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Yüksel UÇ, Asil S, Yıldırım E, Karpat MS, Görmel S, Fırtına S, Yaşar S, Buğan B, Saatçi Yaşar A, Çelik M, Bolcal C, Barçın C. Endovascular Repair of Ruptured Aortic Aneurysm: A Single-Center Experience. Turk Kardiyol Dern Ars 2024; 52:88-95. [PMID: 38465530 DOI: 10.5543/tkda.2023.91628] [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] [Subscribe] [Scholar Register] [Indexed: 03/12/2024] Open
Abstract
OBJECTIVE Aortic rupture is a rare and catastrophic emergency. Prompt diagnosis and treatment are the primary determinants of mortality. During follow-up, the majority of patients who have been effectively treated die from hypovolemic shock and multiorgan failure. This article describes the clinical and procedural details of sixteen patients with ruptured aortic aneurysms treated endovascularly. In addition, it discusses the main factors contributing to the mortality of these patients. METHOD Patients who underwent endovascular treatment for acute aortic rupture at our center from October 2016 to March 2023 were included in this retrospective study. RESULTS A total of 16 patients underwent endovascular aneurysm repair (EVAR) or thoracic endovascular aneurysm repair (TEVAR) for acute aortic rupture. The patients' mean age was 73.06 years (range: 52-92), and 15 of them were male. The ruptures occurred in the abdominal aortic aneurysm in ten patients, in thoracic aortic aneurysm in three patients, in the isolated iliac artery aneurysm in two patients, and there was one case of non-aneurysmal aortic rupture. In our series, patients who presented with an impending, self-limited rupture and stable hemodynamic status had good prognostic outcomes. However, eight patients died due to multiorgan failure, hemorrhagic shock, disseminated intravascular coagulopathy, renal failure, or abdominal compartment syndrome. These patients generally had poor admission vital signs and low hemoglobin values. The most critical determinants for the success of the procedure are promptly stopping the bleeding, avoiding general anesthesia, and opting for blood product replacement instead of fluid replacement. CONCLUSION Each patient with ruptured aortic aneurysm should be managed according to the patient's hemodynamics at presentation, the size of the aneurysm, the suitability for percutaneous procedure, logistical factors, and the operator-center's experience.
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Affiliation(s)
- Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Mehmet Sadık Karpat
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Serdar Fırtına
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Ayşe Saatçi Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Cengiz Bolcal
- Department of Cardiovascular Surgery, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
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Adıgözelzade S, Asil S, Keskin ÖF, Erdoğan S, Görmel S, Yaşar S, Fırtına S, Yıldırım E, Buğan B, Çelik M, Barçın C, Yüksel UÇ. Mitral-Tricuspid Regurgitation Change After Transcatheter Aortic Valve Implantation and Its Effect on Mortality and Hospitalization. Turk Kardiyol Dern Ars 2024; 52:10-17. [PMID: 38221830 DOI: 10.5543/tkda.2023.08130] [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] [Subscribe] [Scholar Register] [Indexed: 01/16/2024] Open
Abstract
OBJECTIVE Moderate to severe mitral regurgitation (MR) and tricuspid regurgitation (TR) are present in approximately 20-60% of patients undergoing transcatheter aortic valve implantation (TAVI). This study aims to evaluate the impact of TAVI on MR and TR, pulmonary hypertension, and reverse cardiac remodeling in these patients. Methods: Out of 240 patients who underwent TAVI, 79 who met the inclusion and exclusion criteria were analyzed. RESULTS In our study, 46.8% (n = 37) of the patients were male. Nineteen (24.1%) patients died within two years. Before TAVI, 34 (43%) patients had moderate-to-severe MR, which decreased to 18 (22.7%) after the procedure (P < 0.05). Similarly, the number of patients with moderate-to-severe TR decreased from 26 (32.9%) before TAVI to 12 (15%) after the procedure (P < 0.05). Of the patients, 50.6% (n = 40) did not require hospitalization after the procedure, while 25 were hospitalized once, 12 twice, and 2 three times. The mean systolic pulmonary artery pressure (sPAP) values of the patients decreased from 44.30 ± 14.42 mmHg before the procedure to 39.09 ± 11.77 mmHg after the procedure (Z=-3.506, P < 0.001). No correlation was found between changes in MR and TR grades after TAVI and mortality or hospitalization during follow-up. Furthermore, there was no statistically significant difference in tricuspid annular plane systolic excursion (TAPSE), free wall annular S' velocity, left atrial volume (LAV), or LAV index (LAVI) before and after TAVI. Conclusion: There was a significant decrease in moderate-to-severe MR and TR after TAVI; however, this did not impact hospitalization or mortality rates. Additionally, no significant differences were observed in right ventricular systolic function or in LAV and LAVI before and after TAVI.
