1
|
Oktay V, Tüfekçioğlu O, Çicek Yılmaz D, Onrat E, Karabulut D, Çelik M, Serhat Balcıoğlu A, Murat Sucu M, Özdemir G, Kaya H, Kış M, Güven B, Bağdatoğlu O, Nihan Turhan Çağlar F, Çağdaş Yüksel U, Veysel Düzen İ, Barutçu A, Semih Şimşir Ö, Başarıcı İ, Parspur A, Dalgıç O, Özlem Arıcan Özlük F, Evlice M, Sağ S, Furkan Deniz M, Öcal A, Gazi E, Şen T, Özdabakoğlu O, Bayar Çakıcı N, Ozan Bakır E, Ülgen Kunak A, Çaylı G, Gül Taşdelen A, Akşit E, Uslu Çil Ş, Onay H. The Definition of Sarcomeric and Non-Sarcomeric Gene Mutations in Hypertrophic Cardiomyopathy Patients: A Multicenter Diagnostic Study Across Türkiye. Anatol J Cardiol 2023; 27:628-638. [PMID: 37466024 PMCID: PMC10621609 DOI: 10.14744/anatoljcardiol.2023.2805] [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: 12/26/2022] [Accepted: 05/29/2023] [Indexed: 11/04/2023] Open
Abstract
BACKGROUND Hypertrophic cardiomyopathy is a common genetic heart disease and up to 40%-60% of patients have mutations in cardiac sarcomere protein genes. This genetic diagnosis study aimed to detect pathogenic or likely pathogenic sarcomeric and non-sarcomeric gene mutations and to confirm a final molecular diagnosis in patients diagnosed with hypertrophic cardiomyopathy. METHODS A total of 392 patients with hypertrophic cardiomyopathy were included in this nationwide multicenter study conducted at 23 centers across Türkiye. All samples were analyzed with a 17-gene hypertrophic cardiomyopathy panel using next-generation sequencing technology. The gene panel includes ACTC1, DES, FLNC, GLA, LAMP2, MYBPC3, MYH7, MYL2, MYL3, PLN, PRKAG2, PTPN11, TNNC1, TNNI3, TNNT2, TPM1, and TTR genes. RESULTS The next-generation sequencing panel identified positive genetic variants (variants of unknown significance, likely pathogenic or pathogenic) in 12 genes for 121 of 392 samples, including sarcomeric gene mutations in 30.4% (119/392) of samples tested, galactosidase alpha variants in 0.5% (2/392) of samples and TTR variant in 0.025% (1/392). The likely pathogenic or pathogenic variants identified in 69 (57.0%) of 121 positive samples yielded a confirmed molecular diagnosis. The diagnostic yield was 17.1% (15.8% for hypertrophic cardiomyopathy variants) for hypertrophic cardiomyopathy and hypertrophic cardiomyopathy phenocopies and 0.5% for Fabry disease. CONCLUSIONS Our study showed that the distribution of genetic mutations, the prevalence of Fabry disease, and TTR amyloidosis in the Turkish population diagnosed with hypertrophic cardiomyopathy were similar to the other populations, but the percentage of sarcomeric gene mutations was slightly lower.
Collapse
Affiliation(s)
- Veysel Oktay
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | | | - Dilek Çicek Yılmaz
- Department of Cardiology, Faculty of Medicine, Mersin University, Mersin, Türkiye
| | - Ersel Onrat
- Department of Cardiology, Faculty of Medicine, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Türkiye
| | - Dilay Karabulut
- Clinic of Cardiology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye
| | - Murat Çelik
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - Akif Serhat Balcıoğlu
- Department of Cardiology, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Türkiye
| | - Mehmet Murat Sucu
- Department of Cardiology, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Güllü Özdemir
- Clinic of Cardiology, Private Çekirge Heart and Arrhythmia Hospital, Bursa, Türkiye
| | - Hakkı Kaya
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | - Mehmet Kış
- Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, İzmir, Türkiye
| | - Barış Güven
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | | | | | - Uygar Çağdaş Yüksel
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - İrfan Veysel Düzen
- Department of Cardiology, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Ahmet Barutçu
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | | | - İbrahim Başarıcı
- Department of Cardiology, Faculty of Medicine, Akdeniz University, Antalya, Türkiye
| | - Afşin Parspur
- Clinic of Cardiology, Kütahya University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | - Onur Dalgıç
- Clinic of Cardiology, Private Kardiya Cardiology Center, İzmir, Türkiye
| | | | - Mert Evlice
- Clinics of Cardiology, Adana City Hospital, Adana, Türkiye
| | - Saim Sağ
- Clinic of Cardiology, Acıbadem Bursa Hospital, Bursa, Türkiye
| | - Muhammed Furkan Deniz
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | - Arslan Öcal
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | - Taner Şen
- Clinic of Cardiology, Kütahya University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | | | - Nermin Bayar Çakıcı
- Department of Cardiology, Antalya Training and Research Hospital, Antalya, Türkiye
| | - Eren Ozan Bakır
- Department of Cardiology, Faculty of Medicine, Celal Bayar University, Manisa, Türkiye
| | | | - Gizem Çaylı
- Medical Affairs Rare Diseases, Sanofi, İstanbul, Türkiye
| | - Aybike Gül Taşdelen
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | - Ercan Akşit
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | | | - Hüseyin Onay
- Gene2Info Health Informatics, İstanbul, Türkiye
- Multigen Genetic Diseases Diagnosis Center, İzmir, Türkiye
| |
Collapse
|
2
|
Oktay V, Tüfekçioğlu O, Yılmaz DÇ, Onrat E, Karabulut D, Çelik M, Balcıoğlu AS, Sucu MM, Özdemir G, Kaya H, Kış M, Güven B, Bağdatoğlu O, Turhan Çağlar FN, Yüksel UÇ, Düzen İV, Barutçu A, Şimşir ÖS, Başarıcı İ, Parspur A, Dalgıç O, Arıcan Özlük FÖ, Evlice M, Sağ S, Deniz MF, Öcal A, Gazi E, Şen T, Özdabakoğlu O, Bayar Çakıcı N, Bakır EO, Ülgen Kunak A, Çaylı G, Gül Taşdelen A, Akşit E, Uslu Çil Ş, Onay H. The Definition of Sarcomeric and Non-Sarcomeric Gene Mutations in Hypertrophic Cardiomyopathy Patients: A Multicenter Diagnostic Study Across Türkiye. Anatol J Cardiol 2023. [PMID: 37466024 DOI: oi10.14744/anatoljcardiol.2023.2805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023] Open
Abstract
BACKGROUND Hypertrophic cardiomyopathy is a common genetic heart disease and up to 40%-60% of patients have mutations in cardiac sarcomere protein genes. This genetic diagnosis study aimed to detect pathogenic or likely pathogenic sarcomeric and non-sarcomeric gene mutations and to confirm a final molecular diagnosis in patients diagnosed with hypertrophic cardiomyopathy. METHODS A total of 392 patients with hypertrophic cardiomyopathy were included in this nationwide multicenter study conducted at 23 centers across Türkiye. All samples were analyzed with a 17-gene hypertrophic cardiomyopathy panel using next-generation sequencing technology. The gene panel includes ACTC1, DES, FLNC, GLA, LAMP2, MYBPC3, MYH7, MYL2, MYL3, PLN, PRKAG2, PTPN11, TNNC1, TNNI3, TNNT2, TPM1, and TTR genes. RESULTS The next-generation sequencing panel identified positive genetic variants (variants of unknown significance, likely pathogenic or pathogenic) in 12 genes for 121 of 392 samples, including sarcomeric gene mutations in 30.4% (119/392) of samples tested, galactosidase alpha variants in 0.5% (2/392) of samples and TTR variant in 0.025% (1/392). The likely pathogenic or pathogenic variants identified in 69 (57.0%) of 121 positive samples yielded a confirmed molecular diagnosis. The diagnostic yield was 17.1% (15.8% for hypertrophic cardiomyopathy variants) for hypertrophic cardiomyopathy and hypertrophic cardiomyopathy phenocopies and 0.5% for Fabry disease. CONCLUSIONS Our study showed that the distribution of genetic mutations, the prevalence of Fabry disease, and TTR amyloidosis in the Turkish population diagnosed with hypertrophic cardiomyopathy were similar to the other populations, but the percentage of sarcomeric gene mutations was slightly lower.
Collapse
Affiliation(s)
- Veysel Oktay
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | | | - Dilek Çicek Yılmaz
- Department of Cardiology, Faculty of Medicine, Mersin University, Mersin, Türkiye
| | - Ersel Onrat
- Department of Cardiology, Faculty of Medicine, Afyonkarahisar University of Health Sciences, Afyonkarahisar, Türkiye
| | - Dilay Karabulut
- Clinic of Cardiology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye
| | - Murat Çelik
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - Akif Serhat Balcıoğlu
- Department of Cardiology, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Türkiye
| | - Mehmet Murat Sucu
- Department of Cardiology, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Güllü Özdemir
- Clinic of Cardiology, Private Çekirge Heart and Arrhythmia Hospital, Bursa, Türkiye
| | - Hakkı Kaya
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | - Mehmet Kış
- Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, İzmir, Türkiye
| | - Barış Güven
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | - Oktay Bağdatoğlu
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | | | - Uygar Çağdaş Yüksel
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - İrfan Veysel Düzen
- Department of Cardiology, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Ahmet Barutçu
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | | | - İbrahim Başarıcı
- Clinic of Cardiology, Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye
| | - Afşin Parspur
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - Onur Dalgıç
- Department of Cardiology, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Fatma Özlem Arıcan Özlük
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | - Mert Evlice
- Medical Affairs Rare Diseases, Sanofi, İstanbul, Türkiye
| | - Saim Sağ
- Department of Cardiology, Faculty of Medicine, Akdeniz University, Antalya, Türkiye
| | - Muhammed Furkan Deniz
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | - Arslan Öcal
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | - Taner Şen
- Department of Cardiology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
| | - Osman Özdabakoğlu
- Department of Cardiology, Faculty of Medicine, Akdeniz University, Antalya, Türkiye
| | - Nermin Bayar Çakıcı
- Clinic of Cardiology, Kütahya University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | - Eren Ozan Bakır
- Clinic of Cardiology, Private Kardiya Cardiology Center, İzmir, Türkiye
| | | | - Gizem Çaylı
- Clinic of Nephrology, Ankara City Hospital, Ankara, Türkiye
| | - Aybike Gül Taşdelen
- Department of Cardiology, İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Türkiye
| | - Ercan Akşit
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye
| | | | - Hüseyin Onay
- Clinics of Cardiology, Adana City Hospital, Adana, Türkiye
| |
Collapse
|
3
|
Şabanoğlu C, Sinan ÜY, Akboğa MK, Çoner A, Gök G, Kocabaş U, Bekar L, Gazi E, Cengiz M, Kılıç S, İnanç İH, Çakmak HA, Zoghi M. Long-Term Prognosis of Patients with Heart Failure: Follow-Up Results of Journey HF-TR Study Population. Anatol J Cardiol 2023; 27:26-33. [PMID: 36680444 PMCID: PMC9893707 DOI: 10.14744/anatoljcardiol.2022.2171] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 10/21/2022] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Despite advances in therapeutic management of patients with heart failure, there is still an increasing morbidity and mortality all over the world. In this study, we aimed to present the 3-year follow-up outcomes of patients included in the Journey HF-TR study in 2016 that has evaluated the clinical characteristics and management of patients with acute heart failure admitted to the hospital and present a national registry data. METHODS The study was designed retrospectively between November 2016 and December 2019. Patient data included in the previously published Journey HF-TR study were used. Among 1606 patients, 1484 patients were included due to dropout of 122 patients due to inhospital death and due to exclusion of 173 due to incomplete data. The study included 1311 patients. Age, gender, concomitant chronic conditions, precipitating factors, New York Heart Association, and left ventricular ejection fraction factors were adjusted in the Cox regression analysis. RESULTS During the 3-year follow-up period, the ratio of hospitalization and mortality was 70.5% and 52.1%, respectively. Common causes of mortality were acute decompensation of heart failure and acute coronary syndrome. Angiotensin receptor blockers, betablockers, statin, and sacubitril/valsartan were found to reduce mortality. Hospitalization due to acute decompensated heart failure, acute coronary syndrome, lung diseases, oncological diseases, and cerebrovascular diseases was associated with the increased risk of mortality. Implantation of cardiac devices also reduced the mortality. CONCLUSIONS Despite advances in therapeutic management of patients with heart failure, our study demonstrated that the long-term mortality still is high. Much more efforts are needed to improve the inhospital and long-term survival of patients with chronic heart failure.
