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital), İstanbul, Turkey
| | - Necla Özer
- Turkish Society of Cardiology (Ankara City Hospital, Hacettepe University, Dokuz Eylül University), İstanbul, Turkey
| | - Murat Sargın
- Turkish Society of Cardiovascular Surgery (Ankara University, Ankara City Hospital, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital), İstanbul, Turkey
| | - Nursen Topçuoğlu
- Turkish Dental Association (İstanbul University), Ankara, Turkey
| | - Nesrin Turhan
- Federation of Turkish Pathology Societies, Cardiovascular System Study Group (Ankara City Hospital), Ankara, Turkey
| | - Mehmet Birhan Yılmaz
- Turkish Society of Cardiology (Ankara City Hospital, Hacettepe University, Dokuz Eylül University), İstanbul, Turkey
| | - Özlem Azap
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Seniha Başaran
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Yasemin Çağ
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Arif Atahan Çağatay
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Güle Çınar Aydın
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Sibel Doğan Kaya
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Lokman Hızmalı
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Mehmet Emirhan Işık
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Nirgül Kılıçaslan
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Şirin Menekşe
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Meliha Meriç-Koç
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Serpil Öztürk
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Ayfer Şensoy
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Yasemin Tezer-Tekçe
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Elif Tükenmez-Tigen
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Yeşim Uygun-Kızmaz
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Mutlu Şeyda Velioğlu-Öcalmaz
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Ayşegül Yeşilkaya
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Emel Yılmaz
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Neziha Yılmaz
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
| | - Fatma Yılmaz-Karadağ
- Turkish Society of Clinical Microbiology and Infectious Diseases, Infective Endocarditis and Other Cardiovascular Infections Study Grup (Istanbul University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Başkent University, İstanbul Medeniyet University, Ankara University, Kartal Koşuyolu High Speciality Training and Research Hospital, Kırşehir Ahi Evran University, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Bezmiâlem Vakıf University, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Resarch Hospital, Ankara City Hospital, Marmara University, Uludağ University, Yozgat Bozok University, Göztepe Training and Research Hospital), İstanbul, Turkey
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Balci KG, Özcan Çelebi Ö, Balcı MM, Aydoğdu S, İleri M. Atrial fibrillation and health-related quality of life. Pacing Clin Electrophysiol 2019; 43:156. [PMID: 31625615 DOI: 10.1111/pace.13821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Accepted: 09/14/2019] [Indexed: 11/26/2022]
Affiliation(s)
| | | | | | - Sinan Aydoğdu
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
| | - Mehmet İleri
- Department of Cardiology, Ankara City Hospital, Ankara, Turkey
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8
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Tekin Tak B, Özcan Çelebi Ö, Küçükşahin O, Tak S, Akdi A, Aydoğdu S. A Rare Cause of Multiple Pseudoaneurysms of Radial Artery After Coronary Angiography: Behcet's Disease. Turk Kardiyol Dern Ars 2019; 47:410-412. [PMID: 31311908 DOI: 10.5543/tkda.2018.73184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Patients with Behçet's disease are at risk for iatrogenic aneurysms after interventions. Presently described is the case of a 55-year-old male with multiple pseudoaneurysms occurring in the late period after a coronary angiography procedure performed via the radial artery. There was no previous diagnosis of vasculitis. Behçet's disease was revealed to be the underlying pathology.
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Affiliation(s)
- Bahar Tekin Tak
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Özlem Özcan Çelebi
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Orhan Küçükşahin
- Department of Rheumatology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Sercan Tak
- Department of Cardiovascular Surgery, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Ahmet Akdi
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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9
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De Backer G, Jankowski P, Kotseva K, Mirrakhimov E, Reiner Ž, Rydén L, Tokgözoğlu L, Wood D, De Bacquer D, De Backer G, Jankowski P, Kotseva K, Mirrakhimov E, Reiner Z, Rydén L, Tokgözoğlu L, Wood D, De Bacquer D, Kotseva K, De Backer G, Abreu A, Aguiar C, Badariene J, Bruthans J, Castro Conde A, Cifkova R, Crowley J, Davletov K, Bacquer DD, De Smedt D, De Sutter J, Deckers J, Dilic M, Dolzhenko M, Druais H, Dzerve V, Erglis A, Fras Z, Gaita D, Gotcheva N, Grobbee D, Gyberg V, Hasan Ali H, Heuschmann P, Hoes A, Jankowski P, Lalic N, Lehto S, Lovic D, Maggioni A, Mancas S, Marques-Vidal P, Mellbin L, Miličić D, Mirrakhimov E, Oganov R, Pogosova N, Reiner Ž, Rydén L, Stagmo M, Störk S, Sundvall J, Tokgözoğlu L, Tsioufis K, Vulic D, Wood D, Wood D, Kotseva K, Jennings C, Adamska A, Adamska S, Rydén L, Mellbin L, Tuomilehto J, Schnell O, Druais H, Fiorucci E, Glemot M, Larras F, Missiamenou V, Maggioni A, Taylor C, Ferreira T, Lemaitre K, Bacquer DD, De Backer G, Raman L, Sundvall J, DeSmedt D, De Sutter J, Willems A, De Pauw M, Vervaet P, Bollen J, Dekimpe E, Mommen N, Van Genechten G, Dendale P, Bouvier C, Chenu P, Huyberechts D, Persu A, Dilic M, Begic A, Durak Nalbantic A, Dzubur A, Hadzibegic N, Iglica A, Kapidjic S, Osmanagic Bico A, Resic N, Sabanovic Bajramovic N, Zvizdic F, Vulic D, Kovacevic-Preradovic T, Popovic-Pejicic S, Djekic D, Gnjatic T, Knezevic T, Kovacevic-Preradovic T, Kos L, Popovic-Pejicic S, Stanetic B, Topic G, Gotcheva N, Georgiev B, Terziev A, Vladimirov G, Angelov A, Kanazirev B, Nikolaeva S, Tonkova D, Vetkova M, Milicic D, Reiner Ž, Bosnic A, Dubravcic M, Glavina M, Mance M, Pavasovic S, Samardzic J, Batinic T, Crljenko K, Delic-Brkljacic D, Dula K, Golubic K, Klobucar I, Kordic K, Kos N, Nedic M, Olujic D, Sedinic V, Blazevic T, Pasalic A, Percic M, Sikic J, Bruthans J, Cífková R, Hašplová K, Šulc P, Wohlfahrt P, Mayer O, Cvíčela M, Filipovský J, Gelžinský J, Hronová M, Hasan-Ali H, Bakery S, Mosad E, Hamed H, Ibrahim A, Elsharef M, Kholef E, Shehata A, Youssef M, Elhefny E, Farid H, Moustafa T, Sobieh M, Kabil H, Abdelmordy A, Lehto S, Kiljander E, Kiljander P, Koukkunen H, Mustonen J, Cremer C, Frantz S, Haupt A, Hofmann U, Ludwig K, Melnyk H, Noutsias M, Karmann W, Prondzinsky R, Herdeg C, Hövelborn T, Daaboul A, Geisler T, Keller T, Sauerbrunn D, Walz-Ayed M, Ertl G, Leyh R, Störk S, Heuschmann P, Ehlert T, Klocke B, Krapp J, Ludwig T, Käs J, Starke C, Ungethüm K, Wagner M, Wiedmann S, Tsioufis K, Tolis P, Vogiatzi G, Sanidas E, Tsakalis K, Kanakakis J, Koutsoukis A, Vasileiadis K, Zarifis J, Karvounis C, Crowley J, Gibson I, Houlihan A, Kelly C, O'Donnell M, Bennati M, Cosmi F, Mariottoni B, Morganti M, Cherubini A, Di Lenarda A, Radini D, Ramani F, Francese M, Gulizia M, Pericone D, Davletov K, Aigerim K, Zholdin B, Amirov B, Assembekov B, Chernokurova E, Ibragimova F, Kodasbayev A, Markova A, Mirrakhimov E, Asanbaev A, Toktomamatov U, Tursunbaev M, Zakirov U, Abilova S, Arapova R, Bektasheva E, Esenbekova J, Neronova K, Asanbaev A, Baigaziev K, Toktomamatov U, Zakirov U, Baitova G, Zheenbekov T, Erglis A, Andrejeva T, Bajare I, Kucika G, Labuce A, Putane L, Stabulniece M, Dzerve V, Klavins E, Sime I, Badariene J, Gedvilaite L, Pečiuraite D, Sileikienė V, Skiauteryte E, Solovjova S, Sidabraite R, Briedis K, Ceponiene I, Jurenas M, Kersulis J, Martinkute G, Vaitiekiene A, Vasiljevaite K, Veisaite R, Plisienė J, Šiurkaitė V, Vaičiulis Ž, Jankowski P, Czarnecka D, Kozieł P, Podolec P, Nessler J, Gomuła P, Mirek-Bryniarska E, Bogacki P, Wiśniewski A, Pająk A, Wolfshaut-Wolak R, Bućko J, Kamiński K, Łapińska M, Paniczko M, Raczkowski A, Sawicka E, Stachurska Z, Szpakowicz M, Musiał W, Dobrzycki S, Bychowski J, Kosior D, Krzykwa A, Setny M, Kosior D, Rak A, Gąsior Z, Haberka M, Gąsior Z, Haberka M, Szostak-Janiak K, Finik M, Liszka J, Botelho A, Cachulo M, Sousa J, Pais A, Aguiar C, Durazzo A, Matos D, Gouveia R, Rodrigues G, Strong C, Guerreiro R, Aguiar J, Abreu A, Cruz M, Daniel P, Morais L, Moreira R, Rosa S, Rodrigues I, Selas M, Gaita D, Mancas S, Apostu A, Cosor O, Gaita L, Giurgiu L, Hudrea C, Maximov D, Moldovan B, Mosteoru S, Pleava R, Ionescu M, Parepa I, Pogosova N, Arutyunov A, Ausheva A, Isakova S, Karpova A, Salbieva A, Sokolova O, Vasilevsky A, Pozdnyakov Y, Antropova O, Borisova L, Osipova I, Lovic D, Aleksic M, Crnokrak B, Djokic J, Hinic S, Vukasin T, Zdravkovic M, Lalic N, Jotic A, Lalic K, Lukic L, Milicic T, Macesic M, Stanarcic Gajovic J, Stoiljkovic M, Djordjevic D, Kostic S, Tasic I, Vukovic A, Fras Z, Jug B, Juhant A, Krt A, Kugonjič U, Chipayo Gonzales D, Gómez Barrado J, Kounka Z, Marcos Gómez G, Mogollón Jiménez M, Ortiz Cortés C, Perez Espejo P, Porras Ramos Y, Colman R, Delgado J, Otero E, Pérez A, Fernández-Olmo