1
|
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.
Collapse
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
| |
Collapse
|
2
|
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.
Collapse
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
| |
Collapse
|
3
|
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
| |
Collapse
|
4
|
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.
Collapse
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
| |
Collapse
|
5
|
Yağcı AF, Asil S, Kaya C, Dinç C, Bozlar U, Barçın C. IGG4-related giant lymphoproliferative-inflammatory left atrial mass. Echocardiography 2023; 40:996-1000. [PMID: 37382184 DOI: 10.1111/echo.15645] [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: 05/19/2023] [Accepted: 06/20/2023] [Indexed: 06/30/2023] Open
Abstract
Cardiac masses are rare entities that can be challenging in clinical diagnosis and management. Cardiac masses can be detected incidentally in patients with an asymptomatic course or may cause systemic inflammation findings due to inflammatory cytokine release or symptoms such as shortness of breath, chest pain, syncope, sudden cardiac death, and mortality due to the location of the mass. Cardiac masses associated with systemic inflammatory disorders are uncommon in this disease group. This case report will present a case with an asymptomatic IgG4-related left atrial mass detected in routine echocardiographic control imaging due to rheumatic valve disease.
Collapse
Affiliation(s)
- Ahmet Faruk Yağcı
- Department of Cardiology, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Serkan Asil
- Department of Cardiology, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Cihad Kaya
- Department of Cardiology, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Cemal Dinç
- Department of Cardiology, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Uğur Bozlar
- Department of Radiology, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Cem Barçın
- Department of Cardiology, Gülhane Education and Research Hospital, Ankara, Turkey
| |
Collapse
|
6
|
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.
Collapse
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
| |
Collapse
|
7
|
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
| | | | | | | | | |
Collapse
|
8
|
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.
Collapse
|
9
|
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:
Collapse
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
| |
Collapse
|
10
|
Asil S, Geneş M, Çelik M, Yüksel UÇ, Barçın C. Pseudocoarctation of the aorta: A rare congenital aortic disease. Anatol J Cardiol 2022; 26:69-71. [DOI: 10.5152/anatoljcardiol.2021.934] [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] Open
|
11
|
Asil S, Geneş M, Çelik M, Yüksel UÇ, Barçın C. Pseudocoarctation of the aorta: A rare congenital aortic disease. Anatol J Cardiol 2021; 26:63-65. [DOI: 10.5152/anatoljcardiol.2021.00557] [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] Open
|
12
|
Görmel S, Yaşar S, Murat E, Köksal O, Yüksel UÇ, Barçın C, Çelik M. Alternative methods to overcome the challenging anatomy of the coronary sinus during percutaneous mitral annuloplasty procedure. Anatol J Cardiol 2021; 25:924-925. [PMID: 34866589 DOI: 10.5152/anatoljcardiol.2021.136] [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: 11/22/2022] Open
Affiliation(s)
- Suat Görmel
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Salim Yaşar
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Ender Murat
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Ozan Köksal
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Cem Barçın
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| | - Murat Çelik
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital; Ankara-Turkey
| |
Collapse
|
13
|
Asil S, Murat E, Taşkan H, Barış VÖ, Görmel S, Yaşar S, Çelik M, Yüksel UÇ, Kabul HK, Barçın C. Relationship between Cardiovascular Disease Risk and Neck Circumference Shown in the Systematic Coronary Risk Estimation (SCORE) Risk Model. Int J Environ Res Public Health 2021; 18:10763. [PMID: 34682509 PMCID: PMC8535320 DOI: 10.3390/ijerph182010763] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Revised: 10/07/2021] [Accepted: 10/12/2021] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The most important way to reduce CVD-related mortality is to apply appropriate treatment according to the risk status of the patients. For this purpose, the SCORE risk model is used in Europe. In addition to these risk models, some anthropometric measurements are known to be associated with CVD risk and risk factors. OBJECTIVES This study aimed to investigate the association of these anthropometric measurements, especially neck circumference (NC), with the SCORE risk chart. METHODS This was planned as a cross-sectional study. The study population were classified according to their SCORE risk values. The relationship of NC and other anthropometric measurements with the total cardiovascular risk indicated by the SCORE risk was investigated. RESULTS A total of 232 patients were included in the study. The patients participating in the study were analysed in four groups according to the SCORE ten-year total cardiovascular mortality risk. As a result, the NC was statistically significantly lower among the SCORE low and moderate risk group than all other SCORE risk groups (low-high and very high 36(3)-38(4) (IQR) p: 0.026, 36(3)-39(4) (IQR) p < 0.001, 36(3)-40(4) (IQR) p < 0.001), (moderate-high and very high 38(4) vs. 39(4) (IQR) p: 0.02, 38(4) vs. 40(4) (IQR) p < 0.001, 39(4) vs. 40(4) (IQR) p > 0.05). NC was found to have the strongest correlation with SCORE than the other anthropometric measurements. CONCLUSIONS Neck circumference correlates strongly with the SCORE risk model which shows the ten-year cardiovascular mortality risk and can be used in clinical practice to predict CVD risk.
Collapse
Affiliation(s)
- Serkan Asil
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Ender Murat
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Hatice Taşkan
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Veysel Özgür Barış
- Department of Cardiology, Gaziantep Dr. Ersin Arslan Training and Research Hospital, 27010 Gaziantep, Turkey;
| | - Suat Görmel
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Salim Yaşar
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Murat Çelik
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Uygar Çağdaş Yüksel
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Hasan Kutsi Kabul
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| | - Cem Barçın
- Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey; (E.M.); (H.T.); (S.G.); (S.Y.); (M.Ç.); (U.Ç.Y.); (H.K.K.); (C.B.)
| |
Collapse
|
14
|
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.
Collapse
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
| |
Collapse
|
15
|
Barçın C. Thrombosis in COVID-19: We still need to learn a lot. Anatol J Cardiol 2021; 25:600. [PMID: 34498589 DOI: 10.5152/anatoljcardiol.2021.9] [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: 11/22/2022] Open
Affiliation(s)
- Cem Barçın
- Sağlık Bilimleri Üniversitesi, Gülhane Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Ankara-Türkiye
| |
Collapse
|
16
|
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.
