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Avci E, Kiriş T, Akgün DE, Celik A, Akçay FA, Acar B, Kurmuş Ö, Altındag R, Safak Ö, Demirtas AO, Güzel T, Öztürk Ö, Yildirim T, Yüksek U, Ergene AO. Bleeding risk in patients with acute coronary syndrome in a Turkish population: Results from the Turkish Acute Coronary Syndrome Registry (TACSER) study. Eur J Clin Invest 2020; 50:e13271. [PMID: 32592511 DOI: 10.1111/eci.13271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 04/16/2020] [Accepted: 05/09/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Bleeding is one of the most important causes of mortality in patients with acute coronary syndrome (ACS). This study therefore aimed to investigate bleeding risk in patients with ACS who were scheduled to receive dual antiplatelet therapy (DAPT) in Turkey. METHODS This was a multicentre, observational, cross-sectional cohort study. The study population included 963 patients with ACS from 12 centres in Turkey. We used the Predicting Bleeding Complication in Patients Undergoing Stent Implantation and Subsequent Dual Antiplatelet Therapy (PRECISE-DAPT) score to predict the bleeding risk for all the patients. The patients were divided into high (≥25) or low (˂25) bleeding risk groups based on their PRECISE-DAPT scores. RESULTS The mean PRECISE-DAPT score was 21.9. Overall, 32.2% of the patients had high PRECISE-DAPT scores (≥25). Compared with the male patients, the female patients had higher PRECISE-DAPT scores (28.2 ± 15.7 vs 18.4 ± 13.6, P ˂ .001). Among the females, the rate of patients with a PRECISE-DAPT score ≥25 was 53%, while among the male patients, the score occurred at a rate of 22%. The female patients had lower haemoglobin (Hb) levels than the male patients (12.1 ± 1.7 vs 13.8 ± 1.9, P ˂ .001) and lower creatinine clearance (70.7 ± 27.5 vs 88.7 ± 26.3, P ˂ .001). The in-hospital bleeding rates were higher among the patients with high PRECISE-DAPT scores than among those who did not have high scores. Furthermore, the patients with high PRECISE-DAPT scores had a higher in-hospital mortality rate compared with those with low PRECISE-DAPT scores (1% vs 0%, P = .11). CONCLUSIONS The mean PRECISE-DAPT score was high among the patients with ACS in this study, indicating that the bleeding tendency was high. This study showed that the PRECISE-DAPT score may help physicians determine the type and duration of DAPT, especially in patients with ACS in Turkey.
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Affiliation(s)
- Eyüp Avci
- Department of Cardiology, Medical School, Balikesir University, Balikesir, Turkey
| | - Tuncay Kiriş
- Department of Cardiology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey
| | - Didar Elif Akgün
- Department of Cardiology, Medical School, Balikesir University, Balikesir, Turkey
| | - Aykan Celik
- Department of Cardiology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey
| | - Filiz Akyildiz Akçay
- Department of Cardiology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey
| | - Burak Acar
- Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Özge Kurmuş
- Department of Cardiolog, Faculty of Medicine, Ufuk University, Ankara, Turkey
| | - Rojuva Altındag
- Department of Cardiology, Diyarbakır Gazi Yasargil Training and Research Hospital, Health Sciences University, Diyarbakır, Turkey
| | - Özgen Safak
- Department of Cardiology, Medical School, Balikesir University, Balikesir, Turkey
| | - Abdullah Orhan Demirtas
- Department of Cardiology, Adana Training and Research Hospital, Health Sciences University, Adana, Turkey
| | - Tuncay Güzel
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Önder Öztürk
- Department of Cardiology, Diyarbakır Gazi Yasargil Training and Research Hospital, Health Sciences University, Diyarbakır, Turkey
| | - Tarik Yildirim
- Department of Cardiology, Medical School, Balikesir University, Balikesir, Turkey
| | - Umit Yüksek
- Department of Cardiology, Faculty of Medicine, Near East University, Lefkoşa, Turkey
| | - Asim Oktay Ergene
- Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, İzmir, Turkey
