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Tek M, Cetin MS, Berkalp B, Amasyali B, Ozgeyik M, Celebi S, Diker E. Baseline Hemoglobin Levels Predict All-Cause Mortality After Saphenous Vein Graft Interventions. Eur J Ther 2020. [DOI: 10.5152/eurjther.2019.19050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Celebi S, Berkalp B, Amasyali B. The association between thrombotic and inflammatory biomarkers and lower-extremity peripheral artery disease. Int Wound J 2020; 17:1346-1355. [PMID: 32445291 DOI: 10.1111/iwj.13407] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 05/02/2020] [Accepted: 05/05/2020] [Indexed: 12/26/2022] Open
Abstract
Lower-extremity peripheral artery disease (LEAD) is associated with increased rates of mortality and morbidity. The aim of this study was to evaluate the associations among inflammatory and thrombotic markers and lower-extremity peripheral disease. A total of 280 patients were enrolled in this study. Of these patients, 152 patients had LEAD on peripheral angiography that was performed because of suspected lower-extremity peripheral disease based on history, physical examination, and non-invasive tests. The control group consisted of 128 patients without LEAD on peripheral angiography. Patients with LEAD were classified according to trans-atlantic inter-society consensus (TASC) II classification. Subsequently, patients in TASC A to B were defined as having mild to moderate peripheral artery disease, and those in TASC C to D were defined as having advanced peripheral artery disease. Thrombotic and inflammatory markers, such as the neutrophil-to-lymphocyte ratio (NLR), the high-sensitivity C (hs-C) reactive protein level, the monocyte-to-high-density lipoprotein-cholesterol ratio, the fibrinogen to albumin ratio (FAR), and whole-blood viscosity at high shear rate (HSR) and low shear rate (LSR), were evaluated in this population. The NLR, the monocyte-to-high-density lipoprotein-cholesterol ratio, the FAR, and whole-blood viscosity, both at a LSR and a HSR, were significantly higher in patients with lower-extremity peripheral disease compared with patients without lower-extremity peripheral disease. We determined that lower-extremity peripheral disease severity was correlated with the NLR, monocyte-to-high-density lipoprotein-cholesterol ratio, FAR, whole-blood viscosity at LSR, and whole-blood viscosity at HSR (r = 0.719, P = .004; r = 0.25, P = .008; r = 0.691, P = .002; r = 0.546, P < .001; and r = 0.448, P = .001, respectively). However hs-C reactive protein levels were similar between patients with or without LEAD (2.47 ± 1.32 1.61 ± 0.91 P = .685). In addition, there was no correlation between the severity of LEAD and hs-C reactive levels. In this study, we determined that the levels of inflammatory and thrombotic biomarkers are elevated in peripheral artery disease, and these levels predict disease severity.
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Affiliation(s)
- Savas Celebi
- Department of Cardiology, TOBB Economics and Technology University Medical School, Ankara, Turkey
| | - Berkten Berkalp
- Department of Cardiology, TOBB Economics and Technology University Medical School, Ankara, Turkey
| | - Basri Amasyali
- Department of Cardiology, TOBB Economics and Technology University Medical School, Ankara, Turkey
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Celebi S, Celebi OO, Cetin S, Cetin HO, Tek M, Gokaslan S, Amasyali B, Berkalp B, Diker E, Aydogdu S. The Usefulness of Admission Plasma NT-pro BNP Level to Predict Left Ventricular Aneurysm Formation after Acute ST-Segment Elevation Myocardial Infarction. Arq Bras Cardiol 2020; 113:1129-1137. [PMID: 31664316 PMCID: PMC7021256 DOI: 10.5935/abc.20190226] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 02/13/2019] [Indexed: 11/24/2022] Open
Abstract
Background Left ventricular aneurysm (LVA) is an important complication of acute myocardial infarction. In this study, we investigated the role of N- Terminal pro B type natriuretic peptide level to predict the LVA development after acute ST-segment elevation myocardial infarction (STEMI). Methods We prospectively enrolled 1519 consecutive patients with STEMI. Patients were divided into two groups according to LVA development within the six months after index myocardial infarction. Patients with or without LVAs were examined to determine if a significant relationship existed between the baseline N- Terminal pro B type natriuretic peptide values and clinical characteristics. A p-value < 0.05 was considered statistically significant. Results LVA was detected in 157 patients (10.3%). The baseline N- Terminal pro- B type natriuretic peptide level was significantly higher in patients who developed LVA after acute MI (523.5 ± 231.1 pg/mL vs. 192.3 ± 176.6 pg/mL, respectively, p < 0.001). Independent predictors of LVA formation after acute myocardial infarction was age > 65 y, smoking, Killip class > 2, previous coronary artery bypass graft, post-myocardial infarction heart failure, left ventricular ejection fraction < 50%, failure of reperfusion, no-reflow phenomenon, peak troponin I and CK-MB and NT-pro BNP > 400 pg/mL at admission. Conclusions Our findings indicate that plasma N- Terminal pro B type natriuretic peptide level at admission among other variables provides valuable predictive information regarding the development of LVA after acute STEMI.