Collapse
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
| |
Collapse
|
17
|
Gormel S, Yuksel UC, Celik M, Yasar S, Yildirim E, Bugan B, Gokoglan Y, Kabul HK, Yasar S, Köklü M, Barçın C. The Role of Cardiovascular Risk Factors and Risk Scoring Systems in Predicting Coronary Atherosclerosis. International Journal of Cardiovascular Sciences 2020. [DOI: 10.36660/ijcs.20190134] [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: 11/18/2022] Open
|
18
|
Aktoz M, Altay H, Aslanger E, Atalar E, Atar İ, Aytekin V, Baykan AO, Barçın C, Barış N, Boyacı A, Çavuşoğlu Y, Çelik A, Çinier G, Değertekin M, Demircan S, Ergönül Ö, Ertürk M, Erol MK, Görenek B, Gürsoy MO, Hünük B, Kahveci G, Karabay CY, Karaca I, Kayıkçıoğlu M, Keskin M, Kılıç T, KılıçkıranAvcı B, Kırma C, Kocabaş U, Kocakaya D, Küçükoğlu S, Mutlu B, Nalbantgil S, Okuyan E, Okyay K, KaptanÖzen D, Özgül S, Özpelit E, Pirat B, Sert S, Sinan ÜY, Şener YZ, Tatlı E, Tekkeşin Aİ, Tutar E, Ural D, Yıldırımtürk Ö, Yıldızeli B. [Turkish Cardiology Association Consensus Report: COVID-19 Pandemic and Cardiovascular Diseases (May 13, 2020)]. Turk Kardiyol Dern Ars 2020; 48:1-87. [PMID: 32406873 DOI: 10.5543/tkda.2020.36713] [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: 11/04/2022] Open
Abstract
In December 2019, in the city of Wuhan, in the Hubei province of China, treatment-resistant cases of pneumonia emerged and spread rapidly for reasons unknown. A new strain of coronavirus (severe acute respiratory syndrome coronavirus-2 [SARS-CoV-2]) was identified and caused the first pandemic of the 21st century. The virus was officially detected in our country on March 11, 2020, and the number of cases increased rapidly; the virus was isolated in 670 patients within 10 days. The rapid increase in the number of patients has required our physicians to learn to protect both the public and themselves when treating patients with this highly infectious disease. The group most affected by the outbreak and with the highest mortality rate is elderly patients with known cardiovascular disease. Therefore, it is necessary for cardiology specialists to take an active role in combating the epidemic. The aim of this article is to make a brief assessment of current information regarding the management of cardiovascular patients affected by COVID-19 and to provide practical suggestions to cardiology specialists about problems and questions they have frequently encountered.
Collapse
Affiliation(s)
- Meryem Aktoz
- Department of Cardiology, Trakya University Faculty of Medicine, Edirne
| | - Hakan Altay
- Cardiology Clinic, Baskent University Istanbul Hospital, Health Practice and Research Center, İstanbul
| | - Emre Aslanger
- Yeditepe University Faculty of Medicine, Department of Cardiology, İstanbul
| | - Enver Atalar
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara
| | - İlyas Atar
- Cardiology Department, Private Ankara Güven Hospital, Ankara
| | - Vedat Aytekin
- Department of Cardiology, Koç University Faculty of Medicine, İstanbul
| | | | - Cem Barçın
- Cardiology Clinic, S.B.Ü. Gülhane Training and Research Hospital, Ankara
| | - Nezihi Barış
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir
| | | | - Yüksel Çavuşoğlu
- Department of Cardiology, Eskişehir Osmangazi University Hospital, Eskişehir
| | - Ahmet Çelik
- Department of Cardiology, Mersin University Faculty of Medicine, Mersin
| | - Göksel Çinier
- İstanbul Dr. Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | | | - Sabri Demircan
- Cardiology Department, Memorial Şişli Hospital, İstanbul
| | - Önder Ergönül
- Department of Infectious Diseases, Koç University School of Medicine, İstanbul
| | - Mehmet Ertürk
- S.B.Ü. Mehmet Akif Ersoy Chest Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - M Kemal Erol
- Cardiology Clinic, Şişli Kolan International, İstanbul
| | - Bülent Görenek
- Department of Cardiology, Eskişehir Osmangazi University Hospital, Eskişehir
| | - Mustafa Ozan Gürsoy
- Clinic of Cardiology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir
| | - Burak Hünük
- Yeditepe University Faculty of Medicine, Department of Cardiology, İstanbul
| | - Gökhan Kahveci
- Cardiology Clinic, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul
| | - Can Yücel Karabay
- İstanbul Dr. Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Ilgın Karaca
- Department of Cardiology, Fırat University Faculty of Medicine,Elazığ
| | - Meral Kayıkçıoğlu
- Department of Cardiology, Ege University Medical Faculty Hospital, İzmir
| | - Muhammed Keskin
- Cardiology Clinic, İstanbul Sultan Abdülhamid Han Training and Research Hospital, İstanbul
| | - Teoman Kılıç
- Department of Cardiology, Kocaeli University Faculty of Medicine, Kocaeli
| | - Burçak KılıçkıranAvcı
- Department of Cardiology, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul
| | - Cevat Kırma
- Cardiology Clinic, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul
| | - Umut Kocabaş
- Cardiology Clinic, Baskent University Istanbul Hospital, Health Practice and Research Center, İstanbul
| | - Derya Kocakaya
- Department of Chest Diseases, Marmara University Pendik Training and Research Hospital, Pendik
| | - Serdar Küçükoğlu
- Department of Cardiology, İstanbul University Cardiology Institute, İstanbul
| | - Bülent Mutlu
- Department of Cardiology, Marmara University Faculty of Medicine, İstanbul
| | - Sanem Nalbantgil
- Department of Cardiology, Ege University Medical Faculty Hospital, İzmir
| | - Ertuğrul Okuyan
- Cardiology Clinic, İstanbul Bağcılar Training and Research Hospital, İstanbul
| | - Kaan Okyay
- Department of Cardiology, Başkent University Faculty of Medicine, Ankara
| | - Deniz KaptanÖzen
- Cardiology Clinic, Kocaeli Derince Training and Research Hospital, Kocaeli
| | - Sami Özgül
- Kahramanmaraş İstiklal University, Kahramanmaraş
| | - Ebru Özpelit
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir
| | - Bahar Pirat
- Department of Cardiology, Başkent University Faculty of Medicine, Ankara
