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Alatas E, Biteker M, Alatas O. Aortic stiffness in hidradenitis suppurativa: A case-control study. DERMATOL SIN 2021. [DOI: 10.4103/ds.ds_39_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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2
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Affiliation(s)
- Oğuzhan Çelik
- Department of Cardiology, Faculty of Medicine, Muğla University, Haluk Özsoy Cad, Muğla, Turkey
| | - Cem Çil
- Department of Cardiology, Faculty of Medicine, Muğla University, Haluk Özsoy Cad, Muğla, Turkey
| | - Funda Sungur Biteker
- Department of Infectious Diseases and Clinical Microbiology, Yatağan State Hospital, Haluk Özsoy Cad, Muğla, Turkey
| | - Aysel Gökçek
- Department of Cardiology, Faculty of Medicine, Muğla University, Haluk Özsoy Cad, Muğla, Turkey
| | - Volkan Doğan
- Department of Cardiology, Faculty of Medicine, Muğla University, Haluk Özsoy Cad, Muğla, Turkey
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Bai J, Sun H, Xie L, Zhu Y, Feng Y. Detection of cardioembolic stroke with B-type natriuretic peptide or N-terminal pro-BNP: a comparative diagnostic meta-analysis. Int J Neurosci 2018; 128:1100-1108. [PMID: 29874952 DOI: 10.1080/00207454.2017.1408612] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Junxia Bai
- Outpatient Department, the Ninth People's Hospital of Chongqing, Chongqing, China
| | - Houchao Sun
- Department of Neurology, the Third People's Hospital of Chongqing, Chongqing, China
| | - Liang Xie
- Department of Neurology, the Second Affiliated Hospital of Nanchang University, Nanchang, China
| | - Yongjun Zhu
- Department of Orthopedics, the Ninth People's Hospital of Chongqing, Chongqing, China
| | - Yuxing Feng
- Department of Neurology, the Ninth People's Hospital of Chongqing, Chongqing, China
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Başaran Ö, Doğan V, Ergün G, Biteker M. Associated Factors with Left Atrial Enlargement in Patients with Acute Ischemic Stroke. Intern Med 2018; 57:627. [PMID: 29445062 PMCID: PMC5849566 DOI: 10.2169/internalmedicine.7825-16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- Özcan Başaran
- Faculty of Medicine, Department of Cardiology, Muğla University, Turkey
| | - Volkan Doğan
- Faculty of Medicine, Department of Cardiology, Muğla University, Turkey
| | - Gökhan Ergün
- Faculty of Medicine, Department of Cardiology, Muğla University, Turkey
| | - Murat Biteker
- Faculty of Medicine, Department of Cardiology, Muğla University, Turkey
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5
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Piccardi B, Giralt D, Bustamante A, Llombart V, García-Berrocoso T, Inzitari D, Montaner J. Blood markers of inflammation and endothelial dysfunction in cardioembolic stroke: systematic review and meta-analysis. Biomarkers 2017; 22:200-209. [PMID: 28117601 DOI: 10.1080/1354750x.2017.1286689] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
CONTEXT Various processes including inflammation and endothelial dysfunction have been implicated in the pathogenesis of cardioembolic (CE) strokes. OBJECTIVE To review the evidence and investigate the association between immune-inflammatory biomarkers and CE strokes versus other stroke subtypes. METHODS We systematically reviewed the literature (sources: MEDLINE, web-based register http://stroke-biomarkers.com , reference lists) with quality assessment and meta-analysis of selected articles. RESULTS The most consistent association was found between C-reactive protein (CRP) and CE strokes when compared to other stroke subtypes (standardized mean difference 0.223 (0.116, 0.343); p < 0.001) Conclusions: Our findings confirm a possible association between selected inflammatory biomarkers and CE stroke.
