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Yalcin M, Isilak Z, Bicakci B, Uz O. Risk factors of pocket hematoma in patients with electrophysiological device implantation. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2015; 19:3135-3136. [PMID: 26400510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Dogan M, Uz O, Isilak Z. Subcutaneous ICD implantation should be considered when confronting anatomically complex cases. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2015; 19:3139. [PMID: 26400512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Uz O, Temizkan V, Isilak Z. eComment. New onset atrial fibrillation induced by adenosine. Interact Cardiovasc Thorac Surg 2015; 21:365. [PMID: 26311680 DOI: 10.1093/icvts/ivv216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Eroglu M, Uz O, Isilak Z, Yalcin M, Yildirim AO, Kardesoglu E. Carbon monoxide poisoning increases Tpeak-Tend dispersion and QTc dispersion. Cardiovasc J Afr 2015; 25:106-9. [PMID: 25000439 PMCID: PMC4120128 DOI: 10.5830/cvja-2014-012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2012] [Accepted: 02/24/2014] [Indexed: 11/13/2022] Open
Abstract
Objective Carbon monoxide (CO) poisoning leads to cardiac dysrhythmia. Increased heterogeneity in ventricular repolarisation on electrocardiogram (ECG) shows an increased risk of arrhythmia. A number of parameters are used to evaluate ventricular repolarisation heterogeneity on ECG. The aim of our study is to investigate the effect of acute CO poisoning on indirect parameters of ventricular repolarisation on ECG. Methods Sixty-seven patients were included in this case–control study. Thirty patients with acute CO poisoning were assigned to group 1 (19 females, mean age: 30.8 ± 11.3 years). A control group was formed with patients without known cardiac disease (group 2, n = 37; 25 females, mean age: 26.0 ± 5.2 years). Twelve-lead ECG and serum electrolyte levels were recorded in all patients. Also, carboxyhaemoglobin (COHb) levels were recorded in group 1. Tpeak–Tend (TpTe) interval, TpTe dispersion, TpTe/QT ratio, QT interval and QTd durations were measured as parameters of ventricular repolarisation. Corrected QT (QTc) and QTc dispersion (QTcd) intervals were determined with the Bazett’s formula. Results The mean COHb level in group 1 was 27.6 ± 7.4% and mean duration of CO exposure was 163.5 ± 110.9 min. No statistically significant difference was found in age, gender, serum electrolytes or blood pressure levels between the groups. QRS, QT, QTc, TpTe interval and TpTe/QT ratio were similar between the groups (p > 0.05). QTcd (65.7 ± 64.4 vs 42.1 ± 14.2 ms, p = 0.003) and TpTe dispersion (40.5 ± 14.8 vs 33.2 ± 4.9 ms, p = 0.006) were significantly longer in group 1 than group 2. COHb level was moderately correlated with TpTe dispersion (r = 0.29; p = 0.01). Conclusion To our knowledge, this is the first study to investigate TpTe interval and dispersion in CO poisoning. Our results showed that TpTe dispersion and QTc dispersion increased after CO poisoning.