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Seyis S, Usalan AK, Rencuzogullari I, Kurmuş Ö, Gungen AC. The Effects of Continuous Positive Airway Pressure on Premature Ventricular Contractions and Ventricular Wall Stress in Patients with Heart Failure and Sleep Apnea. Can Respir J 2018; 2018:2027061. [PMID: 29623136 PMCID: PMC5829433 DOI: 10.1155/2018/2027061] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2017] [Revised: 11/05/2017] [Accepted: 01/09/2018] [Indexed: 11/18/2022] Open
Abstract
Background We aimed to investigate the effects of continuous positive airway pressure (CPAP) treatment on electrocardiography (ECG), premature ventricular contraction load on 24-hour Holter recordings, and implantable cardioverter defibrillator (ICD) shocks in patients with obstructive sleep apnea syndrome (OSAS) and heart failure. Methods Patients with heart failure and ICD and patients with newly diagnosed OSAS were divided into two groups according to CPAP treatment. To compare the impact of CPAP on ECG parameters, both baseline and 6-month ECG, 24-hour Holter ECG, ambulatory blood pressure monitoring, echocardiography, polysomnography, and laboratory parameters were collected. Results CPAP treatment significantly reduced the frequency of premature ventricular contractions, T-peak to T-end, corrected QT, corrected QT dispersion, and T-peak to T-end/corrected QT ratio in the study group (p < 0.001 for all). Although the baseline NT-pro-BNP levels were similar between study and control groups, after six months, the NT-pro-BNP levels of the study group were significantly lower than that of the control group (39.18 ± 7.57 versus 46.11 ± 7.65; p < 0.001). Conclusions CPAP treatment in patients with heart failure and ICD and in patients with newly diagnosed OSAS may have beneficial effects on premature ventricular contractions and electrocardiographic arrhythmia indices and NT-pro-BNP levels. However, these results are needed to be clarified with further studies.
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Affiliation(s)
- Sabri Seyis
- Department of Cardiology, Live Istinye University Hospital, Istanbul, Turkey
| | | | | | - Özge Kurmuş
- Department of Cardiology, Ufuk University, Ankara, Turkey
| | - Adil Can Gungen
- Department of Chest Disease, Live Istinye University Hospital, Istanbul, Turkey
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Erkan AF, Çoban N, Ekici B, Kurmuş Ö, Uzunget SB, Kaya A, Ademoğlu E, Kervancıoğlu C. OP-111 [AJC » Chronic stable angina pectoris] Serum Levels of Adiponectin Are Not Related to Angiographic Presence or Severity of Atherosclerotic Coronary Artery Disease. Am J Cardiol 2017. [DOI: 10.1016/j.amjcard.2017.03.116] [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: 10/19/2022]
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Kurmuş Ö, Seyis S, Kılıç S, Uzunget SB, Konukçu İ, Ercan EA. OP-191 [AJC » Acute Coronary Syndromes] Usefullness Of The CHA2DS2VASc Score To Predict Intracoronary Thrombus Burden In ST-Elevation Myocardial Infarction Patients. Am J Cardiol 2017. [DOI: 10.1016/j.amjcard.2017.03.093] [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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Uzunget SB, Kurmuş Ö, Ekici B, Kevancıoğlu C. OP-182 [AJC » Percutaneous coronary interventions] An Unusual Case Of Guide Wire Fracture During Percutaneus Transluminal Coronary Angioplasty. Am J Cardiol 2017. [DOI: 10.1016/j.amjcard.2017.03.168] [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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Kurmuş Ö, Seyis S, Konukçu İ. OP-127 [AJC » Cardiac Resynchronization Therapy] Cardiac Resynchronization Therapy In A Patient With Persistent Left Superior Vena Cava Draining Into Coronary Sinus. Am J Cardiol 2017. [DOI: 10.1016/j.amjcard.2017.03.159] [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: 11/29/2022]