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Affiliation(s)
- Benedetta Piccardi
- a Neuroscience Section, Department of Neurofarba , University of Florence , Florence , Italy
| | - Dolors Giralt
- b Neurovascular Research Laboratory , Vall d'Hebron University Hospital Research Institute (VHIR), Universitat Autònoma de Barcelona , Barcelona , Spain
| | - Alejandro Bustamante
- b Neurovascular Research Laboratory , Vall d'Hebron University Hospital Research Institute (VHIR), Universitat Autònoma de Barcelona , Barcelona , Spain
| | - Victor Llombart
- b Neurovascular Research Laboratory , Vall d'Hebron University Hospital Research Institute (VHIR), Universitat Autònoma de Barcelona , Barcelona , Spain
| | - Teresa García-Berrocoso
- b Neurovascular Research Laboratory , Vall d'Hebron University Hospital Research Institute (VHIR), Universitat Autònoma de Barcelona , Barcelona , Spain
| | - Domenico Inzitari
- a Neuroscience Section, Department of Neurofarba , University of Florence , Florence , Italy.,c Institute of Neuroscience, Italian National Research Council , Florence , Italy
| | - Joan Montaner
- b Neurovascular Research Laboratory , Vall d'Hebron University Hospital Research Institute (VHIR), Universitat Autònoma de Barcelona , Barcelona , Spain
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Predictors of early neurological deterioration in acute ischemic stroke. Am J Emerg Med 2017; 35:185-186. [PMID: 27817936 DOI: 10.1016/j.ajem.2016.10.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 10/16/2016] [Accepted: 10/20/2016] [Indexed: 11/23/2022] Open
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7
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Özlek B, Özlek E, Başaran Ö, Doğan V, Biteker M. Predictors of Stroke in Atrial Fibrillation. J Stroke Cerebrovasc Dis 2016; 25:2322. [PMID: 27402590 DOI: 10.1016/j.jstrokecerebrovasdis.2016.06.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 06/18/2016] [Indexed: 02/08/2023] Open
Affiliation(s)
- Bülent Özlek
- Department of Cardiology, Faculty of Medicine, Muğla University, Turkey.
| | - Eda Özlek
- Department of Cardiology, Faculty of Medicine, Muğla University, Turkey
| | - Özcan Başaran
- Department of Cardiology, Faculty of Medicine, Muğla University, Turkey
| | - Volkan Doğan
- Department of Cardiology, Faculty of Medicine, Muğla University, Turkey
| | - Murat Biteker
- Department of Cardiology, Faculty of Medicine, Muğla University, Turkey
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Musa TA, Uddin A, Fairbairn TA, Dobson LE, Sourbron SP, Steadman CD, Motwani M, Kidambi A, Ripley DP, Swoboda PP, McDiarmid AK, Erhayiem B, Oliver JJ, Blackman DJ, Plein S, McCann GP, Greenwood JP. Assessment of aortic stiffness by cardiovascular magnetic resonance following the treatment of severe aortic stenosis by TAVI and surgical AVR. J Cardiovasc Magn Reson 2016; 18:37. [PMID: 27287000 PMCID: PMC4902992 DOI: 10.1186/s12968-016-0256-z] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 05/31/2016] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Aortic stiffness is increasingly used as an independent predictor of adverse cardiovascular outcomes. We sought to compare the impact of transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) upon aortic vascular function using cardiovascular magnetic resonance (CMR) measurements of aortic distensibility and pulse wave velocity (PWV). METHODS AND RESULTS A 1.5 T CMR scan was performed pre-operatively and at 6 m post-intervention in 72 patients (32 TAVI, 40 SAVR; age 76 ± 8 years) with high-risk symptomatic severe aortic stenosis. Distensibility of the ascending and descending thoracic aorta and aortic pulse wave velocity were determined at both time points. TAVI and SAVR patients were comparable for gender, blood pressure and left ventricular ejection fraction. The TAVI group were older (81 ± 6.3 vs. 72.8 ± 7.0 years, p < 0.05) with a higher EuroSCORE II (5.7 ± 5.6 vs. 1.5 ± 1.0 %, p < 0.05). At 6 m, SAVR was associated with a significant decrease in distensibility of the ascending aorta (1.95 ± 1.15 vs. 1.57 ± 0.68 × 10(-3)mmHg(-1), p = 0.044) and of the descending thoracic aorta (3.05 ± 1.12 vs. 2.66 ± 1.00 × 10(-3)mmHg(-1), p = 0.018), with a significant increase in PWV (6.38 ± 4.47 vs. 11.01 ± 5.75 ms(-1), p = 0.001). Following TAVI, there was no change in distensibility of the ascending aorta (1.96 ± 1.51 vs. 1.72 ± 0.78 × 10(-3)mmHg(-1), p = 0.380), descending thoracic aorta (2.69 ± 1.79 vs. 2.21 ± 0.79 × 10(-3)mmHg(-1), p = 0.181) nor in PWV (8.69 ± 6.76 vs. 10.23 ± 7.88 ms(-1), p = 0.301) at 6 m. CONCLUSIONS Treatment of symptomatic severe aortic stenosis by SAVR but not TAVI was associated with an increase in aortic stiffness at 6 months. Future work should focus on the prognostic implication of these findings to determine whether improved patient selection and outcomes can be achieved.