M, Torres-LLergo J, Vasco C, Barreñada E, Botas J, Campuzano R, González Y, Rodrigo M, de Pablo C, Velasco E, Hernández S, Lozano C, González P, Castro A, Dalmau R, Hernández D, Irazusta F, Vélez A, Vindel C, Gómez-Doblas J, García Ruíz V, Gómez L, Gómez García M, Jiménez-Navarro M, Molina Ramos A, Marzal D, Martínez G, Lavado R, Vidal A, Rydén L, Boström-Nilsson V, Kjellström B, Shahim B, Smetana S, Hansen O, Stensgaard-Nake E, Deckers J, Klijn A, Mangus T, Peters R, Scholte op Reimer W, Snaterse M, Aydoğdu S, Ç Erol, Otürk S, Tulunay Kaya C, Ahmetoğlu Y, Ergene O, Akdeniz B, Çırgamış D, Akkoyun H Kültürsay S, Kayıkçıoğlu M, Çatakoğlu A, Çengel A, Koçak A, Ağırbaşlı M, Açıksarı G, Çekin M, Tokgözoğlu L, Kaya E, Koçyiğit D, Öngen Z, Özmen E, Sansoy V, Kaya A, Oktay V, Temizhan A, Ünal S, İ Yakut, Kalkan A, Bozkurt E, Kasapkara H, Dolzhenko M, Faradzh C, Hrubyak L, Konoplianyk L, Kozhuharyova N, Lobach L, Nesukai V, Nudchenko O, Simagina T, Yakovenko L, Azarenko V, Potabashny V, Bazylevych A, Bazylevych M, Kaminska K, Panchenko L, Shershnyova O, Ovrakh T, Serik S, Kolesnik T, Kosova H, Wood D, Adamska A, Adamska S, Jennings C, Kotseva K, Hoye P Atkin A, Fellowes D, Lindsay S, Atkinson C, Kranilla C, Vinod M, Beerachee Y, Bennett C, Broome M, Bwalya A, Caygill L, Dinning L, Gillespie A, Goodfellow R, Guy J, Idress T, Mills C, Morgan C, Oustance N, Singh N, Yare M, Jagoda J, Bowyer H, Christenssen V, Groves A, Jan A, Riaz A, Gill M, Sewell T, Gorog D, Baker M, De Sousa P, Mazenenga T, Porter J, Haines F, Peachey T, Taaffe J, Wells K, Ripley D, Forward H, McKie H, Pick S, Thomas H, Batin P, Exley D, Rank T, Wright J, Kardos A, Sutherland SB, Wren L, Leeson P, Barker D, Moreby B, Sawyer J, Stirrup J, Brunton M, Brodison A, Craig J, Peters S, Kaprielian R, Bucaj A, Mahay K, Oblak M, Gale C, Pye M, McGill Y, Redfearn H, Fearnley M. Management of dyslipidaemia in patients with coronary heart disease: Results from the ESC-EORP EUROASPIRE V survey in 27 countries. Atherosclerosis 2019; 285:135-146. [DOI: 10.1016/j.atherosclerosis.2019.03.014] [Citation(s) in RCA: 101] [Impact Index Per Article: 20.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 02/22/2019] [Accepted: 03/19/2019] [Indexed: 12/16/2022]
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Çetin MS, Özcan Çetin EH, Ocak K, Özcan Çelebi Ö, Aras D, Temizhan A, Aydoğdu S. The association between left ventricular mass index and coronary collateral circulation in patients with chronic total occlusion. Turk Kardiyol Dern Ars 2019; 47:21-28. [PMID: 30628897 DOI: 10.5543/tkda.2018.60497] [Citation(s) in RCA: 1] [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
OBJECTIVE Left ventricular (LV) hypertrophy predisposes the myocardium to ischemia through several mechanisms. The LV mass index (LVMI) is used as a readily available and reliable measurement of LV hypertrophy. The LVMI can also be used to evaluate LV remodeling. The hypothesis of this study was that LV hypertrophy might augment coronary collateralization in patients with chronic total occlusion (CTO) and the aim was to research any association between LVMI and collateral formation in CTO. As a secondary goal, specific LV geometric types that might be associated with collateral presence were also investigated. METHODS A total of 305 patients with CTO were included and categorized into 4 groups based on Rentrop grade. RESULTS The LVMI demonstrated an incremental linear trend as the Rentrop grade increased. In the receiver operating characteristic curve, the likelihood that a cut-off value of 100.1 g/m2 would accurately differentiate patients with collaterals from those without collaterals was 75.8%, with 68.5% sensitivity and 68.6% specificity. A 1 gram/m2 increase in LVMI was associated with a 7.5% greater likelihood of collateral development. In addition, compared with normal geometry, the presence of eccentric hypertrophy was associated with 6.7 times higher odds of the presence of coronary collaterals. CONCLUSION The results of this study indicated that a greater LVMI predicted coronary collateral presence. Furthermore, having an eccentric geometric type of hypertrophy increased the likelihood of coronary collaterals more than other geometries. This finding signified that in addition to LV wall thickness, the type of hypertrophy was also decisive in predicting collateral presence.
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Affiliation(s)
| | - Elif Hande Özcan Çetin
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
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11
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Koçyiğit D, Tokgözoğlu L, Kayıkçıoğlu M, Altay S, Aydoğdu S, Barçın C, Bostan C, Çakmak HA, Çatakoğlu AB, Emet S, Ergene O, Kalkan AK, Kaya B, Kaya C, Kaymaz C, Koylan N, Kültürsay H, Oğuz A, Özpelit E, Ünlü S. Is there a gender gap in secondary prevention of coronary artery disease in Turkey? Turk Kardiyol Dern Ars 2019; 46:683-691. [PMID: 30516526 DOI: 10.5543/tkda.2018.10.5543/tkda.2018.45392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE It has been reported that women receive fewer preventive recommendations regarding pharmacological treatment, lifestyle modifications, and cardiac rehabilitation compared with men who have a similar risk profile. This study was an investigation of the impact of gender on cardiovascular risk profile and secondary prevention measures for coronary artery disease (CAD) in the Turkish population. METHODS Statistical analyses were based on the European Action on Secondary and Primary Prevention through Intervention to Reduce Events (EUROASPIRE)-IV cross-sectional survey data obtained from 17 centers in Turkey. Male and female patients, aged 18 to 80 years, who were hospitalized for a first or recurrent coronary event (coronary artery bypass graft, percutaneous coronary intervention, acute myocardial infarction, or acute myocardial ischemia) were eligible. RESULTS A total of 88 (19.7%) females and 358 males (80.3%) were included. At the time of the index event, the females were significantly older (p=0.003) and had received less formal education (p<0.001). Non-smoking status (p<0.001) and higher levels of depression and anxiety (both p<0.001) were more common in the female patients. At the time of the interview, conducted between 6 and 36 months after the index event, central obesity (p<0.001) and obesity (p=0.004) were significantly more common in females. LDL-C, HDL-C or HbA1c levels did not differ significantly between genders. The fasting blood glucose level was significantly higher (p=0.003) and hypertension was more common in females (p=0.001). There was no significant difference in an increase in physical activity or weight loss after the index event between genders, and there was no significant difference between genders regarding continuity of antiplatelet, statin, beta blocker or ACEi/ARB II receptor blocker usage (p>0.05). CONCLUSION Achievement of ideal body weight, fasting blood glucose and blood pressure targets was lower in women despite similar reported medication use. This highlights the importance of the implementation of lifestyle measures and adherence to medications in women.
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Affiliation(s)
| | - Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
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Dayan MO, Beşoluk K, Eken E, Aydoğdu S, Turgut N. Three-dimensional modelling of the femur and humerus in adult male guinea pigs (guinea pig) with computed tomography and some biometric measurement values. Folia Morphol (Warsz) 2019; 78:588-594. [PMID: 30644082 DOI: 10.5603/fm.a2019.0002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 12/04/2018] [Accepted: 12/05/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND Guinea pig is a species belonging to the Caviidae family of the Rodentia order and is frequently used in experimental studies. Biomedical imaging methods are used in the diagnosis and treatment of many diseases in medicine. Among these methods, computed tomography (CT) is one of the most important imaging methods. In this study, it was aimed to perform the three-dimensional (3D) modelling of the CT images, obtained from the humerus and femur in the guinea pigs, via the MIMICS programme, and to make some biometric measurements regarding the bones over these models. MATERIALS AND METHODS In the present study, 12 male adult guinea pigs were used. The soft tissue on the humerus and femur bones of the guinea pigs was removed. After this procedure, CT images at a 0.5 mm-thickness were obtained from the animals. The images were recorded in DICOM format. Then, the reconstruction process was performed from the images by using the 3D modeling programme MIMICS® 13.1. On the 3D model of the humerus and femur (right-left), volumes, surface areas and lengths as well as other biometric parameters were measured separately, and the values were recorded. In addition, measurements of the bones were made with the help of a digital calliper. RESULTS Among the parameters obtained from 3D models, a statistical difference was observed between the right and left cortical thicknesses of the femur from the measurements of calliper and the right and left humerus volumes (p < 0.05); whereas, no statistical difference was found in other parameters of both measurements (p > 0.05). CONCLUSIONS It can be stated that CT and 3D modelling can be used for the measurement of some parameters in the long bones of the guinea pigs.