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Affiliation(s)
- Samir Adıgözelzade
- Central Military Hospital of Ministry Defence of Azerbaijan, Bakü, Azerbaijan
| | - Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Ömer Faruk Keskin
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Sıddık Erdoğan
- Department of Cardiology, İstanbul Şile City Hospital, İstanbul, Türkiye
| | - Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Serdar Fırtına
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Cem Barçın
- Central Military Hospital of Ministry Defence of Azerbaijan, Bakü, Azerbaijan
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
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Kaya C, Asil S, Cesaretli S, Yavaş Y, Buğan B, Barçın C. Early-Period Coronary Aneurysm Formation After Sirolimus-Eluting Stent Implantation. Anatol J Cardiol 2023; 27:E34-E35. [PMID: 37791772 PMCID: PMC10621614 DOI: 10.14744/anatoljcardiol.2023.3622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/05/2023] Open
Affiliation(s)
- Cihad Kaya
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Sude Cesaretli
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Yakup Yavaş
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
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Asil S, Geneş M, Yaşar S, Fırtına S, Görmel S, Yıldırım E, Gökoğlan Y, Tolunay H, Buğan B, Yaşar AS, Çelik M, Yüksel UÇ, Barçın C, Kabul HK. Atrial and ventricular arrhythmia predictors with electrocardiographic parameters in myocardial infarction with non-obstructive coronary artery disease (MINOCA). Cardiovasc J Afr 2023; 34:206-211. [PMID: 36166395 DOI: 10.5830/cvja-2022-045] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 08/15/2022] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND The clinical importance and recognition of myocardial infarction with non-obstructive coronary artery disease (MINOCA) is increasing. Nevertheless, no studies are investigating the risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients. This study aimed to determine the risk of arrhythmia with electrocardiographic predictors in MINOCA patients. METHODS In this study, patients diagnosed with MINOCA and stable out-patients without significant lesions in their coronary arteries were compared. Morphology-voltage-Pwave duration electrocardiography (MPV ECG) score was used to determine atrial arrhythmia risk. QT interval and QT dispersion Tpeak-Tend time and Tpeak-Tend/QT interval were used to determine ventricular arrhythmia risk. RESULTS A total of 155 patients were included in our study. Seventy-seven of these patients were in the MINOCA group. There was no statistically significant difference between the two groups in MPV ECG score (1.95 ± 1.03 vs 1.68 ± 1.14, p = 0.128). P-wave voltage, P-wave morphology and P-wave duration, which are components of the MPV ECG score, were not statistically significantly different. The QRS complex duration (90.21 ± 14.87 vs 82.99 ± 21.59 ms, p = 0.017), ST interval (271.95 ± 45.91 vs 302.31 ± 38.40 ms, p < 0.001), corrected QT interval (438.17 ± 43.80 vs 421.41 ± 28.39, p = 0.005) and QT dispersion (60.75 ± 22.77 vs 34.19 ± 12.95, p < 0.001) were statistically significantly higher in the MINOCA group. The Tpeak-Tend (89.53 ± 32.16 vs 65.22 ± 18.11, p < 0.001), Tpeak-Tend/QT interval (0.2306 ± 0.0813 vs 0.1676 ± 0.0470, p < 0.001) and Tpeak-Tend/corrected QT interval (0.2043 ± 0.6997 vs 0.1551 ± 0.4310, p < 0.001) ratios were also significantly higher in patients with MINOCA. CONCLUSIONS In the MINOCA patients, there was no increase in the risk of atrial fibrillation based on ECG predictors. However, it was shown that there could be a significant increase in the risk of ventricular arrhythmia. We believe this study could be helpful for specific recommendations concerning duration of hospitalisation and follow up in MINOCA patients.