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Affiliation(s)
- Tarique Al Musa
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK.
| | - Akhlaque Uddin
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Timothy A Fairbairn
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Laura E Dobson
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Steven P Sourbron
- Division of Medical Physics, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK
| | - Christopher D Steadman
- Department of Cardiovascular Sciences, Cardiovascular Research Centre, Cardiovascular Biomedical Research Unit, University of Leicester, National Institute of Health Research (NIHR), Glenfield General Hospital, Leicester, UK
| | - Manish Motwani
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Ananth Kidambi
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - David P Ripley
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Peter P Swoboda
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Adam K McDiarmid
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Bara Erhayiem
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - James J Oliver
- Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Leeds, UK
| | - Daniel J Blackman
- Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Leeds, UK
| | - Sven Plein
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
| | - Gerald P McCann
- Department of Cardiovascular Sciences, Cardiovascular Research Centre, Cardiovascular Biomedical Research Unit, University of Leicester, National Institute of Health Research (NIHR), Glenfield General Hospital, Leicester, UK
| | - John P Greenwood
- Multidisciplinary Cardiovascular Research Centre and The Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, LS2 9JT, UK
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Altun I, Unal Y, Basaran O, Akin F, Emir GK, Kutlu G, Biteker M. Increased Epicardial Fat Thickness Correlates with Aortic Stiffness and N-Terminal Pro-Brain Natriuretic Peptide Levels in Acute Ischemic Stroke Patients. Tex Heart Inst J 2016; 43:220-6. [PMID: 27303237 DOI: 10.14503/thij-15-5428] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Epicardial fat, a metabolically active tissue, has emerged as a risk factor and active player in metabolic and cardiovascular diseases. We investigated epicardial fat thickness in patients who had sustained an acute ischemic stroke, and we evaluated the relationship of epicardial fat thickness with other prognostic factors. We enrolled 61 consecutive patients (age, ≥18 yr) who had sustained a first acute ischemic stroke and had been admitted to our hospital within 24 hours of the onset of stroke symptoms. The control group comprised 82 consecutive sex- and age-matched patients free of past or current stroke who had been admitted to our cardiology clinics. Blood samples were taken for measurement of N-terminal pro-brain natriuretic peptide (NT-proBNP) levels at admission. Aortic stiffness indices and epicardial fat thickness were measured by means of transthoracic echocardiography within the first 48 hours. In comparison with the control group, the patients with acute ischemic stroke had significantly higher epicardial fat thickness (4.8 ± 0.9 vs 3.8 ± 0.7 mm; P <0.001), lower aortic distensibility (2.5 ± 0.8 vs 3.4 ± 0.9 cm(2) ·dyn(-1); P <0.001) and lower aortic strain (5.5% ± 1.9% vs 6.4% ± 1.8%; P=0.003). We found a significant association between epicardial fat thickness, NT-proBNP levels, and arterial dysfunction in patients who had sustained acute ischemic stroke. Increased epicardial fat thickness might be a novel risk factor and might enable evaluation of subclinical target-organ damage in these patients.
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Frequency of left atrial dilatation in ischemic stroke. North Clin Istanb 2015; 2:7-12. [PMID: 28058333 PMCID: PMC5175056 DOI: 10.14744/nci.2015.83007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Accepted: 12/30/2014] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE The study aimed to evaluate the frequency of left atrial dilatation in cases of first-ever acute ischemic stroke with or without atrial fibrillation in a cohort of patients hospitalized for ischemic stroke. METHODS Files of 120 patients admitted to our hospital with the diagnosis of acute ischemic stroke were investigated. All patients had at least one brain imaging. Etiology of stroke was categorized according to Trial of Org 10172 in Acute Stroke Treatment (TOAST) classification. Transthoracic and/or transoesophageal echocardiography was used to measure left atrium size. Optimal cut-off value of left atrial diameter was determined as 4 cm. SPSS 11.5 was used for statistical analyses. RESULTS In 40% of the patients, left atrial dilatation was detected. Nineteen patients with left atrial dilatation had atrial fibrillation, which was statistically significant (p<0.05). Ninety-four (30.8%) patients with no atrial fibrillation had left atrial dilatation. In the TOAST classification trial, as a statistically significant finding, left atrial dilatation was detected 68.9% of the patients with cardioembolic infarcts. The most frequently encountered risk factor in patients was hypertension. CONCLUSION Left atrial dilatation is an important marker for cerebrovascular diseases, and if accompanied by atrial fibrillation becomes even more significant.
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Altun I, Akin F, Biteker M. The Role of Epicardial Fat Thickness and Neutrophil-to-Lymphocyte Ratio Are Needed to Be Studied in Real-World Stroke Patients. J Stroke Cerebrovasc Dis 2015; 24:1100. [PMID: 25813062 DOI: 10.1016/j.jstrokecerebrovasdis.2014.10.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 10/24/2014] [Indexed: 10/23/2022] Open
Affiliation(s)
- Ibrahim Altun
- Department of Cardiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey.
| | - Fatih Akin
- Department of Cardiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Murat Biteker
- Department of Cardiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey
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