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Affiliation(s)
- M O Dayan
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey.
| | - K Beşoluk
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - E Eken
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - S Aydoğdu
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
| | - N Turgut
- Department of Anatomy, Faculty of Veterinary Medicine, Selcuk University, Konya, Turkey
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Sezgin Ozcan D, Koseoglu BF, Balci KG, Polat CS, Ozcan OU, Balci MM, Aydoğdu S. Musculoskeletal pain and related factors in coronary artery disease: An observational cross-sectional study. J Back Musculoskelet Rehabil 2019; 31:839-847. [PMID: 29865028 DOI: 10.3233/bmr-170847] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 02/04/2023]
Abstract
BACKGROUND AND AIM In patients diagnosed with coronary artery disease (CAD), we aimed to determine the characteristics and risk factors of co-occurring musculoskeletal pain and examine its effects on functional capacity, psychological status and health-related quality of life. PATIENTS AND METHODS A total of 100 patients with (n= 50) and without (n= 50) musculoskeletal pain were enrolled. All patients were assessed on sociodemographic and clinical properties. The Duke Activity Status Index (DASI), the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) were applied as clinical assessment scales. RESULTS Patients with musculoskeletal pain were mostly female, and had a lower education level and annual income. The pain was mostly nociceptive, intermittent, sharp/stabbing in character, and located in the chest and spine. Having musculoskeletal pain resulted in lower levels on the DASI and all subgroups of the SF-36, and higher levels on the HADS. Female gender, lower education level and severity of emotional distress proved to be independent risk factors for the development of musculoskeletal pain. CONCLUSIONS In CAD, the co-occurrence of musculoskeletal pain leads to a further decrease in health-related quality of life and functional status, and increased severity of anxiety and depression. This stresses the importance of the detection and optimal treatment of musculoskeletal pain in patients diagnosed with CAD.
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Affiliation(s)
- Didem Sezgin Ozcan
- Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Belma Fusun Koseoglu
- Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Kevser Gulcihan Balci
- Department of Cardiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Cemile Sevgi Polat
- Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Ozgur Ulas Ozcan
- Department of Cardiology, Ankara University School of Medicine, Ankara, Turkey
| | - Mustafa Mucahit Balci
- Department of Cardiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
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Yılmaz S, Canpolat U, Başer K, Ünal S, Kuyumcu MS, Aydoğdu S. Neutrophil-to-lymphocyte ratio predicts functionally significant coronary artery stenosis in patients with stable coronary artery disease. Turk Kardiyol Dern Ars 2018; 46:129-135. [PMID: 29512613 DOI: 10.5543/tkda.2017.16709] [Citation(s) in RCA: 1] [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
OBJECTIVE The aim of this study was to determine the relationship between the neutrophil-to-lymphocyte ratio (NLR) and the functional severity of coronary stenosis assessed according to the fractional flow reserve (FFR) in stable coronary artery disease (CAD). METHODS The clinical and laboratory data of 420 patients who underwent index coronary angiography for stable angina pectoris were analyzed retrospectively. The functional severity of an intermediate lesion was determined by FFR. An FFR value of >0.80 was considered non-significant (Group 1), whereas ≤0.80 was accepted as significant stenosis (Group 2). RESULTS A total of 137 (32.6%) patients had functionally significant coronary artery stenosis. The median NLR value was significantly greater in Group 2 compared with Group 1 [3.13 (0.93-9.75) vs 2.22 (0.75-6.02); p<0.001]. In multivariable logistic regression analysis, the Gensini score [odds ratio (OR): 1.04; 95% confidence interval (CI): 1.02-1.06; p<0.001], diabetes mellitus (OR: 2.56; 95% CI: 1.38-4.75; p=0.003), smoking (OR: 2.09; 95% CI: 1.12-3.94; p=0.021), and NLR (OR: 1.62; 95% CI:1.26-2.09; p<0.001) were found to be independent predictors of the presence of functionally significant coronary stenosis using an FFR value of ≤0.80. The optimal cut-off value of NLR for predicting functionally significant coronary stenosis was 2.3. An NLR value greater than 2.3 had a sensitivity of 72% and a specificity of 61% to predict stenosis with an FFR value of ≤0.80. CONCLUSION The pre-angiographic NLR is a simple, noninvasive, and inexpensive biomarker that was significantly higher in patients with functionally significant coronary stenosis; it can be used to predict the hemodynamic severity of intermediate coronary stenosis in patients with stable CAD.
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Affiliation(s)
| | - Uğur Canpolat
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
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15
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Çetin MS, Özcan Çetin EH, Canpolat U, Erdöl MA, Aydın S, Özcan Çelebi Ö, Temizhan A, Akın Y, Tüfekçioğlu O, Aras D, Topaloğlu S, Aydoğdu S. [Increased myocardial energy expenditure in cardiac syndrome X: More work, more pain]. Turk Kardiyol Dern Ars 2018; 46:446-454. [PMID: 30204135 DOI: 10.5543/tkda.2018.76967] [Citation(s) in RCA: 1] [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
OBJECTIVE The aim of this study was to assess the myocardial energy expenditure (MEE) in patients with cardiac syndrome X (CSX) and to examine its association with exercise electrocardiogram (ECG) parameters. METHODS A total of 99 patients who underwent coronary angiography and who were diagnosed as having normal coronary arteries were included. The patients were divided into 2 groups based on symptoms and exercise ECG parameters: 56 CSX patients and 43 control patients with a negative stress test. MEE was calculated using transthoracic echocardiography-derived parameters: circumferential end-systolic stress, left ventricular ejection time, and stroke volume. RESULTS In patients with CSX, the MEE at rest was 28% higher in than the control group (89.2±36.3 vs. 69.8±17.2 cal/minute). Correlation analysis revealed a moderately negative correlation between MEE and the Duke treadmill score (DTS) (ß:-0.456; p<0.001). Receiver operating characteristic analysis with a cut-off value of 74.6 cal/minute for MEE had a sensitivity of 78.1% and a specificity of 75.3% for the prediction of CSX (area under the curve: 0.872; p<0.001). An extra 1 calorie spent per minute at rest increased the likelihood of CSX by about 86% (odds ratio: 1.863). CONCLUSION This study demonstrated that MEE was greater in CSX patients compared with a control group. Increased MEE was determined to be an independent predictor of CSX. DTS was inversely correlated with MEE. Increased MEE may have a crucial role in CSX pathophysiology.
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Affiliation(s)
| | - Elif Hande Özcan Çetin
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
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16
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Tak BT, Ekizler FA, Kafes H, Çelebi ÖÖ, Aydoğdu S. Iatrogenic Pseudoaneurysm of Radial Artery After Coronary Angiography - Behçet's Disease. Am J Cardiol 2018. [DOI: 10.1016/j.amjcard.2018.03.309] [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: 11/25/2022]
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17
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Tokgözoğlu L, Kayıkçıoğlu M, Altay S, Aydoğdu S, Barçın C, Bostan C, Çakmak HA, Çatakoğlu AB, Emet S, Ergene O, Kalkan AK, Kaya B, Tulunay Kaya C, Kaymaz C, Koylan N, Kültürsay H, Oğuz A, Özpelit E, Ünlü S. [EUROASPIRE-IV: European Society of Cardiology study of lifestyle, risk factors, and treatment approaches in patients with coronary artery disease: Data from Turkey]. Turk Kardiyol Dern Ars 2017; 45:134-144. [PMID: 28424435 DOI: 10.5543/tkda.2016.82352] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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 Data from EUROASPIRE-IV Turkey report investigating risk factors and adherence to guidelines in patients hospitalized for coronary artery disease are presented and results are compared with those of EUROASPIRE-III Turkey and EUROASPIRE-IV Europe. METHODS Study was performed in 24 European countries, including Turkey (17 centers). Patients (18-80 years old) hospitalized for coronary (index) event during preceding 3 years were identified from hospital records and interviewed ≥6 months later. Patient information regarding index event was acquired from hospital records. Anamnesis was obtained during the interview, and physical examination and laboratory analyses were performed. RESULTS Median age at the index coronary event was 58.8 years, and it was significantly decreased compared with last EUROASPIRE-III study (60.5 years), which was conducted at the same centers 6 years earlier (p=0.017). Of all patients, 19.3% were under 50 years of age and mean age was lower than that of EUROASPIRE-IV Europe (62.5 years). Comparing EUROASPIRE-IV Turkey with EUROASPIRE-III Turkey, rate of smokers increased to 25.5% from 23.1% (p=0.499), obesity increased to 40.7% from 35.5% (p=0.211), total cholesterol level increased to 49.6% from 48.3% (p=0.767), and diabetes rate increased to 39.7% from 33.6% (p=0.139), however none of the differences reached a level of statistical significance. Only 11.7% of the smokers quit after coronary event. Rates for these factors were lower in EUROASPIRE-IV Europe (16% for smoking, 37.6% for obesity, and 26.8% for diabetes). CONCLUSION EUROASPIRE-IV Turkey data revealed that secondary prevention was unsatisfactory and had progressed unfavorably compared with last EUROASPIRE study, some risk factors were more uncontrolled than overall European average, and coronary artery events at young age remain an important problem.