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Affiliation(s)
- Savas Celebi
- TOBB Ekonomi ve Teknoloji Universitesi - Cardiology, Ankara - Turkey
| | - Ozlem Ozcan Celebi
- University of Health Science, Turkiye Yuksek Ihtisas Training and Research Hospital - Cardiology, Ankara - Turkey
| | - Serkan Cetin
- TOBB Ekonomi ve Teknoloji Universitesi - Cardiology, Ankara - Turkey
| | - Hande Ozcan Cetin
- University of Health Science, Turkiye Yuksek Ihtisas Training and Research Hospital - Cardiology, Ankara - Turkey
| | - Mujgan Tek
- TOBB Ekonomi ve Teknoloji Universitesi - Cardiology, Ankara - Turkey
| | | | - Basri Amasyali
- TOBB Ekonomi ve Teknoloji Universitesi - Cardiology, Ankara - Turkey
| | - Berkten Berkalp
- TOBB Ekonomi ve Teknoloji Universitesi - Cardiology, Ankara - Turkey
| | - Erdem Diker
- TOBB Ekonomi ve Teknoloji Universitesi - Cardiology, Ankara - Turkey
| | - Sinan Aydogdu
- University of Health Science, Turkiye Yuksek Ihtisas Training and Research Hospital - Cardiology, Ankara - Turkey
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Celebi S, Celebi OO, Berkalp B, Aydogdu S, Amasyali B. Blood Group Types O and Non-O Are Associated With Coronary Collateral Circulation Development. Clin Appl Thromb Hemost 2020; 26:1076029619900544. [PMID: 31941359 PMCID: PMC7098203 DOI: 10.1177/1076029619900544] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Blood group types are associated with coronary artery disease. However, data are scarce about the impact of blood group types on coronary collateral circulation. In this study, we aimed to investigate the relationship between the blood group types and coronary collateral circulation. Two hundred and twelve patients who underwent coronary angiography in our department and had a stenosis of ≥ 90% in at least one major epicardial vessel were included in our study. Collateral degree was graded according to Rentrop-Cohen classification. After grading, patients were divided into poor coronary collateral circulation (Rentrop grade 0 and 1) and good coronary collateral circulation (Rentrop 2 and 3) groups. The ABO blood type of all participants was determined. The incidence rates of O blood group type were significantly higher in the good coronary collateral group compared to the poor collateral group (37.9% vs 17.1%, P < .001). The O type blood group was an independent predictor of good coronary collateral circulation (odds ratio = 1.83, 95% confidence interval = 1.56-6.18, P = .015). Coronary collateral circulation is associated with blood group types. The O blood group predicts good coronary collateral development among patients with coronary artery disease.
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Affiliation(s)
- Savas Celebi
- Department of Cardiology, TOBB Economics and Technology University Medical School, Ankara, Turkey
| | - Ozlem Ozcan Celebi
- Department of Cardiology, University of Health Science, Ankara City Hospital, Ankara, Turkey
| | - Berkten Berkalp
- Department of Cardiology, TOBB Economics and Technology University Medical School, Ankara, Turkey
| | - Sinan Aydogdu
- Department of Cardiology, University of Health Science, Ankara City Hospital, Ankara, Turkey
| | - Basri Amasyali
- Department of Cardiology, TOBB Economics and Technology University Medical School, Ankara, Turkey
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Sen T, Kilit C, Astarcioglu MA, Asarcikli LD, Aksu T, Kafes H, Parspur A, Gozubuyuk G, Amasyali B. Comparison of quantitative and qualitative coronary angiography: computer versus the eye. Cardiovasc J Afr 2019; 29:278-282. [PMID: 30395141 DOI: 10.5830/cvja-2018-024] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 04/02/2018] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE Since visual estimation of the extent of vessel stenosis may vary between operators, we aimed in this study to investigate both inter-observer variability and consistency between the estimation of an operator and quantitative coronary analysis (QCA) measurements. METHODS A total of 147 elective percutaneous coronary intervention patients with 155 lesions between them were consecutively enrolled in the study. These patients were evaluated for visual estimation of lesion severity by three operators. The lesions were also evaluated with QCA by an operator who was blinded to the visual assessments. Reference diameter, minimal lumen diameter, percentage diameter of stenosis, percentage area of stenosis and diameter of lesion length from the proximal lesion-free segment to the distal lesion-free segment were calculated using a computerised QCA software program. RESULTS There was a moderate degree of concordance in the categories 70-89% (κ: 0.406) and 90-99% (κ: 0.5813), whereas in the categories < 50% and 50-69% there was a low degree of concordance between the visual operators (κ: 0.323 and κ: 0.261, respectively). There was a low to moderate grade of concordance between visual estimation and percentage area of stenosis by QCA (κ: 0.30) but there was no concordance between visual estimation and percentage diameter of stenosis by QCA (κ: -0.061). Also, there was a statistically significant difference between QCA parameters of percentage diameter of stenosis and percentage area of stenosis (58.4 ± 14.5 vs 80.6 ± 11.2 %, p < 0.001). CONCLUSIONS Visual estimation may overestimate a coronary lesion and may lead to unnecessary coronary intervention. There was low concordance in the categories < 50% and 50-69% between the visual operators. Percentage area of stenosis by QCA had a low to moderate grade of concordance with visual estimation. Percentage area of stenosis by QCA more closely reflected the visual estimation of lesion severity than percentage diameter of stenosis.
