1
|
Karabacak M, Peynirci A, Ozdil O, Tayyar S, Kuyumcu MS. The Relationship Between Global Left Ventricular Function, as Indicated by the Tei Index, and Long-Term Survival in Patients With Non-Ischemic, Dilated Cardiomyopathy. Kardiologiia 2023; 63:78-83. [PMID: 37970859 DOI: 10.18087/cardio.2023.10.n2297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Accepted: 10/28/2022] [Indexed: 11/19/2023]
Abstract
AIM Idiopathic dilated cardiomyopathy (DCM) is one of the leading causes of low ejection fraction (EF) heart failure (HF). The Tei index is a reliable marker that reflects both left ventricular (LV) systolic and diastolic function, and it has prognostic value in patients with DCM. We aimed to investigate the relationship between the Tei index and long-term survival in non-ischemic, DCM patients. MATERIAL AND METHODS The present study included 98 patients with non-ischemic DCM. The mean survival time of the patients was 59 mos. RESULTS The Tei index was prominently higher in patients who died (0.64±0.08 vs 0.71±0.12, respectively; p=0.01). LV end-systolic volume and LV ejection fraction (LVEF) were independent prognostic factors and predicted worse long-term survival. Additionally, the patients with LVEF ≥32.7 % and the Tei index ≤0.76 had significantly longer survival. CONCLUSION The present study showed that the Tei index was significantly associated with mortality and the patients with both low LVEF (≤32.7 %) and high Tei index (≥0.76) values had a shorter life expectancy. As a result, we suggest that the Tei index may be a useful echocardiographic marker to predict long-term survival in DCM patients.
Collapse
Affiliation(s)
- M Karabacak
- Suleyman Demirel University, Department of Cardiology, Medical Faculty
| | - A Peynirci
- Suleyman Demirel University, Department of Cardiology, Medical Faculty
| | - O Ozdil
- Suleyman Demirel University, Department of Cardiology, Medical Faculty
| | - Senol Tayyar
- Private Meddem Hospital, Department of Cardiology
| | - M S Kuyumcu
- Suleyman Demirel University, Department of Cardiology, Medical Faculty
| |
Collapse
|
2
|
Ayvaz Çelik HH, Kuyumcu MS, Şirin FB, Cirit M, Korkmaz S, Erturan İ, Çelik S, Yıldırım M. Could SCUBE-1 be a marker for subclinical atherosclerosis other than carotid artery intima-media thickness in patients with psoriasis? An Bras Dermatol 2023; 98:595-601. [PMID: 37198010 PMCID: PMC10404550 DOI: 10.1016/j.abd.2022.08.012] [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: 04/11/2022] [Revised: 08/10/2022] [Accepted: 08/12/2022] [Indexed: 05/19/2023] Open
Abstract
BACKGROUND Psoriasis is a chronic inflammatory disease that is associated with many inflammatory conditions such as atherosclerosis, hypertension, among others. SCUBE-1 is a protein that plays a role in angiogenesis. OBJECTIVES The present study aimed to investigate whether SCUBE-1 could indicate subclinical atherosclerosis in psoriatic patients, and to compare SCUBE-1 levels, measurement of carotid artery ıntima-media thickness (CIMT), and metabolic parameters in psoriasis patients and healthy controls. METHODS Forty-six patients with psoriasis and 43 healthy controls were included. The severity of the disease was assessed with Psoriasis Area Severity Index (PASI) in the patient group. Levels of SCUBE-1, CRP, lipids, and fasting glucose were measured with the enzyme-linked ımmunosorbent assay (ELISA) method, and CIMT measurements were performed by the same cardiologist. RESULTS SCUBE-1 levels and CIMT values were significantly higher in the patient group (for both p < 0.05). Moreover, systolic blood pressure, CRP levels, and waist circumference were higher in the patient group even though both groups had similar BMIs (for all p < 0.05). A positive correlation was found between SCUBE-1 and CIMT values among patients, and multiple regression analyses revealed that SCUBE-1 and CIMT are significantly associated with psoriasis as well. STUDY LIMITATIONS A low number of participants and not including any other inflammatory marker related to angiogenesis or atherosclerosis such as VEGF, adiponectin are the main limitations of the present study. CONCLUSION Despite the severity of the disease, even in psoriasis patients with mild disease the SCUBE-1 level may be an indicator of subclinical atherosclerosis and indicate the risk of cardiovascular disease in the future.
Collapse
Affiliation(s)
- Havva Hilal Ayvaz Çelik
- Department of Dermatology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.