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Affiliation(s)
- Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
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18
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Abstract
Reverse Takotsubo cardiomyopathy (RTC) is a rare condition characterized by systolic dysfunction of the basal segments of the left ventricle in the absence of obstructive coronary artery disease. The case of a 50-year-old woman with RTC following intra-abdominal surgery is described in the present report.
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Affiliation(s)
- Burak Açar
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
| | - Özgür Kırbaş
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Sefa Ünal
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Zehra Gölbaşı
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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19
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Açar B, Tezer Tekçe Y, Yayla Ç, Ünal S, Ertem AG, Şentürk B, Özcan Çelebi Ö, Aydoğdu S. [Daptomycin in left-sided endocarditis: A single center experience]. Turk Kardiyol Dern Ars 2017; 45:310-315. [PMID: 28595200 DOI: 10.5543/tkda.2017.60784] [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 Infective endocarditis (IE) carries a high risk of cardiac morbidity and mortality, despite advances in the contemporary armamentarium. Along with the development of antibiotic resistant strains, research focusing on the efficacy of novel agents other than standard antibiotic regimens continues. Daptomycin, one of these antibiotics, is approved for the treatment of Staphylococcus bacteremia and right-sided endocarditis. This retrospective study was an investigation of the effectiveness of daptomycin in patients with left-sided IE. METHODS Fourteen patients (mean age 50.9±16.5; range 24 to 70 years) with the diagnosis of left-sided IE based on modified Duke criteria received daptomycin as monotherapy. Outcome was evaluated according to clinical improvement, microbiological eradication, and in-hospital mortality. RESULTS Blood culture was positive in 13 patients (92.8%) and staphylococci were isolated in all but 1 patient (92.3%). Daptomycin was administered as monotherapy at a dose of 6 or 8 mg/kg/day for mean of 40.6±4.4 days. Clinical recovery rate was 71.4% and microbiological eradication rate was 85.7%. Mean duration of clinical recovery was 8.7±3.2 days and duration of microbiological eradication was 11.1±3.6 days. Side effects developed in 6 patients, but drug discontinuation was not required in any patient. Ten patients improved without complications. Two patients were lost due to heart failure and multiple-organ failure while treatment was continuing, and 2 patients died in early cardiac postoperative period. CONCLUSION Daptomycin is an effective and safe alternative to standard antibiotic therapy for the treatment of left-sided IE.
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Affiliation(s)
- Burak Açar
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
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20
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Açar B, Yüksel M, Yayla Ç, Kırbaş Ö, Ünal S, Ertem AG, Demirtaş K, Kaplan M, Akdoğan M, Kaçar S, Kayaçetin E, Aydoğdu S. Parameters of ventricular repolarization in patients with autoimmune hepatitis. Turk Kardiyol Dern Ars 2017; 45:333-338. [PMID: 28595203 DOI: 10.5543/tkda.2017.57870] [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: 11/04/2022] Open
Abstract
OBJECTIVE Autoimmune hepatitis (AIH) is a liver disorder that affects both children and adults. It is characterized by inflammatory liver histology, elevated transaminase level, circulating nonorgan-specific autoantibodies, and increased level of immunoglobulin G in the absence of known etiology. Ventricular repolarization has been evaluated using T wave and QT interval measurements in patients with hepatic cirrhosis. Ventricular repolarization may be defined using QT interval, QT dispersion, and T wave measurements. Recently, it has been demonstrated that peak and end of the T wave (Tp-e) interval, Tp-e/QT, and Tp-e/corrected QT interval (QTc) ratios can be novel indicators for prediction of ventricular arrhythmias and mortality. In this study, an investigation of ventricular repolarization using Tp-e interval and Tp-e/QT ratio in patients with AIH was performed. METHODS Total of 31 patients with AIH and 31 controls were enrolled in the present study. Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios were measured on 12-lead electrocardiogram. RESULTS QT interval (378.9±41.4 vs. 350.0±22.7; p=0.001), QTc interval (396.8±46.7 vs. 367.3±34.9; p=0.039), Tp-e interval (68.2±12.3 vs. 42.5±6.8; p<0.001), Tp-e/QT ratio (0.18±0.02 vs. 0.12±0.01; p<0.001) and Tp-e/QTc ratio (0.17±0.02 vs. 0.11±0.01; p<0.001) were significantly higher in patients with AIH than control patients. CONCLUSION The results of the present study indicated that Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios were greater in patients with AIH.
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Affiliation(s)
| | | | - Çağrı Yayla
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
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21
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Ünal S, Yayla Ç, Açar B, Ertem AG, Akboğa MK, Gökaslan S, Erdöl MA, Sönmezer MÇ, Kaya Kiliç E, Ataman Hatipoğlu Ç, Tulek N, Erdinç FS, Aydoğdu S, Temizhan A. Tp-e interval and Tp-e/QT ratio in patients with Human Immunodeficiency Virus. J Infect Public Health 2017; 11:35-38. [PMID: 28285972 DOI: 10.1016/j.jiph.2017.02.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 02/07/2017] [Accepted: 02/22/2017] [Indexed: 01/24/2023] Open
Abstract
Human Immunodeficiency Virus (HIV) infection and AIDS are known to cause cardiovascular diseases such as premature coronary artery disease, cardiomyopathy, and arrhythmias. Recently, Tp-e interval and Tp-e/QT ratio has been shown as a novel marker of ventricular repolarization. We aimed to evaluate the ventricular repolarization using Tp-e interval and Tp-e/QT ratio in patients with Human Immunodeficiency Virus (HIV) infection. Totally 48 patients with HIV and 60 control subjects were enrolled to the study. Tp-e interval, Tp-e/QT and Tp-e/QTc ratio were measured from the 12-lead electrocardiogram. Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio were significantly higher in patients with HIV than control subjects (all p<0.01). In correlation analysis, there were positive correlation between Tp-e interval and disease duration (r=0.298, p=0.048). and inverse correlation between Tp-e interval and CD4 count(r=-0.303, p=0.036). Our study showed that Tp-e interval, Tp-e/QT and Tp-e/QTc ratios were increased in patients with HIV than control subjects.
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Affiliation(s)
- Sefa Ünal
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Çağrı Yayla
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey.
| | - Burak Açar
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Ahmet G Ertem
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Mehmet K Akboğa
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Serkan Gökaslan
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Mehmet A Erdöl
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Meliha Ç Sönmezer
- Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - Esra Kaya Kiliç
- Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - Çiğdem Ataman Hatipoğlu
- Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - Necla Tulek
- Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - Fatma S Erdinç
- Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - Sinan Aydoğdu
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Ahmet Temizhan
- Türkiye Yüksek Ihtisas Education and Research Hospital, Department of Cardiology, Ankara, Turkey
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22
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Çavuşoğlu Y, Altay H, Ekmekçi A, Eren M, Küçükoğlu MS, Nalbantgil S, Sarı İ, Selçuk T, Temizhan A, Ural D, Weinstein JM, Yeşilbursa D, Yılmaz MB, Zoghi M, Aydoğdu S, Kutlu M, Özer N, Şahin M, Tokgözoğlu L. Practical approaches for the treatment of chronic heart failure: Frequently asked questions, overlooked points and controversial issues in current clinical practice. Anatol J Cardiol 2016; 15 Suppl 2:1-60. [PMID: 26574641 DOI: 10.5152/anatoljcardiol.2015.6767] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Heart failure (HF) is a progressive disorder associated with impaired quality of life, high morbidity, mortality and frequent hospitalization and affects millions of people from all around the world. Despite further improvements in HF therapy, mortality and morbidity remains to be very high. The life-long treatment, frequent hospitalization, and sophisticated and very expensive device therapies for HF also leads a substantial economic burden on the health care system. Therefore, implementation of evidence-based guideline-recommended therapy is very important to overcome its worse clinical outcomes. However, HF therapy is a long process that has many drawbacks and sometimes HF guidelines cannot answers to every question which rises in everyday clinical practice. In this paper, commonly encountered questions, overlooked points, controversial issues, management strategies in grey zone and problems arising during follow up of a HF patient in real life clinical practice have been addressed in the form of expert opinions based on the available data in the literature.
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Affiliation(s)
- Yüksel Çavuşoğlu
- Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir-Turkey.