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Affiliation(s)
- Taner Sen
- Department of Cardiology, Dumlupinar University, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar, Turkey.
| | - Celal Kilit
- Department of Cardiology, Dumlupinar University, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar, Turkey
| | - Mehmet Ali Astarcioglu
- Department of Cardiology, Dumlupinar University, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar, Turkey
| | - Lale Dinc Asarcikli
- Department of Cardiology, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | - Tolga Aksu
- Department of Cardiology, Derince Education and Research Hospital, Derince, Turkey
| | - Habibe Kafes
- Department of Cardiology, Yuksek Ihtisas Hospital, Ankara, Turkey
| | - Afsin Parspur
- Department of Cardiology, Dumlupinar University, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar, Turkey
| | - Gokhan Gozubuyuk
- Department of Cardiology, Malatya State Hospital, Malatya, Turkey
| | - Basri Amasyali
- Department of Cardiology, Dumlupinar University, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar, Turkey
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Celebi S, Celebi OO, Amasyali B, Aybek T. An unusual cause of angina pectoris due to dynamic coronary artery compression and successful treatment with cardiac surgical reconstruction. Interact Cardiovasc Thorac Surg 2019; 28:318-320. [PMID: 30053112 DOI: 10.1093/icvts/ivy218] [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] [Received: 03/26/2018] [Accepted: 06/15/2018] [Indexed: 11/14/2022] Open
Abstract
Extrinsic compression of coronary arteries causing angina pectoris is very unusual. No data regarding the optimal treatment for coronary artery compression due to dilated cardiac chambers have been reported. In this case report, we describe a man with severe mitral valve stenosis and the dilated left atrium, which resulted in coronary artery compression, and the successful management of his condition by surgical reconstruction.
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Affiliation(s)
- Savas Celebi
- Department of Cardiology, TOBB Economy and Tecnology University Hospital, Ankara, Turkey
| | - Ozlem Ozcan Celebi
- Department of Cardiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Basri Amasyali
- Department of Cardiology, TOBB Economy and Tecnology University Hospital, Ankara, Turkey
| | - Tayfun Aybek
- Department of Cardiovascular Surgery, TOBB Economy and Tecnology University Hospital, Ankara, Turkey
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Cetin MS, Ozcan Cetin EH, Celebi AS, Ozcan Celebi O, Temizhan A, Amasyali B, Aydogdu S. P1697The association of left ventricular mass index with reciprocal ST depression in STEMI. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M S Cetin
- TOBB-ETU University, Faculty of Medicine, Cardiology, ANKARA, Turkey
| | - E H Ozcan Cetin
- Ankara Turkiye Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey
| | - A S Celebi
- TOBB-ETU University, Faculty of Medicine, Cardiology, ANKARA, Turkey
| | - O Ozcan Celebi
- Ankara Turkiye Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey
| | - A Temizhan
- Ankara Turkiye Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey
| | - B Amasyali
- TOBB-ETU University, Faculty of Medicine, Cardiology, ANKARA, Turkey
| | - S Aydogdu
- Ankara Turkiye Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey
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Kilit C, Amasyali B, Astarcioglu MA. Spontaneous Echo Contrast in a 73-Year-Old Man with Mitral Stenosis and a Giant Left Atrium. Tex Heart Inst J 2017; 44:424-425. [PMID: 29276445 DOI: 10.14503/thij-15-5171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Sen T, Astarcioglu MA, Kilit C, Amasyali B. Successful thrombolytic treatment of a mobile thrombus on atrial septal defect occluder device. Acta Clin Belg 2016; 71:334-336. [PMID: 27075806 DOI: 10.1080/17843286.2015.1119963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
This case report presents a case with septal occluder device thrombosis which was successfully treated with low dose longer duration of thrombolytic application. Our case showed that the thrombolytic strategy with the lower dose and the longer duration might be a valuable alternative treatment option for the septal occluder thrombosis which is anticoagulation-resistant. This strategy might obviate the need for surgery.
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Sen T, Astarcioglu MA, Asarcikli LD, Kilit C, Kafes H, Parspur A, Yaymaci M, Pinar M, Tüfekcioglu O, Amasyali B. The effects of air pollution and weather conditions on the incidence of acute myocardial infarction. Am J Emerg Med 2016; 34:449-54. [DOI: 10.1016/j.ajem.2015.11.068] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2015] [Accepted: 11/24/2015] [Indexed: 10/22/2022] Open
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Sen T, Astarcioglu MA, Kilit C, Vatansever T, Amasyali B. Acute pulmonary edema and pregnancy: a challenging case. Acta Clin Belg 2015; 70:463-5. [PMID: 26139197 DOI: 10.1179/2295333715y.0000000041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Affiliation(s)
- T Sen
- Dumlupinar University Kutahya Evliya Celebi Education and Research Hospital, Cardiology , Turkey
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Amasyali B, Tek M. The type of spontaneous termination of supraventricular tachycardia: What does it tell us? Int J Cardiol 2015; 196:29-30. [PMID: 26070180 DOI: 10.1016/j.ijcard.2015.05.172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 05/29/2015] [Indexed: 11/20/2022]
Affiliation(s)
- Basri Amasyali
- Dumlupinar University, School of Medicine, Department of Cardiology, Kutahya, Turkey.