| | - Mevlüt Serdar Kuyumcu
- Department of Cardiology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Fevziye Burcu Şirin
- Department of Biochemistry, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Mehmet Cirit
- Department of Dermatology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Selma Korkmaz
- Department of Dermatology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - İjlal Erturan
- Department of Dermatology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Seda Çelik
- Department of Biochemistry, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Mehmet Yıldırım
- Department of Dermatology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| |
Collapse
|
3
|
Ulusan S, Gülle K, Peynirci A, Sevimli M, Karaibrahimoglu A, Kuyumcu MS. Dapagliflozin May Protect Against Doxorubicin-Induced Cardiotoxicity. Anatol J Cardiol 2023; 27:339-347. [PMID: 37257007 DOI: 10.14744/anatoljcardiol.2023.2825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
BACKGROUND Doxorubicin is a widely used agent in the treatment of cancer, but the cardiotoxicity associated with this drug limits its potential for use. The cardioprotective effects of dapagliflozin, an antidiabetic drug, have the potential to counteract the cardiotoxic effect of doxorubicin therapy. In our study, we aimed to investigate the protective effect of dapagliflozin from possible doxorubicin-induced cardiotoxicity. METHODS A total of 40 male Wistar albino rats were divided into 4 groups consisting of 10 each (control = 10, dapagliflozin = 10, doxorubicin = 10, doxorubicin + dapagliflozin = 10). Meanwhile, doxorubicin and doxorubicin + dapagliflozin groups received a total dose of 15 mg/kg doxorubicin intraperitoneally, dapagliflozin and doxorubicin + dapagliflozin groups were gavaged daily with 10 mg/kg dapagliflozin. At the sixth week of the study, rats were examined by echocardiography and electrocardiogram. Furthermore, histopathological method was used to evaluate the level of cardiotoxicity. RESULTS Ejection fraction decreased by 15% in the doxorubicin group, and this reduction in ejection fraction was alleviated in the doxorubicin + dapagliflozin group. In addition, a 65% increase in QRS duration was observed in the group given doxorubicin, while an increase of 7% was observed in doxorubicin + dapagliflozin group. Corrected QT duration increased by 12% in the doxorubicin group, compared to 2% in doxorubicin + dapagliflozin group. Meanwhile, sarco-myolysis, inflammatory cell infiltration, and necrotic changes were examined heavily in doxorubicin group, they were minimal in doxorubicin + dapagliflozin group. CONCLUSION Our study showed that dapagliflozin has the potential to reduce the effects of doxorubicin-induced cardiotoxicity.
Collapse
Affiliation(s)
- Sebahat Ulusan
- Faculty of Medicine, Isparta Süleyman Demirel University, Isparta, Turkey
| | - Kanat Gülle
- Department of Histology and Embryology, Faculty of Medicine, Isparta Süleyman Demirel University, Isparta, Turkey
| | - Ahmet Peynirci
- Department of Cardiology, Faculty of Medicine, Isparta Süleyman Demirel University, Isparta, Turkey
| | - Murat Sevimli
- Department of Histology and Embryology, Faculty of Medicine, Isparta Süleyman Demirel University, Isparta, Turkey
| | - Adnan Karaibrahimoglu
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Isparta Süleyman Demirel University, Isparta, Turkey
| | - Mevlüt Serdar Kuyumcu
- Department of Cardiology, Faculty of Medicine, Isparta Süleyman Demirel University, Isparta, Turkey
| |
Collapse
|
4
|
Kuyumcu MS, Ozen Y, Ozbay MB. COVID-19 survivors may exhibit deterioration in frontal plane QRS-T angle and other electrocardiogram parameters. Eur Rev Med Pharmacol Sci 2022; 26:6879-6884. [PMID: 36196735 DOI: 10.26355/eurrev_202209_29791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
OBJECTIVE COVID-19 infection is known to injure myocardial tissue and increase arrhythmic events. However, data on the subject is limited in the literature. In our study, our aim was to investigate possible arrhythmic damages in COVID-19 survivors using the frontal plane QRS-T [f(QRS)-T] angle and a few other ECG parameters. PATIENTS AND METHODS 269 patients who recovered from COVID-19 between April 2020 and January 2021 were included into the study. Pre-admission electrocardiograms and first-month outpatient clinic control ECGs of the patients were compared. RESULTS After COVID-19, left bundle branch block (p<0.001), right bundle branch block (p<0.001), right bundle branch block (p<0.001), and atrial fibrillation (p<0.001) rates had increased. Prolongation was detected in QRS duration (p<0.001), QT interval (p=0.014), adjusted QT interval (p=0.007) and Tpe interval (p=0.012). F(QRS)-T angle (p<0.001) and fragmented QRS rate (p<0.001) were increased. CONCLUSIONS It was observed in our study that even if patients survived COVID-19, permanent deterioration in ECG parameters may occur.
Collapse
Affiliation(s)
- M S Kuyumcu
- Department of Cardiology, Faculty of Medicine, Isparta Suleyman Demirel University, Isparta, Turkey.
| | | | | |
Collapse
|
5
|
Kuyumcu MS, Ayyildiz VA, Ulusan S. Monocyte count to high-density lipoprotein cholesterol ratio and mean platelet volume may be related to the severity of carotid artery stenosis. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Objective
The pathophysiology of carotid artery stenosis (CAD) is not fully understood. Research has shown that mean platelet volume (MPV) is a potential marker for platelet activation and a key factor in the pathophysiology of atherosclerosis. Recently, the ratio of monocyte count to HDL (MHR) has been identified as a predictor of cardiovascular events in patients. In the light of these findings, the goal of this study was to evaluate the potential association of MPV and MHR with the severity of CAD.
Material-Method
The patients were divided into three groups: CAD≥ 60% (40 patients), CAD <60% (40 patients) and no carotid atherosclerotic disease (40 individuals). Patients' demographic characteristics, clinical features and laboratory findings were compared between the groups.