| | - Sena Sert
- İstanbul Dr. Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Ümit Yaşar Sinan
- Department of Cardiology, İstanbul University Cardiology Institute, İstanbul
| | - Yusuf Ziya Şener
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara
| | - Ersan Tatlı
- Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya
| | - Ahmet İlker Tekkeşin
- İstanbul Dr. Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Eralp Tutar
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara
| | - Dilek Ural
- Department of Cardiology, Koç University Faculty of Medicine, İstanbul
| | - Özlem Yıldırımtürk
- İstanbul Dr. Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Bedrettin Yıldızeli
- Department of Thoracic Surgery, Marmara University Pendik Training and Research Hospital, İstanbul
| |
Collapse
|
19
|
Aktoz M, Altay H, Aslanger E, Atalar E, Aytekin V, Baykan AO, Barçın C, Barış N, Boyacı AA, Çavuşoğlu Y, Çelik A, Çinier G, Değertekin M, Ergönül Ö, Ertürk M, Erol MK, Görenek B, Gürsoy MO, Hünük B, Kahveci G, Karabay CY, Karaca I, Kayıkçıoğlu M, Keskin M, Kılıç T, Kırma C, Kocabaş U, Küçükoğlu S, Mutlu B, Nalbantgil S, Okuyan E, Okyay K, Kaptan Özen D, Özgül S, Özpelit E, Pirat B, Sert S, Sinan ÜY, Şener YZ, Tatlı E, Tekkeşin Aİ, Tutar E, Ural D, Yıldırımtürk Ö. [Consensus Report from Turkish Society of Cardiology: COVID-19 and Cardiovascular Diseases. What cardiologists should know. (25th March 2020)]. Turk Kardiyol Dern Ars 2020; 48:1-48. [PMID: 32250347 DOI: 10.5543/tkda.2020.97198] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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
In December 2019, in the city of Wuhan, in the Hubei province of China, treatment-resistant cases of pneumonia emerged and spread rapidly for reasons unknown. A new strain of coronavirus (severe acute respiratory syndrome coronavirus-2 [SARS-CoV-2]) was identified and caused the first pandemic of the 21st century. The virus was officially detected in our country on March 11, 2020, and the number of cases increased rapidly; the virus was isolated in 670 patients within 10 days. The rapid increase in the number of patients has required our physicians to learn to protect both the public and themselves when treating patients with this highly infectious disease. The group most affected by the outbreak and with the highest mortality rate is elderly patients with known cardiovascular disease. Therefore, it is necessary for cardiology specialists to take an active role in combating the epidemic. The aim of this article is to make a brief assessment of current information regarding the management of cardiovascular patients affected by COVID-19 and to provide practical suggestions to cardiology specialists about problems and questions they have frequently encountered.
Collapse
Affiliation(s)
- Meryem Aktoz
- Department of Cardiology,Trakya University Faculty of Medicine, Edirne
| | - Hakan Altay
- Department of Cardiology, Başkent University Istanbul Hospital, Health Practice and Research Center, İstanbul
| | - Emre Aslanger
- Department of Cardiology, Yeditepe University School of Medicine, İstanbul
| | - Enver Atalar
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara
| | - Vedat Aytekin
- Department of Cardiology, Koç University Faculty of Medicine, İstanbul
| | | | - Cem Barçın
- Department of Cardiology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara
| | - Nezihi Barış
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir
| | | | - Yüksel Çavuşoğlu
- Department of Cardiology, Department of Cardiology, Eskişehir Osmangazi University Hospital, Eskişehir
| | - Ahmet Çelik
- Department of Cardiology, Mersin University Faculty of Medicine, Mersin
| | - Göksel Çinier
- İstanbul Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | | | - Önder Ergönül
- Department of Infectious Diseases, Koç University Faculty of Medicine, İstanbul
| | - Mehmet Ertürk
- University of Health Sciences, Mehmet Akif Ersoy Chest Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - M Kemal Erol
- Department of Cardiology, Şişli Kolan International, İstanbul
| | - Bülent Görenek
- Department of Cardiology, Department of Cardiology, Eskişehir Osmangazi University Hospital, Eskişehir
| | - Mustafa Ozan Gürsoy
- Department of Cardiology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir
| | - Burak Hünük
- Department of Cardiology, Yeditepe University School of Medicine, İstanbul
| | - Gökhan Kahveci
- Department of Cardiology, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul
| | - Can Yücel Karabay
- İstanbul Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Ilgın Karaca
- Department of Cardiology, Fırat University Faculty of Medicine, Elazığ
| | - Meral Kayıkçıoğlu
- Department of Cardiology, Ege University Medical Faculty Hospital, İzmir
| | - Muhammed Keskin
- Department of Cardiology, İstanbul Sultan Abdülhamid Han Training and Research Hospital, İstanbul
| | - Teoman Kılıç
- Department of Cardiology, Kocaeli University Faculty of Medicine, Kocaeli
| | - Cevat Kırma
- Department of Cardiology, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul
| | - Umut Kocabaş
- Department of Cardiology, Başkent University Istanbul Hospital, Health Practice and Research Center, İstanbul
| | - Serdar Küçükoğlu
- Department of Cardiology, İstanbul University Cardiology Institute, İstanbul
| | - Bülent Mutlu
- Department of Cardiology, Marmara University Faculty of Medicine, İstanbul
| | - Sanem Nalbantgil
- Department of Cardiology, Ege University Medical Faculty Hospital, İzmir
| | - Ertuğrul Okuyan
- Department of Cardiology, İstanbul Bağcılar Training and Research Hospital, İstanbul
| | - Kaan Okyay
- Department of Cardiology, Başkent University Faculty of Medicine, Ankara
| | - Deniz Kaptan Özen
- Department of Cardiology, Kocaeli Derince Training and Research Hospital, Kocaeli
| | - Sami Özgül
- Kahramanmaraş İstiklal University, Kahramanmaraş
| | - Ebru Özpelit
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir
| | - Bahar Pirat