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Yalcin M, Isilak Z, Uz O, Kucuk U. Left atrial appendage morphology and thromboembolic risk in atrial fibrillation. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2015; 19:2143. [PMID: 26166633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Aparci M, Ozturk C, Balta S, Isilak Z, Celik T, Yalcin M, Uzun M. OP-061 Aortic and Clinical Features of the Patients with Aortic Aneurysm/Dilatation during the First Diagnosis. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Aparci M, Ebiloglu T, Okutucu S, Isilak Z, Oral E. PP-008 Statins May Cause Libido Changes by Lowering Male Sex Hormones. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Aparci M, Ozturk C, Okutucu S, Balta S, Isilak Z, Kardesoglu E, Bozlar U. PP-031 Anteroseptal Myocardial Infarctions due to Myocardial Bridging Are Generally Misdiagnosed as Myocarditis in Young Patients. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Aparci M, Ozturk C, Balta S, Okutucu S, Celik T, Isilak Z, Bozlar U, Kardesoglu E. PP-036 Myocardial Bridging May be a Novel Type of Cardiomyopathy Characterized with Progressive Myocardial Fibrosis. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Aparci M, Ozturk C, Tezcan M, Isilak Z, Yalcin M, Uzun M. PP-012 Analysis and Management of Acute Cardiovascular Emergencies Presented to the Cardiology Polyclinic. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Aparci M, Ozturk C, Okutucu S, Balta S, Isilak Z, Yalcin M. PP-016 Anteroseptal Myocardial Infarction due to Myocardial Bridging in a Young Long Distance Runner. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Aparci M, Ozturk C, Balta S, Okutucu S, Isilak Z, Ozmen N, Cebeci BS, Yalcin M. PP-137 Features of Aortic Diameters in Young Subjects with Bicuspid Aortic Valve and Aortic Sinus Dilatation During the Initial Diagnosis. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Uz O, Kucuk U, Ün H, Isilak Z, Aparci M. Aortic stiffness in hypertrophic cardiomyopathy. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2015; 19:348. [PMID: 25720700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Dogan M, Kucuk U, Uz O, Isilak Z. Metabolic effects of carbon dioxide should be keep in mind when assessing cardiac contractile function during laparoscopic surgery. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2015; 19:2. [PMID: 25635967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Uz O, Kucuk U, Un H, Aparci M, Isilak Z. Mitral annular tissue velocity in the diagnosis of coronary artery disease. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2015; 19:702. [PMID: 25807419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Kucuk U, Isilak Z, Uz O, Balta S. eComment. Doctor Jekyll and Mr Heyde: a vague association between angiodysplasia and aortic stenosis. Interact Cardiovasc Thorac Surg 2014; 19:932. [DOI: 10.1093/icvts/ivu401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Aparci M, Ozturk C, Balta S, Okutucu S, Isilak Z. Hypercholesterolemia is Accounted for Atherosclerosis at the Proximal Arterial Segments of Myocardial Bridging. Clin Appl Thromb Hemost 2014; 22:297-302. [DOI: 10.1177/1076029614554995] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Arterial shear stress was generally implicated in the development of atherosclerotic plaque (AP). Atherosclerotic plaque may be associated with myocardial bridging (MB). We evaluated the metabolic abnormalities which could determine the localization of AP at the proximal coronary segment of MB. We analyzed the patients with MB, AP&MB, and AP on left anterior descending (LAD) artery who were diagnosed by multislice computed tomography coronary angiography. Serum levels of metabolic parameters were compared among study groups. Patients with MB&AP and AP were significantly older than those in the MB group. Patients with MB&AP had AP and MB at the proximal and middle segments of LAD artery, respectively. Total cholesterol, low-density lipoprotein (LDL) cholesterol and very LDL, and triglyceride levels were significantly higher in patients with MB&AP and AP compared to only MB. Low-density lipoprotein cholesterol was significantly correlated with the type of coronary artery disease in multiple regression analysis. Myocardial bridging may be an anatomical determinant for the localization of AP proximal to itself in the presence of hypercholesterolemia.
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Aparci M, Okutucu S, Ozturk C, Balta S, Isilak Z. Utility of multi-detector tomography angiography with equivocal exercise stress test in acute coronary syndrome. Emerg Med Australas 2014; 26:517-8. [DOI: 10.1111/1742-6723.12269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Arslan HH, Aparci M, Arslan Z, Ozturk C, Isilak Z, Balta S, Celik T, Iyisoy A. Increased frequency of mitral valve prolapse in patients with deviated nasal septum. Eur Arch Otorhinolaryngol 2014; 272:1667-71. [PMID: 25129374 DOI: 10.1007/s00405-014-3243-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Accepted: 08/05/2014] [Indexed: 10/24/2022]
Abstract
Any abnormality of collagen may affect the tissues with higher collagen content, e.g., joints, heart valves, and great arteries. Mitral valve prolapse (MVP) is a characteristic of generalized collagen abnormality. Nasal septum (NS) is constituted by osseous and cartilaginous septums that are highly rich in collagen. We evaluated the co-existence of deviation of NS (DNS) in patients with MVP. We retrospectively evaluated the recordings of echocardiographic and nasal examinations of subjects with MVP and DNS. We analyzed the features of MVP and anatomical classification of DNS among subjects. Totally, 74 patients with DNS and 38 subjects with normal nasal passage were enrolled to the study. Presence of MVP was significantly higher in patients with DNS compared to normal subjects (63 vs 26%, p < 0.001). Prolapse of anterior, posterior and both leaflets was higher in patients with DNS. Thickness of anterior mitral leaflet was significantly increased in patients with DNS (3.57 ± 0.68 vs 4.59 ± 1.1 mm, p < 0.001) compared to normal subjects. Type I, II, and III, IV DNS were higher in frequency in patients with MVP while type V and VI were higher in normal subjects. DNS is highly co-existent with MVP and increased thickness of mitral anterior leaflet. Generalized abnormality of collagen which is the main component of mitral valves and nasal septum may be accounted for co-existence of MVP and DNS. Also co-existence of them may exaggerate the symptoms of patients with MVP due to limited airflow through the nasal passage.