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Efe TH, Ertem AG, Altunoglu A, Koseoglu C, Erayman A, Bilgin M, Kurmuş Ö, Aslan T, Bilge M. Serum Paraoxonase Levels are Correlated with Impaired Aortic Functions in Patients with Chronic Kidney Disease. Acta Cardiol Sin 2016; 32:75-80. [PMID: 27122934 DOI: 10.6515/acs20150429a] [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] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND The correlation between aortic functions and paraoxonase levels has been previously demonstrated by several earlier studies. In this study, we aimed to investigate the correlation between serum paraoxonase levels and aortic functions among patients with chronic kidney disease. METHODS Our study enrolled 46 chronic kidney disease patients and 45 healthy controls. From these patients, serum cholesterol, creatinine, hemoglobin, and paraoxonase-1 levels were analyzed. RESULTS Paraoxonase-1 levels were significantly lower in patients with chronic kidney disease compared to the controls (p < 0.001). Additionally, the extent of aortic stiffness index (%) was significantly higher in chronic kidney disease patients, but aortic strain and aortic distensibility were significantly higher in healthy controls (p < 0.001, p < 0.001, and p < 0.001, respectively). We further found that paraoxonase-1 levels were correlated with aortic stiffness index, aortic strain, and aortic distensibility (p < 0.001, p < 0.001, and p < 0.001, respectively). CONCLUSIONS Our study demonstrated that serum paraoxonase-1 levels were significantly correlated with impaired aortic functions. The results of this study highlight the impact of serum paraoxonase-1 activity on atherosclerosis and cardiovascular adverse events. KEY WORDS Aortic functions; Atherosclerosis; Chronic kidney disease; Echocardiography; Paraoxonase.
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Affiliation(s)
- Tolga H Efe
- Department of Cardiology, Diskapi Yildirim Beyazit Education and Research Hospital
| | - Ahmet G Ertem
- Department of Cardiology, Ankara Penal Institution Campus State Hostital
| | | | - Cemal Koseoglu
- Department of Cardiology, Ankara Ataturk Training and Research Hospital, Ankara
| | - Ali Erayman
- Department of Cardiology, Pazarcik State Hospital, Kahramanmaras, Turkey
| | - Murat Bilgin
- Department of Cardiology, Diskapi Yildirim Beyazit Education and Research Hospital
| | - Özge Kurmuş
- Department of Cardiology, Ankara Ataturk Training and Research Hospital, Ankara
| | - Turgay Aslan
- Department of Cardiology, Ankara Ataturk Training and Research Hospital, Ankara
| | - Mehmet Bilge
- Department of Cardiology, Ankara Ataturk Training and Research Hospital, Ankara
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Köseoğlu C, Kurmuş Ö, Ertem AG, Çolak B, Bilen E, İpek G, Durmaz T, Keleş T, Bozkurt E. Association between carotid intima-media thickness and presence of coronary artery disease in chronic obstructive pulmonary disease patients. Anatol J Cardiol 2015; 16:601-607. [PMID: 27004706 PMCID: PMC5368517 DOI: 10.5152/anatoljcardiol.2015.6440] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
OBJECTIVE Chronic obstructive pulmonary disease (COPD) is a risk factor for cardiovascular disease (CVD). Carotid intima-media thickness (CIMT) is the sign of subclinical atherosclerosis. Therefore, the aim of this study was to evaluate whether CIMT measurement is related with significant coronary artery disease (CAD) in patients with COPD, similar to those without COPD. METHODS One hundred and eight patients with previously diagnosed COPD and 78 patients without COPD who underwent coronary angiography (CAG) were enrolled in this prospective cross-sectional study. Carotid artery ultrasonography was performed on all patients after coronary angiography by another operator who was blind to the CAG results. The patients were divided into four subgroups as follows: group 1: COPD (-) and CAD (-); group 2: COPD (-) and CAD (+); group 3: COPD (+) and CAD (+); and group 4: COPD (+) and CAD (-). Patients with previous coronary revascularization, carotid artery disease, and lung disease other than COPD were not enrolled in this study. The student's t-test, chi-square analysis, multiple logistic regression analysis, and receiver operating characteristic (ROC) curve were used for statistical analysis. RESULTS CIMT was found to be highest in patients with both significant CAD and COPD (group 3) (p<0.05). Among the 108 COPD patients, the odds ratio associated with the CIMT >1.25 mm to predict CAD was 12.4. The area under the ROC curve for a cut-off value of 1.25 mm for CIMT to predict CAD in COPD patients was calculated as 0.913, with a sensitivity of 89.7% and specificity of 86.7%. CONCLUSION CIMT has a predictive value for the presence of CAD in patients with COPD. Further studies are needed to validate our results.