| | - Mujgan Tek
- Kecioren Training and Research Hospital, Department of Cardiology, Ankara, Turkey
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Astarcioglu MA, Sen T, Kilit C, Durmus HI, Gozubuyuk G, Kalcik M, Karakoyun S, Yesin M, Zencirkiran Agus H, Amasyali B. Time-to-reperfusion in STEMI undergoing interhospital transfer using smartphone and WhatsApp messenger. Am J Emerg Med 2015; 33:1382-4. [PMID: 26299691 DOI: 10.1016/j.ajem.2015.07.029] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Revised: 07/16/2015] [Accepted: 07/18/2015] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE The objective of this study is to assess the efficacy of WhatsApp application as a communication method among the emergency physician (EP) in a rural hospital without percutaneous coronary intervention (PCI) capability and the interventional cardiologist at a tertiary PCI center. BACKGROUND Current guidelines recommend that patients with ST-segment elevation myocardial infarction (STEMI) receive primary PCI within 90 minutes. This door-to-balloon (D2B) time has been difficult to achieve in rural STEMI. METHODS AND RESULTS We evaluated 108 patients with STEMI in a rural hospital with emergency department but without PCI capability to determine the impact of WhatsApp triage and activation of the cardiac catheterization laboratory on D2B time. The images were obtained from cases of suspected STEMI using the smartphones by the EP and were sent to the interventional cardiologist via the WhatsApp application (group 1, n=53). The control group included concurrently treated patients with STEMI during the same period but not receiving triage (group 2, n=55). The D2B time was significantly shorter in the intervention group (109±31 vs 130±46 minutes, P<.001) with significant reduction in false STEMI rate as well. CONCLUSION This study demonstrates that use of WhatsApp triage with activation of the cardiac catheterization laboratory was associated with shorter D2B time and results in a greater proportion of patients achieving guideline recommendations. The method is cheap, quick, and easy to operate.
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Affiliation(s)
- Mehmet Ali Astarcioglu
- Department of Cardiology, Evliya Celebi Training and Research Hospital, Kutahya, Turkey.
| | - Taner Sen
- Department of Cardiology, Evliya Celebi Training and Research Hospital, Kutahya, Turkey
| | - Celal Kilit
- Department of Cardiology, Dumlupinar University, Kutahya, Turkey
| | | | - Gokhan Gozubuyuk
- Department of Cardiology, Malatya State Hospital, Malatya, Turkey
| | - Macit Kalcik
- Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, Istanbul, Turkey
| | | | - Mahmut Yesin
- Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, Istanbul, Turkey
| | - Hicaz Zencirkiran Agus
- Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, Istanbul, Turkey
| | - Basri Amasyali
- Department of Cardiology, Dumlupinar University, Kutahya, Turkey
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Abstract
Focal atrial tachycardia arising from the right atrial appendage usually responds well to radiofrequency ablation; however, successful ablation in this anatomic region can be challenging. Surgical excision of the right atrial appendage has sometimes been necessary to eliminate the tachycardia and prevent or reverse the resultant cardiomyopathy. We report the case of a 48-year-old man who had right atrial appendage tachycardia resistant to multiple attempts at ablation with use of conventional radiofrequency energy guided by means of a 3-dimensional mapping system. The condition led to cardiomyopathy in 3 months. The arrhythmia was successfully ablated with use of a 28-mm cryoballoon catheter that had originally been developed for catheter ablation of paroxysmal atrial fibrillation. To our knowledge, this is the first report of cryoballoon ablation without isolation of the right atrial appendage. It might also be an alternative to epicardial ablation or surgery when refractory atrial tachycardia originates from the right atrial appendage.
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Sen T, Astarcioglu MA, Parspur A, Amasyali B. Single coronary artery. Tex Heart Inst J 2015; 42:95-6. [PMID: 25873814 DOI: 10.14503/thij-14-4948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Taner Sen
- Cardiology Department, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar University, Kutahya, Turkey
| | - Mehmet Ali Astarcioglu
- Cardiology Department, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar University, Kutahya, Turkey
| | - Afsin Parspur
- Cardiology Department, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar University, Kutahya, Turkey
| | - Basri Amasyali
- Cardiology Department, Kutahya Evliya Celebi Education and Research Hospital, Dumlupinar University, Kutahya, Turkey
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Amasyali B, Kilic A. The effect of adiponectin on the results of coronary interventions in patients with acute coronary syndromes: Primary phenomenon or epiphenomena? J Cardiol 2015; 65:257-8. [DOI: 10.1016/j.jjcc.2014.07.017] [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] [Received: 07/24/2014] [Accepted: 07/30/2014] [Indexed: 10/24/2022]
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Astarcioglu M, Kalcik M, Sen T, Aykan A, Gokdeniz T, Gursoy O, Karakoyun S, Kulahcioglu S, Gunduz S, Kilit C, Oylumlu M, Amasyali B. Ceraflex versus Amplatzer occluder for secundum atrial septal defect closure. Herz 2015; 40 Suppl 2:146-50. [DOI: 10.1007/s00059-014-4192-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Revised: 10/29/2014] [Accepted: 11/23/2014] [Indexed: 11/24/2022]
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Amasyali B, Kilic A. The link between increased carotid intima media thickness and cardiovascular risk: How strong and in which patient subgroup is it? Int J Cardiol 2014; 177:246-7. [DOI: 10.1016/j.ijcard.2014.09.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2014] [Accepted: 09/20/2014] [Indexed: 11/17/2022]
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Amasyali B, Kilic A, Kabul HK, Imren E, Acikel C. Patients with drug-refractory atrioventricular nodal reentrant tachycardia: Clinical features, electrophysiological characteristics, and predictors of medication failure. J Cardiol 2014; 64:302-7. [DOI: 10.1016/j.jjcc.2014.01.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2013] [Revised: 12/23/2013] [Accepted: 01/13/2014] [Indexed: 11/16/2022]
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Amasyali B, Sen T, Kiliç A. Cryoablation of an anteroseptal accessory pathway through the jugular and subclavian veins in a patient with interruption of the inferior vena cava and azygos continuation. Anadolu Kardiyol Derg 2014; 14:550-3. [PMID: 25233503 DOI: 10.5152/akd.2014.5512] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Basri Amasyali
- Department of Cardiology, Faculty of Medicine, Dumlupınar University; Kütahya-Turkey.