Collapse
Affiliation(s)
- Cengiz Şabanoğlu
- Department of Cardiology, Kırıkkale Yüksek İhtisas Hospital, Kırıkkale, Turkey
| | - Ümit Yaşar Sinan
- Department of Cardiology, İstanbul University-Cerrahpaşa Institute of Cardiology, İstanbul, Turkey
| | - Mehmet Kadri Akboğa
- Department of Cardiology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Ali Çoner
- Department of Cardiology, Başkent University Hospital, Antalya, Turkey
| | - Gülay Gök
- Department of Cardiology, Faculty of Medicine, İstanbul Medipol University, İstanbul, Turkey
| | - Umut Kocabaş
- Department of Cardiology, Başkent University Hospital, İzmir, Turkey
| | - Lütfü Bekar
- Department of Cardiology, Faculty of Medicine, Hitit University, Çorum, Turkey
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Mahir Cengiz
- Department of Cardiology, Faculty of Medicine, İstanbul Aydın University, İstanbul, Turkey
| | - Salih Kılıç
- Department of Cardiology, Adana City Training and Research Hospital, Adana, Turkey
| | - İbrahim Halil İnanç
- Department of Cardiology, Faculty of Medicine, Haliç University, İstanbul, Turkey
| | - Hüseyin Altuğ Çakmak
- Department of Cardiology, Adana City Training and Research Hospital, Adana, Turkey
| | - Mehdi Zoghi
- Department of Cardiology, Ege University Hospital, İzmir, Turkey
| |
Collapse
|
4
|
Sabanoglu C, Sinan UY, Akboga MK, Coner A, Gok G, Kocabas U, Bekar L, Gazi E, Cengiz M, Kilic S, Inanc IH, Cakmak HA, Zoghi M. The Long-Term Prognosis of Patients with Heart Failure: Follow-Up Results of Journey HF-TR Study Population. Anatol J Cardiol 2022. [DOI: 10.5152/anatoljcardiol.2022.2171] [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: 11/07/2022] Open
|
5
|
Küçük U, Gazi E, Duygu A, Akşit E. Evaluation of Aortic Elasticity Parameters in Survivors of COVID-19 Using Echocardiography Imaging. Med Princ Pract 2022; 31:276-283. [PMID: 35172305 PMCID: PMC9059019 DOI: 10.1159/000522626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 02/08/2022] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE While severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily affects lung tissue, it may cause direct or indirect damage to the cardiovascular system, and permanent damage may occur. Arterial stiffness is an early indicator of cardiovascular disease risk. The aim of our study was to establish the potential effects of SARS-CoV-2 on the vascular system evaluated by transthoracic echocardiographic examination. SUBJECTS AND METHODS This study compared arterial stiffness between the survivors of COVID-19 and those without a history of COVID-19 infection. The difference in aortic diameter was examined using echocardiography. RESULTS The study included 50 patients who survived COVID-19 in the last 3-6 months and 50 age- and gender-matched healthy volunteers. In surviving COVID-19 patients, aortic diastolic diameter in cm ([3.1 ± 0.2] vs. [2.9 ± 0.1], p < 0.001), pulse pressure (PP) ([43.02 ± 14.05] vs. [35.74 ± 9.86], p = 0.004), aortic distensibility ([5.61 ± 3.57] vs. [8.31 ± 3.82], p < 0.001), aortic strain ([10.56 ± 4.91] vs. [13.88 ± 5.86], p = 0.003), PP/stroke volume index ([1.25 ± 0.47] vs. [0.98 ± 0.28], p = 0.001), and aortic stiffness index ([2.82 ± 0.47] vs. [2.46 ± 0.45], p < 0.001) were statistically significant compared to the control group. CONCLUSION SARS-CoV-2 may cause reduced or impaired aortic elasticity parameters linked to impaired arterial wall function in COVID-19 survivors compared with controls.
Collapse
|
6
|
Akşit E, Oğuz S, Aşgün HF, Gazi E, Kırılmaz B, Yıldırım ÖT. How Does Persistent Left Superior Vena Cava Affect Human Heart Health? Acta Cardiol Sin 2021; 37:321-322. [PMID: 33976518 PMCID: PMC8107705 DOI: 10.6515/acs.202105_37(3).20200309a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Accepted: 03/09/2020] [Indexed: 11/23/2022]
Affiliation(s)
| | - Sonay Oğuz
- Department of Cardiovascular Surgery, Canakkale Onsekiz Mart University Faculty of Medicine, Canakkale
| | - Halil Fatih Aşgün
- Department of Cardiovascular Surgery, Canakkale Onsekiz Mart University Faculty of Medicine, Canakkale
| | | | | | | |
Collapse
|
7
|
Erol MK, Kayıkçıoğlu M, Kılıçkap M, Güler A, Öztürk Ö, Tuncay B, İnci S, Balaban İ, Tatar F, Çırakoğlu ÖF, Gazi E, Bakırcı EM, Yayla Ç, Astarcıoğlu MA, Duran Karaduman B, Aksu E, Alsancak Y, Emlek N, Tigen MK, Turhan Cağlar N, Düz R, Inanir M, Özdoğan Ö, Yavuzgil O. Time delays in each step from symptom onset to treatment in acute myocardial infarction: Results from a nation-wide TURKMI registry. Anatol J Cardiol 2021; 25:294-303. [PMID: 33960304 DOI: 10.5152/anatoljcardiol.2021.39797] [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: 11/22/2022] Open
Abstract
OBJECTIVE In this study, we aimed to analyze the TURKMI registry to identify the factors associated with delays from symptom onset to treatment that would be the focus of improvement efforts in patients with acute myocardial infarction (AMI) in Turkey. METHODS The TURKMI study is a nation-wide registry that was conducted in 50 centers capable of 24/7 primary percutaneous coronary intervention (PCI). All consecutive patients (n=1930) with AMI admitted to coronary care units within 48 hours of symptom onset were prospectively enrolled during a predefined 2-week period between November 1, 2018, and November 16, 2018. All the patients were examined in detail with regard to the time elapsed at each step from symptom onset to initiation of treatment, including door-to-balloon time (D2B) and total ischemic time (TIT). RESULTS After excluding patients who suffered an AMI within the hospital (2.6%), the analysis was conducted for 1879 patients. Most of the patients (49.5%) arrived by self-transport, 11.8% by emergency medical service (EMS) ambulance, and 38.6% were transferred from another EMS without PCI capability. The median time delay from symptom-onset to EMS call was 52.5 (15-180) min and from EMS call to EMS arrival 15 (10-20) min. In ST-segment elevation myocardial infarction (STEMI), the median D2B time was 36.5 (25-63) min, and median TIT was 195 (115-330) min. TIT was significantly prolonged from 151 (90-285) min to 250 (165-372) min in patients transferred from non-PCI centers. The major significant factors associated with time delay were patient-related delay and the mode of hospital arrival, both in STEMI and non-STEMI. CONCLUSION The baseline evaluation of the TURKMI study revealed that an important proportion of patients presenting with AMI within 48 hours of symptom onset reach the PCI treatment center later than the time proposed in the guidelines, and the use of EMS for admission to hospital is extremely low in Turkey. Patient-related factors and the mode of hospital admission were the major factors associated with the time delay to treatment.
Collapse
Affiliation(s)
- Mustafa Kemal Erol
- Department Of Cardiology, Şişli International Kolan Hospital; Istanbul-Turkey
| | - Meral Kayıkçıoğlu
- Department of Cardiology, Faculty of Medicine, Ege University; İzmir-Turkey
| | - Mustafa Kılıçkap
- Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey
| | - Arda Güler
- Department of Cardiology, Health Science University, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-Turkey
| | - Önder Öztürk
- Department of Cardiology, Health Science University, Gazi Yaşargil Training and Research Hospital; Diyarbakır-Turkey
| | - Burcu Tuncay
- Department of Cardiology, Health Science University, Bursa Yüksek İhtisas Training and Research Hospital; Bursa-Turkey
| | - Sinan İnci
- Department of Cardiology, Faculty of Medicine, Aksaray University; Aksaray-Turkey
| | - İsmail Balaban
- Department of Cardiology, Health Science University, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital; İstanbul-Turkey
| | - Fatih Tatar
- Department of Cardiology, Faculty of Medicine, Bülent Ecevit University; Zonguldak-Turkey
| | - Ömer Faruk Çırakoğlu
- Department of Cardiology, Health Science University, Ahi Evran Thoracic and Cardiovascular Surgery Training and Research Hospital; Trabzon-Turkey
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, Onsekiz Mart University; Çanakkale-Turkey
| | - Eftal Murat Bakırcı
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yıldırım University; Erzincan-Turkey
| | - Çağrı Yayla
- Department of Cardiology, Health Science University, Türkiye Yüksek İhtisas Training and Research Hospital; Ankara-Turkey
| | - Mehmet Ali Astarcıoğlu
- Department of Cardiology, Yıldırım Beyazıt University, Atatürk Training and Research Hospital; Ankara-Turkey
| | - Bilge Duran Karaduman
- Department of Cardiology, Dumlupınar University, Evliya Çelebi Training and Research Hospital; Kütahya-Turkey
| | - Ekrem Aksu
- Department of Cardiology, Faculty of Medicine, Sütçü İmam University; Kahramanmaras-Turkey
| | - Yakup Alsancak
- Department of Cardiology, Faculty of Medicine, Necmettin Erbakan University; Konya-Turkey
| | - Nadir Emlek
- Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdoğan University; Rize-Turkey
| | - Mustafa Kürşat Tigen
- Department of Cardiology, Faculty of Medicine, Marmara University; İstanbul-Turke
| | - Nihan Turhan Cağlar
- Department of Cardiology, Health Science University, Bakırköy Dr. Sadi Konuk Training and Research Hospital; İstanbul-Turkey
| | - Ramazan Düz
- Department of Cardiology, Health Science University, Van Training and Research Hospital; Van-Turkey
| | - Mehmet Inanir
- Department of Cardiology, Faculty of Medicine, Abant İzzet Baysal University; Bolu-Turkey
| | - Öner Özdoğan
- Department of Cardiology, Health Science University, Tepecik Training and Research Hospital; İzmir-Turkey
| | - Oğuz Yavuzgil
- Department of Cardiology, Faculty of Medicine, Ege University; İzmir-Turkey
| |
Collapse
|
8
|
Alper AT, Akboğa MK, Özcan KS, Tengiz İ, Türk UÖ, Yıldız M, Yılmaz MB, Kayıkçıoğlu M, Gazi E, Yıldırır A. Recommendations for Ramadan fasting to patients with cardiovascular diseases; Turkish Society of Cardiology consensus report. Anatol J Cardiol 2021; 25:284-293. [PMID: 33960303 DOI: 10.5152/anatoljcardiol.2021.206] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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)
- Ahmet Taha Alper
- Department of Cardiology, University of Health and Sciences, Siyami Ersek Training and Research Hospital; İstanbul-Turkey
| | - Mehmet Kadri Akboğa
- Department of Cardiology, Faculty of Medicine, Gazi University; Ankara-Turkey
| | - Kazım Serhan Özcan
- Department of Cardiology, University of Health and Sciences, Siyami Ersek Training and Research Hospital; İstanbul-Turkey
| | - İstemihan Tengiz
- Department of Cardiology, Medical Park İzmir Hospital; İzmir-Turkey
| | - Uğur Önsel Türk
- Department of Cardiology, Medical Park İzmir Hospital; İzmir-Turkey
| | - Mustafa Yıldız
- Department of Cardiology, Institute of Cardiology, İstanbul University-Cerrahpaşa; İstanbul-Turkey
| | - Mehmet Birhan Yılmaz
- Department of Cardiology, Faculty of Medicine, Dokuz Eylül University; İzmir-Turkey
| | - Meral Kayıkçıoğlu
- Department of Cardiology, Faculty of Medicine, Ege University; İzmir-Turkey
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University; Çanakkale-Turkey
| | - Aylin Yıldırır
- Department of Cardiology, Faculty of Medicine, Başkent University; Ankara-Turkey
| |
Collapse
|
9
|
Abstract
The albumin to globulin ratio (AGR) is used as a prognostic marker in acute ischemic cardiovascular events. We investigated whether serum AGR, fibrinogen, and fibrinogen to albumin ratio (FAR) are related to the presence and severity of coronary artery disease (CAD). Patients who underwent coronary angiography procedures were analyzed retrospectively. The severity of CAD was assessed by the Gensini score. The study population (3031 patients; 1071 females and 1960 males) was divided into 3 tertiles based on AGR values. Gensini score, lipid levels, diabetes mellitus (DM), hypertension (HT), age, and fibrinogen level were higher in the low AGR group. Pearson correlation analysis showed that AGR (r = -0.068, P < .001) was negatively and fibrinogen (r = 0.187, P < .001) was positively correlated with the Gensini score. Male gender, HT, smoking, DM, age, high triglyceride (TG) level, low-density lipoprotein cholesterol (LDL-C) >160 mg/dL, estimated glomerular filtration rate (eGFR) <60 mL/min, and fibrinogen level >3.5 g/L were independent predictors of CAD. Male gender, age, eGFR, DM, LDL-C, TG, and FAR had an independent positive relation to the Gensini score. In conclusion, similar to traditional risk factors, plasma fibrinogen and albumin levels showed a close relation with the presence and severity of CAD.