- Department of Cardiology, Başkent University Faculty of Medicine, Ankara
| | - Sena Sert
- İstanbul Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Ümit Yaşar Sinan
- Department of Cardiology, İstanbul University Cardiology Institute, İstanbul
| | - Yusuf Ziya Şener
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara
| | - Ersan Tatlı
- Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya
| | - Ahmet İlker Tekkeşin
- İstanbul Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| | - Eralp Tutar
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara
| | - Dilek Ural
- Department of Cardiology, Koç University Faculty of Medicine, İstanbul
| | - Özlem Yıldırımtürk
- İstanbul Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital, İstanbul
| |
Collapse
|
20
|
Koçyiğit D, Tokgözoğlu L, Kayıkçıoğlu M, Altay S, Aydoğdu S, Barçın C, Bostan C, Çakmak HA, Çatakoğlu AB, Emet S, Ergene O, Kalkan AK, Kaya B, Kaya C, Kaymaz C, Koylan N, Kültürsay H, Oğuz A, Özpelit E, Ünlü S. Is there a gender gap in secondary prevention of coronary artery disease in Turkey? Turk Kardiyol Dern Ars 2019; 46:683-691. [PMID: 30516526 DOI: 10.5543/tkda.2018.10.5543/tkda.2018.45392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE It has been reported that women receive fewer preventive recommendations regarding pharmacological treatment, lifestyle modifications, and cardiac rehabilitation compared with men who have a similar risk profile. This study was an investigation of the impact of gender on cardiovascular risk profile and secondary prevention measures for coronary artery disease (CAD) in the Turkish population. METHODS Statistical analyses were based on the European Action on Secondary and Primary Prevention through Intervention to Reduce Events (EUROASPIRE)-IV cross-sectional survey data obtained from 17 centers in Turkey. Male and female patients, aged 18 to 80 years, who were hospitalized for a first or recurrent coronary event (coronary artery bypass graft, percutaneous coronary intervention, acute myocardial infarction, or acute myocardial ischemia) were eligible. RESULTS A total of 88 (19.7%) females and 358 males (80.3%) were included. At the time of the index event, the females were significantly older (p=0.003) and had received less formal education (p<0.001). Non-smoking status (p<0.001) and higher levels of depression and anxiety (both p<0.001) were more common in the female patients. At the time of the interview, conducted between 6 and 36 months after the index event, central obesity (p<0.001) and obesity (p=0.004) were significantly more common in females. LDL-C, HDL-C or HbA1c levels did not differ significantly between genders. The fasting blood glucose level was significantly higher (p=0.003) and hypertension was more common in females (p=0.001). There was no significant difference in an increase in physical activity or weight loss after the index event between genders, and there was no significant difference between genders regarding continuity of antiplatelet, statin, beta blocker or ACEi/ARB II receptor blocker usage (p>0.05). CONCLUSION Achievement of ideal body weight, fasting blood glucose and blood pressure targets was lower in women despite similar reported medication use. This highlights the importance of the implementation of lifestyle measures and adherence to medications in women.
Collapse
Affiliation(s)
| | - Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
21
|
Kayıkçıoğlu M, Tokgözoğlu L, Kılıçkap M, Göksülük H, Karaaslan D, Özer N, Abacı A, Yılmaz MB, Barçın C, Ateş K, Bayram F, Şahin M, Ural D. [Data on prevalence of dyslipidemia and lipid values in Turkey: Systematic review and meta-analysis of epidemiological studies on cardiovascular risk factors]. Turk Kardiyol Dern Ars 2018; 46:556-574. [PMID: 30391985 DOI: 10.5543/tkda.2018.23450] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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 Dyslipidemias, primarily hypercholesterolemia, are independent and strong predictors of cardiovascular (CV) events. The frequency of dyslipidemia is very important in terms of determining CV prevention policies. In order to determine the up-to-date frequency of CV risk factors in Turkey, a meta-analysis of the epidemiologic studies carried out in the last 15 years was performed. This article presents the results on the dyslipidemia data including hypercholesterolemia principally. METHODS Epidemiological studies conducted during the last 15 years and having the potential to represent the general population in Turkey were searched in databases (Ovid Medline, Web of Science Core Collection, and Turkish Academic Network and Information Center [ULAKBIM]) and web pages (Ministry of Health, Turkey Statistical Institute, Turkish Society of Cardiology, Nephrology and Endocrinology Associations). A total of 7 studies including lipid data were found. Systematic review and meta-analysis of the studies with low bias score were performed. Crude values of the prevalence of hypercholeterolemia, hypertriglyceridemia and low HDL and mean lipid levels were calculated. Random effects model was used in meta-analysis. RESULTS The prevalence of hypercholesterolemia defined as a LDLcholesterol >130 and/or ≥130 mg/dL, was 29.1% (95% CI 23.6-35.0) in the general population, 30.2% in females (%95 CI 24.7-36.1), and 27.8% in males (95% CI 22.3-33.6). The prevalence of low HDLcholesterol (≤50 mg/dL for females and ≤40 mg/dL for males) was calculated as 46.1% (95% CI 42.4-49.9) in the whole group, 50.7% (95% CI 47.7-53.6) in females and 41.1% (95% CI 36.1-46.3) in males. The prevalence of hypertriglyceridemia (>150 mg/dL) was 36.5% (95% CI 30.6-42.5) in general, 32.0% (95% GA 26.6-37.8) in females and 41.3% (95% CI 34.9-47.8) in males. CONCLUSION Dyslipidemia constitutes a major public health problem in Turkey. In the adult population, almost 3 of 10 have hypercholesterolemia, one of 2 has a low HDL-cholesterol, and 1 of 3 has high triglycerides levels.
