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Karaoğlan BB, Tulunay C, Uzun Ç, Peker E, Özyüncü N, Ellik Z, Kuru D, Turhan S, Savaş B, Erden A, Idilman R, Idilman R. Determining Subclinical Cardiovascular and Cardiac Diseases in Patients with Non-Alcoholic Fatty Liver Disease. Turk J Gastroenterol 2023; 34:242-253. [PMID: 36445056 PMCID: PMC10152151 DOI: 10.5152/tjg.2022.22075] [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] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND The aims of the present study were to determine the subclinical coronary atherosclerosis and myocardial dysfunction in patients with non-alcoholic fatty liver disease, who were asymptomatic for cardiac disease. METHODS A total of 61 non-alcoholic fatty liver disease patients were enrolled in the study. The 10-year probability of cardiovascular events was evaluated according to the pooled cohort equation risk score (atherosclerotic cardiovascular disease). The coronary artery calcium score was measured. Conventional echocardiographic examination was followed by 2- and 3-dimensional speckle tracking echocardiography. RESULTS Patients with non-alcoholic steatohepatitis had significantly higher insulin resistance (P = .018), serum alanine aminotransferase (P = .002) and aspartate aminotransferase levels (P = .021), hepatic steatosis (P = .023), and fibrosis (P = .001) than non-alcoholic fatty liver disease patients. The mean Atherosclerotic Cardiovascular Disease score was 7.5% ± 6.9% and 37% of the patients had medium and high cardiovascular disease risk. Cardiovascular disease (>1) was found in 30% of the patients. Interestingly, 56% had significant and extended atherosclerotic plaques. Among the patients with moderate-to-high atherosclerotic cardiovascular disease scores, 63% had significant atherosclerotic plaques and 21% had extensive plaque burden. The presence of non-alcoholic steatohepatitis did not significantly affect cardiovascular risk. Non-alcoholic steatohepatitis was deleterious on left ventricle diastolic functions. Mean A velocity in non-alcoholic steatohepatitis patients was significantly increased compared to non-alcoholic fatty liver disease patients (87.0 ± 17.5 cm/s vs. 72.3 ± 13.6 cm/s, P = .002). Mean E/e' ratio was 8.1 ± 2.0. Submyocardial fibrosis detected had a slightly higher occurrence in non-alcoholic steatohepatitis patients than in non-alcoholic fatty liver disease patients (P = .530). CONCLUSION The presence of non-alcoholic steatohepatitis did not significantly increase the risk of cardiovascular disease and subclinical myocardial dysfunction in asymptomatic patients for cardiac disease compared to non-alcoholic fatty liver disease patients.
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Affiliation(s)
- Beliz Bahar Karaoğlan
- Department of Gastroenterology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Cansın Tulunay
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Çağlar Uzun
- Department of Radiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Elif Peker
- Department of Radiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Nil Özyüncü
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Zeynep Ellik
- Department of Gastroenterology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Diğdem Kuru
- Department of Radiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Sibel Turhan
- Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Berna Savaş
- Department of Pathology, Ankara University Faculty of Medicine, Ankara, Turkey; Department of Biostatistics, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ayşe Erden
- Department of Radiology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ramazan Idilman
- Department of Gastroenterology, Ankara University Faculty of Medicine, Ankara, Turkey