Collapse
Affiliation(s)
- Bülent Deveci
- Department of Cardiology, 448249Sağlık Bilimleri University, Ankara, Turkey
| | - Emine Gazi
- Department of Cardiology, 52950Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| |
Collapse
|
10
|
Akşit E, Gazi E, Kırılmaz B, Aydın F. A new angiographic finding: primary peripheral slow flow. Balkan Med J 2020; 38:139-140. [PMID: 32940608 PMCID: PMC8909252 DOI: 10.4274/balkanmedj.galenos.2020.2020.7.30] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
- Ercan Akşit
- Department of Cardiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
| | - Bahadır Kırılmaz
- Department of Cardiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
| | - Fatih Aydın
- Clinic of Cardiology, Eskişehir City Hospital, Eskişehir, Turkey
| |
Collapse
|
11
|
Akşit E, Gazi E, Toprak CA, Bozkurt H. Unilateral peripheral slow flow phenomenon without significant stenosis in lower extremity artery: can primary peripheral slow flow be a new phenomenon? BMJ Case Rep 2020; 13:13/9/e235686. [PMID: 32913065 DOI: 10.1136/bcr-2020-235686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Peripheral artery disease affects nearly a quarter billion of the world's population, and it is one of the most important causes of decreased quality of life. Primary peripheral slow flow without significant stenosis in peripheral arteries has not been previously reported in the literature. In this case report, we present a slow flow phenomenon that extended from the right external iliac artery to the distal peripheral bed observed during peripheral angiography in a patient who exhibited pain and claudication in the right lower extremity after walking 50 m. Medical treatment provided symptomatic improvement in coronary slow flow and led to a decrease in claudication. Future randomised controlled studies conducted on patients with suspected peripheral slow flow phenomenon would increase our knowledge on both the aetiology and treatment of this condition.
Collapse
Affiliation(s)
- Ercan Akşit
- Cardiology, Çanakkale Onsekiz Mart University, Canakkale, Turkey
| | - Emine Gazi
- Cardiology, Çanakkale Onsekiz Mart University, Canakkale, Turkey
| | | | - Hasan Bozkurt
- Cardiology, Çanakkale Onsekiz Mart University, Canakkale, Turkey
| |
Collapse
|
12
|
Şahinarslan A, Gazi E, Aktoz M, Özkan Ç, Okyay GU, Elalmış ÖU, Belen E, Bitigen A, Derici Ü, Tütüncü NB, Yıldırır A. Consensus paper on the evaluation and treatment of resistant hypertension by the Turkish Society of Cardiology. Anatol J Cardiol 2020; 24:137-152. [PMID: 32870176 PMCID: PMC7585974 DOI: 10.14744/anatoljcardiol.2020.74154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2020] [Indexed: 02/07/2023] Open
Affiliation(s)
- Asife Şahinarslan
- Department of Cardiology, Faculty of Medicine, Gazi University; Ankara-Turkey
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, 18 Mart University; Çanakkale-Turkey
| | - Meryem Aktoz
- Department of Cardiology, Faculty of Medicine, Trakya University; Edirne-Turkey
| | - Çiğdem Özkan
- Department of Endocrinology, İzmir Bozyaka Training and Research Hospital; İzmir-Turkey
| | - Gülay Ulusal Okyay
- Department of Nephrology, Health Sciences University, Dışkapı Yıldırım Beyazıt Training and Research Hospital; Ankara-Turkey
| | | | - Erdal Belen
- Department of Cardiology, İstanbul Okmeydanı State Hospital; İstanbul-Turkey
| | - Atila Bitigen
- Department of Cardiology, Fatih Medical Park Hospital; İstanbul-Turkey
| | - Ülver Derici
- Department of Nephrology, Faculty of Medicine, Gazi University; Ankara-Turkey
| | | | - Aylin Yıldırır
- Department of Cardiology, Faculty of Medicine, Başkent University; Ankara-Turkey
| |
Collapse
|
13
|
Akşit E, Gazi E, Kırılmaz B, Yıldırım ÖT, Aydın F. The Crucial Importance of Optimal Primary and Secondary Prevention of Cardiovascular Disease during COVID-19 Pandemic. Acta Cardiol Sin 2020; 36:396. [PMID: 32675935 PMCID: PMC7355107 DOI: 10.6515/acs.202007_36(4).20200619b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Affiliation(s)
- Ercan Akşit
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale
| | - Bahadır Kırılmaz
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale
| | | | - Fatih Aydın
- Department of Cardiology, Eskişehir City Hospital, Eskişehir, Turkey
| |
Collapse
|
14
|
Affiliation(s)
- Ercan Akşit
- Department of Cardiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
| | - Bahadır Kırılmaz
- Department of Cardiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
| | - Fatih Aydın
- Clinic of Cardiology, Eskisehir City Hospital, Eskişehir, Turkey
| |
Collapse
|
15
|
Barutçu A, Bekler A, Temiz A, Kırılmaz B, Gazi E, Altun B, Özdemir S, Aksu FU. Assessment of the effects of frequent ventricular extrasystoles on the left ventricle using speckle tracking echocardiography in apparently normal hearts. Anatol J Cardiol 2016; 16:48-54. [PMID: 26467363 PMCID: PMC5336705 DOI: 10.5152/akd.2015.6166] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective: Impairment in left ventricular (LV) function due to excessive ventricular extrasystoles (VESs) occurs during long-time follow-up. Speckle tracking echocardiography (STE) has been shown to be superior to conventional methods for evaluating cardiac functions. We aimed to use STE for early detection of LV dysfunction in patients with apparently normal hearts who have frequent VESs. Methods: Fifty-five patients with frequent VESs were identified according to the Lown classification (Grade 2; unifocal more than 30 times in 1 h). Subjects aged 22-60 years with frequent VESs that had been detected for at least 1 year were included in the study according to the inclusion criteria. Forty-five subjects with similar demographic characteristics, but without VESs, were included as the control group. All participants were evaluated by STE. Results: Fifty-five patients with frequent VESs (mean age 47 years, range 22-60 years; 42.2% male) and 45 control subjects (mean age 46 years, range 22–60 years; 37.8% male) were enrolled in the study. Global LV longitudinal strain (GLS) was decreased in patients with frequent VESs (-18.41±3.37 and -21.82±2.43; p<0.001). In addition, global LV circumferential strain was decreased in patients with frequent VESs (-16.83±6.06, -20.51±6.02; p<0.001). The frequency and exposure time of VESs were negatively correlated with GLS (r=-0.398, p<0.001; r=-0.191, p=0.001, respectively). Conclusion: STE revealed that LV functions were decreased in patients with VESs. This deterioration increased with the frequency and exposure time of VESs. Impairment of LV function due to excessive VESs occurs during long-time follow-up. STE may be used for early detection of LV dysfunction.
Collapse
Affiliation(s)
- Ahmet Barutçu
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University; Çanakkale-Turkey.
| | | | | | | | | | | | | | | |
Collapse
|
16
|
Abstract
In this study, we have compared scintigraphic and echocardiographic data in order to investigate whether increased septal perfusion represents asymmetrical septal hypertrophy (ASH), which is a symptom followed in the scintigraphy of myocardial perfusion. The study consists of a total of 186 patients (120 females and 66 males with an average age of 59.45 ± 11.54 years) who had normal myocardial perfusion scintigraphy and echocardiography examinations. Statistical comparison of septal wall thickness measurements obtained from echocardiography and septal-to-lateral wall ratios (S/L ratio) was performed scintigraphically. Left ventricular mass values were obtained as both scintigraphic and echocardiographic data and their correlations were evaluated in order to assess the presence of left ventricular hypertrophy (LVH). In statistical analyses, the values of interventricular septal thickness in diastole (IVSd), left ventricle posterior wall thickness in diastole (LVPWd), left ventricle mass (LVM), and left ventricle mass index (LVMI) were found to be significantly higher in group 2 (S/L ratio >1) compared to group 1 (S/L ratio <1). In addition, S/L ratio is significantly correlated with echocardiographic IVSd, LVPWd, LVM, LVMI, and scintigraphic LVM (rest) values. Furthermore, echocardiographic LVM and LVMI values were significantly correlated with LVM and LVMI values obtained from scintigraphy. It should be known that increased S/L ratio that can be monitored during scintigraphic studies can be an indicator of septal hypertrophy and/or LVH, however, further examination and close follow-ups should be performed in necessary cases.
Collapse
Affiliation(s)
- Semra Ozdemir
- Department of Nuclear Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Yusuf Ziya Tan
- Department of Nuclear Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| |
Collapse
|
17
|
Bekler A, Gazi E, Erbag G, Binnetoglu E, Barutcu A, Sen H, Temiz A, Altun B. Right ventricular function and its relationship with grade of hepatosteatosis in non-alcoholic fatty liver disease. Cardiovasc J Afr 2016; 26:109-13. [PMID: 26592905 PMCID: PMC4538903 DOI: 10.5830/cvja-2014-068] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Accepted: 11/27/2014] [Indexed: 01/14/2023] Open
Abstract
Objective This study was designed to assess right ventricular systolic and diastolic function and its relationship with grade of hepatosteatosis (HS) in non-alcoholic fatty liver disease (NAFLD) patients using conventional and tissue Doppler echocardiography. Methods NAFLD was diagnosed in 32 individuals (15 males, 17 females; 59% were grade I HS, 41% grade II–III HS) by means of ultrasonography. Twenty-two individuals, whose ultrasonography data did not show HS, comprised the control group (11 males, 11 females) and were included in the study. Right ventricular systolic and diastolic function and their relationship with grade of HS were assessed by conventional and tissue Doppler echocardiography. Additionally, right ventricular global function was assessed by myocardial performance index (MPI). Results When compared by conventional echocardiographic parameters, there were no significant differences between the two groups. With tissue Doppler parameters, the tricuspid annulus peak early diastolic velocity and ratio of early-tolate diastolic velocity were lower in the patients than in the controls (p = 0.03, p = 0.02, respectively). The isovolumetric relaxation time and MPI were significantly higher (p < 0.001, p < 0.001, respectively) in the patient group. HS grade was positively correlated with right ventricular isovolumetric relaxation time and MPI index (r = 0.295, p = 0.03, r = 0.641, p < 0.001, respectively). Conclusion These results show that right ventricular diastolic dysfunction (RVDD) in patients with NAFLD and degree of HS was associated with RVDD.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey.
| | - Emine Gazi
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Gokhan Erbag
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Binnetoglu
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ahmet Barutcu
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Hacer Sen
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ahmet Temiz
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Burak Altun
- Department of Internal Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| |
Collapse
|
18
|
Uysal F, Akbal E, Akbal A, Cevizci S, Arık K, Gazi E. Epicardial Adipose Tissue Is Increased in Patients With Inflammatory Bowel Disease. J Ultrasound Med 2016; 35:1859-1864. [PMID: 27417739 DOI: 10.7863/ultra.14.09040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Accepted: 12/21/2015] [Indexed: 06/06/2023]
Abstract
OBJECTIVES Patients with inflammatory bowel disease (IBD) have high cardiovascular morbidity, and, in general, epicardial adipose tissue thickness is related to atherosclerotic vascular disease. This study aimed to investigate the association between epicardial adipose tissue thickness and carotid intima-media thickness as markers of early atherosclerosis in patients with IBD. METHODS The study comprised 47 patients with IBD (25 with Crohn disease and 22 with ulcerative colitis) and 35 control participants. In all individuals, epicardial adipose tissue and carotid intima-media thickness values were measured by sonography. RESULTS The mean age ± SD of the 47 patients with IBD was 42.3 ± 11.2 years, versus 41.4 ± 10.1 years for the control group. The epicardial adipose tissue thickness was higher in both the Crohn disease and ulcerative colitis groups compared to the control group (P < .001), but not the carotid intima-media thickness (P = .695 and .917, respectively). There was a strong positive correlation between the carotid intima-media and epicardial adipose tissue thickness values in the Crohn disease and ulcerative colitis groups (r = 0.757; 95% confidence interval, 0.711-0.901; r = 0.786; 95% confidence interval, 0.364-0.615; both P < .001). However, there was no significant difference between the patients who were in the active and inactive disease periods in both groups in terms of carotid intima-media and epicardial adipose tissue thickness values. CONCLUSIONS Our findings suggest that epicardial adipose tissue thickness might be a marker for detection of early atherosclerosis in patients with IBD. There was a strong positive correlation between carotid intima-media thickness and epicardial adipose tissue thickness values in the patients with IBD. However, there was no correlation between IBD activity and carotid intima-media or epicardial adipose tissue thickness.