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Affiliation(s)
- Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey.
| | - Muhammet Geneş
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Serdar Fırtına
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Yalçın Gökoğlan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Hatice Tolunay
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Ayşe Saatçi Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Hasan Kutsi Kabul
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
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Asil S, Görmel S, Köksal O, Eşki S, Buğan B, Yüksel UÇ. Endovascular Therapy of Aortic Rupture Secondary to a Psoas Abscess. Turk Kardiyol Dern Ars 2023; 51:353-355. [PMID: 37450451 DOI: 10.5543/tkda.2023.63458] [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] [Subscribe] [Scholar Register] [Indexed: 07/18/2023] Open
Abstract
Secondary infection of the aorta is a sporadic and life-threatening disease. It is usually caused by infection and abscess in an adjacent structure. The most common mechanism for secondary aortic infection is a psoas abscess eroding the aortic wall, which rarely results in non-aneurysmal aortic rupture. Primary treatment is surgical aortic reconstruction, but the risk of emergency surgical treatment is high. Endovascular aortic stent-graft implantation can be lifesaving in this setting by stopping the bleeding. However, the crucial question of durability and late infections remains unanswered and warrants long-term antibiotic treatment and follow-up. In this report, we present a case of primary psoas abscess, which resulted in non-aneurysmal aortic rupture and its endovascular treatment.
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Affiliation(s)
- Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Ozan Köksal
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Selen Eşki
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
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Yıldırım E, Yüksel UÇ, Çelik M, Buğan B, Gökoğlan Y, Yaşar S, Görmel S, Asil S, Murat E, Yener S, Tolunay H, Saatçi Yaşar A, Kabul HK, Barçın C. Evaluation of the Transcatheter Aortic Valve Replacement Results in Patients with Borderline Aortic Annulus and the Impact of Under- or Oversizing the Valve. Anatol J Cardiol 2023; 27:189-196. [PMID: 36995055 PMCID: PMC10098374 DOI: 10.14744/anatoljcardiol.2022.2558] [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: 03/31/2023] Open
Abstract
BACKGROUND Optimal valve sizing provides improved results in transcatheter aortic valve replacement. Operators hesitate about the valve size when the annulus measurements fall into borderline area. Our purpose was to compare the results of borderline versus non-borderline annulus and to understand the impact of valve type and under or oversizing. METHODS Data from 338 consecutive transcatheter aortic valve replacement procedures were analyzed. The study population was divided into 2 groups as 'borderline annulus' and 'non-borderline annulus.' Balloon expandable valves already have a grey zone definition. Similar to balloon expandable valves, annulus sizes that are within 15% above or below the upper or lower limit of a particular self-expandable valve size are defined as the 'borderline annulus' for self-expandable valves. The borderline annulus group was also divided into 2 subgroups according to the smaller or larger valve selection as 'undersizing' and 'oversizing.' Comparisons were made regarding the paravalvular leakage and residual transvalvular gradient. RESULTS Of these 338 patients, 102 (30.1%) had a borderline and 226 (69.9%) had a non-borderline annulus. Both the transvalvular gradient (17.81 ± 7.15 vs. 14.44 ± 6.27) and the frequency of paravalvular leakage (for mild, mild to moderate, and moderate, 40.2%, 11.8%, and 2.9% vs., 18.8%, 6.7%, and 0.4%, respectively) were significantly higher in the borderline annulus than the non-borderline annulus group (P <.001). There were no significant differences between the groups balloon expandable versus self-expandable valves and oversizing versus undersizing regarding the transvalvular gradient and paravalvular leakage in patients with borderline annulus (P >.05). CONCLUSION Regardless of the valve type and oversizing or undersizing, borderline annulus is related to significantly higher transvalvular gradient and paravalvular leakage when compared to the non-borderline annulus in transcatheter aortic valve replacement.