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Amasyali B, Kilic A, Kilit C. Sinus node dysfunction and atrial fibrillation: Which one dominates? Int J Cardiol 2014; 175:379-80. [DOI: 10.1016/j.ijcard.2014.05.043] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2014] [Accepted: 05/12/2014] [Indexed: 10/25/2022]
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Amasyali B, Kilic A. The complex fractionated atrial electrogram may be the sine qua non of atrial fibrillation, but qualitatively or quantitatively? Int J Cardiol 2014; 173:340. [DOI: 10.1016/j.ijcard.2014.03.037] [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] [Received: 01/21/2014] [Accepted: 03/09/2014] [Indexed: 11/28/2022]
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Amasyali B, Kilic A, Oylumlu M. The link between renal denervation and reduction of cardiovascular risks: simplicity or not? Int J Cardiol 2014; 174:732-3. [PMID: 24767752 DOI: 10.1016/j.ijcard.2014.04.101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Accepted: 04/04/2014] [Indexed: 12/21/2022]
Affiliation(s)
- Basri Amasyali
- Dumlupinar University, School of Medicine, Department of Cardiology, Kütahya, Turkey.
| | - Ayhan Kilic
- Gulhane Medical Academy, Department of Cardiology, Ankara, Turkey
| | - Muhammed Oylumlu
- Dumlupinar University, School of Medicine, Department of Cardiology, Kütahya, Turkey
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Amasyali B, Kilic A. Atrial mass reduction in radiofrequency catheter ablation for long-standing persistent atrial fibrillation: do we really ablate the sick or the healthy tissue? Int J Cardiol 2014; 172:599. [PMID: 24485641 DOI: 10.1016/j.ijcard.2014.01.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Accepted: 01/18/2014] [Indexed: 10/25/2022]
Affiliation(s)
- Basri Amasyali
- Dumlupinar University, School of Medicine, Department of Cardiology, Kütahya, Turkey.
| | - Ayhan Kilic
- Gulhane Medical Academy, Department of Cardiology, Ankara, Turkey
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Amasyali B, Sen T, Kilic A. PP-210 Cryoablation of an Anteroseptal Accessory Pathway through the Jugular and Subclavian Veins in a Patient with Interruption of the Inferior Vena Cava and Azygos Continuation. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.230] [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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Sen T, Astarcioglu MA, Erez SO, Yaymaci M, Pinar M, Parspur A, Amasyali B. Successful thrombolytic treatment of right sided massive intracardiac thrombus and pulmonary embolism. Kardiol Pol 2014; 72:282. [PMID: 24677080 DOI: 10.5603/kp.2014.0053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2013] [Accepted: 07/03/2013] [Indexed: 11/25/2022]
Affiliation(s)
- Taner Sen
- Department of Cardiology, Dumlupinar University Kutahya Evliya Celebi Education and Research Hospital, Kutahya, Turkey.
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Amasyali B, Kabul K, Dogan A, Celik M, Unlu M, Kilit C, Imren E, Kilic A. Atrioventricular nodal reentrant tachycardia ablation during ongoing tachycardia: is it safe? Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5597] [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: 11/13/2022] Open
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Sen T, Astarcioglu MA, Parspur A, Amasyali B. Single coronary artery presenting with ST-segment elevation myocardial infarction. Herz 2013; 39:528-9. [PMID: 23784364 DOI: 10.1007/s00059-013-3850-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Accepted: 05/09/2013] [Indexed: 11/26/2022]
Affiliation(s)
- T Sen
- Department of Cardiology, Dumlupinar University Kutahya Evliya Celebi Education and Research Hospita, Kutahya, Turkey,
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Amasyali B. Supra-His complete atrioventricular block in a patient with subclinical hyperthyroidism. Turk Kardiyol Dern Ars 2011; 39:693-6. [DOI: 10.5543/tkda.2011.01574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Abstract
A patient was referred for evaluation of repeated episodes of syncope with loss of consciousness and convulsions. A dual-chamber pacemaker with rate-drop feature was implanted.
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Affiliation(s)
- B Amasyali
- Gulhane Military Medical Academy, Department of Cardiology, Ankara, Turkey.