Collapse
Affiliation(s)
- Fatma Uysal
- Department of Radiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Erdem Akbal
- Department of Gastroenterology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ayla Akbal
- Department of Physical Medicine and Rehabilitation, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Sibel Cevizci
- Department of Public Health, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Kasım Arık
- Department of General Surgery, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| |
Collapse
|
19
|
Gazi E, Gencer M, Hanci V, Temiz A, Altun B, Barutcu A, Gungor AN, Hacivelioglu S, Uysal A, Colkesen Y. Atrial conduction time, and left atrial mechanical and electromechanical functions in patients with polycystic ovary syndrome: interatrial conduction delay. Cardiovasc J Afr 2015; 26:217-21. [PMID: 26659435 PMCID: PMC4780013 DOI: 10.5830/cvja-2015-046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Accepted: 04/12/2015] [Indexed: 02/04/2023] Open
Abstract
Background Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders of women during the reproductive period. Cardiovascular risk factors are more frequent in patients with PCOS. We aimed to investigate the P-wave dispersion (Pd), inter- and intra-atrial conduction time and mechanical functions of the left atrium (LA) in patients with PCOS. Methods Forty-eight patients with PCOS and 38 normal healthy women were enrolled in this study. A 12-lead surface electrocardiogram was used to evaluate Pd. Left ventricular (LV) functions were measured using conventional and tissue Doppler imaging (TDI) methods. Inter- and intra-atrial conduction times were measured by TDI. LA volumes were measured echocardiographically with the biplane area–length method from the apical four-chamber view. Results Heart rate (82.02 ± 13.15 vs 74.24 ± 11.02 bpm, p = 0.014) and Pd were significantly increased in the PCOS patients [27 ± 5 vs 24 ± 6 ms, p = 0.035]. Transmitral E/A ratio was significantly lower in the PCOS patients than in the controls (1.5 ± 0.3 vs 1.7 ± 0.4 m/s, p = 0.023). Passive emptying volume (12.54 ± 4.39 vs 15.28 ± 3.85 ml/m2, p = 0.004) and passive emptying fraction [54.4 (21–69) vs 59.1% (28–74), p = 0.008] were significantly decreased in PCOS patients. Total emptying volume was significantly decreased (17.9 ± 5.49 vs 20.67 ± 4.29 ml/m2, p = 0.018) in PCOS patients. Interatrial (19 ± 7.4 vs 15 ± 6.4 ms, p = 0.035) and intra-atrial [8.5 (1–19) vs 5 ms (1–20), p = 0.026] electromechanical delays were found to be significantly higher in PCOS patients. Conclusion This study showed that patients with PCOS had increased inter- and intra-atrial conduction delays, and decreased LA passive emptying volumes and fractions.
Collapse
Affiliation(s)
- Emine Gazi
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey.
| | - Meryem Gencer
- Department of Obstetrics and Gynecology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Volkan Hanci
- Department of Anesthesiology and Reanimation, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Ahmet Barutcu
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Ayse Nur Gungor
- Department of Obstetrics and Gynecology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Servet Hacivelioglu
- Department of Obstetrics and Gynecology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Ahmet Uysal
- Department of Obstetrics and Gynecology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Yucel Colkesen
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| |
Collapse
|
20
|
Ozdemir S, Barutcu A, Gazi E, Tan YZ, Turkon H. The Relationship Between Some Complete Blood Count Parameters and Myocardial Perfusion: A Scintigraphic Approach. World J Nucl Med 2015; 14:197-201. [PMID: 26420991 PMCID: PMC4564923 DOI: 10.4103/1450-1147.163253] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Recent studies have shown that there is a relationship between some inflammatory and biochemical markers derived from complete blood count (CBC) such as neutrophil/lymphocyte (N/L) ratio, platelet/lymphocyte (P/L) ratio, platelet distribution width (PDW), red blood cell distribution width (RDW), and coronary artery disease (CAD). The aim of this study was to determine N/L ratio, P/L ratio, PDW values, and RDW values, which are associated with myocardial perfusion in patients diagnosed with CAD. This study included 262 patients (149 with myocardial ischemia/infarction and 113 with normal myocardial perfusion) undergoing myocardial perfusion scintigraphy (MPS) with CBC within 90 days of MPS. Myocardial perfusion parameters such as summed stress score and summed difference score (SDS) were compared with N/L ratio, P/L ratio, PDW values, and RDW values. Neutrophil counts and N/L ratios were significantly higher in patients diagnosed with myocardial ischemia and/or infarct. However, there was no statistically significant relationship between myocardial perfusion abnormalities and P/L ratio, PDW values, and RDW values. This study showed that N/L ratio is related to myocardial ischemia/infarction and correlated to left ventricular ejection fraction (LVEF).
Collapse
Affiliation(s)
- Semra Ozdemir
- Department of Nuclear Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ahmet Barutcu
- Department of Cardiology, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Yusuf Ziya Tan
- Department of Nuclear Medicine, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Hakan Turkon
- Department of Biochemistry, Canakkale Onsekiz Mart University, Çanakkale, Turkey
| |
Collapse
|
21
|
Gazi E, Gencer M, Temiz A, Barutcu A, Altun B, Gungor ANC, Hacivelioglu S, Uysal A, Cosar E. Does pregnancy-induced hypertension affect the electrophysiology of the heart? J OBSTET GYNAECOL 2015; 36:183-6. [PMID: 26366512 DOI: 10.3109/01443615.2015.1036401] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Pregnancy-induced hypertension (PIHT) increases both maternal and neonatal mortality and morbidity in pregnant women. We sought to investigate the electrocardiographic findings in pregnant women with PIHT. Seventeen pregnant women (29.4 ± 5 years) with PIHT and 24 pregnant women (27.3 ± 6.1 years) with normal blood pressure (control group) were included in the study. A 12-lead surface electrocardiogram was used to evaluate the electrocardiographic parameters. Pregnant women with PIHT had higher blood pressure (p = 0.001). The Tp-e interval was longer in PIHT pregnant women at 83.5 ± 7.8 ms versus 75.8 ± 8.4 ms in the control group (p = 0.007). The Tp-e/QTc ratio was higher in pregnant women with PIHT than that in healthy controls (0.19 ± 0.02 vs. 0.18 ± 0.02, respectively). This study demonstrated that Pd, QTd and the P wave durations were similar in the PIHT pregnant women and control group, but the Tp-e and Tp-e/QTc ratio were higher in pregnant women with PIHT than in normotensive pregnant women.
Collapse
Affiliation(s)
- E Gazi
- a Department of Cardiology , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - M Gencer
- b Department of Gynecology and Obstetrics , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - A Temiz
- a Department of Cardiology , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - A Barutcu
- a Department of Cardiology , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - B Altun
- a Department of Cardiology , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - A N C Gungor
- b Department of Gynecology and Obstetrics , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - S Hacivelioglu
- b Department of Gynecology and Obstetrics , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - A Uysal
- b Department of Gynecology and Obstetrics , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| | - E Cosar
- b Department of Gynecology and Obstetrics , Faculty of Medicine, Çanakkale Onsekiz Mart University , Çanakkale , Turkey
| |
Collapse
|
22
|
Barutçu A, Ozdemir S, Tan YZ, Yener AÜ, Özcan S, Gazi E. Relationship between fragmented QRS and paradoxical septal motion in coronary artery bypass graft patients. Ann Nucl Med 2015; 29:825-32. [PMID: 26272347 DOI: 10.1007/s12149-015-1016-0] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Accepted: 07/26/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Paradoxical septal motion (PSM) can cause confusion in the assessment of ventricular function with scintigraphy even in the absence of ventricular septal damage and ischemia. Fragmented QRS (fQRS) is associated with various cardiac disorders. In this study, we aimed to determine the correlation between paradoxical septal motion and fQRS after coronary artery bypass grafting (CABG). METHODS We retrospectively reviewed the hospital records showing scintigraphic images and electrocardiograms (ECG) of the patients who had undergone CABG. The patients were classified based on the evaluation of motion and thickening of the septal wall. The patients with regular thickening of the septal wall and abnormal motion were classified as PSM (+) group. The patients with normal motion and thickening of the septal wall were classified as PSM (-) group. fQRS complexes are defined as various RSR patterns either with or without Q-waves on a 12-lead resting ECG. RESULTS PSM was found to be more common in fQRS patients (p < 0.001). PSM was seen in 91.4 % of cases with fQRS and in 79.8 % of cases without fQRS. No significant differences were found in the phase analysis parameters. A correlation was found between septal wall motion values and the presence of fQRS (r = 0.197, p = 0.012). CONCLUSION fQRS was associated with PSM. fQRS may cause PSM in patients with CABG without left bundle branch block due to a conduction defect. PSM and fQRS are predictive of cardiac mortality. Patients diagnosed with PSM and fQRS, should be monitored closely.
Collapse
Affiliation(s)
- Ahmet Barutçu
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, 17110, Çanakkale, Turkey.
| | - Semra Ozdemir
- Department of Nuclear Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
| | - Yusuf Ziya Tan
- Department of Nuclear Medicine, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
| | - Ali Ümit Yener
- Department of Cardiovascular Surgery, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
| | - Sedat Özcan
- Department of Cardiovascular Surgery, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
| | - Emine Gazi
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, 17110, Çanakkale, Turkey.
| |
Collapse
|
23
|
Gazi E, Temiz A, Altun B, Barutçu A, Bekler A, Güngör O, Yener AU, Kurt T, Ozcan S, Gazi S. The association between serum uric acid level and heart failure and mortality in the early period of ST-elevation acute myocardial infarction. Turk Kardiyol Dern Ars 2015; 42:501-8. [PMID: 25362938 DOI: 10.5543/tkda.2014.65507] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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
OBJECTIVES Uric acid (UA) is a strong marker of cardiovascular disease. Therefore, we aimed to determine the relationship between serum UA levels and cardiovascular events in patients in the early period of their acute myocardial infarction. STUDY DESIGN This retrospective study included 586 consecutive patients with ST-elevated myocardial infarction (STEMI) who were admitted to the hospital between March 2010 and February 2012. The study population was divided into two groups; the first group included hyperuricemic patients (n=107; uric acid level >6 mg/dl in women and >7 mg/dl in men), and the second group included patients with normal UA level (n=479). Multivariate analysis was used to demonstrate the predictive value of UA levels in groups. RESULTS Patients in the hyperuricemic group were older (median 66 years vs. 60 years, p=0.001), and the ratio of female patients was higher (35.5% vs. 16.9%, p=0.001). Patients with hyperuricemia had a significantly higher incidence of in-hospital cardiovascular mortality than the normal group (15.9% vs. 3.1%, p<0.001). Advanced heart failure (class ≥ 3) was more frequent among hyperuricemic patients (17.8% vs. 8.8%, p=0.006). Age ≥ 70 years, chest pain duration >6 hours and hyperuricemia (hazard ratio (HR): 1.83, 95% confidence interval: 1.02-3.27; p=0.041) were found to be independent predictors of advanced heart failure. Hyperuricemia was found to be an independent predictor of in-hospital cardiovascular mortality in multivariate analyses (HR: 5.32, 95% confidence interval: 2.46-11.49; p=0.001). CONCLUSION This study showed that a high serum UA level is an independent predictor of cardiovascular mortality and morbidity during the in-hospital period of STEMI.