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Affiliation(s)
- Cemal Köseoğlu
- Department of Cardiology, Ankara Training and Research Hospital, Ankara-Turkey
| | - Özge Kurmuş
- Department of Cardiology, Tarsus State Hospital, Mersin-Turkey.
| | - Ahmet Göktuğ Ertem
- Department of Cardiology, Atatürk Training and Research Hospital, Ankara-Turkey
| | - Büşra Çolak
- Department of Cardiology, Atatürk Training and Research Hospital, Ankara-Turkey
| | - Emine Bilen
- Department of Cardiology, Atatürk Training and Research Hospital, Ankara-Turkey
| | - Göktürk İpek
- Siyami Ersek Thoracic and Cardiovascular Surgery Centre, Training and Research Hospital, İstanbul-Turkey
| | - Tahir Durmaz
- Department of Cardiology, Atatürk Training and Research Hospital, Ankara-Turkey
| | - Telat Keleş
- Department of Cardiology, Atatürk Training and Research Hospital, Ankara-Turkey
| | - Engin Bozkurt
- Department of Cardiology, Atatürk Training and Research Hospital, Ankara-Turkey
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Kurmuş Ö, Kırbaş Ö, Köseoğlu C, Yaşar AS, Bilge M. Three-dimensional imaging of left ventricular hemangioma. Anatol J Cardiol 2015; 15:E22-3. [PMID: 26301362 PMCID: PMC5336888 DOI: 10.5152/anatoljcardiol.2015.6462] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Özge Kurmuş
- Division of Cardiology, Tarsus State Hospital; Mersin-Turkey.
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Kırbaş Ö, Kurmuş Ö, Köseoğlu C, Duran Karaduman B, Saatçi Yaşar A, Alemdar R, Ali S, Bilge M. Association between admission mean platelet volume and ST segment resolution after thrombolytic therapy for acute myocardial infarction. ACTA ACUST UNITED AC 2014; 14:728-32. [PMID: 25188762 DOI: 10.5152/akd.2014.5078] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [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]
Abstract
OBJECTIVE Mean platelet volume (MPV), one of the indices of platelet reactivity has been shown to be related to impaired angiographic reperfusion in ST-segment elevation myocardial infarction (STEMI) patients treated with primary angioplasty or thrombolytics. However data regarding MPV and its association with ST-segment resolution; an indicator of epicardial and tissue level reperfusion in the setting of STEMI are limited. In this study, we aimed to investigate whether MPV on admission is associated with ST-segment resolution in STEMI patients treated with thrombolytics. METHODS We retrospectively evaluated 232 consecutive patients with a diagnosis of first STEMI who were administered thrombolytic therapy within 12 hours of onset of chest pain. ST segment resolution based on baseline and 90 minute electrocardiographies were measured. Patients were grouped into two as with <50% and ≥50% ST-segment resolution. Admission MPV was measured and compared between two groups. RESULTS Admission MPV was higher in patients with <50% ST-segment resolution than patients with ≥50% ST-segment resolution (9.9±1.3 fL vs. 8.5±1.1 fL respectively, p<0.001). The receiver operating characteristic analysis yielded a cut-off value of 9.3 fL to predict ST-segment resolution, with sensivity and specifity being 66.7% and 77.9%, respectively. In-hospital mortality rate was high in patients with <50% ST -segment resolution (p=0.002). CONCLUSION High MPV on admission in STEMI patients treated with thrombolytics is associated with impaired ST segment resolution.
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Affiliation(s)
- Özgür Kırbaş
- Clinic of Cardiology, Türkiye Yüksek İhtisas Hospital, Ankara-Turkey.
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Kırbaş Ö, Kurmuş Ö, Köseoğlu C, Ali S, Alemdar R, Duran B, Bilge M. Association between Admission Mean Platelet Volume and ST Segment Resolution after Thrombolytic Therapy for Acute Myocardial Infarction. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.071] [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: 10/26/2022]
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