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Celik T, Iyisoy A, Yuksel UC, Amasyali B. A new treatment modality in management of patients with cardiac syndrome X: Enhanced external counterpulsation. Int J Cardiol 2010; 143:94-5. [DOI: 10.1016/j.ijcard.2008.11.159] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2008] [Accepted: 11/30/2008] [Indexed: 10/21/2022]
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Barcin C, Kursaklioglu H, Kose S, Amasyali B, Isik E. Resistant radial artery spasm during coronary angiography via radial approach responded to local warm compress. ACTA ACUST UNITED AC 2010. [DOI: 10.5152/akd.2010.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Barçin C, Kurşaklioğlu H, Köse S, Amasyali B, Işik E. Resistant radial artery spasm during coronary angiography via radial approach responded to local warm compress. Anadolu Kardiyol Derg 2010; 10:90-91. [PMID: 20150014] [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] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- Cem Barçin
- Department of Cardiology, Gülhane Military Medical Academy, Ankara, Turkey.
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Kursaklioglu H, Kose S, Iyisoy A, Amasyali B, Celik T, Aytemir K, Isik E. Coronary-subclavian steal syndrome presenting with ventricular tachycardia. Yonsei Med J 2009; 50:852-5. [PMID: 20046430 PMCID: PMC2796416 DOI: 10.3349/ymj.2009.50.6.852] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2003] [Revised: 04/03/2004] [Accepted: 04/03/2004] [Indexed: 11/27/2022] Open
Abstract
Coronary-subclavian steal through the left internal mammary graft is a rare cause of myocardial ischemia in patients who have had a coronary bypass surgery. We report a 70-year-old man who presented with sustained monomorphic ventricular tachycardia 5 years after the surgical creation of a left internal mammary to the left anterior descending artery. Cardiac catheterization illustrated that the left subclavian artery was occluded proximally and that the distal course was visualized by retrograde filling through the left internal mammary graft. Clinical ventricular tachycardia was reproducibly induced with a single ventricular extrastimulus, and antitachycardia pacing terminated the tachycardia. Restoration of blood flow by way of a Dacron graft placed between the descending aorta and the subclavian artery resulted in the total relief of symptoms. Ventricular tachycardia could not be induced during the control electrophysiologic study after surgical revascularization.
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Amasyali B, Kose S, Kursaklioglu H, Barcin C, Kilic A. Monocyte chemoattractant protein-1 in acute coronary syndromes: Complex vicious interaction. Int J Cardiol 2009; 136:356-7. [DOI: 10.1016/j.ijcard.2008.04.080] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2008] [Accepted: 04/26/2008] [Indexed: 10/21/2022]
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Kursaklioglu H, Iyisoy A, Celik T, Kose S, Amasyali B. A Case of Ventriculo-venous Communication: An Extremely Rare Congenital Anomaly of the Left Ventricle. Clin Cardiol 2009; 32:E100. [PMID: 17763366 PMCID: PMC6653621 DOI: 10.1002/clc.20144] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Hurkan Kursaklioglu
- Gulhane Military Medical Academy, School of Medicine, Department of Cardiology, Etlik‐Ankara, Turkey
| | - Atila Iyisoy
- Gulhane Military Medical Academy, School of Medicine, Department of Cardiology, Etlik‐Ankara, Turkey
| | - Turgay Celik
- Gulhane Military Medical Academy, School of Medicine, Department of Cardiology, Etlik‐Ankara, Turkey
| | - Sedat Kose
- Gulhane Military Medical Academy, School of Medicine, Department of Cardiology, Etlik‐Ankara, Turkey
| | - Basri Amasyali
- Gulhane Military Medical Academy, School of Medicine, Department of Cardiology, Etlik‐Ankara, Turkey
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Celik T, Iyisoy A, Amasyali B, Bugan B, Isik E. Role of inflammation in the extent of microvascular obstruction in patients undergoing primary PCI. Int J Cardiol 2009; 135:273-5. [DOI: 10.1016/j.ijcard.2008.03.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2007] [Accepted: 03/08/2008] [Indexed: 11/27/2022]
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Celik T, Iyisoy A, Amasyali B. The effects of coffee intake on coronary heart disease: ongoing controversy. Int J Cardiol 2009; 144:118. [PMID: 19168235 DOI: 10.1016/j.ijcard.2008.12.112] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2008] [Accepted: 12/13/2008] [Indexed: 11/26/2022]
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Amasyali B, Kose S, Kursaklioglu H, Celik T, Iyisoy A. C-reactive protein in acute coronary syndromes: A perfect trigger or an excellent indicator? Int J Cardiol 2008; 131:134-5; author reply 136-7. [PMID: 17643515 DOI: 10.1016/j.ijcard.2007.04.187] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2007] [Accepted: 04/25/2007] [Indexed: 11/21/2022]
Abstract
Recent researches have shown that active inflammation is considered a crucial step in the pathogenesis of acute coronary syndromes. C-reactive protein has long been utilized as a nonspecific clinical marker of inflammation, with the advent of high-sensitivity assays, has emerged as one of the most powerful independent predictors of cardiovascular disease. However, it is not clear whether C-reactive protein is only an excellent indicator or a perfect trigger in acute coronary syndromes. In this paper, we discussed the role of C-reactive protein in the pathogenesis of acute coronary syndromes.