Collapse
Affiliation(s)
- Meral Kayıkçıoğlu
- Department of Cardiology, Ege University Faculty of Medicine, İzmir, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Yılmaz MB, Kılıçkap M, Abacı A, Barçın C, Bayram F, Karaaslan D, Göksülük H, Kayıkçıoğlu M, Özer N, Süleymanlar G, Şahin M, Tokgözoğlu L, Satman İ. [Temporal changes in the epidemiology of diabetes mellitus in Turkey: A systematic review and meta-analysis]. Turk Kardiyol Dern Ars 2018; 46:546-555. [PMID: 30391984 DOI: 10.5543/tkda.2018.88225] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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 Diabetes mellitus (DM) is a serious public health problem. Despite various epidemiological studies reporting prevalence of DM in Turkey, there is no meta-analysis or systematic review evaluating these studies as a whole and assessing temporal changes in the prevalence of DM. In this meta-analysis, the studies that have been conducted in the last 15 years and which provide information on the prevalence of DM in our country are examined. METHODS Epidemiological studies on cardiovascular risk factors in adult Turkish population that had been conducted within the last 15 years and having the capacity of either representating or potentially representing the country, were searched through Ovid, Medline and Web of Science Core Collection the Turkish Academic Network and Information Center (ULAKBIM) databases. Additionally, websites of Ministry of Health and related societies were investigated for additional studies. Random effects model was used in meta-analysis of low bias risk studies. Meta-regression was performed to evaluate the temporal change in DM prevalence. RESULTS There were 8 studies which provided information with regard to DM prevalence (n=84656). Four of these studies (n=56853) had low bias risk and four had high bias risk (n=27803). When compared with low bias risk studies, those with high bias risk had very large variation of DM prevalence (between 4% to 15%). Meta-analysis of the low bias risk group yielded a crude DM prevalence of 13.5% (95% CI: 11.6-15.5%) in the whole group, 14.2% (95% CI: 12.3-16.2%) in females, 12.6% (95% CI: 10.5-14.9%) in males. In meta-regression analysis of low bias risk group, mean age difference among the studies and the time period in which the study was undertaken were partially able to explain the inter-study heterogeneity (R2 values were 52% and 78%). CONCLUSION This meta-analysis shows that DM is a highly prevalent public health problem in our country. Contrary to studies, which compare the recent studies with previous ones and report an increasing prevalence of DM, the present meta-analysis-despite its limitations-provides findings that the temporal increase of DM prevalence is at least paused over time. This situation underlines the need for new studies.
Collapse
Affiliation(s)
- Mehmet Birhan Yılmaz
- Department of Cardiology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
23
|
Kılıçkap M, Barçın C, Göksülük H, Karaaslan D, Özer N, Kayıkçıoğlu M, Ural D, Yılmaz MB, Abacı A, Arıcı M, Altun B, Tokgözoğlu L, Şahin M. [Data on prevalence of hypertension and blood pressure in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors]. Turk Kardiyol Dern Ars 2018; 46:525-545. [PMID: 30391983 DOI: 10.5543/tkda.2018.15679] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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 Cardiovascular risc factors may show significant changes over the years. A systematic review and meta-analysis of epidemiological studies conducted in Turkey was performed to assess the latest profile and temporal changes in cardiovascular risk factors. Presented here are the data on hypertension (HT) and blood pressure (BP). METHODS Ovid Medline, the Web of Science Core Collection, and the Turkish Academic Network and Information Center (ULAKBIM) were searched for epidemiological studies conducted in Turkey during the last 15 years. In addition, the web pages of the Ministry of Health, the Turkish Statistical Institute, and associations of cardiology, nephrology, and endocrinology were searched for appropriate studies. Regional studies were excluded. The studies included were assessed with a bias score developed by our team, then categorized as having a low risk or a high risk of bias. The crude values of HT prevalence and BP were pooled using a random effects model. Meta-regression was performed to explain heterogeneity and to assess temporal changes. RESULTS The agreement between the 2 authors on the selection and bias scoring of the studies was perfect (Kappa ≥0.95). There were 7 (n=73218) studies providing HT prevalence data, and 8 (n=75879) studies with BP data. The heterogeneity between the studies was high. Meta-analysis of the studies with a low risk of bias indicated that the crude prevalence of HT is higher in women, but that BP levels were similar in both sexes. The HT prevalence and BP value decreased between 2003 and 2012; however, the number of hypertensives stabilized at approximately 15 million, and the number of uncontrolled hypertensives, despite some decrease, was around 11 million. CONCLUSION Despite some improvement, HT is still an important public health problem in Turkey.
Collapse
Affiliation(s)
- Mustafa Kılıçkap
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
24
|
Abacı A, Kılıçkap M, Göksülük H, Karaaslan D, Barçın C, Kayıkçıoğlu M, Özer N, Yılmaz MB, Şahin M, Tokgözoğlu L. [Data on prevalence of metabolic syndrome in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors]. Turk Kardiyol Dern Ars 2018; 46:591-601. [PMID: 30391988 DOI: 10.5543/tkda.2018.00878] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [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 incidence of metabolic syndrome varies greatly in developed and developing countries. In the last 10 to 15 years, important studies have been performed examining the incidence of metabolic syndrome in Turkey. This article is a meta-analysis of the studies that investigated the incidence of metabolic syndrome this country. METHODS Epidemiological studies from the last 15 years that provided information about the incidence of metabolic syndrome in Turkey were screened in the Ovid Medline, the Web of Science Core Collection, and the Turkish Academic Network and Information Center (ULAKBIM) databases. In addition, web pages of the Ministry of Health, the Turkish Statistical Institute, and the associations of the related medical discipilnes were screened for appropriate studies. A bias tool that is developed by our team was used to categorize the included studies as having low- or high risk of bias. A random effects model was used in the meta-analysis. Linear and nonlinear meta-regression analyses were performed to evaluate heterogeneity and temporal variations in prevalence rates. RESULTS Four studies (n=34893) were identified that provided information about the status of metabolic syndrome in Turkey using the Adult Treatment Panel III definition. There was excellent interobserver agreement regarding the selection of studies and the scoring of the selected research with respect to bias. The metaanalysis revealed a prevalence of 32.9% (95% confidence interval [CI]: 30.2-35) overall, 38.3% (95% CI: 35.8-40.8) in women, and 26.8% (95% CI: 23.4-30.3) in men. Two studies (n=8568) provided data according to the International Diabetes Federation definition of metabolic syndrome. The random effects model used in the metaanalysis of these studies demonstrated a prevalence of metabolic syndrome of 43.3% (95% CI: 41.9-44.7) overall, 50.4% (95% CI: 49.0-51.9) in women, and 35.4% (95% CI: 32.5-38.5) in men. CONCLUSION In Turkey, the incidence of metabolic syndrome is 1 in every 4 men, and 1 in every 3 women. The rate is particularly high among women. Studies designed to prevent the development of metabolic syndrome are needed.