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Affiliation(s)
- Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Yalçın Gökoğlan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Ender Murat
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Serkan Yener
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Hatice Tolunay
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Ayse Saatçi Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Hasan Kutsi Kabul
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye
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Buğan B, İjlal Çekirdekçi E, Çağatay Onar L, Barçın C, Barcin C. Reply to Letter to the Editor: "Physiotherapy and Nursing Intervention in Transcatheter Tricuspid Valve Replacement". Anatol J Cardiol 2022; 26:919. [PMID: 35949118 PMCID: PMC9797776 DOI: 10.5152/anatoljcardiol.2022.2202] [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: 01/07/2023] Open
Affiliation(s)
- Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey,Corresponding author:Barış Buğan✉
| | - Elif İjlal Çekirdekçi
- Department of Cardiology, University of Kyrenia, Kyrenia, Turkish Republic of Northern Cyprus
| | - Lütfi Çağatay Onar
- Department of Cardiovascular Surgery, Dr. İsmail Fehmi Cumalıoğlu Government Hospital, Tekirdağ, Turkey
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
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Tolunay H, Yıldırım E, Gökoğlan Y, Buğan B, Yaşar AS, Çelik M, Yüksel UÇ, Kabul HK, Barçın C. The Relationship Between Sexual Activity and Heart Rate Variability in Menopausal Women. The Anatolian Journal of Cardiology 2022; 26:543-551. [PMID: 35791710 PMCID: PMC9361339 DOI: 10.5152/anatoljcardiol.2022.1180] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background: Menopause is an important life stage for women, which can bring along sexual and cardiac problems. Increased heart rate variability is an indicator of parasympathetic activity and is associated with mental and physical health and life expectancy. This study aimed to evaluate the effect of sexual activity (only penile–vaginal intercourse but not masturbation or non-coital sex with a partner) on heart rate variability in healthy menopausal women. Methods: We evaluated 130 menopausal patients aged 45-60 years, without chronic disease. The average weekly sexual activity numbers remembered in the last 1 year were questioned. The patients were divided into 2 groups according to the presence of sexual activity. The sexually active group was divided into subgroups as 1 per week and 2 or more per week. Menopause Rating Scale was applied for menopausal symptoms. Heart rate variability was analyzed from the 24-hour electrocardiography Holter recording. Results: Heart rate variability parameters were higher in the sexually active group than in the sexually inactive group (mean of the standard deviations of all the NN intervals for each 5 min segment of a 24-hour heart rate variability recording: P = .004; root mean square of differences between adjacent normal RR intervals, expressed in ms: P = .001; number of NN intervals exceeding 50 milliseconds: P = .011; percentage of adjacent RR intervals with a difference of duration >50 ms: P = .009; low frequency: P = .011; high frequency: P = .008, low frequency/high frequency: P = .018). When assessed by multiple linear regression analysis by adjusting for age, body mass index, and menopause duration, the variables mean of the standard deviations of all the NN intervals for each 5 min segment of a 24-hour heart rate variability recording, root mean square of differences between adjacent normal RR intervals, expressed in ms, and low frequency were independently associated with the number of sexual activities per week (B = 2.89 ± 1.02, 95% CI = 0.866-4.91, P = .005; B = 4.57 ± 1.83, 95% CI = 0.94-8.2, P = .014; and B = 1174.9 ± 592.2, 95% CI = 2.9-2346.9, P = .049, respectively). Conclusion: In healthy menopausal women, continued sexual activity with penile–vaginal intercourse is associated with better health outcomes on cardiac autonomic function through higher heart rate variability, an index of parasympathetic activity.