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Amasyali B, Kose S, Kursaklioglu H, Kilic A, Isik E. Leptin in acute coronary syndromes: Has the time come for its use in risk stratification? Int J Cardiol 2008; 130:264-5. [PMID: 17669522 DOI: 10.1016/j.ijcard.2007.07.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2007] [Accepted: 07/01/2007] [Indexed: 11/26/2022]
Abstract
Leptin, a recently discovered obesity gene product, is primarily involved in the regulation of food intake and energy expenditure. Recent observations suggest that leptin has a much broader biological role other than regulation of body weight and energy metabolism. It has been shown that leptin increases sympathetic nerve activity, stimulates generation of reactive oxygen species, induces platelet aggregation and promotes arterial thrombosis, and is an independent risk factor for coronary heart disease. In this paper, we discussed the role of leptin in the pathogenesis of acute coronary syndromes and its usefulness as a biomarker for risk stratification in acute coronary syndromes.
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Kurşaklioğlu H, Iyisoy A, Barçin C, Celik T, Nitzan R, Köse S, Amasyali B, Işik E. The experience with the Epiclose-T vascular access closure device: a human study. Anadolu Kardiyol Derg 2008; 8:38-42. [PMID: 18258532] [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] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
OBJECTIVE The Epiclose-T, a novel closure device for arterial access sites, is designed as a double-balloon device that applies direct pressure on the arteriotomy site, allowing natural coagulation and leaving no artificial material behind. We assessed prospectively the initial safety and efficacy of the Epiclose-T after diagnostic cardiac catheterization, and evaluated patient comfort. METHODS In our randomized, controlled, prospective study, the study group consisted of 32 patients (17 male, mean age 52.8+/-11.0 years) treated with Epiclose-T device. The control group included 39 patients (20 male, mean age 55.5+/-11.0 years) treated with manual compression. RESULTS Hemostasis was achieved successfully in 90.6% of the study group. For the 30-day follow-up, there were no statistically significant differences between the groups in the rate of major and minor complications. No bleeding requiring transfusion was seen in both groups. However, the number of major complications, including large hematoma (0 vs. 1 patient-2.6%) and pseudoaneursym (0 vs. 1 patient-2.6%), occurred more often in the control group. The number of small hematomas was 3 (7.7%) in the compression group and 2 (6.9%) in the Epiclose-T group. In the failure group (3 patients), body-mass-index was somewhat lower than that of the success group (median--26 (25-33) kg/m2 vs. 27 (24-32) kg/m2, p=0.07). Most patients were satisfied by the Epiclose-T closure device and grade it as excellent or good. CONCLUSION Hemostasis can be easily and safely achieved by Epiclose-T device with no significant minor and major complications with patients' total satisfaction.
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Amasyali B, Köse S, Aytemir K, Can I, Kabakci G, Tokgozoglu L, Ozkutlu H, Nazli N, Isik E, Oto A. The effect of VVI pacing on P-wave dispersion in patients with dual-chamber pacemakers. Heart Vessels 2007; 21:8-12. [PMID: 16440142 DOI: 10.1007/s00380-005-0851-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2004] [Accepted: 07/08/2005] [Indexed: 11/27/2022]
Abstract
The incidence of atrial fibrillation is higher in patients with VVI pacing mode than DDD pacing mode, but the likely mechanism is not clearly understood. We aimed to evaluate whether short-term VVI pacing increases inhomogeneous atrial conduction by using P-wave dispersion. Forty-seven patients (32 men, 15 women, mean age 54 +/- 13 years) with DDD pacemakers were enrolled in this study. Twelve-lead surface ECGs were obtained in all patients during VDD pacing after an observation period of 1 week. The mode was then changed to VVI and 12 lead surface ECGs were obtained after another 1-week observation period. P-wave durations were calculated in all 12 leads in both VDD and VVI pacing modes. The difference between the maximum and the minimum P-wave duration was defined as the P-wave dispersion (PWD = P(max) - P(min)). P-wave maximum duration (P(max)) calculated in VVI pacing mode was significantly longer than in VDD pacing mode (128 +/- 19 vs 113 +/- 16 ms, P < 0.001). There was no significant difference in the P-wave minimum durations (80 +/- 13 ms vs 79 +/- 12 ms, P = 0.7) between VVI pacing and VDD pacing. The P-wave dispersion value was higher in the VVI pacing mode than in the VDD pacing mode (48 +/- 8 ms vs 34 +/- 7 ms, P < 0.001). Short-term VVI pacing induces prolongation of P(max) and results in increased P-wave dispersion, which might be responsible for the development of atrial fibrillation more frequently in these patients than in those with the VDD pacing mode.
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Affiliation(s)
- Basri Amasyali
- Department of Cardiology, GATA Military Medical School, 06018, Etlik, Ankara, Turkey.