Collapse
Affiliation(s)
- Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey.
| | - Ahmet Temiz
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Ahmet Barutçu
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Adem Bekler
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Omer Güngör
- Department of Cardiology, Çanakkale State Hospital, Çanakkale, Turkey
| | - Ali Umit Yener
- Department of Cardiovascular Surgery, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Tolga Kurt
- Department of Cardiovascular Surgery, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Sedat Ozcan
- Department of Cardiovascular Surgery, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Sabri Gazi
- Department of Cardiology, Çanakkale State Hospital, Çanakkale, Turkey
| |
Collapse
|
24
|
Bekler A, Erbag G, Sen H, Gazi E, Ozcan S. Predictive value of elevated neutrophil-lymphocyte ratio for left ventricular systolic dysfunction in patients with non ST-elevated acute coronary syndrome. Pak J Med Sci 2015; 31:159-63. [PMID: 25878635 PMCID: PMC4386178 DOI: 10.12669/pjms.311.5967] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Revised: 09/17/2014] [Accepted: 09/27/2014] [Indexed: 12/23/2022] Open
Abstract
Objective: We aimed to study the predictive value of the neutrophil-lymphocyte ratio (NLR) for left ventricular systolic dysfunction (LVSD) in patients with non ST-elevated acute coronary syndrome (NST-ACS). Methods: A total of 405 patients (mean age 62 years and 75% male) with NST-ACS were included in the study. The study population was divided into tertiles based on admission NLR values. The low, medium and high tertiles defined as NLR≤1.81 (n=135), 1.81<NLR≤3.2 (n=135) and NLR>3.2 (n=135), respectively. Results: The patients in the high NLR group were older (p<0.001), have higher rate of diabetes mellitus (p=0.028) and non-ST elevated myocardial infarction (NSTEMI) (p<0.001) and have lower left ventricular ejection fraction (LVEF) (p<0.001). Baseline WBC (p=0.02) and neutrophil (p<0.001) levels and NLR (p<0.001) were significantly higher, baseline hemoglobin (p=0.044), hematocrit (p=0.019) and lymphocyte (p<0.001) levels were significantly lower in the high NLR group. NLR was negatively correlated with LVEF in correlation analysis. An NLR >3.2 and age ≥70 were found to be an independent predictor of systolic dysfunction in multivariate analyses. Conclusion: An NLR >3.2 is a useful predictor for LVSD in patients with NST-ACS. The practice of using an NLR count on admission may be useful for identifying high-risk patients and their associated treatment methods.
Collapse
Affiliation(s)
- Adem Bekler
- Adem Bekler, MD, Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale/Turkey
| | - Gokhan Erbag
- Gokhan Erbag, MD, Department of Internal Medicine, Canakkale Onsekiz Mart University, School of Medicine, Canakkale/Turkey
| | - Hacer Sen
- Hacer Sen, MD, Department of Internal Medicine, Canakkale Onsekiz Mart University, School of Medicine, Canakkale/Turkey
| | - Emine Gazi
- Emine Gazi, MD, Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale/Turkey
| | - Sedat Ozcan
- Sedat Ozcan, MD, Department of Cardiovascular Surgery, Canakkale Onsekiz Mart University, School of Medicine, Canakkale/Turkey
| |
Collapse
|
25
|
Barutçu A, Bekler A, Temiz A, Kırılmaz B, Yener AÜ, Tan YZ, Gazi E, Altun B. Left Ventricular Twist Mechanics Are Impaired in Patients with Coronary Slow Flow. Echocardiography 2015; 32:1647-54. [DOI: 10.1111/echo.12918] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Ahmet Barutçu
- Faculty of Medicine; Department of Cardiology; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Adem Bekler
- Faculty of Medicine; Department of Cardiology; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Ahmet Temiz
- Faculty of Medicine; Department of Cardiology; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Bahadır Kırılmaz
- Faculty of Medicine; Department of Cardiology; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Ali Ümit Yener
- Faculty of Medicine; Department of Cardiovascular Surgery; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Yusuf Ziya Tan
- Faculty of Medicine; Department of Nuclear Medicine; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Emine Gazi
- Faculty of Medicine; Department of Cardiology; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| | - Burak Altun
- Faculty of Medicine; Department of Cardiology; Çanakkale Onsekiz Mart University; Çanakkale Turkey
| |
Collapse
|
26
|
Bekler A, Özeren A, Gazi E, Temiz A, Altun B. Successful Aorta-osteal Stenting after Iatrogenic Acute Type-A Aortic Dissection during Primary Percutaneous Coronary Intervention. Balkan Med J 2015; 31:352-5. [PMID: 25667792 DOI: 10.5152/balkanmedj.2014.14039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 09/20/2014] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Iatrogenic acute dissection of the ascending aorta following coronary angiography and percutaneous intervention is rare. This complication, if not managed urgently, can have critical results. CASE REPORT We present the case of a 70 year-old woman who was treated by primary percutaneous coronary intervention (PCI) of the right coronary artery (RCA) for acute inferior myocardial infarction; however, the procedure was complicated by anterograde dissection of the RCA with a simultaneous retrograde propagation to the proximal part of the ascending aorta. Successful stenting of the entry point was able to heal the RCA and restrict the retrograde propagation to the ascending aorta. The aortic dissection was monitored by means of computerised tomography and the dissection repaired itself spontaneously within a day. CONCLUSION Treatment of the aorta coronary dissection (ACD) by urgent osteal stenting is a less invasive treatment compared with surgical treatment in appropriate cases. We demonstrated that immediate osteal stenting should be performed in ACD.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Ali Özeren
- Department of Cardiology, Bursa Bahar Hospital, Bursa, Turkey
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| |
Collapse
|
27
|
Saura Espin D, Caballero Jimenez L, Oliva Sandoval M, Gonzalez Carrillo J, Espinosa Garcia M, Garcia Navarro M, De La Morena G, Van Dyck M, Hulin J, De Kerchove L, Momeni M, Watremez C, Dreyfus J, Durand-Viel G, Cimadevilla C, Brochet E, Vahanian A, Messika-Zeitoun D, Nagy AI, Apor A, Kovacs A, Manouras A, Andrassy P, Merkely B, Adamyan K, Tumasyan L, Chilingaryan A, Tunyan L, Barutcu A, Bekler A, Gazi E, Kirilmaz B, Temiz A, Altun B, Cole GD, Dhutia N, Shun-Shin M, Willson K, Harrison J, Raphael C, Zolgharni M, Mayet J, Francis D. Oral Abstract session: Demanding measurements: why bother?: Thursday 4 December 2014, 16:30-18:00 * Location: Agora. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu246] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
28
|
Bekler A, Barutçu A, Tenekecioglu E, Altun B, Gazi E, Temiz A, Kırılmaz B, Ozkan MTA, Yener AU. The relationship between fragmented QRS complexes and SYNTAX and Gensini scores in patients with acute coronary syndrome. Kardiol Pol 2014; 73:246-54. [PMID: 25371305 DOI: 10.5603/kp.a2014.0208] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2014] [Revised: 07/15/2014] [Accepted: 09/18/2014] [Indexed: 11/25/2022]
Abstract
BACKGROUND Fragmented QRS (fQRS) complexes on 12-lead electrocardiography (ECG) have been reported to be predictors of cardiac events and all-cause mortality in coronary artery disease (CAD). AIM To investigate the relationship between fQRS complexes and SYNTAX and Gensini scores in patients with acute coronary syndrome (ACS). METHODS A total of 302 patients (223 men and 79 women) with ACS (133 ST elevated myocardial infarction [STEMI], 107 non-STEMI [NSTEMI], and 62 unstable angina pectoris [USAP]) were evaluated retrospectively in this study. An fQRS pattern was found in 70 patients (fQRS group) but was not found in 232 patients (non-fQRS group). SYNTAX score > 22 and Gensini score > 20 were defined as high SYNTAX and Gensini scores. The relationship between the presence of fQRS on 12-lead ECG and SYNTAX and Gensini scores was assessed. RESULTS SYNTAX score (p < 0.001), Gensini score (p < 0.001), NYHA class (p < 0.001), QRS duration (p < 0.001), number of disease vessels (p = 0.003), and high sensitive troponin T levels (p = 0.026) were significantly higher in the fQRS group. The number of fQRS leads (HR 5.79, 95% CI 2.78-12.06, p < 0.001, HR 3.41, 95% CI 1.32-8.78, p = 0.016, respectively) was found to be an independent predictor of high SYNTAX score and high Gensini score in multivariate analysis. CONCLUSIONS The number of fQRS leads on 12-lead ECG on admission is associated with the severity and complexity of CAD in patients with ACS.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey.
| | | | | | | | | | | | | | | | | |
Collapse
|
29
|
Bekler A, Altun B, Gazi E, Temiz A, Barutçu A, Güngör Ö, Özkan MTA, Özcan S, Gazi S, Kırılmaz B. Comparison of the GRACE risk score and the TIMI risk index in predicting the extent and severity of coronary artery disease in patients with acute coronary syndrome. Anatol J Cardiol 2014; 15:801-6. [PMID: 25592101 PMCID: PMC5336965 DOI: 10.5152/akd.2014.5802] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Objective: The prognostic value of the Global Registry of Acute Coronary Events (GRACE) risk score (GRS) and the Thrombolysis In Myocardial Infarction (TIMI) risk index (TRI) has been reported in coronary artery disease (CAD) patients. We aimed to evaluate the relationship between the GRS, TRI, and severity of CAD evaluated by SYNTAX score (SS) in patients with acute coronary syndrome (ACS). Methods: Patients with ACS who were admitted to the coronary care unit of our institution were retrospectively evaluated in this study. A total of 287 patients with ACS [154 non-ST elevated ACS (NSTE-ACS), 133 ST elevated myocardial infarction (STEMI)] were included in the study. The GRS and TRI were calculated on admission using specified variables. The severity of CAD was evaluated using the SS. The patients were divided into low (GRS<109)-, intermediate (GRS 109-140)-, and high (GRS>140)-risk groups and group 1 (TRI<17), group 2 (TRI 17-26), and group 3 (TRI>26) according to GRS and TRI scores. A Pearson correlation analysis was used for the relation between GRS, TRI, and SS. Results: Patients with a history of coronary artery bypass surgery, those who had missing data for calculating the GRS and TRI, and those whose systolic blood pressure (SBP) was more than 180 mm Hg or whose diastolic blood pressure (DBP) was more than 110 mm Hg were excluded from the study. Were excluded from the study. There were significant differences in mean age (p<0.001), heart rate (p<0.001), SS (p<0.001), TRI (p<0.001), rate of NSTE-ACS (p<0.001), and STEMI (p<0.001) in all patients between the risk groups. There was a positive significant correlation between the GRS and the SS (r=0.427, p<0.001), but there were no significant correlation between the TRI and SS (r=0.121, p=0.135). The area under the ROC curve value for GRS was 0.65 (95% CI: 0.56-0.74, p=0.001) in the prediction of severity of CAD. Conclusion: The GRS is more associated with SS than TRI in predicting the severity of CAD in patients with ACS.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Çanakkale Onsekiz Mart University, Faculty of Medicine; Çanakkale-Turkey.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
30
|
Şen H, Tan YZ, Binnetoğlu E, Aşik M, Güneş F, Erbağ G, Gazi E, Cevizci S, Özdemir S, Akbal E, Ükinç K. Evaluation of liver perfusion in diabetic patients using 99mTc-sestamibi. Wien Klin Wochenschr 2014; 127:19-23. [PMID: 25234941 DOI: 10.1007/s00508-014-0614-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2014] [Accepted: 08/29/2014] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The liver is an important organ for various aspects of glucose metabolism, including glucose uptake, storage, and synthesis. It is a major organ in the metabolic process with perfusion provided by both the portal vein and hepatic artery. In diabetic patients organ perfusion is reduced and this is linked to atherosclerosis, and as a result complications occur. In this study, we aimed to evaluate liver perfusion by scintigraphic methods in diabetic patients. DESIGN AND PATIENTS We retrospectively investigated 1,100 myocardial perfusion scintigraphies taken between January 2011 and December 2012 at Canakkale Onsekiz Mart University Medical Faculty Nuclear Medicine Department. A total of 66 patients who were diagnosed with diabetes mellitus and had myocardial perfusion scintigraphies were included in the study. The control subjects included 127 patients without diabetes mellitus who were chosen at random. Patients with chronic liver disease were not included in the study. The values from liver regions of interest (liver-ROI) rates and heart regions of interest (heart-ROI) rates were compared between the patients and controls. RESULTS Patients were grouped according to the presence of diabetes. In the diabetes mellitus group, the liver-ROI average was lower (p = 0.66) than in the controls. In the control group, the average liver-ROI/heart-ROI ratios were higher than the ratio in the diabetes mellitus group (p = 0.019). Multivariate variance analysis showed that the diabetes mellitus liver-ROI/heart-ROI ratio was independent of other risk factors (p = 0.003; F: 9.6). Powered by Editorial Manager(®) and ProduXion Manager(®) from Aries Systems Corporation. CONCLUSIONS This study shows that liver perfusion in diabetic patients is reduced compared with those without diabetes. Prospective studies with larger patient groups are required.