Collapse
Affiliation(s)
- Adnan Abacı
- Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
25
|
Ural D, Kılıçkap M, Göksülük H, Karaaslan D, Kayıkçıoğlu M, Özer N, Barçın C, Yılmaz MB, Abacı A, Şengül Ş, Arınsoy T, Erdem Y, Sanisoğlu Y, Şahin M, Tokgözoğlu L. [Data on prevalence of obesity and waist circumference in Turkey: Systematic review, meta-analysis and meta regression of epidemiological studies on cardiovascular risk factors]. Turk Kardiyol Dern Ars 2018; 46:577-590. [PMID: 30391987 DOI: 10.5543/tkda.2018.62200] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE Obesity is the most important epidemic of the 21st century and its incidence is increasing steadily in Turkey. The aim of this study was to assess the current status and temporal change in the prevalence of obesity in Turkey with a systematic review and metaanalysis of epidemiological studies conducted in the last 15 years. METHODS Ovid Medline, the Web of Science Core Collection and the Turkish Academic Network and Information Center (ULAKBIM) databases, as well as the web pages of the Turkish Ministry of Health, the Turkish Statistical Institute, and cardiology, nephrology and endocrinology associations were searched for epidemiological studies conducted within Turkey the last 15 years. Research focusing on local data was excluded. Studies included in the analysis were assessed with a special bias score and categorized as having low or high risk of bias. Body mass index (BMI), waist circumference, obesity and prevalence of abdominal obesity were calculated as crude values. Meta-regression analysis was performed to assess heterogeneity and change over time. RESULTS The agreement between the two investigators on the selection and bias scoring of the studies was excellent (kappa=0.95), but the heterogeneity between the studies was high. BMI (10 studies, n=93.554) was calculated as 28.2 kg/m2 for women and 26.5 kg/m2 for men. The prevalence of obesity (12 trials, n=106.553) was 33.2% in females and 18.2% in males. In 6 studies (n=66.591) that included a measurement of waist circumference, the values were 89.72 cm in women and 93.57 cm in men. Especially in women, the prevalence of abdominal obesity (5 studies, n=62331) was greater than that of general obesity (50.8% in women vs 20.8% in men). Meta-regression analysis revealed that the variance of the obesity prevalence between the studies could partly be explained by the age differences, but there was no temporal change in the prevalence of obesity during the years the studies were conducted. CONCLUSION The prevalence of obesity, especially abdominal obesity, is considerably high in Turkish women and increases with advancing age. This finding points out that nationwide action plans against obesity, especially for women, should be designed and implemented by health policy makers.
Collapse
Affiliation(s)
- Dilek Ural
- Department of Cardiology, Koç University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
26
|
Özer N, Kılıçkap M, Tokgözoğlu L, Göksülük H, Karaaslan D, Kayıkçıoğlu M, Yılmaz MB, Barçın C, Abacı A, Şahin M. Data on smoking in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors. Turk Kardiyol Dern Ars 2018; 46:602-612. [PMID: 30391989 DOI: 10.5543/tkda.2018.85349] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE Smoking is one of the most important public health problems and preventable causes of mortality in Turkey. Major healthcare policies have been implemented to combat this problem over the past 10 years. The aim of this study was to conduct a systematic review and meta-analysis of epidemiological studies performed in the country in the last 15 years to determine the prevalence of smoking in Turkey. METHODS Ovid Medline, the Web of Science Core Collection, and the Turkish Academic Network and Information Center (ULAKBIM), as well as the websites of the Ministry of Health and the Turkish Statistical Institute were searched for the appropriate epidemiological studies. Studies included in the analysis were evaluated by a selfdeveloped bias score regarding their potential to represent Turkey and standardization of measurements. The meta-analysis and metaregression analysis were performed using a random effects model. RESULTS Ten epidemiological studies (n=122383) that included data about smoking were found. Eight of them (all with low bias score) included separate data about the smoking habit of women (n=49524) and men (n=37684). The smoking prevalence was determined to be 30.5% for the whole group, 15.7% for women, and 46.1% for men, when occasional smokers were included. Although the change observed in crude prevalence values over time was not statistically significant, when the data of the 3 studies that gave prevalence values according to age categories were standardized according to age, the incidence of smoking between 2003 and 2012 decreased 6.8% (20.2%) when occasional smokers were included and 8.4% (26.3%) when they are excluded. CONCLUSION Despite implementation of major healthcare policies and some success in decreasing rate of smoking, one-third of the Turkish population aged over 15 years and nearly half of the men are smokers. It is essential to continue and to strengthen measures to combat smoking.