Results
MPV and MHR levels were lower in the control group than CAD <60 group and lower in CAD <60 group than CAD ≥60 group (p <0.001, p <0.001). Higher MPV (OR= 6.050; 95% CI: 2.946-12.427; p <0.001) and MHR (OR= 1.107; 95% CI: 1.045-1.159; p <0.001) levels were detected as an independent predictor for ≥60% carotid artery stenosis after multiple linear regression analysis. In the correlation analysis, a positive correlation was found between MPV and the rate of carotid artery stenosis (p<0.001, r=0.680).
Conclusion
In our study, a potential relationship between MPV and MHR with carotid artery disease was determined. Our study may make contributions to understanding the pathophysiology of carotid artery atherosclerosis and developing treatments for it.
Collapse
Affiliation(s)
- M S Kuyumcu
- Suleyman Demirel University, Faculty of Medicine, Department of Cardiology, Isparta, Turkey
| | - V A Ayyildiz
- Suleyman Demirel University, Faculty of Medicine, Department of Radiology, Isparta, Turkey
| | - S Ulusan
- Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey
| |
Collapse
|
6
|
Kuyumcu MS, Ulusan S. Covid-19 survivors may have deterioration in frontal plane qrs-t angle and the other electrocardiogram parameters. Eur J Prev Cardiol 2022. [PMCID: PMC9384076 DOI: 10.1093/eurjpc/zwac056.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Funding Acknowledgements Type of funding sources: None. Background COVID-19 infection is known to damage myocardial tissue and increase arrhythmic events. However, the data in the literature on permanent attachments are limited. In our study, we planned to investigate possible arrhythmic damages in COVID-19 survivors using the frontal plane QRS-T [f(QRS)‐T] angle and some other ECG parameters. Patients & Methods 269 patients who recovered from COVID-19 between April 2020 and January 2021 were included into the study. Pre-admission electrocardiograms and first-month outpatient clinic control ECGs of the patients were compared. Results After COVID-19, left bundle branch block (p<0.001), right bundle branch block (p<0.001), right bundle branch block (p<0.001), atrial fibrillation (p<0.001) rates had increased. Prolongation was detected in QRS duration (p<0.001), QT interval (p=0.014), adjusted QT interval (p =0.007) and Tpe interval (p=0.012). F(QRS)‐T angle (p<0.001) and fragmented QRS rate (p<0.001) were increased. Conclusions It was observed in our study that; even if patients survive after COVID-19, permanent deterioration in ECG parameters may occur.
Collapse
Affiliation(s)
- M S Kuyumcu
- Suleyman Demirel University, Faculty of Medicine, Department of Cardiology, Isparta, Turkey
| | - S Ulusan
- Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey
| |
Collapse
|
7
|
Kuyumcu MS, Kuyumcu A, Ulusan S. The dietary approaches to stop hypertension diet effects on ventricular premature complexes. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Rhythm disturbances in the heart significantly affect the quality of life of the patients. The aim of this study was to evaluate the relationship between ventricular premature complexes (VPC) and The dietary approaches to stop hypertension diet (DASH) score.
Material-Method
This study was conducted on 50 patients with palpitations who were referred to the cardiology outpatient clinic and had more than 10000 VES per day as a result of a 24-hour holter, and 50 patients who presented with palpitations but had less than 10000 VES in the holter. Three-day food consumption records of the patients were questioned. DASH diet compliance scale was used for patients. The achievement of nine nutrients to the targeted quantities with food consumption records was evaluated by scoring method (between 0 and 9 points). All data were compared between groups.
Results
There was no difference between the two groups in terms of clinical and demographic characteristics. DASH scores were found to below in the VPC group (p<0.001). There was a significant negative correlation found between VPC and DASH diet score (p<0.001, r = -0.458).
Discussion
The protective role of DASH type nutrition on the frequency of VPC was observed in our study. This study, which is one of the limited number of studies examining the relationship between DASH diet and VPC, may be helpful in understanding the pathophysiology of VPC.
Collapse
Affiliation(s)
- M S Kuyumcu
- Suleyman Demirel University, Faculty of Medicine, Department of Cardiology, Isparta, Turkey
| | - A Kuyumcu
- Suleyman Demirel University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Isparta, Turkey
| | - S Ulusan
- Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey
| |
Collapse
|
8
|
Kuyumcu MS, Aydın O. Fibrinogen-to-albumin ratio may be a predictor for ascending aortic aneurysm. Rev Assoc Med Bras (1992) 2021; 67:868-872. [PMID: 34709332 DOI: 10.1590/1806-9282.20210198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 04/21/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE The predictive value of the fibrinogen-to-albumin ratio has been evidenced in coronary artery disease. Available data demonstrated that inflammation and oxidative stress are the relevant mechanisms of ascending aortic aneurysm formation and dilatation. The fibrinogen-to-albumin ratio reflects oxidative stress and inflammation. This study investigated the correlation between fibrinogen-to-albumin ratio and ascending aortic aneurysm. METHODS A total of 250 consecutive patients with ascending aortic aneurysm and 250 consecutive patients with normal ascending aortic diameter were included in the study using comprehensive transthoracic echocardiography. All data and fibrinogen-to-albumin ratio were compared between two groups. RESULTS The fibrinogen-to-albumin ratio levels were significantly higher in ascending aortic aneurysm group compared with normal ascending aortic diameter group (p<0.001). Also, there was significantly positive correlation between the diameter of the ascending aorta and the fibrinogen-to-albumin ratio (p<0.001). CONCLUSION Fibrinogen-to-albumin ratio is associated with ascending aortic aneurysm and may serve as blood marker for identifying high-risk patients.