Collapse
Affiliation(s)
- Hacer Şen
- Department of Internal Medicine, Çanakkale Onsekiz Mart University, Sahil yolu cad., 17100, Çanakkale, Turkey,
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
31
|
Altun B, Altun M, Acar G, Kilinç M, Taşolar H, Küçük A, Temiz A, Gazi E, Kirilmaz B. Assessment of serum hepcidin levels in patients with non-ST elevation myocardial infarction. Anadolu Kardiyol Derg 2014; 14:515-8. [PMID: 25233497 DOI: 10.5152/akd.2014.4947] [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] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Hepcidin is an acute-phase reactant produced in the liver displaying intrinsic antimicrobial activity. There are few studies about hepcidin considered to be acute and chronic inflammatory marker in acute coronary syndromes patients. We investigated in our study whether the level of hepcidin has increased in the acute phase of non-ST elevation myocardial infarction patients (NSTEMI) known as acute inflammatory aggravation of chronic atherosclerotic process. METHODS Seventy patients with NSTEMI and twenty healthy people were recruited as controls in this observational cross-sectional study. Serum hepcidin levels were determined by ELISA, and troponin levels were measured by standard laboratory methods. Levels of hepcidin and troponin were measured at admission and 6 hours later. Mean values of continuous variables were compared between groups using the Student t-test or Mann-Whitney U test, according to whether normally distributed or not, as tested by the Kolmogorov-Smirnov test. Serum troponin and hepcidin levels measured at admission and after 6th hours were compared using paired t-test. RESULTS Hepcidin level was similar between NSTEMI and controls at admission (24.55±32.13, 23.67±33.62 ng/mL, p>0.05, respectively). Also, serum hepcidin levels did not change significantly from baseline in blood samples taken after 6 hour from admission in NSTEMI patients (24.55±32.13 ng/mL, 29.75±31.48 ng/mL, p=0.62, respectively). However, serum troponin levels were increased significantly compared to baseline (0.29±3.56, 2.92±7.2 ng/mL, p<0.01). CONCLUSION Our findings suggest that hepcidin could not be use as a marker of myocardial necrosis in acute phase such as troponin in patients with NSTEMI.
Collapse
Affiliation(s)
- Burak Altun
- Department of Cardiology, Faculty of Medicine, Ministry of Health, Çanakkale Onsekiz Mart University; Çanakkale-Turkey.
| | | | | | | | | | | | | | | | | |
Collapse
|
32
|
Bekler A, Ozkan MTA, Tenekecioglu E, Gazi E, Yener AU, Temiz A, Altun B, Barutcu A, Erbag G, Binnetoglu E. Increased Platelet Distribution Width Is Associated With Severity of Coronary Artery Disease in Patients With Acute Coronary Syndrome. Angiology 2014; 66:638-43. [PMID: 25112777 DOI: 10.1177/0003319714545779] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Platelet activation plays a pivotal role in acute coronary syndrome (ACS). We investigated the relationship between platelet distribution width (PDW) and severity of coronary artery disease (CAD) in patients with ACS. A total of 502 patients with ACS were enrolled. High (n = 151) and low PDW (n = 351) groups were defined as patients having values in the third tertile (>17%) and lower 2 tertiles (≤17%). There were significantly higher Gensini score (44 [10-168] vs. 36 [2-132], P < .001), and neutrophil-lymphocyte ratio (3.1 [0.8-12.4] vs. .2.5 [0.3-13], P = .012) and baseline platelet counts were significantly lower (220 [61-623] vs. 233 [79-644] 10(3)/mm3, P = .022) in the high PDW group. The variables PDW >17%, diabetes mellitus, and myocardial infarction were found to be associated with high Gensini score (odds ratio [OR]: 1.91, 95% confidence interval [CI]: 1.27-2.88, P = .002; OR: 2.85, 95% CI: 1.91-4.25, P < .001; OR: 2.67, 95% CI:1.74-4.1, P < .001, respectively). An increased PDW (>17%) is associated with severity of CAD in patients with ACS.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | | | - Erhan Tenekecioglu
- Department of Cardiology, Bursa Yuksek Ihtisas Education and Training Hospital, Bursa, Turkey
| | - Emine Gazi
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Ali Umit Yener
- Cardiovascular Surgery, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Ahmet Barutcu
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Gokhan Erbag
- Internal Medicine, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Emine Binnetoglu
- Internal Medicine, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| |
Collapse
|
33
|
Gencer M, Gazi E, Hacıvelioğlu S, Binnetoğlu E, Barutçu A, Türkön H, Temiz A, Altun B, Vural A, Cevizci S, Kumcular T, Coşar E. The relationship between subclinical cardiovascular disease and lipocalin-2 levels in women with PCOS. Eur J Obstet Gynecol Reprod Biol 2014; 181:99-103. [PMID: 25145761 DOI: 10.1016/j.ejogrb.2014.07.032] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [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: 01/29/2014] [Revised: 04/21/2014] [Accepted: 07/24/2014] [Indexed: 11/19/2022]
Abstract
OBJECTIVE In this study we aimed to investigate the relationship between lipocalin-2 (LCN2) levels and cardiovascular risk in patients with polycystic ovary syndrome (PCOS). STUDY DESIGN Fifty patients with PCOS and 44 healthy women as controls were enrolled in the study. Laboratory and echocardiographic examinations were performed between the second and fifth days of the menstrual cycle. Serum LCN2 levels were measured with an enzyme-linked immunosorbent assay (ELISA) method. RESULTS Serum LCN2 levels were significantly lower in PCOS patients (75.8 [51.4-131.2] ng/ml vs. 85.3 [56.7-138.5] ng/ml, p=0.038). Carotid intima-media thickness (CIMT) was increased in patients with PCOS compared to controls (0.61±0.13mm vs. 0.50±0.07mm, p=0.001). Aortic strain was lower in patients with PCOS. Aortic stiffness (β index) was significantly increased and distensibility was decreased in PCOS patients compared to control subjects. Serum LCN2 levels and the presence of PCOS were associated with CIMT in Spearman correlation analysis (p=0.05 and p<0.001) in all participants. There was no statistically significant relationship between LCN2 levels and CIMT in patients with PCOS (p=0.238). CONCLUSION In the present study, we found that LCN2 levels were low in women with PCOS. Although our patients with PCOS had elevated cardiac risk, there was no correlation between LCN2 levels and early findings of atherosclerosis.
Collapse
Affiliation(s)
- Meryem Gencer
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Obstetric and Gynecology, Çanakkale, Turkey.
| | - Emine Gazi
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Cardiology, Çanakkale, Turkey
| | - Servet Hacıvelioğlu
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Obstetric and Gynecology, Çanakkale, Turkey
| | - Emine Binnetoğlu
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Internal Medicine, Çanakkale, Turkey
| | - Ahmet Barutçu
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Cardiology, Çanakkale, Turkey
| | - Hakan Türkön
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Biochemistry, Çanakkale, Turkey
| | - Ahmet Temiz
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Cardiology, Çanakkale, Turkey
| | - Burak Altun
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Cardiology, Çanakkale, Turkey
| | - Ahmet Vural
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Microbiology, Çanakkale, Turkey
| | - Sibel Cevizci
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Public Health, Çanakkale, Turkey
| | - Tuncer Kumcular
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Obstetric and Gynecology, Çanakkale, Turkey
| | - Emine Coşar
- Çanakkale Onsekiz Mart University, Medical Faculty, Department of Obstetric and Gynecology, Çanakkale, Turkey
| |
Collapse
|
34
|
Barutçu A, Temiz A, Bekler A, Altun B, Kirilmaz B, Aksu FU, Küçük U, Gazi E. Arrhythmia risk assessment using heart rate variability parameters in patients with frequent ventricular ectopic beats without structural heart disease. Pacing Clin Electrophysiol 2014; 37:1448-54. [PMID: 25039863 DOI: 10.1111/pace.12446] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Revised: 04/28/2014] [Accepted: 05/29/2014] [Indexed: 12/01/2022]
Abstract
BACKGROUND Ventricular ectopic beats (VEBs) are usually considered a benign condition that can be managed with conservative measures. Heart rate variability (HRV), which is one of the most important methods for assessing autonomic activity, is a noninvasive, quantitative method of analyzing autonomic effects on the heart. We aimed to investigate the risk of arrhythmia in patients with VEBs and without cardiovascular disease by using HRV parameters. METHODS Patients with frequent VEBs (more than 30 times in 1 hour, according to the Lown classification) were identified. Identified patients were evaluated by 24-hour ECG recording. Our study included 43 patients with frequent VEBs and 43 controls. RESULTS General characteristics of the study population were similar. The LF (low frequency)/HF (high frequency) ratio was significantly higher in the frequent VEBs group than in the control group (P < 0.001). The rate of paroxysmal atrial fibrillation (PAF) was higher in the frequent VEB group than in the control group (P = 0.003). The number of VEBs was correlated with LF/HF ratio and PAF (r = 0.339, P = 0.001 and r = 0.294, P = 0.006, respectively). CONCLUSIONS Our study showed that the sympathetic nervous system is dominant in young patients with VEBs and without significant comorbidities. There is a higher risk of atrial fibrillation in patients with VEBs and they should be monitored closely for atrial fibrillation.