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Buğan B, İjlal Çekirdekçi E, Çağatay Onar L, Barçın C. Transcatheter Tricuspid Valve Replacement for Tricuspid Regurgitation: A Systematic Review and Meta-analysis. Anatol J Cardiol 2022; 26:505-519. [PMID: 35791706 PMCID: PMC9318347 DOI: 10.5152/anatoljcardiol.2022.1440] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background: Methods: Results: Conclusion:
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Affiliation(s)
- Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
- Corresponding author:Barış Buğan✉
| | - Elif İjlal Çekirdekçi
- Department of Cardiology, University of Kyrenia, Kyrenia, Turkish Republic of Northern Cyprus
| | - Lütfi Çağatay Onar
- Department of Cardiovascular Surgery, Dr. İsmail Fehmi Cumalıoğlu Government Hospital, Tekirdağ, Turkey
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
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Evren H, Ünal Evren E, Çekirdekçi E, Süer K, Sarıgül Yıldırım F, Asan A, Buğan B. A New Insight Into the Treatment-Naive HIV Infected Patients: Whole Blood Viscosity. cjms 2022. [DOI: 10.4274/cjms.2021.2021-93] [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: 12/01/2022]
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Görmel S, Yaşar S, Asil S, Bozkurt E, Fırtına S, Tolunay H, Vurgun VK, Yıldırım E, Gökoğlan Y, Buğan B, Çelik M, Yüksel UÇ, Kabul HK, Amasyalı B, Barçın C, Köse S. Characteristics of a large-scale cohort with accessory pathway(s): A cross-sectional retrospective study highlighting over a twenty-year experience. Turk Kardiyol Dern Ars 2021; 49:456-462. [PMID: 34523593 DOI: 10.5543/tkda.2021.90388] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE Catheter ablation following electrophysiologic study (EPS) is the mainstay of diagnosis and treatment for patients with atrioventricular reentrant tachycardia (AVRT), demonstrating excellent long-term outcome and a low rate of complications. In this study, our aim was to assess our experience in patients with accessory pathway (AP) and to compare our data with the literature. METHODS We included 1,437 patients who were diagnosed and treated for AP in our hospital between 1998 and 2020. The demographic data of all the patients, AP location, and periprocedural results were recorded. RESULTS Of the 1,437 patients, 1,299 (90.4%) were men; and the mean age of the population was 26.67 years. The location of 1,418 APs were along the left free wall (647 [45.6%] patients), in the posteroseptal region (366 [25.3%] patients), in the anteroseptal region (290 [20.4%] patients), and along the right free wall (115 [8.1%] patients). The ratio of the second AP existence was 3.0% and AVNRT co-existence was 2.0%. A total of 55 (3.8%) patients had recurrent sessions for relapse. Our center's total success rate was 95.5%, and total complication rate was 0.26%. CONCLUSION According to our retrospective analysis, EPS is a highly functional tool in the diagnosis and management of arrhythmias such as AVRT for high-risk patient groups like military personnel with the aim of risk stratification and medical management.
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Affiliation(s)
- Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Erhan Bozkurt
- Department of Internal Medicine, Afyonkarahisar Health Sciences University School of Medicine, Afyonkarahisar, Turkey
| | - Serdar Fırtına
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Hatice Tolunay
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | | | - Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Yalçın Gökoğlan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Hasan Kutsi Kabul
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Basri Amasyalı
- Department of Cardiology, TOBB Economics and Technology University School of Medicine, Ankara, Turkey
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Sedat Köse
- Department of Cardiology, Liv Hospital, Ankara, Turkey
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Görmel S, Yaşar S, Asil S, Yıldırım E, Fırtına S, Taşkan H, Köklü M, Gökoğlan Y, Buğan B, Saatçi Yaşar A, Kabul HK, Çelik M, Yüksel UÇ, Barçın C. Evaluation of percutaneous annuloplasty for treatment of functional mitral regurgitation: A retrospective study. Anatol J Cardiol 2021; 25:505-511. [PMID: 34236326 DOI: 10.5152/anatoljcardiol.2021.54599] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVE The management of severe functional mitral regurgitation (FMR) in patients with heart failure (HF) and low ejection fraction is controversial, but percutaneous transcatheter procedures are promising. In this retrospective analysis, we aimed to assess the efficacy of the Carillon Mitral Contour System in patients with "inoperable" severe FMR. METHODS Seventy three patients (mean age 66.89, range 31-90 years) with congestive heart failure (CHF), severe FMR, and reduced ejection fraction (<35%) who underwent Carillon device implantation were examined. The study group consisted of patients with successfully implanted devices whereas the control group comprised patients in whom the device could not be deployed. The primary endpoint was combined all-cause mortality and first hospitalization for HF (whichever came first). RESULTS The median (Q1, Q3) follow-up was 31 (11-49) months. The device was deployed successfully in 50 patients (implant group) and not in 23 patients (non-implant group). Both the primary endpoint and all-cause mortality were lower in the "implant" group, but the differences were not significant. The median to primary endpoint was 21 [95% confidence interval (CI) 8.8-33.2] and six (95% CI 0.1-11.9) months for the implant group and the non-implant group, respectively (p=0.078). CONCLUSION Carillon Mitral Contour System implantation is a safe procedure and results in the reduction of all-cause mortality and combined endpoint of mortality and hospitalizations for HF in inoperable patients with severe FMR and low ejection fraction, although the difference did not meet the significance level.