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Sorgun MH, Özaydin Aksun Z, Erdoğan S, Arslan M, Gursoy Coruh A, Kuru Oz D, Özyüncü N, Peker E, Tulunay Kaya C, Yavuz K, Erdoğan M, Togay Işıkay C. The Effects of "Transient Ischemic Attack Unit" on Early Diagnosis and Treatment of Stroke and Other Vascular Events. tnd 2022. [DOI: 10.4274/tnd.2022.80932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Esenboğa K, Şahin E, Özyüncü N, Yamanturk Y, Turhan S. Challenging Intervention to Restenosis of Right Coronary Ostial Stent Excessively Overhanging to the Aorta: A Case Report and Brief Review of Literature. Cureus 2022; 14:e25037. [PMID: 35719812 PMCID: PMC9199565 DOI: 10.7759/cureus.25037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/15/2022] [Indexed: 11/05/2022] Open
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Affiliation(s)
- Kerim Esenboğa
- Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey
| | - Ebru Şahin
- Department of Cardiology, Bilecik Training and Research Hospital; Bilecik-Turkey
| | - Nil Özyüncü
- Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey
| | - Türkan Seda Tan
- Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey
| | - Yusuf Atmaca
- Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey
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Esenboğa K, Kurtul A, Nazman H, Tekin CG, Özyüncü N, Tan TS, Tutar E, Turhan ST. Evaluation of the Impact of Ranolazine Treatment on Liver Function Tests in Patients With Coronary Heart Disease and Nonalcoholic Fatty Liver Disease. Angiology 2021; 73:73-78. [PMID: 33823622 DOI: 10.1177/00033197211005590] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Nonalcoholic fatty liver disease (NAFLD) is the most common liver pathology in the developed world. Nonalcoholic fatty liver disease is associated with a higher risk of cardiovascular disease. We investigated the impact of ranolazine on liver tests in patients with NAFLD and coronary artery disease (CAD). Patients who had established CAD and NAFLD (as assessed by raised serum transaminase activity, sonographic criteria, and the absence of any other obvious liver disease) were allocated to "on ranolazine" (n = 40) or "not on ranolazine" (n = 35) groups. Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were measured in all patients at baseline and at the end of the study. After 6 months of ranolazine treatment, both ALT and AST activities were significantly lower in patients in the "on ranolazine" group compared with "not on ranolazine" patients (change from baseline: ALT, -11.0 ± 1.7 IU/L, P < .001; AST, -5.2 ± 1.9 IU/L, P =.009). In conclusion, the present study showed that treatment with ranolazine for 6 months led to a significant reduction in the activities of both serum aminotransferases in patients with stable CAD and NAFLD.
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Affiliation(s)
- Kerim Esenboğa
- 324508Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
| | - Alparslan Kurtul
- 111335Hatay Mustafa Kemal University Faculty of Medicine, Department of Cardiology, Hatay, Turkey
| | - Hüseyin Nazman
- Department of Cardiology, Sivas Numune State Hospital, Sivas, Turkey
| | - Cemre Gül Tekin
- 324508Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
| | - Nil Özyüncü
- 324508Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
| | - Türkan Seda Tan
- 324508Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
| | - Eralp Tutar
- 324508Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
| | - Sibel Tekin Turhan
- 324508Ankara University Faculty of Medicine, Department of Cardiology, Ankara, Turkey
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Özyüncü N, Çağlar N. [Labile hypertension in the clinic]. Turk Kardiyol Dern Ars 2019; 47:701-704. [PMID: 31802769 DOI: 10.5543/tkda.2019.64009] [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
Labile hypertension is a common problem in daily clinical practice. It is defined as a rapid, temporary rise in blood pressure to above 140/90 mm Hg, most often due to emotional stress, followed by a return to normal values. In the clinical setting, it may be due to white coat hypertension, masked hypertension, pseudopheochromocytoma, orthostatic hypertension, or supine hypertension. Labile hypertension can lead to increased cardiovascular risk. Ambulatory blood pressure monitoring is often used for the diagnosis. Alpha blockers+beta blockers and antidepressants are frequently used for treatment.