Collapse
Affiliation(s)
- Mevlüt Serdar Kuyumcu
- Süleyman Demirel University, Faculty of Medicine, Department of Cardiology - Isparta, Turkey
| | - Oğuz Aydın
- Süleyman Demirel University, Faculty of Medicine, Department of Cardiology - Isparta, Turkey
| |
Collapse
|
9
|
Kuyumcu MS, Uysal D, Özbay MB, Aydın O, İbrişim E. Frontal plane QRS-T angle may be a predictor for post-coronary artery bypass graft surgery atrial fibrillation. ACTA ACUST UNITED AC 2021; 66:1673-1678. [PMID: 33331575 DOI: 10.1590/1806-9282.66.12.1673] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 08/08/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND New-onset postoperative atrial fibrillation (POAF) is the most common arrhythmia following coronary artery bypass graft surgery (CABG) and is associated with prolonged hospitalization, stroke, and mortality. The frontal plane QRS-T [f(QRS-T)] angle, which is defined as the angle between the directions of ventricular depolarization (QRS-axis) and repolarization (T-axis), is a novel marker of ventricular repolarization heterogeneity. The f(QRS-T) angle is associated with adverse cardiac outcomes. In light of these findings, in this study, we aimed to investigate the potential relationship between the f(QRS-T) angle and POAF. METHODS 180 patients who underwent CABG between August 2017 and September 2018 were included in the study retrospectively. Two groups were established as patients who preserved postoperative sinus rhythm (n=130) and those who developed POAF (n=50). The f(QRS-T) angle and all other data were compared between groups. RESULTS The fF(QRS-T) angle (p<0.001), SYNTAX score (p=0.039), serum high-sensitivity CRP levels (p=0.026), mean age (p<0.001), electrocardiographic left ventricular hypertrophy rate (LVH) (p=0.019), and hypertension rate (p=0.007) were higher, and the mean left ventricular ejection fraction (LVEF) (p<0.001) was lower in the POAF group. Multivariable logistic regression analyses demonstrated that lower LVEF (p=0.004), LVH (p=0.041), and higher age (p=0.008) and f(QRS-T) angle (p<0.001) were independently associated with POAF. CONCLUSIONS High f(QRS-T) angle level is closely associated with the development of POAF. The f(QRS-T) angle can be a potential indicator of POAF.
Collapse
Affiliation(s)
- Mevlüt Serdar Kuyumcu
- Süleyman Demirel University, Faculty of Medicine, Department of Cardiology, Isparta, Turkey
| | - Dinçer Uysal
- Süleyman Demirel University, Faculty of Medicine, Department of Cardiovascular Surgery, Isparta, Turkey
| | | | - Oğuz Aydın
- Süleyman Demirel University, Faculty of Medicine, Department of Cardiology, Isparta, Turkey
| | - Erdoğan İbrişim
- Süleyman Demirel University, Faculty of Medicine, Department of Cardiovascular Surgery, Isparta, Turkey
| |
Collapse
|
10
|
Kuyumcu MS, Kuyumcu A. High fructose consumption may be associated with slow coronary flow. Turk Kardiyol Dern Ars 2020; 48:690-697. [PMID: 33034572 DOI: 10.5543/tkda.2020.03205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE The precise pathophysiology of slow coronary flow (SCF) has not yet been clarified; however, many studies have shown that significant fructose consumption is associated with oxidative stress and inflammation, which may play a role in the pathophysiology of SCF. The aim of this study was to investigate the association between fructose consumption and isolated SCF. METHODS Patients with stable angina pectoris who underwent coronary angiography between December 2018 and April 2019 were evaluated for this study. In all, 45 patients with isolated SCF were selected as the patient group (SCF group) and 50 patients with a normal coronary flow pattern were enrolled as a control group. Participants used a dietary record to provide details of nutrient consumption and all of the data from the 2 groups were compared. RESULTS The high-sensitivity C-reactive protein (Hs-CRP) level (p=0.024), white blood cell count (p=0.038), and smoking rate (p=0.012) were higher in the SCF group. Total energy (p=0.029), carbohydrate (p=0.047), and fructose consumption (p<0.001) were also higher in the SCF group. Multivariable logistic regression analysis demonstrated that a higher level of Hs-CRP, fructose consumption, and smoking were independently associated with SCF. CONCLUSION The SCF group demonstrated a higher level of fructose consumption. Excessive fructose consumption may play a role in SCF pathophysiology.