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Affiliation(s)
- Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Serdar Fırtına
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Hatice Taşkan
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Mustafa Köklü
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Yalçın Gökoğlan
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Barış Buğan
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Ayse Saatçi Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Hasan Kutsi Kabul
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital; Ankara-Turkey
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Yıldırım E, Çelik M, Yüksel UÇ, Buğan B, Gökoğlan Y, Görmel S, Yaşar S, Koklu M, İyisoy A, Barçın C. Relationship between the extent of coronary artery disease and in-stent restenosis in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Turk Kardiyol Dern Ars 2017; 45:702-708. [PMID: 29226890 DOI: 10.5543/tkda.2017.72921] [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 pathophysiological mechanism of in-stent restenosis (ISR) is different from atherosclerosis of native coronary arteries. The aim of this study was to evaluate the relationship between ISR and the extent of coronary artery disease (CAD), and to identify other risk factors associated with ISR in ST-segment elevation myocardial infarction (STEMI) patients. METHODS A total of 372 consecutive patients presenting with first acute STEMI who were successfully treated with primary percutaneous coronary intervention within 12 hours from the onset of symptoms and who had an angiographic follow-up at 3 months were included in the study. The extent of CAD was calculated using the Gensini score. RESULTS The incidence of ISR observed in our group of patients was 23.4% (n=87). The mean Gensini score was significantly higher in patients with ISR when compared with group without restenosis (69 [range: 51-90] vs 42 [range: 32-61]; p<0.001). The presence of diabetes mellitus, left ventricular ejection fraction (LVEF), and low-density lipoprotein cholesterol (LDL-C) level differed significantly between the 2 groups (p<0.05 for all). Stent diameter and stent length were found to be significantly different between the ISR group and the no-restenosis group (p<0.05 for both). In multivariate logistic regression analysis, the Gensini score, stent diameter, stent length, LVEF, and LDLC were independently associated with ISR. CONCLUSION Despite the differences in the underlying pathophysiological mechanism of ISR and native coronary atherosclerosis, patients with a greater extent of CAD should be considered candidates for future stent restenosis.
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Affiliation(s)
- Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey.