Collapse
Affiliation(s)
- Ahmet Barutçu
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | | | | | | | | | | | | | | |
Collapse
|
35
|
Bekler A, Tenekecioğlu E, Erbağ G, Temiz A, Altun B, Barutçu A, Gazi E, Güneş F, Yılmaz M. Relationship between red cell distribution width and long-term mortality in patients with non-ST elevation acute coronary syndrome. Anatol J Cardiol 2014; 15:634-9. [PMID: 25550178 PMCID: PMC5336864 DOI: 10.5152/akd.2014.5645] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective: Red cell distribution width (RDW) has been reported to be a predictor of cardiac events in coronary artery disease (CAD). Here, we hypothesized that RDW level on admission would be predictive of adverse outcomes in non-ST elevation acute coronary syndrome (NST-ACS). Methods: In total, 202 patients with NST-ACS (159 males and 43 females) were retrospectively analyzed. The patients were divided into two groups based on the 50th percentile of admission RDW levels. A high RDW group (n=100) was defined as those patients having RDW levels of >14.0. The relationship between RDW and primary endpoint (cardiovascular death), secondary endpoints [(reinfarction, repeat target vessel revascularization-percutaneous/surgical)], and major adverse cardiac events (MACE) were assessed. The median follow-up time was 18 (13-24) months. Results: The patients in the high RDW group were older (62.9 vs. 57.5, p=0.001). Multivessel disease, low-density lipoprotein, creatinine, platelet, CK-MB, troponin I, and RDW were higher (p=0.047, p=0.003, p=0.012, p=0.012, p=0.017, p<0.001, respectively), and gender (male/female), ejection fraction, and hemoglobin levels were lower (p=0.021, p=0.04, p=0.016, respectively) in the high RDW group. Cardiovascular death and MACE were higher in the high RDW group (16% vs. 4.9%, p=0.01, 52% vs. 31.4%, p=0.003, respectively). By multiple regression analysis in 202 patients, age >65 and RDW >14.0% on admission were found to be powerful independent predictors of cardiovascular mortality (OR: 4.5, 95% CI: 1.5-13.1, p=0.005, OR: 3.0, 95% CI: 1.0-8.9, p=0.039, respectively). Conclusion: A high RDW level on admission is associated with increased long-term mortality in patients with NST-ACS.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University; Çanakkale-Turkey.
| | | | | | | | | | | | | | | | | |
Collapse
|
36
|
Temiz A, Gazi E, Güngör Ö, Altun B, Barutçu A, Bekler A, Tan YZ, Özcan S, Yener AÜ, Kurt T. VALUE OF FRAGMENTED QRS FOR PREDICTING PAROXYSMAL ATRIAL FIBRILLATION EPISODES. Pak J Med Sci 2014. [DOI: 10.12669/pjms.304.5064] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
37
|
Barutçu A, Gazi E, Temiz A, Bekler A, Altun B, Kırılmaz B, Küçük U. Assessment of left-atrial strain parameters in patients with frequent ventricular ectopic beats without structural heart disease. Int J Cardiovasc Imaging 2014; 30:1027-36. [PMID: 24752954 DOI: 10.1007/s10554-014-0423-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2014] [Accepted: 04/11/2014] [Indexed: 11/26/2022]
Abstract
Ventricular ectopic beats (VEBs) are often encountered in daily clinical practice. Clinical significance of VEBs seen in patients without structural cardiovascular diseases is controversial. We aimed to investigate the effects of VEBs on left atrium (LA) function using speckle tracking echocardiography with LA strain parameters. Patients with frequent VEBs (more than 30 times in 1 h, according to the Lown classification) were identified. Identified patients were evaluated by speckle tracking methods. There were 40 patients with frequent VEBs and 40 controls in our study. The general characteristics were similar of the study population. The LA global longitudinal strain parameters were significantly different. Global Peak atrial longitudinal strain (PALS) (38.39 ± 7.93 vs. 44.15 ± 6.71, p = 0.001) and peak atrial contraction strain (PACS) (16.37 ± 4.58 vs. 20.49 ± 3.65, p = 0.000) were revealed significantly lower in the VEBs group. Time to peak longitudinal strain (TPLS) was found significantly longer in the VEBs group [485.5 (352-641) vs. 435 (339-516.5) p = 0.000]. Number of VEBS was correlated with TPLS (r = 0.499, p = 0.000). PALS and PACS were negatively correlated with number of VEBs (r = -0.348, p = 0.002 and r = -0.444, p = 0.000, respectively). We described that in this study, The LA functions are affected by VEBs adversely. This deterioration is increasing as the number of VEBs.
Collapse
Affiliation(s)
- Ahmet Barutçu
- Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey,
| | | | | | | | | | | | | |
Collapse
|
38
|
Temiz A, Gazi E, Güngör Ö, Barutçu A, Altun B, Bekler A, Binnetoğlu E, Şen H, Güneş F, Gazi S. Platelet/lymphocyte ratio and risk of in-hospital mortality in patients with ST-elevated myocardial infarction. Med Sci Monit 2014; 20:660-5. [PMID: 24751474 PMCID: PMC3999159 DOI: 10.12659/msm.890152] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background Platelet-to-lymphocyte ratio (PLR) is a new prognostic marker in coronary artery disease. We aimed to evaluate the relationship between PLR and in-hospital mortality in patients with ST-elevated acute myocardial infarction (AMI). Material/Methods The present study included 636 patients with ST-elevated AMI. The study population was divided into tertiles based on their admission PLR. Patients having values in the third tertile was defined as the high PLR group (n=212) and those having values in the lower 2 tertiles were defined as the low PLR group (n=424). Results Risk factors of coronary artery disease and treatments administered during the in-hospital period were similar between the groups. Male patient ratio was found to be lower in the high PLR group (73% vs. 82.8%, p=0.004). In-hospital mortality was increased in the high PLR group when compared to the low PLR group (12.7% vs. 5.9%, p=0.004). The PLR >144 was found to be an independent predictor of in-hospital cardiovascular mortality (HR: 2.16, 95% CI: 1.16–4.0, p=0.014). Conclusions This study showed that PLR is an independent predictor of cardiovascular mortality in patients with ST-elevated AMI.
Collapse
Affiliation(s)
- Ahmet Temiz
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University, Canakkale, Turkey
| | - Ömer Güngör
- Departmentof Cardiology, Çanakkale State Hospital, Çanakkale, Turkey
| | - Ahmet Barutçu
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Adem Bekler
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Binnetoğlu
- Departmentof Internal Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Hacer Şen
- Departmentof Internal Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Fahri Güneş
- Departmentof Internal Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Sabri Gazi
- Departmentof Cardiology, Çanakkale State Hospital, Çanakkale, Turkey
| |
Collapse
|
39
|
Bekler A, Gazi E, Yılmaz M, Temiz A, Altun B, Barutçu A, Peker T. Could elevated platelet-lymphocyte ratio predict left ventricular systolic dysfunction in patients with non-ST elevated acute coronary syndrome? Anatol J Cardiol 2014; 15:385-90. [PMID: 25430405 PMCID: PMC5779175 DOI: 10.5152/akd.2014.5434] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective The prognostic value of a high platelet-lymphocyte ratio (PLR) has been reported in patients with non-ST elevated myocardial infarction (NSTEMI) and different oncologic disorders. We aimed to evaluate the predictive value of the PLR for left ventricular systolic dysfunction (LVSD) in patients with non-ST elevated acute coronary syndrome (NST-ACS). Methods A total of 220 patients with NST-ACS were included in the study. The study population was divided into tertiles based on admission PLR values. High (n=73) and low PLR (n=147) groups were defined as patients having values in the third tertile (>135.6) and lower 2 tertiles (≤135.6), respectively. Left ventricular dysfunction was defined as ejection fraction ≤40%, and related variables were evaluated by backward conditional binary logistic regression analysis. Results The patients in the high PLR group were older (p<0.001) and had a higher rate of previous myocardial infarction and NSTEMI (p=0.046, p=0.013, respectively). There were significantly more coronary arteries narrowed (p=0.001) and lower left ventricular ejection fraction (p<0.001) in the high PLR group. Baseline platelet levels were significantly higher (p<0.001) and triglyceride and lymphocyte levels were significantly lower (p=0.009 and p<0.001, respectively) in the high PLR group. PLR >135.6 was found to be an independent predictor of systolic dysfunction in the multivariate analyses (ß: 0.306, 95% confidence interval: 0.151-0.619; p=0.001). Conclusion A high PLR is a strong and independent predictor for LVSD in patients with NST-ACS.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University; Çanakkale-Turkey.
| | | | | | | | | | | | | |
Collapse
|
40
|
Gungor O, Gazi E, Ozkececi G, Cakir Gungor AN, Cevizci S, Hacivelioglu S, Temiz A, Mert N, Koken G. Is abnormal glucose metabolism during pregnancy related to endothelial dysfunction? J Matern Fetal Neonatal Med 2014; 28:182-5. [PMID: 24646337 DOI: 10.3109/14767058.2014.906574] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
OBJECTIVE Endothelial dysfunction is an independent risk factor for cardiovascular events. We aimed to investigate the relationship between endothelial dysfunction and gestational diabetes mellitus and impaired glucose tolerance. METHODS Pregnant women who had impaired glucose metabolism in the 75-g oral glucose tolerance test (OGTT) and their age- and body mass index-matched controls were included in the study and assessed for flow-mediated vasodilatation to evaluate endothelial dysfunction. RESULTS A total of 51 patients participated in the study. There were 20 patients in the control group, 13 in the impaired glucose tolerance group and 18 in the gestational diabetes mellitus group. Flow-mediated vasodilatation measured at the 60th and 120th seconds were significantly lower in the impaired glucose tolerance and gestational diabetes mellitus groups than in the control group (8.5 ± 5.7 and 8.9 ± 6.5 versus 14.9 ± 9.0, p=0.022 and 6.2 ± 6.7 and 5.2 ± 5.0 versus 12.0 ± 8.3, p=0.011, respectively). CONCLUSIONS Patients with gestational diabetes mellitus and impaired glucose tolerance have impaired endothelial dysfunction. Delivery might have protective effects on endothelial functions. The significance of impaired endothelial dysfunction for pregnant women must be investigated, and if needed, lifestyle changes might be suggested, according to the determined importance of the endothelial dysfunction.
Collapse
Affiliation(s)
- Omer Gungor
- Canakkale Government Hospital, Cardiology Clinic , Canakkale , Turkey
| | | | | | | | | | | | | | | | | |
Collapse
|
41
|
Temiz A, Gazi E, Altun B, Güngör Ö, Barutçu A, Bekler A, Tan YZ, Yener AÜ, Saçar M, Çölkesen Y. Fragmented QRS is associated with frequency of premature ventricular contractions in patients without overt cardiac disease. Anatol J Cardiol 2014; 15:456-62. [PMID: 25430411 PMCID: PMC5779136 DOI: 10.5152/akd.2014.5467] [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: 12/03/2022] Open
Abstract
Objective: In this study, we aimed to demonstrate whether the presence of fragmented QRS (fQRS) is associated with the frequency of premature ventricular contractions (PVCs). Methods: We retrospectively analyzed 282 cases by 24-hour Holter monitorings (HMs) between August 2012 and February 2013. Firstly, the patients were divided into 2 groups with respect to presence of fQRS and then divided into 3 groups with respect to frequency of PVCs as Group 1: seldom PVC (<120 PVCs/day), Group 2: moderate-frequency PVC (120-720 PVCs/day), and Group 3: frequent PVC (>720 PVCs/day). We investigated the predictors of frequent PVCs by using multinomial logistic regression analysis. Results: Ninety-eight patients had fQRS. There was no difference between the 2 groups with respect to body mass index, gender, hypertension, and diabetes mellitus. Patients with fQRS were older (54.9±15.6 vs. 47.0±16.3, p<0.001) and had more family history of coronary artery disease (25% vs. 13%, p=0.012). Patients with fQRS was more likely to be on aspirin therapy (28.6% vs. 10.4%, p<0.001) and have a larger left atrium diameter (33.5±5.7 vs. 30.4±5.8, p=0.001). Presence of fQRS was significantly associated with the frequency of PVCs (for frequent PVC 27.7% vs. 7.6%, p<0.001; for moderate-frequency PVC 18.4% vs. 11.4%, p=0.012); 26.2% of Group 1 (n=202) had fQRS, 46.2% of Group 2 (n=39) had fQRS, and 65.9% of Group 3 (n=41) had fQRS. In the multinomial regression analysis, only age (odds ratio: 4.24, 95% confidence interval 2.08-8.64, p=0.001) and fQRS (odds ratio: 2.11, 95% confidence interval 1.00-4.45, p=0.05) were predictors of frequent PVCs. Conclusion: This study demonstrated that the presence of fQRS is associated with frequent PVCs in patients without overt structural heart disease.