Collapse
Affiliation(s)
- Mevlüt Serdar Kuyumcu
- Department of Cardiology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Aliye Kuyumcu
- Department of Nutrition and Dietetics, Süleyman Demirel University Faculty of Health Sciences, Isparta, Turkey
| |
Collapse
|
11
|
Aksoy F, IŞIK İB, Baş HA, Bağcı A, Kahraman F, Okudan YE, Kuyumcu MS, Altınbaş A. CHADS2-VASc skorunun primer percutan koroner girişim yapılan ST elevasyonlu miyokart enfarktüslü hastalarda ST segment rezolusyonunu öngörmedeki yararlılığı. Dicle Tıp Dergisi 2019. [DOI: 10.5798/dicletip.570650] [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: 11/14/2022] Open
|
12
|
Aksoy F, Guler S, Kahraman F, Kuyumcu MS, Bagcı A, Bas HA, Uysal D, Varol E. The Relationship Between Mitral Annular Calcification, Metabolic Syndrome and Thromboembolic Risk. Braz J Cardiovasc Surg 2019; 34:535-541. [PMID: 31719007 PMCID: PMC6852443 DOI: 10.21470/1678-9741-2019-0062] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
INTRODUCTION Metabolic syndrome (MetS) is defined as an association between diabetes, hypertension, obesity and dyslipidemia and an increased risk of cardiovascular disease. Mitral annular calcification (MAC) is associated with several cardiovascular disorders, including coronary artery disease, atrial fibrillation (AF), heart failure, ischemic stroke and increased mortality. The CHA2DS2-VASc score is used to estimate thromboembolic risk in AF. However, the association among MAC, MetS and thromboembolic risk is unknown and was evaluated in the current study. METHODS The study group consisted of 94 patients with MAC and 86 patients with MetS. Patients were divided into two groups: those with and those without MAC. RESULTS Patients with MAC had a higher MetS rate (P<0.001). In patients with MAC, the CHA2DS2-VASc scores and the rate of cerebrovascular accident and AF were significantly higher compared to those without MAC (P<0.001, for both parameters). The results of the multivariate regression analysis showed that history of smoking, presence of MetS and high CHA2DS2-VASc scores were associated with the development of MAC. ROC curve analyses showed that CHA2DS2-VASc scores were significant predictors for MAC (C-statistic: 0.78; 95% CI: 0.706-0.855, P<0.001). Correlation analysis indicated that MAC was positively correlated with the presence of MetS and CHA2DS2-VASc score (P=0.001, r=0.264; P<0.001, r=0.490). CONCLUSION We have shown that CHA2DS2-VASc score and presence of MetS rates were significantly higher in patients with MAC compared without MAC. Presence of MAC was correlated with CHA2DS2-VASc score, presence of MetS, AF and left atrial diameter and negatively correlated with left ventricular ejection fraction.
Collapse
Affiliation(s)
- Fatih Aksoy
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Serdar Guler
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Fatih Kahraman
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Mevlüt Serdar Kuyumcu
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Ali Bagcı
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Hasan Aydın Bas
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Dinçer Uysal
- Suleyman Demirel University Medical School Department of Cardiovascular Surgery Isparta Turkey Department of Cardiovascular Surgery, Suleyman Demirel University, Medical School, Isparta, Turkey
| | - Ercan Varol
- Suleyman Demirel University Medical School Department of Cardiology Isparta Turkey Department of Cardiology, Suleyman Demirel University, Medical School, Isparta, Turkey
| |
Collapse
|
13
|
Affiliation(s)
- Mevlüt Serdar Kuyumcu
- Department of Cardiology, Süleyman Demirel Üniversitesi Araştırma ve Uygulama Hastanesi, Isparta, Turkey
| | - Mustafa Bilal Özbay
- Department of Cardiology, TC Saglik Bakanligi, Ankara City Hospital, Ankara, Turkey
| | - Yasin Özen
- Department of Cardiology, TC Saglik Bakanligi, Ankara City Hospital, Ankara, Turkey
| | - Çağrı Yayla
- Department of Cardiology, TC Saglik Bakanligi, Ankara City Hospital, Ankara, Turkey
| |
Collapse
|
14
|
Yılmaz S, Canpolat U, Başer K, Ünal S, Kuyumcu MS, Aydoğdu S. Neutrophil-to-lymphocyte ratio predicts functionally significant coronary artery stenosis in patients with stable coronary artery disease. Turk Kardiyol Dern Ars 2018; 46:129-135. [PMID: 29512613 DOI: 10.5543/tkda.2017.16709] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE The aim of this study was to determine the relationship between the neutrophil-to-lymphocyte ratio (NLR) and the functional severity of coronary stenosis assessed according to the fractional flow reserve (FFR) in stable coronary artery disease (CAD). METHODS The clinical and laboratory data of 420 patients who underwent index coronary angiography for stable angina pectoris were analyzed retrospectively. The functional severity of an intermediate lesion was determined by FFR. An FFR value of >0.80 was considered non-significant (Group 1), whereas ≤0.80 was accepted as significant stenosis (Group 2). RESULTS A total of 137 (32.6%) patients had functionally significant coronary artery stenosis. The median NLR value was significantly greater in Group 2 compared with Group 1 [3.13 (0.93-9.75) vs 2.22 (0.75-6.02); p<0.001]. In multivariable logistic regression analysis, the Gensini score [odds ratio (OR): 1.04; 95% confidence interval (CI): 1.02-1.06; p<0.001], diabetes mellitus (OR: 2.56; 95% CI: 1.38-4.75; p=0.003), smoking (OR: 2.09; 95% CI: 1.12-3.94; p=0.021), and NLR (OR: 1.62; 95% CI:1.26-2.09; p<0.001) were found to be independent predictors of the presence of functionally significant coronary stenosis using an FFR value of ≤0.80. The optimal cut-off value of NLR for predicting functionally significant coronary stenosis was 2.3. An NLR value greater than 2.3 had a sensitivity of 72% and a specificity of 61% to predict stenosis with an FFR value of ≤0.80. CONCLUSION The pre-angiographic NLR is a simple, noninvasive, and inexpensive biomarker that was significantly higher in patients with functionally significant coronary stenosis; it can be used to predict the hemodynamic severity of intermediate coronary stenosis in patients with stable CAD.