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Görmel S, Yıldırım E, Barçın C, Yaşar S, Çelik M, Gürsoy E, Köklü M, Yüksel UÇ, Kabul HK, Yalçınkaya E, Gökoğlan Y, Buğan B. PP-179 Do Varying Antidiabetic Regimens Make Any Difference in Coronary Atherogenesis: A Retrospective and Observational Study. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.270] [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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Çelik M, Gürsoy E, Yalçınkaya E, Yıldırım E, Gökoğlan Y, Fırtına S, Buğan B, Yüksel UÇ, Görmel S, Yaşar S. OP-085 The Electrical Heterogeneity of the Ventricle Repolarization Assessed by Frontal Planar Qrs/T Angle Is Increased with Late Gadolinium Enhancement in Patients with Non-Specific Myocarditis. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.123] [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: 10/21/2022]
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Yıldırım E, İyisoy A, Çelik M, çıkel C, Buğan B, Yüksel UÇ, Gökoğlan Y, Yalçınkaya E, Fırtına S, Yaşar S, Görmel S, Barçın C. OP-026 The Relationship Between the Severity of Coronary Artery Disease and In-stent Restenosis in Patients with Acute ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.072] [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: 11/16/2022]
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Yıldırım E, Buğan B, Yaşar S, Görmel S, Gürsoy E, Köklü M, Gökoğlan Y, Çelik M, Yüksel UÇ, Kabul HK. PP-155 Accelerated Idioventricular Rhythm without Associated Heart Disease in Young Healthy Individuals. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.251] [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: 11/24/2022]
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Buğan B, Yıldırım E, Fırtına S. OP-064 Do We Overcome Rheumatic Heart Disease or Is It Still a Disease Burden? Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.103] [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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Yıldırım E, Buğan B, Gökoğlan Y, Çelik M, Yüksel UÇ, Kabul HK. Idiopathic epicardial ventricular tachycardia originating from the great cardiac vein. International Journal of the Cardiovascular Academy 2016. [DOI: 10.1016/j.ijcac.2016.01.006] [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: 10/22/2022] Open
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Yüksel UÇ, Çelik M, Yalçınkaya E, Buğan B, Fırtına S, Gökoğlan Y, Gürsoy E, Yaşar S, Kabul HK, Barçın C, Yıldırım E. PP-087 QRS-T Angle is Wider in Patients with Hypertension. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.443] [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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Barçın C, Çelik M, Yüksel UÇ, Kabul HK, Fırtına S, Buğan B, Yalçınkaya E, Gökoğlan Y, Yaşar S, Yıldırım E, Gürsoy E. OP-114 Mitral Annular Plane Systolic Excursion (MAPSE) Might be Associated with Exercise Capacity in Healthy Subjects. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.265] [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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Kabul HK, Çelik M, Yüksel UÇ, Fırtına S, Buğan B, Gökoğlan Y, Yaşar S, Gürsoy E, Yıldırım E, Görmel S, Barçın C. OP-164 Gender Differences in HRV Parameters in Patients with Vasovagal Syncope. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.315] [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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Celik M, Ünal HU, Gökoğlan Y, Fırtına S, Yalçınkaya E, Görmel S, Yaşar S, Yüksel UÇ, Kabul HK, Barçın C, Buğan B. OP-146 The Relationship Between Parathyroid Hormone Level and Pulmonary Artery Stiffness in Patients with Chronic Kidney Disease. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.297] [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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Çelik M, Yalçınkaya E, Yüksel U, Gökoğlan Y, Buğan B, Kabul H, Demir M, Yaşar S. OP-225 The Effect of Age on Tissue Doppler Velocity of Tricuspid Annulus in Healthy Patients Undergoing Treadmill Exercise Test. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.125] [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: 11/16/2022]
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Çelik M, Yüksel U, Yalçınkaya E, Gökoğlan Y, Kabul H, Buğan B, Yaşar S, Gürsoy E, Barçın C, Çelik T, İyisoy A. OP-012 Chronobiology of Platelets in Patients with STEMI. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.017] [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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Çelik M, Yüksel U, Buğan B, Gökoğlan Y, Kabul H, Yıldırım E, Barçın C, Yalçınkaya E, İyisoy A. OP-347 Ascending Aorta Elasticity in Young Adults at Risk for Obesity. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.220] [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: 10/25/2022]