Collapse
Affiliation(s)
- Necla Özer
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
27
|
Haymana C, Berlik H, Güneş Y, Tunçez OE, Aytekin C, Tapıkara Z, Güzel H, Öztürk Ö, Barçın C, Özgürtaş T, Azal Ö, Sönmez A. Identifying undiagnosed or undertreated patients with familial hypercholesterolemia from the laboratory records of a tertiary medical center. Turk Kardiyol Dern Ars 2018; 45:731-738. [PMID: 29226894 DOI: 10.5543/tkda.2017.63846] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE Familial hypercholesterolemia (FH) is a life-threatening genetic disease associated with elevated low-density lipoprotein cholesterol (LDL-C) and premature coronary heart disease that is undiagnosed and undertreated around the world. This study aimed to examine the demographic characteristics, awareness, and treatment adherence of undiagnosed or undertreated FH patients based on laboratory records. METHODS In a 16-month retrospective survey using laboratory records, patients with elevated LDL-C (>250 mg/dL) were identified (n=395). Patients younger than 18 years of age or with secondary causes of dyslipidemia were excluded (n=98). In all, 297 patients were called and asked to participate in a phone interview regarding their demographic characteristics, awareness of dyslipidemia, and treatment adherence. RESULTS A total of 147 patients (mean age: 51.7±16.6 years; 59.2% female) completed the interview. The mean LDL-C level of the patients was 292.8±49.9 mg/dL. According to the Dutch Lipid Clinic Network criteria, 18.4% of the patients had definite FH, 66.0% had probable FH, and 15.6% had possible FH. Although the majority of the patients (93.9%) were aware of their high LDL-C level, only about half of them (n=75; 51.0%) were in treatment. Of all the patients who were interviewed, 21% (n=31) had never taken medication to lower their LDL-C, and 28% (n=41) had stopped taking a lipid-lowering drug. CONCLUSION This pilot study revealed that a significant number of FH patients were not taking statins despite having a very high LDL-C level. Nationwide detection of likely FH patients using hospital records and interviewing them via a phone survey may help to better understand and manage these high-risk patients.
Collapse
Affiliation(s)
- Cem Haymana
- Department of Endocrinology and Metabolism, Gülhane Training and Research Hospital, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Yüksel UÇ, Çelik M, Yıldırım E, Yıldırım AO, Karabacak K, İnce E, Adıgözelzade S, Asil S, Keskin ÖF, Görmel S, Barçın C. Percutaneous Closure of a Giant Aortic Pseudoaneurysm with Occlutech Asd Closure Device. Am J Cardiol 2018. [DOI: 10.1016/j.amjcard.2018.03.209] [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: 11/27/2022]
|
29
|
Yıldırım E, Yüksel UÇ, Çelik M, Bugan B, Gökoğlan Y, Yaşar S, Görmel S, Köklü M, Kabul HK, Barçın C. Endovascular Repair of Aorta and Bilateral Common İliac Artery Aneurysms Using Gore Excluder İliac Branch Endoprosthesis. Am J Cardiol 2018. [DOI: 10.1016/j.amjcard.2018.03.211] [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: 10/16/2022]
|
30
|
Yıldırım E, Yüksel UÇ, Çelik M, Bugan B, Gökoğlan Y, Görmel S, Kabul HK, Yaşar S, Köklü M, Barçın C. A Rare Case of Aorta to Left Atrial Fistula Soon after Aortic Bioprosthesis: An Uncommon Presentation with Acute Hemodynamic Worsening. Am J Cardiol 2018. [DOI: 10.1016/j.amjcard.2018.03.214] [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: 11/27/2022]
|
31
|
Yüksel UÇ, Yıldırım E, Çelik M, Görmel S, Asil S, Barış VÖ, Yaşar S, Erol G, Barçın C. Percutaneous Treatment of a Patient With Aortoiliac Occlusive Disease. Am J Cardiol 2018. [DOI: 10.1016/j.amjcard.2018.03.330] [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]
|
32
|
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.
Collapse
Affiliation(s)
- Erkan Yıldırım
- Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
33
|
Tokgözoğlu L, Kayıkçıoğlu M, Altay S, Aydoğdu S, Barçın C, Bostan C, Çakmak HA, Çatakoğlu AB, Emet S, Ergene O, Kalkan AK, Kaya B, Tulunay Kaya C, Kaymaz C, Koylan N, Kültürsay H, Oğuz A, Özpelit E, Ünlü S. [EUROASPIRE-IV: European Society of Cardiology study of lifestyle, risk factors, and treatment approaches in patients with coronary artery disease: Data from Turkey]. Turk Kardiyol Dern Ars 2017; 45:134-144. [PMID: 28424435 DOI: 10.5543/tkda.2016.82352] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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 Data from EUROASPIRE-IV Turkey report investigating risk factors and adherence to guidelines in patients hospitalized for coronary artery disease are presented and results are compared with those of EUROASPIRE-III Turkey and EUROASPIRE-IV Europe. METHODS Study was performed in 24 European countries, including Turkey (17 centers). Patients (18-80 years old) hospitalized for coronary (index) event during preceding 3 years were identified from hospital records and interviewed ≥6 months later. Patient information regarding index event was acquired from hospital records. Anamnesis was obtained during the interview, and physical examination and laboratory analyses were performed. RESULTS Median age at the index coronary event was 58.8 years, and it was significantly decreased compared with last EUROASPIRE-III study (60.5 years), which was conducted at the same centers 6 years earlier (p=0.017). Of all patients, 19.3% were under 50 years of age and mean age was lower than that of EUROASPIRE-IV Europe (62.5 years). Comparing EUROASPIRE-IV Turkey with EUROASPIRE-III Turkey, rate of smokers increased to 25.5% from 23.1% (p=0.499), obesity increased to 40.7% from 35.5% (p=0.211), total cholesterol level increased to 49.6% from 48.3% (p=0.767), and diabetes rate increased to 39.7% from 33.6% (p=0.139), however none of the differences reached a level of statistical significance. Only 11.7% of the smokers quit after coronary event. Rates for these factors were lower in EUROASPIRE-IV Europe (16% for smoking, 37.6% for obesity, and 26.8% for diabetes). CONCLUSION EUROASPIRE-IV Turkey data revealed that secondary prevention was unsatisfactory and had progressed unfavorably compared with last EUROASPIRE study, some risk factors were more uncontrolled than overall European average, and coronary artery events at young age remain an important problem.