Collapse
Affiliation(s)
| | - Uğur Canpolat
- Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | | | | | | | | |
Collapse
|
15
|
Kuyumcu MS, Alagöz M, Yayla Ç, Ünal S, Özbay MB, Acar B, Yakut İ, Erbay İ. The association between cardiac resynchronization therapy response and sexual activity in patients with heart failure. Hellenic J Cardiol 2018; 61:34-39. [PMID: 30170020 DOI: 10.1016/j.hjc.2018.08.005] [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: 04/11/2018] [Revised: 07/04/2018] [Accepted: 08/21/2018] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Sexual activity is an important indicator of quality of life and is significantly impaired in patients with heart failure (HF). Cardiac resynchronization therapy (CRT) has positive effects on cardiac dysfunction and endothelial dysfunction that lead to erectile dysfunction (ED). We aimed to evaluate whether CRT may improve sexual activity in patients with HF. METHODS In total, 136 patients (mean age 61.8 ± 12.8 years) were evaluated for the study. All patients filled the Sexual Health Inventory for Men (SHIM) questionnaire for evaluation of their erectile functions before CRT device implantation. One hundred eighty days after CRT device implantation, the patients were re-evaluated with SHIM questionnaire. RESULTS In the whole study population, SHIM test scores were significantly increased after CRT (12.99 ± 3.22 vs. 18.03 ± 5.00; p<0.001). The patients were divided into two groups according to the CRT response. The increase in SHIM test scores was significantly more in the response (+) group than in the response (-) group [response (+) group: 6.94 ± 3.36; p<0.001 vs. response (-) group: 0.81 ± 1.77; p = 0.465]. A positive CRT response was found to be an independent predictor of SHIM score (p<0.001). CONCLUSION Our study showed that CRT had positive effects on ED of patients with HF.
Collapse
Affiliation(s)
- Mevlüt Serdar Kuyumcu
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| | - Mehmet Alagöz
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiovascular Surgery Clinic, Ankara, Turkey.
| | - Çağrı Yayla
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| | - Sefa Ünal
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| | - Mustafa Bilal Özbay
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| | - Burak Acar
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| | - İdris Yakut
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| | - İlke Erbay
- Türkiye Yüksek Ihtisas Training and Research Hospital, Cardiology Clinic, Ankara, Turkey.
| |
Collapse
|
16
|
Acar B, Gucuk Ipek E, Unal S, Yayla C, Karanfil M, Burak C, Kara M, Bayraktar F, Kuyumcu MS, Aydogdu S. Evaluation of Mediterranean diet adherence in patients with a history of coronary revascularization. Rev Clin Esp 2018; 218:215-222. [PMID: 29735268 DOI: 10.1016/j.rce.2018.02.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 02/22/2018] [Accepted: 02/24/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Lifestyle modification is an important component of the secondary prevention strategies; and a healthy diet is one of the cornerstones in management of the coronary heart disease. We aimed to investigate the dietary habits of the patients with history of coronary revascularization, characteristics of the ones with good adherence by using alternate MedDiet questionnaire. METHODS We included outpatients who had a history of coronary revascularization at least 6 months prior to enrollment. Each participant filled out a questionnaire to collect the data of demographics and clinical characteristics. Alternate MedDiet score was calculated to evaluate the Mediterranean style dietary adherence. Alternate MedDiet was originally based on 14-item questionnaire; we adjusted it to our population (max 13 points). RESULTS We enrolled 226 consecutive outpatients (age 61.7±10.9 years, 72% males). The median duration after revascularization was 60 months. A total of 112 (49.6%) patients had previous percutaneous coronary intervention (PCI), 77 (34.1%) had coronary by-pass graft surgery (CABG), and 36 (15.9%) had both revascularization procedures. The median MedDiet score was 6. Patients were stratified into two subgroups (MedDiet score ≥7 vs. <7). A total of 61 (26.9%) patients had MedDiet score ≥7. By univariate analysis, good MedDiet scores were associated with older age, waist circumference, body mass index, high education level, regular follow-up, duration after first revascularization and revascularization with CABG+PCI. In the multivariate analysis, high education level (P=.002, OR=8.212, 95%CI: 2.155-31.291) and duration after revascularization (P=.034, OR=1.007, 95%CI: 1.001-1.013) were independent predictors of good MedDiet scores. CONCLUSION The adherence rate to a healthy diet was low in patients with previous coronary revascularization. MedDiet score seems to be practical and useful item to evaluate the dietary habits in outpatient setting. Mediterranean diet adherence rates were associated with high education level, and duration after revascularization.