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23
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Canpolat U, Turak O, Özcan F, Öksüz F, Mendi MA, Yayla Ç, Aydoğdu S. Impact of free thyroxine levels and other clinical factors on bare metal stent restenosis. Arch Endocrinol Metab 2016; 61:130-136. [PMID: 28489156 PMCID: PMC10118861 DOI: 10.1590/2359-3997000000197] [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] [Subscribe] [Scholar Register] [Received: 07/11/2015] [Accepted: 03/07/2016] [Indexed: 11/22/2022]
Abstract
Objective Thyroid hormones have both direct and indirect effects on thermogenesis such as modulating vascular smooth muscle cell proliferation. However, the influence of more subtle changes in thyroid hormones on coronary atherosclerosis remains a matter of speculation. Smooth muscle cells play a crucial role in the pathogenesis of in-stent restenosis (ISR). However, the relationship between free thyroxine (fT4) and ISR has not been studied. In the present study, we aimed to assess the role of preprocedural serum fT4 level on the development of ISR in patients undergoing coronary bare metal stent (BMS) implantation. Materials and methods We enrolled and analyzed clinical, biochemical, and angiographic data from 705 consecutive patients without a history of primary thyroid disease [mean age 60.3 ± 9.3 years, 505 (72%) male]; all patients had undergone BMS implantation and further control coronary angiography owing to stable or unstable angina pectoris. Patients were divided into 3 tertiles based on preprocedural serum fT4 levels. Results ISR was observed in 53 (23%) patients in the lowest tertile, 82 (35%) patients in the second tertile, and 107 (46%) patients in the highest fT4 tertile (p < 0.001). Using multiple logistic regression analysis, five characteristics emerged as independent predictors of ISR: diabetes mellitus, smoking, HDL-cholesterol, stent length, and preprocedural serum fT4 level. In receiver operating characteristics curve analysis, fT4 level > 1.23 mg/dL had 70% sensitivity and 73% specificity (AUC: 0.75, p < 0.001) in predicting ISR. Conclusion Higher preprocedural serum fT4 is a powerful and independent predictor of BMS restenosis in patients with stable and unstable angina pectoris.
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Affiliation(s)
- Uğur Canpolat
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Osman Turak
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Fırat Özcan
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Fatih Öksüz
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mehmet Ali Mendi
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Çağrı Yayla
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Sinan Aydoğdu
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
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24
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Affiliation(s)
- Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey.
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25
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Açıkgöz SK, Açıkgöz E, Şensoy B, Topal S, Aydoğdu S. Monocyte to high-density lipoprotein cholesterol ratio is predictive of in-hospital and five-year mortality in ST-segment elevation myocardial infarction. Cardiol J 2016; 23:505-512. [PMID: 27296159 DOI: 10.5603/cj.a2016.0026] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [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: 01/12/2016] [Revised: 06/10/2016] [Accepted: 05/07/2016] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND We assessed the value of monocyte to high-density lipoprotein cholesterol ratio (MHR) in predicting in-hospital and 5-year mortality and major adverse cardiovascular events (MACE) in ST-segment elevation myocardial infarction (STEMI) patients. METHODS A group of 1,598 patients were enrolled and divided into tertiles according to MHR values. The effects of different variables on clinical outcomes were assessed by Cox regression analysis. RESULTS MHR was found as an independent predictor of in-hospital mortality (HR = 3.745, 95% CI 1.308-5.950), in-hospital MACE (HR 1.501, 95% CI 1.015-1.993, p = 0.022) and 5-year mortality (HR = 2.048, 95% CI 1.225-4.091, p = 0.014) and 5-year MACE (HR 1.285, 95% CI 1.064-1.552, p = 0.009). CONCLUSIONS MHR is an independent predictor of in-hospital and long term mortality and MACE in STEMI.
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Affiliation(s)
- Sadık Kadri Açıkgöz
- Department of Cardiology, Turkiye Yuksek Ihtisas Education and R esearch Hospital, Ankara, Turkey.
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26
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Sen F, Yılmaz S, Özcan F, Özeke Ö, Çay S, Topaloğlu S, Aras D, Aydoğdu S. The Relationship between Tpeak-end Interval Duration and Tpeak-end/QT Ratio, and Arrhythmias in Patients with Coronary Slow Flow. Int Cardiovasc Res J 2016. [DOI: 10.17795/icrj-10(2)84] [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: 11/25/2022] Open
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27
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Yılmaz S, Kuyumcu MS, Akboga MK, Sen F, Balcı KG, Balcı MM, Özeke Ö, Aras D, Aydoğdu S. The relationship between erectile dysfunction and paroxysmal lone atrial fibrillation. J Interv Card Electrophysiol 2016; 46:245-51. [DOI: 10.1007/s10840-016-0115-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Accepted: 02/04/2016] [Indexed: 12/19/2022]
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28
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Tokgözoğlu L, Özdemir R, Altındağ R, Ceyhan C, Yeter E, Öztürk C, Bayram F, Delibaşı T, Değertekin M, Dinçkal MH, Keleş İ, Fak AS, Aydoğdu S, Zorkun C, Tartan Z. Patient characteristics and statin discontinuation-related factors during treatment of hypercholesterolemia: an observational non-interventional study in patients with statin discontinuation (STAY study). Turk Kardiyol Dern Ars 2016; 44:53-64. [PMID: 26875131 DOI: 10.5543/tkda.2015.47041] [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 The purpose of this study was to identify patient characteristics and statin discontinuation-related factors in patients with hypercholesterolemia. METHODS A total of 532 patients (age mean±SD: 57.4±11.5 years; 52.4% women, 47.6% men) with hypercholesterolemia and statin discontinuation were included in this national cross-sectional non-interventional observational study. Data on socio-demographic characteristics of patients, cardiovascular risk factors, past treatment with and discontinuation of statin treatment were collected in one visit. RESULTS Mean±SD duration of hypercholesterolemia was 4.9±4.2 years at time of discontinuation of statin treatment. Statin treatment was initiated by cardiologists in the majority of cases (55.8%), whereas discontinuation of statin treatment was decided by patients in the majority of cases (73.7%), with patients with higher (at least secondary education, 80.4%) more likely than those with lower (only primary education, 69.7%) to decide to discontinue treatment (p=0.022). Negative information about statin treatment disseminated by TV programs-mostly regarding coverage of hepatic (38.0%), renal (33.8%), and muscular (32.9%) side effects (32.9%)-was the most common reason for treatment discontinuation. CONCLUSION The decision to discontinue statin treatment was made at the patient's discretion in 74% of cases, with higher likelihood of patients with higher educational status deciding to discontinue treatment and switch to non-drug lipid-lowering alternatives. Cardiologists were the physicians most frequently responsible for the initiation of the statin treatment; coverage of several non-life-threatening statin side effects by TV programs and patients' lack of information regarding high cholesterol and related risks were the leading factors predisposing to treatment discontinuation.
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Affiliation(s)
- Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | - Ramazan Özdemir
- Department of Cardiology, İnonü University Faculty of Medicine, Malatya, Turkey
| | - Rojhat Altındağ
- Department of Cardiology, Diyarbakır Training and Research Hospital, Diyarbakır, Turkey
| | - Ceyhun Ceyhan
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Ekrem Yeter
- Department of Cardiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Cihan Öztürk
- Department of Cardiology, Kahramanmaraş Pazarcık Private Middle East Health Center, Kahramanmaraş, Turkey
| | - Fahri Bayram
- Department of Endocrinology and Metabolism, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | - Tuncay Delibaşı
- Department of Endocrinology and Metabolism, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Muzaffer Değertekin
- Department of Cardiology, Yeditepe University Faculty of Medicine, İstanbul, Turkey
| | | | - İbrahim Keleş
- Department of Cardiology, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey
| | - Ali Serdar Fak
- Department of Cardiology, Akademi Hospital, İstanbul, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Turkish High Specialty Training and Research Hospital, Ankara, Turkey
| | - Cafer Zorkun
- Department of Cardiology, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Zeynep Tartan
- Department of Cardiology, Ataşehir Memorial Hospital, İstanbul, Turkey
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Kocaoğlu İ, Kocaoğlu E, Arslan U, Balcı MM, Vural M, Alp MN, Aydoğdu S. Relationship between retinopathy and asymptomatic atherosclerosis determined by measurement of carotid intima-media thickness in patients with type 2 diabetes mellitus. Turk Kardiyol Dern Ars 2016; 44:24-9. [PMID: 26875127 DOI: 10.5543/tkda.2015.69313] [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: 11/04/2022] Open
Abstract
OBJECTIVE Presence of diabetic retinopathy (DR) may be used as an early marker of atherosclerosis in type 2 diabetes mellitus (DM) patients. This study aimed to investigate the relationship between the presence of DR and carotid intima-media thickness (CIMT), which is an indicator of early atherosclerosis in patients with type 2 DM. METHODS Thirty DM patients with retinopathy (DR group), 28 DM patients without retinopathy (non-DR group), and 27 healthy controls (control group) were included in the study. CIMT was assessed using a high-resolution B-mode ultrasonography device. RESULTS Mean CIMT was found to be 0.9±0.17 mm in the DR group, 0.8±0.16 mm in the non-DR group, and 0.7±0.13 mm in the control group. CIMT was found to be statistically significantly higher in the DR group compared to the other 2 groups (p<0.001). When multivariate analysis was performed, presence of DR still remained as an independent risk factor for increased CIMT values. CONCLUSION Presence of DR in type 2 DM patients is an independent risk factor in terms of increased CIMT, which is considered to be a finding of subclinical atherosclerosis. Therefore, we believe that type 2 DM patients with retinopathy should be closely followed in terms of cardiovascular events.
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Affiliation(s)
| | - Emine Kocaoğlu
- Department of Ophthalmology, Aydin State Hospital, Aydin, Turkey
| | - Uğur Arslan
- Department of Cardiology, Samsun Training and Research Hospital, Samsun, Turkey
| | - Mustafa Mücahit Balcı
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Murat Vural
- Department of Radiology, Ankara Numune Training and Research Hospital, Ankara, Turkey
| | - Mehmet Numan Alp
- Department of Radiology, Ankara Numune Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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30
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Abstract
Objective Since non-ST segment elevation myocardial infarction (NSTEMI) patients with totally occluded infarct-related artery (TO-IRA) have worse prognosis, it is important to recognize TO-IRA in NSTEMI. Red cell distribution width (RDW) and mean platelet volume (MPV) are novel markers of inflammation and oxidative stress and were associated with poor clinical outcomes in acute coronary syndrome. In the present study, association of RDW and MPV with the presence of TO-IRA in NSTEMI was investigated. Methods Data of 201 consecutive patients who underwent coronary angiography with a diagnosis of NSTEMI were analyzed. Independent predictors of TO-IRA were investigated with logistic regression analysis. Results Sixty-six (32.8%) of the patients had TO-IRA. In patients with TO-IRA, RDW and troponin-T were significantly higher and left ventricular ejection fraction (LVEF) was lower. MPV did not differ between groups. Circumflex (CX) IRA was more common in TO-IRA group. The ROC curve analysis showed that the RDW at a cut-point of 13.95% has 76% sensitivity and 66% specificity in detecting TO-IRA. RDW, troponin-T, LVEF and CX-IRA were independent predictors of TO-IRA in NSTEMI, but MPV was not. Conclusion RDW is a cheap and readily available marker that may have a role to predict TO-IRA in NSTEMI.