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Yalçın M, Eroglu M, Isilak Z, Aparci M, Cebeci BS. Acute respiratory failure due to giant aortic aneurysm mimicking massive pulmonary embolism in a patient with Marfan's syndrome. Kardiol Pol 2014; 71:1212. [PMID: 24297729 DOI: 10.5603/kp.2013.0312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2013] [Accepted: 01/17/2013] [Indexed: 12/13/2022]
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Uz O, Atalay M, Doğan M, Isilak Z, Yalcin M, Uzun M, Kardesoglu E, Cebeci BS. The CHA2DS2-VASc score as a predictor of left atrial thrombus in patients with non-valvular atrial fibrillation. Med Princ Pract 2014; 23:234-8. [PMID: 24751402 PMCID: PMC5586880 DOI: 10.1159/000361028] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2013] [Accepted: 03/03/2014] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVE To investigate whether or not the CHA2DS2-VASc score predicts left atrial (LA) thrombus detected on pre-cardioversion transoesophageal echocardiography (TEE). MATERIALS AND METHODS The medical records of patients who had undergone TEE were reviewed to assess the presence of LA thrombus prior to direct-current cardioversion for atrial fibrillation (AF). The CHA2DS2-VASc score was calculated for each patient. Clinical TEE reports were reviewed for the presence of LA thrombus. Patients with a valve prosthesis or rheumatic mitral valve disease were excluded from this study. RESULTS A total of 309 patients were identified. The mean age was 70.1 ± 9.8 years and 151 (49%) patients were males and 158 (51%) were females. LA thrombus was seen in 32 (10.3%) of the 309 patients. Fifty (16.2%) patients had a low CHA2DS2-VASc score (0-1), 230 (74.4%) had an intermediate score (2-4) and 29 (9.4%) had a high score (5-9). The incidence of LA thrombus in the low, intermediate and high CHA2DS2-VASc score groups was 0, 4.4 and 68.7%, respectively. The LA thrombus risk increased with increasing CHA2DS2-VASc scores. On multivariate logistic analysis, the CHA2DS2-VASc score (OR 3.26, 95% CI 2.3-4.65; p = 0.001) and age (OR 0.93, 95% CI 0.88-0.98; p = 0.004) were independent risk factors for LA thrombus in patients with non-valvular AF. CONCLUSION A high CHA2DS2-VASc score was independently associated with the presence of LA thrombus in patients with non-valvular AF.
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Isilak Z, Tezcan M, Atalay M, Kardesoglu E. Acute myocardial infarction and sub-acute stent thrombosis associated with occult essential thrombocythemia. Chin Med J (Engl) 2014; 127:3512-3513. [PMID: 25269924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
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Dogan M, Isilak Z, Atalay M, Uz O. Caseous calcification of the mitral annulus: a rare variant of mitral annular calcification. Chin Med J (Engl) 2014; 127:3035. [PMID: 25131251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
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Atalay M, Tezcan M, Yalcin M, Isilak Z, Kardesoglu E. Still unsettled issue: antiplatelet therapy after stenting in patients taking oral anticoagulants. Chin Med J (Engl) 2013; 126:4397. [PMID: 24238538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
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