Collapse
Affiliation(s)
- B Acar
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía.
| | - E Gucuk Ipek
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - S Unal
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - C Yayla
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - M Karanfil
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - C Burak
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - M Kara
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - F Bayraktar
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - M S Kuyumcu
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| | - S Aydogdu
- Unidad de Cardiología, Docencia e Investigación Hospital Yuksek Ihtisas, Ankara, Turquía
| |
Collapse
|
17
|
Kuyumcu MS, Kuyumcu A, Yayla Ç, Özbay MB, Alagöz M, Ünal S, Açar B, Özeke Ö, Samur G. Nesfatin-1 levels in patients with slow coronary flow. Kardiol Pol 2017; 76:401-405. [PMID: 29131290 DOI: 10.5603/kp.a2017.0210] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 10/12/2017] [Accepted: 10/05/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND Nesfatin-1 is a novel anorectic neuropeptide with potent metabolic regulatory effects. AIM We aimed to evaluate the relationship between nesfatin-1 levels and slow coronary flow (SCF). METHODS A total of 60 consecutive patients with SCF and 60 consecutive patients with normal coronary flow (NCF) were enrolled into the study. Nesfatin-1 level was measured from blood serum samples using enzyme-linked immunosorbent assay test. RESULTS Serum nesfatin-1 levels were significantly lower in the SCF group compared to the NCF group (p < 0.001). Low levels of nesfatin-1 were found to be significantly and independently associated with the SCF (odds ratio 0.982, 95% confidence interval 0.969-0.995, p = 0.005). CONCLUSIONS The results of this study showed that serum nesfatin-1 level was lower in the SCF group than in the NCF group. Nesfatin-1 could play a role in the pathogenesis of SCF phenomenon with mechanisms such as inflammation and endothelial dysfunction. Further studies are needed to determine the relation between SCF and nesfatin-1.
Collapse
Affiliation(s)
- Mevlüt Serdar Kuyumcu
- Department of Cardiology, Türkiye Yüksek İhtisas Education and Research Hospital, Ankara, Turkey.
| | | | | | | | | | | | | | | | | |
Collapse
|
18
|
Affiliation(s)
- Samet Yılmaz
- Clinic of Cardiology, Türkiye Yüksek İhtisas Education and Research Hospital; Ankara-Turkey.
| | | | | | | | | |
Collapse
|
19
|
Güray Y, Gücük İpek E, Acar B, Kuyumcu MS, Uçar F, Kafes H, Asarcıklı L, Çabuk G, Demirkan B, Güray Ü. Long-term outcome in patients with prosthetic valve endocarditis: results from a single center in Turkey. Turk Kardiyol Dern Ars 2016; 44:105-13. [PMID: 27111308 DOI: 10.5543/tkda.2015.21504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE Prosthetic valve endocarditis (PVE) is associated with increased mortality and morbidity. Information regarding the long-term outcome of PVE is scarce in Turkey. The aim of this study was to evaluate long-term mortality rates of PVE and identify predictors of mortality in these patients. METHODS From January 2008 through August 2013, 44 patients (25 male, 19 female; mean age 49.3±12.1 years) who received a definitive diagnosis of PVE enrolled in the study.Median follow-up period was 23 months. Survival status was assessed for each patient by reviewing charts and making contact by phone. Cox regression analysis was used to evaluate outcome predictors. RESULTS The mitral valve was the most commonly affected valve and Staphylococcus aureus the most prevalent microorganism. Fourteen patients (32%) underwent surgery, 7 of whom underwent early surgery. Overall mortality and in-hospital mortality rates were 39% (n=17) and 25% (n=11), respectively. In multivariate analysis, NYHA classification >2 (hazard ratio [HR] 3.7; 95% confidence interval [CI], 1.16-11.8; p=0.03), early-onset PVE (HR 4.23; 95% CI, 1.1-16.42; p=0.04), vegetation size ≥10 mm (HR 3.94; 95% CI, 1.1-14.75; p=0.04), and heart failure (HR 4.18; 95% CI, 1.36-12.8; p=0.01) were found to be independent predictors of mortality. CONCLUSION Our findings suggest that PVE is associated with increased long-term mortality rates. Poor functional status, early-onset PVE, heart failure, and vegetation size are independent predictors of survival in patients with PVE.
Collapse
Affiliation(s)
- Yeşim Güray
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.