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Affiliation(s)
- Sadık Kadri Açıkgöz
- a Department of Cardiology , Turkiye Yüksek İhtisas Education and Research Hospital , Ankara , Turkey
| | - Mehmet Kadri Akboğa
- a Department of Cardiology , Turkiye Yüksek İhtisas Education and Research Hospital , Ankara , Turkey
| | - Eser Açıkgöz
- b Department of Cardiology , Abdurrahman Yurtaslan Oncology Education and Research Hospital , Ankara , Turkey
| | - Çağrı Yayla
- a Department of Cardiology , Turkiye Yüksek İhtisas Education and Research Hospital , Ankara , Turkey
| | - Barış Şensoy
- a Department of Cardiology , Turkiye Yüksek İhtisas Education and Research Hospital , Ankara , Turkey
| | - Sinan Aydoğdu
- a Department of Cardiology , Turkiye Yüksek İhtisas Education and Research Hospital , Ankara , Turkey
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31
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Yayla Ç, Canpolat U, Akyel A, Yayla KG, Yilmaz S, Açikgöz SK, Özcan F, Turak O, Doğan M, Yeter E, Aydoğdu S. Association Between Platelet to Lymphocyte Ratio and Saphenous Vein Graft Disease. Angiology 2016; 67:133-138. [PMID: 25818104 DOI: 10.1177/0003319715578258] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [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] [Indexed: 09/12/2023]
Abstract
Atherosclerosis plays an important role in saphenous vein graft disease (SVGD). Previous trials showed that inflammatory blood cells play a role in this process. The platelet to lymphocyte ratio (PLR) has been proposed as a novel predictor for cardiovascular risk and indicator of atherosclerosis. The aim of this study was to assess the relationship between SVGD and PLR. A total of 220 patients with SVG were enrolled (n = 87 with SVGD and n = 133 with patent SVG). A ≥ 50% stenosis within the SVG was defined as clinically significant. Median PLR (P < .001) and mean platelet volume (MPV; P = .043) were significantly higher in patients with SVGD. Also, PLR showed significantly positive correlation with age of SVG (P < .05). Median age of SVGs was also higher in the SVGD group (P = .025). In multivariate logistic regression analyses, the PLR and MPV were independent predictors of SVGD. Using a cutoff level of 106.3, the PLR predicted SVGD with a sensitivity of 87.4% and a specificity of 80.3%. To the best of our knowledge, this study showed, for the first time, that PLR was independently associated with SVGD. Both PLR and MPV might predict SVGD.
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Affiliation(s)
- Çağrı Yayla
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Uğur Canpolat
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Ahmet Akyel
- Cardiology Clinic, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Kadriye Gayretli Yayla
- Cardiology Clinic, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Samet Yilmaz
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Sadık Kadri Açikgöz
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Fırat Özcan
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Osman Turak
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Mehmet Doğan
- Cardiology Clinic, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Ekrem Yeter
- Cardiology Clinic, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
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Açıkgöz SK, Açar B, Aydın S, Açıkgöz E, Er O, Şensoy B, Balci MM, Yayla Ç, Şen F, Topal S, Aydoğdu S. Red Cell Distribution Width Can Predict the Significance of Angiographically Intermediate Coronary Lesions. Med Princ Pract 2016; 25:31-5. [PMID: 26468646 PMCID: PMC5588303 DOI: 10.1159/000441001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2014] [Accepted: 09/10/2015] [Indexed: 01/02/2023] Open
Abstract
OBJECTIVE In the present study, the association between red cell distribution width (RDW) with functional significance of intermediate coronary artery lesions was investigated. MATERIALS AND METHODS Two hundred and forty-six consecutive patients, 168 males and 78 females, who underwent fractional flow reserve (FFR) measurement for angiographically intermediate coronary stenosis (40-70% in quantitative coronary analysis) in the left anterior descending coronary artery were enrolled into the study. The functional significance of intermediate coronary artery lesions was determined by FFR measurement. An FFR value <0.75 was defined as functionally significant. Venous blood samples were taken within 48 h before the FFR measurement, and RDW levels were determined by a Coulter LH Series hematology analyzer. Logistic regression analysis was used to examine the association between functional significance in FFR measurement and other variables. RESULTS Of the 246 patients, 62 (25.2%) exhibited significant functional stenosis (FFR <0.75) in the FFR measurement. The mean RDW level was significantly higher in patients with significant stenosis (14.19 ± 0.73 vs. 13.69 ± 0.77, p < 0.001). In stepwise multivariate logistic regression analysis, RDW (OR = 2.489, 95% CI = 1.631-3.799, p < 0.001) and male gender (OR = 2.826, 95% CI = 1.347-5.928, p = 0.006) were independent predictors of significant functional stenosis. CONCLUSION Increased RDW levels were associated with functional significance of angiographically intermediate coronary artery stenoses.
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Affiliation(s)
- Sadık Kadri Açıkgöz
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
- *Sadýk Kadri Açýkgöz, Turkiye Yuksek Ihtisas Hastanesi, TR–06100 Sihhiye, Ankara (Turkey), E-Mail
| | - Burak Açar
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Selahattin Aydın
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Eser Açıkgöz
- Cardiology Department, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Okan Er
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Barış Şensoy
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Mustafa Mücahit Balci
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Çağrı Yayla
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Fatih Şen
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Salih Topal
- Cardiology Department, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Sinan Aydoğdu
- Cardiology Clinic, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
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Yayla Ç, Akboğa MK, Canpolat U, Gayretli Yayla K, Bayraktar F, Süleymanoğlu M, Kuyumcu S, Eyiol A, Aydoğdu S. [The relationship between mitral annular calcification and red cell distribution width: a cross-sectional study]. Turk Kardiyol Dern Ars 2015; 43:692-8. [PMID: 26717330 DOI: 10.5543/tkda.2015.23539] [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 Mitral annular calcification (MAC) and atherosclerosis are similar in regard to risk factors and pathogenesis. Increased red blood cell distribution width (RDW) has been shown to be associated with atherosclerotic diseases. However, no data evaluating the association of MAC with RDW has been available. The aim of this cross-sectional study was to investigate the relationship between MAC and RDW among patients with various cardiovascular risk factors. METHODS A total of 623 patients (MAC-positive group: n=413; control group: n=210) admitted to our cardiology outpatient clinics were enrolled between March and November 2014. Demographic, clinical, and laboratory parameters of all participants were recorded. RDW was analyzed from complete blood samples of study participants. RESULTS Patients in MAC-positive group showed older age and higher rate of hypertension. Mean RDW value was significantly higher in MAC-positive group, compared to control group (15.3±1.4% vs. 13.9±1.4%, p<0.001). In Pearson correlation analysis, statistically significant and positive correlation was determined between neutrophil-lymphocyte ratio and RDW (r=0.284, p<0.001). In multivariate logistic regression analysis, age (OR: 1.041, p<0.001), hypertension (OR: 1.540, p=0.039), and RDW (OR: 5.351, p<0.001) were determined as independent predictors of MAC. CONCLUSION RDW levels were significantly increased in patients with MAC, and RDW was determined as an independent predictor for presence of MAC. Therefore, increased RDW can be used as a marker of continuing inflammatory process in MAC patients.
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Affiliation(s)
- Çağrı Yayla
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
| | - Mehmet Kadri Akboğa
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Uğur Canpolat
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Kadriye Gayretli Yayla
- Department of Cardiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Fatih Bayraktar
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Muhammed Süleymanoğlu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Serdar Kuyumcu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Azmi Eyiol
- Department of Cardiology, Beyhekim State Hospital, Konya, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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Arıcı M, Birdane A, Güler K, Yıldız BO, Altun B, Ertürk Ş, Aydoğdu S, Özbakkaloğlu M, Ersöz HÖ, Süleymanlar G, Tükek T, Tokgözoğlu L, Erdem Y. [Turkish Hypertension Consensus Report]. Turk Kardiyol Dern Ars 2015; 43:402-9. [PMID: 26142798 DOI: 10.5543/tkda.2015.16243] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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
Hypertension is a common and important public health problem in Turkey and worldwide. Recommendations on the diagnosis and treatment of hypertension have been presented in many nationally and internationally agreed European and American guidelines. However, there are differences among these guidelines, and some of the recommendations are not consistent with clinical practice in our country. Consensus report preparation, with the participation of relevant associations, was considered necessary to merge recommendations by evaluating hypertension guidelines from the perspective of Turkey and to create a joint approach in the diagnosis and treatment of hypertension in adults. For this purpose, it was aimed to prepare a practical text in Turkey in which all physicians dealing with hypertensive patients, from family practitioners in primary care to specialists in tertiary care, could come to agreement on common concepts, and which would be used as a basic reference guideline. Considering health care practices and sociocultural structure in Turkey, this report aimed to enhance awareness on hypertension, provide a common basis for different definitions and values as well as therapeutic options in various guidelines, and establish a practical reference guide to improve clinical practices in Turkey. This report is not a document describing hypertension in every aspect, but a reference, including basic recommendations with outlines. Care was taken to ensure that recommendations were evidence-based and valid for a majority of patients in clinical practice. However, it should be kept in mind that an approach assessment should be made on an individual basis for each patient.