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Amasyali B, Köse S, Kursaklioglu H, Celik T, İyisoy A, Kilic A, Yavuzkır M, Isik E. Results of electrophysiological study and ablation in patients with syncope and paroxysmal supraventricular tachycardia. J Electrocardiol 2007. [DOI: 10.1016/j.jelectrocard.2007.03.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Amasyali B, Köse S, Kursaklioglu H, Celik T, Kilic A, İyisoy A, Isik E. Clinical and electrocardiographic features of premature ventricular contractions responsive to β -blockers. J Electrocardiol 2007. [DOI: 10.1016/j.jelectrocard.2007.03.172] [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: 10/23/2022]
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Amasyali B, Cansel M, Kose S, Kursaklioglu H, Genc C, Isik E. Giant pseudoaneurysm of the left ventricle presenting 15 years after blunt chest trauma with high lateral myocardial infarction due to diagonal artery compression. Int J Cardiol 2007; 119:e51-2. [PMID: 17467088 DOI: 10.1016/j.ijcard.2007.01.114] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2006] [Accepted: 01/04/2007] [Indexed: 11/27/2022]
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Bariş Kaya E, Abali G, Aytemir K, Köse S, Kocabaş U, Tokgözoğlu L, Kabakçi G, Amasyali B, Ozkutlu H, Nazli N, Oto A. Preliminary Observations on the Effect of Amitriptyline Treatment in Preventing Syncope Recurrence in Patients with Vasovagel Syncope. Ann Noninvasive Electrocardiol 2007; 12:153-7. [PMID: 17593184 PMCID: PMC6932728 DOI: 10.1111/j.1542-474x.2007.00154.x] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
PURPOSE Vasovagal syncope is a common and challenging problem that may result in injury and causes substantial anxiety among patients and their relatives. However, treatment of vasovagal syncope with standard pharmacologic approaches is not satisfactory. The aim of this study is to investigate the effect of amitriptyline, a tricyclic antidepressant drug, by using its anticholinergic effects in preventing syncopal episodes in patients with vasovagal syncope. METHODS In this study, 74 patients (mean age 24 +/- 1.9 years, 26 male) with a history of recurrent syncope and baseline positive head-up tilt table test (syncope or presyncope) were included. Oral amitriptyline treatment was given to all patients, with a starting dose of 10 mg once a day. Head-up tilt table test was performed in all patients 4 weeks after the treatment started. Patients were followed up clinically for 6 months. RESULTS After 4 weeks, during head-up tilt table test in 69 patients (93%), syncope or presyncope was not seen and test was assumed as negative. At the end of the 6th month, 67 patients (91%) were free of symptoms. Only two patients (0.3%) did not tolerate amitriptyline due to side effects. CONCLUSIONS Oral amitriptyline can be used in the prevention of recurrent episodes of vasovagal syncope safely. However, randomized controlled studies are essential to assess the real effectiveness of this therapy.
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Affiliation(s)
- Ergün Bariş Kaya
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
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Abstract
As "time is myocardium" in the settings of acute myocardial infarction, it is important to make the diagnosis as quickly as possible, and a high clinical suspicion is needed to avoid missing the diagnosis, resulting in unwarranted interventions. The electrocardiogram is a crucial tool in the identification of acute chest pain, enabling a detailed analysis of patterns of ST-segment elevation. We describe the case of a 22-year-old man who presented with fever, with dynamic electrocardiographic changes similar to the Brugada syndrome. These electrocardiographic anomalies disappeared when the temperature returned to normal.
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Affiliation(s)
- M Unlu
- Department of Cardiology, Diyarbakir Military Hospital, Diyarbakir, Turkey.
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Amasyali B, Aytemir K, Kose S, Kilic A, Abali G, Iyisoy A, Kursaklioglu H, Turan M, Bingol N, Isik E, Demirtas E. Admission plasma leptin level strongly correlates with the success of thrombolytic therapy in patients with acute myocardial infarction. Angiology 2007; 57:671-80. [PMID: 17235106 DOI: 10.1177/0003319706295204] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [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: 11/17/2022]
Abstract
Obesity-associated alterations in coagulation and fibrinolytic factors in favor of thrombosis are well known. Observations suggest that leptin, a recently discovered obesity gene product, in addition to being a satiety factor, induces platelet aggregation, accelerates formation of firm thrombi, and is associated with abnormal fibrinolysis. The authors studied the influence of plasma leptin concentrations on admission within 6 hours of acute myocardial infarction (MI) on the outcome of thrombolytic therapy (TT). Forty-one patients with acute MI who underwent TT were enrolled into the study. Levels of plasma leptin were determined with radioimmunoassay method in samples obtained just before initiation of TT. Patients were initially classified according to the admission plasma leptin concentrations, and it was observed that failure of reperfusion therapy with streptokinase was significantly higher in patients with admission plasma leptin concentrations > or =14 ng/mL (group 2) as compared to patients with admission plasma leptin concentrations <14 ng/mL (group 1). Final failure of TT, identified both by reinfarction and absence of early reperfusion as assessed noninvasively, was observed in 11 patients (39%) in group 1 and in 10 patients (77%) in group 2 (p=0.025). Left ventricular ejection fraction was slightly but significantly higher in group 1 than in group 2 (p=0.031). High plasma leptin concentrations on admission in patients within 6 hours after the onset of acute MI are associated with less TT efficacy. The authors suggest that admission leptin levels may play a role in the management of patients with acute MI.
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Affiliation(s)
- Basri Amasyali
- Department of Cardiology, Gulhane Military Medical School, Ankara, Turkey.
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