| | - Esra Gücük İpek
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Burak Acar
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Mevlüt Serdar Kuyumcu
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Fatih Uçar
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Habibe Kafes
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Lale Asarcıklı
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Gizem Çabuk
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Burcu Demirkan
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Ümit Güray
- Department of Cardiology, Numune Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
20
|
Yılmaz S, Kuyumcu MS, Akboga MK, Sen F, Balcı KG, Balcı MM, Özeke Ö, Aras D, Aydoğdu S. The relationship between erectile dysfunction and paroxysmal lone atrial fibrillation. J Interv Card Electrophysiol 2016; 46:245-51. [DOI: 10.1007/s10840-016-0115-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Accepted: 02/04/2016] [Indexed: 12/19/2022]
|
21
|
Cetin MS, Ozcan Cetin EH, Arisoy F, Kuyumcu MS, Topaloglu S, Aras D, Temizhan A. Fragmented QRS Complex Predicts In-Hospital Adverse Events and Long-Term Mortality in Patients with Acute Pulmonary Embolism. Ann Noninvasive Electrocardiol 2015; 21:470-8. [PMID: 26701225 DOI: 10.1111/anec.12332] [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] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Revised: 09/10/2015] [Accepted: 10/02/2015] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Electrocardiographic (ECG) abnormalities in pulmonary embolism (PE) are increasingly reported, and mounting data have recommended that ECG plays a crucial role in the prognostic assessment of PE patient population. However, there is scarce data on the prognostic importance of fragmented QRS (fQRS) on short- and long-term outcomes in patients with PE. Therefore, we aimed to investigate the prognostic role of fQRS in predicting in-hospital and long-term adverse outcomes in PE patients. METHODS A total of 249 patients (155 female, 66.2%; mean age, 66.0 ± 16.0) with the diagnosis of acute PE were enrolled and followed-up during median 24.8 months. RESULTS Compared with the fQRS (-) patient group, patients with fQRS showed higher rates of in-hospital adverse events including cardiogenic shock, the necessity of thrombolytic therapy, and in-hospital mortality as well as long-term all-cause mortality. In Kaplan-Meier survival analysis, during follow-up, all-cause mortality occurred more frequently in the fQRS (+) group (log-rank, P = 0.002). In multivariate Cox regression analysis, adjusted with other relevant parameters, the presence of fQRS were determined as an independent predictor of in-hospital adverse events (HR: 2.743, 95% CI: 1.267-5.937, P = 0.003) and long-term all-cause mortality (HR: 3.137, 95% CI: 1.824-6.840, P = 0.001). CONCLUSIONS The presence of fQRS complex, as a simple and feasible ECG marker, seems to be a novel predictor of in-hospital adverse events and long-term all-cause mortality in PE patient population. This parameter may utilize the identification of patients whom at higher risk for mortality and individualization of therapy.
Collapse
Affiliation(s)
- Mehmet Serkan Cetin
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Elif Hande Ozcan Cetin
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Fazil Arisoy
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Mevlüt Serdar Kuyumcu
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Serkan Topaloglu
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Dursun Aras
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| | - Ahmet Temizhan
- Cardiology Department, Türkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
22
|
Kuyumcu MS, Yılmaz S, Demiryapan E, Ekizler A, Özeke Ö, Tüfekçioğlu O, Aydoğdu S. PP-107 Precordial Thump; Just a Myth or a Lifesaver in Malignant Ventricular Tachyarrhythmia? Am J Cardiol 2015. [DOI: 10.1016/j.amjcard.2015.01.464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
23
|
Affiliation(s)
- Samet Yilmaz
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mevlüt Serdar Kuyumcu
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Aliye Kuyumcu
- Department of Nutrition and Dietetics, Ankara Numune Education and Research Hospital, Ankara, Turkey
| | - Sinan Aydoğdu
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| |
Collapse
|
24
|
Sen F, Yılmaz S, Kuyumcu MS, Ozeke O, Balcı MM, Aydoğdu S. The Presence of Fragmented QRS on 12-Lead Electrocardiography in Patients with Coronary Artery Ectasia. Korean Circ J 2014; 44:307-11. [PMID: 25278983 PMCID: PMC4180607 DOI: 10.4070/kcj.2014.44.5.307] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2014] [Revised: 07/15/2014] [Accepted: 08/04/2014] [Indexed: 01/14/2023] Open
Abstract
Background and Objectives Coronary artery ectasia (CAE) is an angiographic finding characterized by dilation of an arterial segment with a diameter at least 1.5 times that of its adjacent normal coronary artery. Fragmented QRS (fQRS) complexes are electrocardiographic signals which reflect altered ventricular conduction around regions of a myocardial scar and/or ischaemia. In the present study, we aimed to evaluate the presence of fQRS in patients with CAE. Subjects and Methods The study population included 100 patients with isolated CAE without coronary artery disease (CAD) and 80 angiographically normal controls. fQRS was defined as the presence of an additional R wave or notching of R or S wave or the presence of fragmentation in two contiguous leads corresponding to a major coronary artery territory. Results The two groups were similar in terms of age, sex, hypertension, dyslipidemia, and family history of CAD. The presence of fQRS was significantly (p<0.05) higher in the CAE group than that in the normal coronary artery group (29% vs. 6.2%, p=0.008). Isolated CAE were detected most commonly in the right coronary artery (61%), followed by left anterior descending artery (52%), left circumflex artery (36%), and left main artery (9%). Multivariate stepwise logistic regression analysis showed that CAE {odds ratio (OR) 1.412; 95% confidence interval (CI) 1.085-1.541; p=0.003} and diabetes (OR 1.310; 95% CI 1.025-1.482; p=0.041) were independently associated with fQRS. Conclusion The presence of fragmented QRS associated with increased risk for arrhythmias and cardiovascular mortality was significantly higher in patients with CAE than in patient with normal coronary artery. Further studies are needed to determine whether the presence of fragmented QRS is a possible new risk factor for patients with CAE.
Collapse
Affiliation(s)
- Fatih Sen
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Samet Yılmaz
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mevlüt Serdar Kuyumcu
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Ozcan Ozeke
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Mustafa Mücahit Balcı
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| | - Sinan Aydoğdu
- Turkey Yuksek Ihtisas Education and Research Hospital, Cardiology Clinic, Ankara, Turkey
| |
Collapse
|