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Affiliation(s)
- Mustafa Arıcı
- Department of Internal Medicine, Division of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | - Alparslan Birdane
- Department of Cardiology, Osmangazi University Faculty of Medicine, Eskişehir, Turkey
| | - Kerim Güler
- Department of Internal Medicine, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
| | - Bülent Okan Yıldız
- Department of Internal Medicine, Division of Endocrinology and Metabolic Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Bülent Altun
- Department of Internal Medicine, Division of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Şehsuvar Ertürk
- Department of Internal Medicine, Division of Nephrology, Ankara University Faculty of Medicine, Ankara
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey
| | | | - Halil Önder Ersöz
- Department of Internal Medicine, Division of Endocrinology and Metabolic Diseases, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
| | - Gültekin Süleymanlar
- Department of Internal Medicine, Division of Nephrology, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | - Tufan Tükek
- Department of Internal Medicine, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
| | - Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Yunus Erdem
- Department of Internal Medicine, Division of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Aydoğdu S. [Oral antiplatelet therapy in acute coronary syndromes: What do current guidelines say?]. Turk Kardiyol Dern Ars 2015; 43 Suppl 2:13-19. [PMID: 27326446] [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: 06/06/2023] Open
Abstract
Oral antiplatelet therapy has a pivotal role in the treatment of acute coronary syndromes (ACS). Recent advances in the field of oral antiplatelet agents have led to guideline updates and changed the clinical practice of treating patients with ACS. This review summarizes the up-to-date recommendations of current guidelines regarding the use of oral antiplatelet agents in the setting of ACS.
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Yayla Ç, Akboğa MK, Canpolat U, Akyel A, Yayla KG, Doğan M, Yeter E, Aydoğdu S. Platelet to Lymphocyte Ratio Can be a Predictor of Infarct-Related Artery Patency in Patients With ST-Segment Elevation Myocardial Infarction. Angiology 2015; 66:831-836. [PMID: 25712290 DOI: 10.1177/0003319715573658] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [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] [Indexed: 09/12/2023]
Abstract
Patency of infarct-related artery (IRA) in patients with ST-segment elevation myocardial infarction (STEMI) before primary percutaneous coronary intervention (pPCI) is associated with lower mortality and better clinical outcome. However, there were little data regarding the predictors of IRA patency before pPCI in the setting of STEMI. We aimed to assess the association of platelet to lymphocyte ratio (PLR) with IRA patency in STEMI. A total of 452 patients were enrolled and categorized as occluded or patent IRA. Patency IRA was assessed by the thrombolysis in myocardial infarction (TIMI) flow grade. Blood samples were obtained on admission to calculate PLR. Of all patients, 92 (20.4%) patients revealed pre-pPCI TIMI 3 flow in IRA. The PLR was significantly higher in occluded IRA group (138.4 ± 51.4 vs 95.4 ± 43.5, P < .001). Glucose, troponin I, and neutrophil to lymphocyte ratio (NLR) levels were also higher in occluded IRA group (P < .05). Multivariate regression analysis demonstrated the PLR (odds ratio [OR]: 0.987; 95% confidence interval [CI]: 0.978-0.995, P = .002) and NLR (OR: 0.758; 95% CI: 0.584-0.985, P = .038) on admission as independent predictors of IRA patency. In conclusion, a higher PLR is a powerful and independent predictor of IRA patency in patients with STEMI before pPCI.
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Affiliation(s)
- Çağrı Yayla
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mehmet Kadri Akboğa
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Uğur Canpolat
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ahmet Akyel
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Kadriye Gayretli Yayla
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mehmet Doğan
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ekrem Yeter
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Sinan Aydoğdu
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
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Yayla Ç, Bilgin M, Akboğa MK, Gayretli Yayla K, Canpolat U, Dinç Asarcikli L, Doğan M, Turak O, Çay S, Özeke Ö, Akyel A, Yeter E, Aydoğdu S. Evaluation of Tp-E Interval and Tp-E/QT Ratio in Patients with Aortic Stenosis. Ann Noninvasive Electrocardiol 2015; 21:287-93. [PMID: 26246339 DOI: 10.1111/anec.12298] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [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: 01/19/2023] Open
Abstract
BACKGROUND The risk of syncope and sudden cardiac death due to ventricular arrhythmias increased in patients with aortic stenosis (AS). Recently, it was shown that Tp-e interval, Tp-e/QT, and Tp-e/QTc ratio can be novel indicators for prediction of ventricular arrhythmias and mortality. We aimed to investigate the association between AS and ventricular repolarization using Tp-e interval and Tp-e/QT ratio. METHODS Totally, 105 patients with AS and 60 control subjects were enrolled to this study. The severity of AS was defined by transthoracic echocardiographic examination. Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios were measured from the 12-lead electrocardiogram. RESULTS Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios were significantly increased in parallel to the severity of AS (P < 0.001, P = 0.001, and P = 0.001, respectively). Also, it was shown that Tp-e/QTc ratio had significant positive correlation with mean aortic gradient (r = 0.192, P = 0.049). In multivariate logistic regression analysis, Tp-e/QTc ratio and left ventricular mass were found to be independent predictors of severe AS (P = 0.03 and P = 0.04, respectively). CONCLUSIONS Our study showed that Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios were increased in patients with severe AS. Tp-e/QTc ratio and left ventricular mass were found as independent predictors of severe AS.
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Affiliation(s)
- Çağrı Yayla
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Murat Bilgin
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mehmet Kadri Akboğa
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Kadriye Gayretli Yayla
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Uğur Canpolat
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Lale Dinç Asarcikli
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mehmet Doğan
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Osman Turak
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Serkan Çay
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Özcan Özeke
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ahmet Akyel
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ekrem Yeter
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Sinan Aydoğdu
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey
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Akyel A, Yayla Ç, Erat M, Çimen T, Doğan M, Açıkel S, Aydoğdu S, Yeter E. Neutrophil-to-lymphocyte ratio predicts hemodynamic significance of coronary artery stenosis. Anatol J Cardiol 2015; 15:1002-7. [PMID: 25880055 PMCID: PMC5368453 DOI: 10.5152/akd.2015.5909] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Objective: Coronary artery disease is closely linked with inflammation, and the neutrophil-to-lymphocyte ratio (NLR) has emerged as a new inflammatory marker. Fractional flow reserve (FFR) is a well-established method for determining hemodynamic significance of coronary artery stenosis. In this study, we aimed to investigate the relationship between NLR and hemodynamic significance of coronary artery lesion as assessed by FFR. Methods: A total of 134 patients with FFR measurement between January 2012 and December 2013 were enrolled in this retrospective study. Patients with single intermediate-grade coronary artery stenosis were enrolled, and those with second intermediate or severe coronary artery stenosis were excluded from study. Patients’ NLR were calculated. An FFR value of <0.80 was accepted for hemodynamic significance. Statistical analysis was performed by the chi-square test, Student’s t-test, Mann–Whitney U test, logistic regression analysis, and ROC curve analysis. Results: Patients with hemodynamically significant lesions had higher NLR values (3.3±1.2 vs. 2.0±0.9, p<0.001). White blood cell count, male gender, high-density lipoprotein levels, platelet-to-lymphocyte ratio, and NLR were found to be possible confounding factors predicting hemodynamically significant coronary artery stenosis. In multiple logistic regression analysis, NLR remained as the only independent predictor for hemodynamically significant coronary artery stenosis. An NLR value of 2.4 had 87.5% sensitivity and 78.4% specificity for prediction of hemodynamically significant coronary artery stenosis. Conclusion: In present study, we showed that NLR was significantly higher in patients with hemodynamically significant coronary artery stenosis. We also found NLR to be an independent predictor of hemodynamically significant coronary artery stenosis as measured by FFR. Further studies are needed to find a causal relationship.
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Affiliation(s)
- Ahmet Akyel
- Department of Cardiology, Dışkapı Yıldırım Beyazıt Education and Research Hospital; Ankara-Turkey.
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Akboğa MK, Abacı A, Canpolat U, Yayla Ç, Şahinarslan A, Açıkgöz K, Çay S, Topaloğlu S, Aras D, Aydoğdu S. [Association of red blood cell distribution width with presence and severity of rheumatic mitral valve stenosis]. Turk Kardiyol Dern Ars 2015; 43:227-233. [PMID: 25905993 DOI: 10.5543/tkda.2015.60533] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/12/2023] Open
Abstract
OBJECTIVE As an indicator of variability in circulating erythrocyte size, red cell distribution width (RDW) is linked to chronic inflammation. The association of rheumatic heart valve stenosis and inflammation is also well-known. This study aimed to assess the relationship between RDW and presence and severity of rheumatic mitral valve stenosis (RMVS). METHODS A total of 417 consecutive patients with RMVS, and 81 age- and -gender matched healthy control subjects were included in the study between February 2009 and April 2014. Transthoracic echocardiography and demographic characteristics were recorded for all participants. RESULTS Baseline characteristics were similar in the two groups. However, median RDW was significantly higher in patients with RMVS compared to control group (14.4% [11.3-19.6] vs. 13.6% [11.6-18.1], p<0.001). Additionally, both median C-reactive protein (CRP) and neutrophil-lymphocyte ratio (NLR) were also higher in the RMVS group; (6.1 [0.4-24.2] vs. 3.6 [0.3-15.3] mg/dl, p=0.001 for CRP, and 2.8 [0.4-10.6] vs. 2.1 [0.7-5.7], p<0.001 for NLR respectively). In regression analysis, RDW (OR: 1.504, p=0.005), CRP (OR: 1.139, p=0.008), NLR (OR: 1.528, p=0.018) and left atrial diameter (OR: 1.218, p<0.001) were found as independent predictors of the presence of RMVS. Furthermore, there was a significant positive correlation between CRP (r=0.140, p=0.007) and NLR levels (r=0.276, p<0.001) with RDW levels. Furthermore, we determined that RDW levels increased in parallel with severity of mitral stenosis (mild, moderate and severe) [13.7% (12.9-14.8), 14.4% (13.4-15.4), 14.8% (13.6-16.3), p<0.001, respectively]. CONCLUSION The study demonstrated significantly higher RDW in patients with RMVS. Furthermore, RDW independently predicted the presence of RMVS. RDW is an easily available marker, and because of its correlation with common inflammatory indicators may also be a sign of chronic inflammatory continuum in patients with RMVS.