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Çelik M, Gökoğlan Y, Yüksel U, Yalçınkaya E, Buğan B, Kaya E, Karabacak K, Veliyev V, Çelik T, İyisoy A. PP-219 The Value of Three-Dimensional Transesophageal Echocardiography in Describing the Lesion in the Case of Infective Endocarditis Developing on Bicuspid Aortic Valve. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.240] [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: 10/25/2022]
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Gökoğlan Y, Çelik M, Yüksel U, Kabul H, Yalçınkaya E, Buğan B, Yıldırım E, Barçın C, Çelik T, İyisoy A. OP-224 Measurement of Pulmonary Artery Dimensions in Patients with Ascending Aorta Aneurysm. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.124] [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: 10/25/2022]
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Çelik M, Yüksel U, Yalçınkaya E, Gökoğlan Y, Kabul H, Buğan B, Yaşar S, Yıldırım E, İyisoy A. OP-235 Increased Mean Platelet Volume is Associated with Left Atrial Spontaneous Echo Contrast in Patients With Atrial Fibrillation. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.136] [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: 10/25/2022]
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Çelik M, Yıldırım E, Yalçınkaya E, Yüksel U, Kabul H, Buğan B, Demir M, Barçın C, Çelik T, İyisoy A. PP-262 Factors that Can Affect the Prostate Specific Antigen Levels in Patients with Cardiovascular Disease. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.289] [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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Buğan B, Kapadia SR, Tuzcu EM. The impact of the pre-procedural hemodynamic assessment in transcatheter aortic valve replacement. Anadolu Kardiyol Derg 2014; 14:201-2. [PMID: 24566477 DOI: 10.5152/akd.2014.5412] [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] [Indexed: 11/22/2022]
Affiliation(s)
- Barış Buğan
- Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland; Ohio-USA.
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Çelik M, Yüksel UÇ, Kabul HK, Gökoğlan Y, Buğan B, Yalçınkaya E, Karabacak K, Kaya E, Yıldırım E, İyisoy A, Çelik T. The Clinical, Laboratory and Echocardiographic Findings of Spontaneous Echo Contrast in Patients with Atrial Fibrillation. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.404] [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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Çelik M, Yalçınkaya E, Gökoğlan Y, Yüksel UÇ, Buğan B, Çelik T, Kabul HK, Barçın C, İyisoy A, Yokuşoğlu M. Serum Uric Acid Level is correlated with Decreased Blood Flow Velocity of Left Atrial Appendage in Patients with Atrial Fibrillation. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.380] [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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Kabul HK, Çelik M, Yalçınkaya E, Yüksel UÇ, Gökoğlan Y, Buğan B, Yıldırım E, Kaya E, Karabacak K, Çelik T, İyisoy A. Increased Mean Platelet Volume May Reflect a Disturbance in the Autonomic Nervous System in Patients with Vasovagal Syncope. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.413] [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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Yüksel U, Çelik T, İyisoy A, Çelik M, Buğan B, Fırtina S, Gökoğlan Y, Demirkol S, Kiliç S, Yaman H, Yıldırım E. PP-107 ECHOCARDIOGRAPHIC ASSESSMENT OF DIASTOLIC FUNCTIONS IN YOUNG PREHYPERTENSIVE PATIENTS. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70327-3] [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: 11/15/2022]
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Yüksel U, Çelik T, İyisoy A, Çelik M, Buğan B, Firtina S, Gökoğlan Y, Demirkol S, Küçük U. PP-187 A CASE REPORT OF ASYMPTOMATIC PLAQUE RUPTURE AT LEFT MAIN CORONARY ARTERY DETECTED BY IVUS. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70387-x] [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: 10/28/2022]
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Yüksel U, Çelik T, Iyisoy A, Çelik M, Buğan B, Firtina S, Gökoğlan Y, Demirkol S, Kiliç S, Yaman H, Yildirim E. PP-026 EVALUATION OF THE RELATION BETWEEN DETORIORATED DIASTOLIC FUNCTIONS AND SERUM INFLAMMATION MARKERS IN YOUNG PREHYPERTENSIVE PATIENTS. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70262-0] [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: 10/28/2022]
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Iyisoy A, Çelik M, Çelik T, Yüksel U, Firtina S, Buğan B. VP-022 SPONTANEOUS SEALING OF PERFORATION IN A VERY OLD CALCIFIED SAPHENOUS VEIN GRAFT WITHOUT EMERGENCY SURGERY DURING PERCUTANEOUS CORONARY ANGIOPLASTY. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70239-5] [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: 10/28/2022]
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