Collapse
Affiliation(s)
- Lale Tokgözoğlu
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
34
|
Görmel S, Gökoğlan Y, Gürsoy E, Kabul HK, Yüksel UÇ, Barçın C, Yıldırım E, Yalçınkaya E, Bugan B, Çelik M, Köklü M, Yaşar S. OP-006 Comparison of Cardiovascular Risk Scores Between Patients With and Without cute Coronary Syndrome Undergoing Percutaneous Intervention: A Randomized Clinical Trial. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.058] [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]
|
35
|
Görmel S, Bugan B, Çelik M, Yüksel UÇ, Yıldırım E, Gökoğlan Y, Yalçınkaya E, Barçın C, Kabul HK, Gürsoy E, Yaşar S, Köklü M. OP-023 The Value of Total Cholesterol – HDL Cholesterol Ratio in Predicting Acute Coronary Syndromes: A Cross Sectional Study in Patients Undergoing Coronary Angiography. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.069] [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]
|
36
|
Çelik M, Yildirim E, Görmel S, Yaşar S, Köklü M, Gürsoy E, Gökoğlan Y, Yalçınkaya E, Yüksel UÇ, Barçın C. OP-011 The Relationship Between Pulmonary Artery Stiffness and Functional Capacity in Patients With Heart Failure. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.060] [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]
|
37
|
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]
|
38
|
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]
|
39
|
Görmel S, Yalçınkaya E, Köklü M, Yüksel UA, Bugan B, Çelik M, Barçın C, Gökoğlan Y, Kabul KH, Gürsoy E, Yaşar S, Yıldırım E. PP-022 Association of Coronary Atherosclerosis and Latent Chronic Kidney Disease in Turkish Population. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
40
|
Çelik M, Görmel S, Yaşar S, Yıldırım E, Gökoğlan Y, Gürsoy E, Köklü M, Yalçınkaya E, Yüksel UÇ, Kabul HK, Barçın C. PP-052 An Interesting Combination: Atrial Septal Defect, Ventricular Septal Defect, Ebstein Anomaly, Cor Triatriatum Dextrum, and Methemoglobinemia. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.177] [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]
|
41
|
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]
|
42
|
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]
|
43
|
Yaşar S, Gürsoy E, Yalçınkaya E, Fırtına S, Görmel S, Yıldırım E, Gökoğlan Y, Yüksel UÇ, Çelik M, Kabul HK, Barçın C. PP-069 Multimodality Imaging of a Cystic Thymoma Simulating a Giant Pericardial Cyst. Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.425] [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: 11/27/2022]
|
44
|
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]
|
45
|
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]
|
46
|
Barçın C, Kabul HK, Yalçınkaya E, Demir M. Multiple-site bleeding with prominent rise in coagulation tests in an elderly woman using dabigatran etexilate. Anadolu Kardiyol Derg 2014; 14:477. [PMID: 24968976 DOI: 10.5152/akd.2014.5274] [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] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Cem Barçın
- Department of Cardiology, Gülhane Military Medical Faculty; Ankara-Turkey.
| | | | | | | |
Collapse
|
47
|
Doğaner YÇ, Aydoğan Ü, Rohrer JE, Aydoğdu A, Çaycı T, Barçın C, Sağlam K. Comparison of estimated GFR equations based on serum cystatin C alone and in combination with serum creatinine in patients with coronary artery disease. Anatol J Cardiol 2014; 15:571-6. [PMID: 25537999 PMCID: PMC5337038 DOI: 10.5152/akd.2014.5535] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
OBJECTIVE Several new equations (GFRCKD-EPI-cr, GFRCKD-EPI-CysC, GFRCKD-EPI Cr+CysC) are used for the calculation of estimated GFR (eGFR) to evaluate renal function. These equations explicitly demonstrate the association of coronary artery disease (CAD) and severe renal impairment cases. However, these equations are considered insufficient to explain the relation with normal or mildly impaired eGFR and CAD. Our hypothesis was to indicate the inversely proportional relationship of eGFR values, calculated by the different equations, with the presence of CAD in patients with normal or mildly impaired renal function. METHODS Eighty-eight patients who underwent elective coronary angiographic intervention were enrolled into the study. The study population was divided into two groups based on angiographic documents: patients with normal coronary arteries (CAD-) and patients with CAD (CAD +). These patients were stable and decided to implement angiography for the purpose of suspicion about CAD and control. Since it is thought that eGFR equations based on creatinine are inadequate to determine chronic kidney disease (CKD) and overestimate CKD diagnosis, cystatin C-based equations are considered an alternative. Due to the potential effects of inflammatory events of the markers used in equations, patients with diabetes mellitus, severe CKD, and inflammatory bowel disease were excluded from the study. RESULTS The average age of all participants was 51.93±9.31 (32-65 years); 80.7% (n=71) was male. A statistical difference was found between the CAD (-) group and the CAD (+) group in terms of the variables of age (45.46±8.48 vs. 54.95±8.11, p<0.001), gender (67.9% vs. 86.7%, male, p=0.037), cystatin C values (1.37±0.34 vs. 0.85±0.39, p<0.001), and GFR equations defined by the Chronic Kidney Disease Epidemiology: GFRCKD-EPI-cr (85.86±14.20 vs. 79.45±10.25, p=0.018), GFRCKD-EPI-CysC (58.61±21.87 vs. 100.82±32.00, p<0.001), and GFRCKD-EPI Cr+CysC (68.29±13.49 vs. 90.75±18.34, p<0.001). After adjustment of the variables in multiple regression analyses, only age (OR, 1.199; 95% CI, 1.077 to 1.335, p=0.001), gender (OR, 8.252; 95% CI, 0.223 to 55.659, p=0.030), and the GFRCKD-EPI-CysC equation (OR, 1.059; 95% CI, 1.028 to 1.090, p<0.001) were detected as predictors for presence of CAD. CONCLUSION GFR equations based on cystatin C or combined with creatinine may have superiority to GFR equations based on creatinine alone in CAD patients. However, the impact of different variables on the GFRCKD-EPI-CysC equation should not be ignored in specific groups, such as CAD.
Collapse
|
48
|
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]
|
49
|
Yüksel U, Çelik M, Kabul H, Barçın C, Yalçınkaya E, Yaşar S, Demir M, Çelik T, İyisoy A. OP-105 The Relationship Between Two Readily Ascertainable Prognostic Indicators of STEMI: Neutrophil-to-Lymphocyte Ratio and Electrocardiographic Ischemia Grade. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.080] [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]
|
50
|
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]
|