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Affiliation(s)
- Mehmet Kadri Akboğa
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
| | - Adnan Abacı
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Uğur Canpolat
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Çağrı Yayla
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Asife Şahinarslan
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Kadri Açıkgöz
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Serkan Çay
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Serkan Topaloğlu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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Affiliation(s)
- Samet Yilmaz
- Cardiology Clinic, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Omaç Tüfekçioğlu
- Cardiology Clinic, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Ahmet Temizhan
- Cardiology Clinic, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Cardiology Clinic, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
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Kuyumcu MS, Yılmaz S, Demiryapan E, Ekizler A, Özeke Ö, Tüfekçioğlu O, Aydoğdu S. PP-107 Precordial Thump; Just a Myth or a Lifesaver in Malignant Ventricular Tachyarrhythmia? Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.464] [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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Yayla Ç, Canpolat U, Yayla KG, Akboğa MK, Akyel A, Açıkgöz SK, Özcan F, Turak O, Aydoğdu S, Kanbay M. OP-031 The Relationship Between Monocyte/HDL Cholesterol Ratio and Aortic Elasticity in Newly-Diagnosed Hypertensive Patients. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.077] [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: 10/23/2022]
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Yayla Ç, Canpolat U, Akyel A, Yayla KG, Yılmaz S, Açıkgöz SK, Özcan F, Turak O, Doğan M, Yeter E, Aydoğdu S. OP-066 Association Between Platelet to Lymphocyte Ratio and Saphenous Vein Graft Disease. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.112] [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: 11/26/2022]
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Akboğa MK, Abacı A, Canpolat U, Yayla Ç, Şahinarslan A, Açıkgöz K, Çay S, Topaloğlu S, Aras D, Aydoğdu S. OP-074 Association of Red Blood Cell Distribution Width with The Presence and Severity of Rheumatic Mitral Valve Stenosis. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.120] [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: 10/23/2022]
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Akboğa MK, Canpolat U, Balcı KG, Akyel A, Şen F, Yayla Ç, Çay S, Aras D, Aydoğdu S. OP-065 Increased Platelet-to-Lymphocyte Ratio is Related to Slow Coronary Flow. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.111] [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: 10/23/2022]
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Affiliation(s)
- Samet Yilmaz
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mevlüt Serdar Kuyumcu
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Aliye Kuyumcu
- Department of Nutrition and Dietetics, Ankara Numune Education and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
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Kocaoğlu İ, Arslan U, Koza Y, Balcı MM, Çelik G, Aydoğdu S. Saphenous Vein Graft Disease Is Associated with a Low Serum Erythropoietin Level. Med Princ Pract 2015; 24:544-7. [PMID: 26506083 PMCID: PMC5588280 DOI: 10.1159/000437369] [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] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Accepted: 07/05/2015] [Indexed: 01/30/2023] Open
Abstract
OBJECTIVE To measure the serum erythropoietin (EPO) level in patients with saphenous vein grafts (SVGs) and to compare the EPO level in those with and without SVG disease. SUBJECTS AND METHODS The study included 85 consecutive patients with a history of coronary artery bypass graft surgery that underwent elective coronary angiography. Patients with >30% stenosis (diseased grafts) in at least one saphenous graft were included in group 1 (diseased group: n = 40), and group 2 (nondiseased group: n = 45) consisted of patients without diseased SVGs. The EPO level was measured using enzyme-linked immunosorbent assay (ELISA) using a commercially available ELISA kit; x03C7;2 test and independent samples t test were used where appropriate. Logistic regression was used for multivariate analysis. RESULTS There were not any significant differences in age, gender, or cardiovascular risk factors between the two groups except for increased triglyceride and low high-density lipoprotein levels in group 2. The EPO level was significantly higher in the nondiseased SVG group than in the diseased SVG group (25.5 ± 9.6 vs. 17.8 ± 6.8 mU ml-1, p = 0.002). Multivariate logistic regression analysis showed that the serum EPO level was an independent predictor of SVG disease (OR 1.14, 95% CI 1.06-1.24, p = 0.001). CONCLUSION In this study, SVG disease was associated with a low serum EPO level, suggesting that a low EPO level could be predictive of and contributes to the pathophysiology of SVG disease.
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Affiliation(s)
- İbrahim Kocaoğlu
- Department of Cardiology at Aydın State Hospital, Aydın, Ankara, Turkey
| | - Uğur Arslan
- Department of Cardiology at Samsun Education and Research Hospital, Samsun, Ankara, Turkey
- *Uğur Arslan, MD, Associate Professor, Department of Cardiology, Samsun Education and Research Hospital, Baris Avenue, No. 199, TR-55090 Ilkadým, Samsun (Turkey), E-Mail
| | - Yavuzer Koza
- Department of Cardiology at Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Mustafa Mücahit Balcı
- Department of Cardiology at Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Gizem Çelik
- Department of Cardiology at Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Department of Cardiology at Samsun Education and Research Hospital, Samsun, Ankara, Turkey
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Canpolat U, Yayla Ç, Aras D, Topaloğlu S, Aydoğdu S. fQRS as a noninvasive marker for an overgrowing epidemy affecting both aortic valve and myocardium in the era of aging population. Ann Noninvasive Electrocardiol 2014; 20:98-9. [PMID: 25385706 DOI: 10.1111/anec.12236] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Uğur Canpolat
- Cardiology Clinic, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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Canpolat U, Aras D, Topaloğlu S, Aydoğdu S. Temporal trend might be better than instant occurrence of fQRS as a noninvasive prognostic marker in STEMI patients undergoing primary PCI. Ann Noninvasive Electrocardiol 2014; 20:198-9. [PMID: 25384341 DOI: 10.1111/anec.12238] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Uğur Canpolat
- Cardiology Clinic, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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Canpolat U, Özcan F, Özeke Ö, Turak O, Yayla Ç, Açıkgöz SK, Çay S, Topaloğlu S, Aras D, Aydoğdu S. Impaired cardiac autonomic functions in apparently healthy subjects with vitamin D deficiency. Ann Noninvasive Electrocardiol 2014; 20:378-85. [PMID: 25363566 DOI: 10.1111/anec.12233] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [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: 12/30/2022] Open
Abstract
OBJECTIVES Vitamin D (VitD) deficiency affects the cardiovascular system via endocrine, paracrine, and autocrine pathways. Limited data are available regarding cardiac autonomic dysfunction in VitD deficiency. The aim of this study was to assess the cardiac autonomic functions by using heart rate recovery index (HRRI) and heart rate variability (HRV) in apparently healthy subjects with VitD deficiency. METHODS A total of 24 VitD deficient and 50 age-, gender-, and body mass index-matched VitD sufficient healthy participants who admitted to outpatient clinics at a tertiary centre were enrolled. All study participants underwent Treadmill exercise test and 24-hour Holter recording to assess cardiac autonomic functions. HRRIs were calculated by subtracting first, second, and third minute heart rates during recovery period from maximal heart rate. RESULTS Mean HRR1 (28.0 ± 8.3 vs 42.8 ± 6.4, P < 0.001), HRR2 (41.1 ± 11.2 vs 60.8 ± 10.4, P < 0.001), and HRR3 (44.9 ± 13.3 vs 65.9 ± 9.8, P < 0.001) were significantly higher in VitD sufficient group compared to VitD deficient group. HRV parameters as, SDNN (P = 0.040), SDANN (P < 0.001), RMSSD (P < 0.001), PNN50 (P < 0.001), and HF (P < 0.001) were significantly decreased in patients with VitD deficiency; but LF (P < 0.001) and LF/HF (P = 0.003) were significantly higher in VitD deficient group. Serum 25(OH)D level was positively correlated with HRRIs (P < 0.001), PNN50, RMSSD, SDANN, and HFnu; negatively correlated with LFnu and LF/HF (P < 0.05). Also, multivariate linear regression analysis showed that serum 25(OH)D level was significantly associated with HRRIs and HRV parameters (P < 0.001). CONCLUSION Our study results suggest that cardiac autonomic functions are impaired in patients with VitD deficiency despite the absence of overt cardiac involvement and symptoms. Further studies are needed to elucidate the prognostic significance and clinical implications of impaired autonomic functions in patients with VitD deficiency.
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Affiliation(s)
- Uğur Canpolat
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Fırat Özcan
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Özcan Özeke
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Osman Turak
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Çağr Yayla
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Sadık Kadri Açıkgöz
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Serkan Çay
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Serkan Topaloğlu
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Dursun Aras
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Cardiology Clinic, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey
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