Collapse
Affiliation(s)
- Ahmet Temiz
- Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University; Çanakkale-Turkey.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
42
|
Bekler A, Gazi E, Erbağ G, Tenekecioğlu E, Temiz A, Barutçu A, Altun B, Peker T, Yılmaz M. OP-258 Relationship Between Presence of Fragmented QRS on Admission and Long Term Mortality in Patients with Non ST-Elevated Myocardial Infarction. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.159] [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: 10/25/2022]
|
43
|
Bekler A, Gazi E, Yılmaz M, Tenekecioğlu E, Temiz A, Barutçu A, Altun B, Peker T, Aslan B. PP-263 Elevated Platelet-Lymphocyte Ratio Predicts Left Ventricular Systolic Dysfunction in Patients Non ST-Elevated Acute Coronary Syndrome. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.290] [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]
|
44
|
Bekler A, Gazi E, Yılmaz M, Peker T, Barutçu A, Temiz A, Altun B. PP-265 Relationship Between Red Cell Distribution Width and Long Term Mortality In Patients non-ST Elevated Acute Coronary Syndrome. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.292] [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]
|
45
|
Bekler A, Gazi E, Tenekecioglu E, Karaagac K, Altun B, Temiz A, Barutçu A, Peker T, Aslan B, Yılmaz M. Assessment of the relationship between red cell distribution width and fragmented QRS in patients with non-ST elevated acute coronary syndrome. Med Sci Monit 2014; 20:413-9. [PMID: 24621882 PMCID: PMC3958571 DOI: 10.12659/msm.890151] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Background Red cell distribution width (RDW) and fragmented QRS (fQRS) complexes have also been reported to be predictors of cardiac events and all-cause mortality in coronary artery disease (CAD). We aimed to investigate the association of serum red cell distribution width (RDW) levels and fQRS in patients with non-ST elevated acute coronary syndrome (NST-ACS). Material/Methods We retrospectively evaluated a total of 251 patients (191 men and 60 women) with NST-ACS. The NST-ACS consisted of unstable angina (UA) and non-ST elevated myocardial infarction (NSTEMI). The fQRS pattern was defined as the presence of an additional R’ or crochetage wave, notching in the nadir of the S wave or fragmentation of the RS or QS complexes in 2 contiguous leads corresponding to a major coronary artery territory. The relationships between the RDW and fQRS were assessed. Results The patients in the fQRS group were older, left ventricular ejection fraction (LVEF) levels were significantly lower, and baseline RDW and troponin levels were significantly higher than in the group without fQRS. There were positive correlations between age, number of coronary arteries narrowed, and RDW, and negative correlations between triglyceride, LVEF, and RDW in study patients. There were positive correlations between number of fQRS leads, age, and RDW, and negative correlations between triglyceride, LVEF, and RDW in NSTEMI patients. Conclusions Our results indicate that an elevated RDW values is associated with fQRS in NST-ACS. Elevated RDW values and fQRS together may be useful for identifying NSTEMI patients in NST-ACS.
Collapse
Affiliation(s)
- Adem Bekler
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Erhan Tenekecioglu
- Department of Cardiology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Kemal Karaagac
- Department of Cardiology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Burak Altun
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Ahmet Barutçu
- Department of Cardiology, Canakkale Onsekiz Mart University, School of Medicine, Canakkale, Turkey
| | - Tezcan Peker
- Department of Cardiology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Burhan Aslan
- Department of Cardiology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Mustafa Yılmaz
- Department of Cardiology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| |
Collapse
|
46
|
Gazi E, Temiz A, Altun B, Barutcu A, Silan F, Colkesen Y, Ozdemir O. Endothelial function and germ-line ACE I/D, eNOS and PAI-1 gene profiles in patients with coronary slow flow in the Canakkale population: multiple thrombophilic gene profiles in coronary slow flow. Cardiovasc J Afr 2014; 25:9-14. [PMID: 24435163 PMCID: PMC3959185 DOI: 10.5830/cvja-2013-083] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2011] [Accepted: 08/14/2013] [Indexed: 11/25/2022] Open
Abstract
Background We examined the effects of ACE, PAI-1 and eNOS gene polymorphisms on endothelial function. The genes are related to atherosclerosis and endothelial dysfunction in coronary slow flow (CSF). Methods Thirty-three patients with angiographically proven CSF and 48 subjects with normal coronary flow were enrolled in this study. Coronary flow patterns were determined by the thrombolysis in myocardial infarction (TIMI) frame count method. Endothelial function was assessed in the brachial artery by endothelium-dependent flow-mediated dilatation (FMD). PAI-1 4G/5G, eNOS T-786C and ACE I/D polymorphisms were determined by polymerase chain reaction (PCR) amplification. Results No difference was found between the groups regarding age, heart rate and blood pressure. Males were more prevalent among patients with CSF than control subjects (58.8 vs 29.8%, p = 0.009). Mean TIMI frame counts were significantly higher in CSF patients (24.2 ± 4.0 vs 13.1 ± 2.5 fpm, p = 0.001). FMD was significantly lower in CSF patients than in the controls (4.9 ± 6.6 vs 7.9 ± 5.6%, p = 0.029). TIMI frame count and FMD were found to be negatively correlated in a correlation analysis (r = –0.269, p = 0.015). PAI-1 4G/5G, eNOS T-786C and ACE I/D polymorphisms were similar in the two groups. Conclusions This study showed that endothelial function was impaired in patients with CSF. PAI-1, ACE and eNOS polymorphisms were not related to CSF in our study population.
Collapse
Affiliation(s)
- Emine Gazi
- Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz mart University, Canakkale, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz mart University, Canakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz mart University, Canakkale, Turkey
| | - Ahmet Barutcu
- Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz mart University, Canakkale, Turkey
| | - Fatma Silan
- Department of Medical Genetics, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Yucel Colkesen
- Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz mart University, Canakkale, Turkey
| | - Ozturk Ozdemir
- Department of Medical Genetics, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
| |
Collapse
|
47
|
Temiz A, Gazi E, Güngör Ö, Altun B, Barutcu A, Bekler A, Tan YZ, Ozcan S, Yener AÜ, Kurt T. Fragmented QRS and prediction of paroxysmal atrial fibrillation episodes. Pak J Med Sci 2014; 30:862-7. [PMID: 25097533 PMCID: PMC4121714] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Revised: 03/25/2014] [Accepted: 03/28/2014] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE Prior studies have demonstrated the relationship between cardiovascular diseases and fragmented QRS (fQRS). fQRS was also associated with ventricular arrhythmias. Our objective was to find out the relationship between fQRS and paroxysmal atrial fibrillation (PAF). METHOD A total of 301 patients without overt structural heart disease were prospectively included in the study. Patients were divided in to 2 groups according to presence of fQRS. Multivariate logistic regression analysis was used to assess the predictive value of fQRS for predicting PAF. RESULTS One hundred and three patients had fQRS. Patients with fQRS were older (53±16.8 vs 45.3±17.2, p<0.001), with larger left atrium (LA) (33.2±5.9 vs 30.1±5.9 mm, p=0.001), with thicker interventricular septum (IVS) (10.2±1.9 vs 9.5±2.3 mm, p=0.032), more diabetic (19.8 vs 10.6%, p=0.029) and have more PAF episodes (22.3 vs 4.1%, p<0.001) in comparison with patients without fQRS. fQRS was an independent predictor of detecting PAF episode (odds ratio, 9.69; 95% confidence interval, 2.46-38.15, p=0.001). Hypertension and diabetes mellitus were also predictive. CONCLUSION The presence of fQRS independently predicted PAF episodes in holter monitoring (HM). Further studies are needed to clarify the clinical implications of this finding.
Collapse
Affiliation(s)
- Ahmet Temiz
- Ahmet Temiz, MD, Assistant Professor of Cardiology, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Emine Gazi
- Emine Gazi, MD, Assistant Professor of Cardiology, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Ömer Güngör
- Ömer Güngör, MD, Specialist in Cardiology, Department of Cardiology,Çanakkale State Hospital, Çanakkale, Turkey
| | - Burak Altun
- Burak Altun, MD, Assistant Professor of Cardiology, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Ahmet Barutcu
- Ahmet Barutcu, MD, Assistant Professor of Cardiology, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Adem Bekler
- Correspondence: Dr. Ahmet Temiz, Department of Cardiology, Canakkale 18 Mart University Hospital, 17110, Canakkale, Turkey. E-mail:
| | - Yusuf Ziya Tan
- Yusuf Ziya Tan, MD, Assistant Professor of Nuclear Medicine, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Sedat Ozcan
- Sedat Ozcan, MD, Assistant Professor of Cardiovascular Surgery, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Ali Ümit Yener
- Ali Ümit Yener, MD, Assistant Professor of Cardiovascular Surgery, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| | - Tolga Kurt
- Tolga Kurt, MD, Assistant Professor of Cardiovascular Surgery, Çanakkale 18 Mart University Medical Faculty, Çanakkale, Turkey
| |
Collapse
|
48
|
Gazi E, Barutcu A, Altun B, Temiz A, Bekler A, Urfali M, Silan F, Colkesen Y, Ozdemir O. Intercellular adhesion molecule-1 K469E and angiotensinogen T207M polymorphisms in coronary slow flow. Med Princ Pract 2014; 23:346-50. [PMID: 24942509 PMCID: PMC5586901 DOI: 10.1159/000363451] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2013] [Accepted: 05/07/2014] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE To investigate intercellular adhesion molecule-1 (ICAM1) and angiotensinogen (AGT) gene polymorphisms, as related to atherosclerosis and endothelial dysfunction, in coronary slow flow (CSF). SUBJECTS AND METHODS The participants in this study were 48 patients with CSF and 67 patients with normal coronary flow as controls. The K469E polymorphism of ICAM1 (rs5498) and the T207M polymorphism of AGT (rs4762) were determined using the polymerase chain reaction amplification method. RESULTS Baseline demographic parameters were similar in both groups. The mean thrombolysis in myocardial infarction frame count was significantly higher in patients with CSF (23.8 ± 5.1) compared to the controls (13.3 ± 2.6, p < 0.001). A significant association was found between the ICAM1 K allele and CSF (OR: 1.96, 95% CI: 1.15-3.35, p = 0.013). There was no difference in the frequency of AGT T207M genotypes in the patients with CSF and the control subjects. CONCLUSION This study showed that K469E polymorphisms of ICAM1 that play a role in atherosclerotic pathogenesis are related to CSF.
Collapse
Affiliation(s)
- Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
- *Dr. Emine Gazi, MD, Department of Cardiology, Faculty of Medicine, Çanakkale Onsekiz Mart University, TR-17100 Çanakkale (Turkey), E-Mail
| | - Ahmet Barutcu
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Burak Altun
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Adem Bekler
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Mine Urfali
- Department of Medical Genetics, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Fatma Silan
- Department of Medical Genetics, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Yucel Colkesen
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ozturk Ozdemir
- Department of Medical Genetics, Faculty of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| |
Collapse
|
49
|
Altun B, Tasolar H, Eren N, Binnetoğlu E, Altun M, Temiz A, Gazi E, Barutcu A, Altunoren O, Colkesen Y, Uysal F. Epicardial Adipose Tissue Thickness in Hemodialysis Patients. Echocardiography 2013; 31:941-6. [DOI: 10.1111/echo.12498] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Burak Altun
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Hakan Tasolar
- Department of Cardiology; Adiyaman University Training and Research Hospital; Adiyaman Turkey
| | - Necmi Eren
- Department of Nephrology; Adiyaman University Training and Research Hospital; Adiyaman Turkey
| | - Emine Binnetoğlu
- Department of Internal Medicine; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Mehzat Altun
- Vocational Health College; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Ahmet Temiz
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Emine Gazi
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Ahmet Barutcu
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Orcun Altunoren
- Department of Nephrology; Adiyaman University Training and Research Hospital; Adiyaman Turkey
| | - Yucel Colkesen
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Fatma Uysal
- Department of Radiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| |
Collapse
|
50
|
Barutcu A, Gazi E, Aksu F, Tatli E. An anchoring technique by looping with the tip of a super-stiff wire: may be a solution in patients with anomaly of the aortic arch and tortuous carotid artery disease? BMJ Case Rep 2013; 2013:bcr2013201423. [PMID: 24336583 PMCID: PMC3863094 DOI: 10.1136/bcr-2013-201423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Vascular anatomy is one of the most important factors for the successful carotid artery interventions, either angioplasty or stenting. We report a new technique for advancing a guiding catheter into the common carotid artery when there is an unfavourable aortic arch anatomy and tortuosity of the carotid artery.
Collapse
Affiliation(s)
- Ahmet Barutcu
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Canakkale Onsekiz Mart University, Canakkale, Turkey
| | - Feyza Aksu
- Department of Cardiology, Istanbul Medeniyet University, Istanbul, Turkey
| | - Ersan Tatli
- Department of Cardiology, Ada Tιp Hospital, Sakarya, Turkey
| |
Collapse
|