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Affiliation(s)
- Nil Özyüncü
- Department of Cardiology, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Nail Çağlar
- Department of Cardiology, Faculty of Medicine, Ankara University, Ankara, Turkey
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Gök G, Sinan ÜY, Özyüncü N, Zoghi M. The prevalence of cardiovascular diseases, risk factors, and cardiovascular drug therapy in very elderly Turkish patients admitted to cardiology clinics: A subgroup analysis of the ELDER-TURK study. Turk Kardiyol Dern Ars 2018; 46:283-295. [PMID: 29853696 DOI: 10.5543/tkda.2018.49579] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE The aim of this study was to determine the baseline clinical characteristics and the cardiovascular drug usage of patients aged ≥80 years who were admitted to cardiology clinics and to compare the cardiovascular disease and risk factors with patients aged 65-79 years who participated in the Epidemiology of Cardiovascular Disease in Elderly Turkish Population (ELDER-TURK) study. METHODS The ELDER-TURK study included 5694 patients aged over 65 years who were followed up at cardiology clinics between March 2015 and December 2015. The prevalence of cardiovascular diseases and the risk factors of 1098 patients aged ≥80 years (Group II) were compared with 4596 patients aged 65-79 years (Group I). RESULTS The mean age of Group I was 71.1±4.31 years (male: 50.2%) and the mean age of Group II was 83.5±3.12 years (male: 47.5%). The prevalence rate was 71.3% for hypertension, 24.6% for diabetes mellitus (DM), 44.7% for coronary artery disease (CAD), 35.9% for atrial fibrillation (AF), and 15.5% for renal failure. A statistical difference in the prevalence of comorbid conditions and cardiovascular disease risk factors, such as DM, CAD, renal failure, and AF was seen in the very elderly group (p<0.001, p=0.002, p<0.001, p<0.001, respectively). In all, 28.7% of the very elderly were using a beta-blocker, 10.1% an angiotensin system inhibitor, 28.4% an angiotensin receptor blocker, and 32.7% a mineralocorticoid receptor antagonist. CONCLUSION Valuable data about the prevalence of cardiovascular and comorbid diseases and medication usage among Turkey`s very elderly patients who were admitted to cardiology clinics was gathered and analyzed.
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Affiliation(s)
- Gülay Gök
- Department of Cardiology, Mardin State Hospital, Mardin, Turkey.
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Göksülük H, Güleç S, Özyüncü N, Kürklü ST, Vurgun VK, Candemir B, Uludağ MG, Öztürk S, Us E, Erol Ç. Comparison of Frequency of Silent Cerebral Infarction After Coronary Angiography and Stenting With Transradial Versus Transfemoral Approaches. Am J Cardiol 2018; 122:548-553. [PMID: 29960662 DOI: 10.1016/j.amjcard.2018.04.056] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Revised: 04/24/2018] [Accepted: 04/30/2018] [Indexed: 02/02/2023]
Abstract
Silent cerebral infarction (SCI) can be seen after coronary procedures. We investigated whether vascular access sites have an impact on the risk of SCI. A total of 255 consecutive patients who underwent diagnostic or interventional coronary procedures through transfemoral (n = 126 patients) or transradial (n = 129 patients) approach were evaluated. Neuron-specific enolase (NSE) levels were studied before and 12 hours after the procedure. Elevation of greater than 12 ng/ml was considered as SCI. Patients were mainly men (60%) with a mean age of 62 years. SCI was observed in 74 of 255 patients (29%). It was significantly more prevalent among transradial group. Elevation of NSE was observed in 36% of transradial group (n = 47) and 21% of the transfemoral group (n = 27) (p = 0.008). Patients with SCI were more likely to have male sexuality, hyperlipidemia, history of smoking, and previous myocardial infarction. Multivariate analysis demonstrated that patients who underwent coronary procedures through transradial approach were 2.1 times more likely to have an SCI than patients with transfemoral approach (95% confidence interval [CI] 1.205 to 3.666; p = 0.008). Other independent predictors of NSE elevation were previous myocardial infarction (odds ratio 8.6; 95% CI 4.209 to 17.572; p <0.001) and smoking history (odds ratio 7.251; 95% CI 3.855 to 13.639; p <0.001). The present study suggests that transradial coronary procedures carry higher risk of SCI when compared with transfemoral route.
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Affiliation(s)
- Hüseyin Göksülük
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey.
| | - Sadi Güleç
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
| | - Nil Özyüncü
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
| | - Seda Tan Kürklü
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
| | - Veysel Kutay Vurgun
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
| | - Başar Candemir
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
| | | | - Semih Öztürk
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
| | - Ebru Us
- Medical Microbiology Department, Ankara University, Ankara, Turkey
| | - Çetin Erol
- Cardiology Department, Ankara University, İbni Sina Hospital, Ankara, Turkey
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Güven G, Güler A, Özyüncü N, Talan L, Heper A, Turgay TM, Altıntaş ND. Hemophagocytic lymphohistiocytosis after certolizumab treatment in a patient with rheumatoid arthritis. Eur J Rheumatol 2018; 5:203-205. [PMID: 30071926 DOI: 10.5152/eurjrheum.2018.17108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Accepted: 10/21/2017] [Indexed: 11/22/2022] Open
Abstract
Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening syndrome that may be triggered by hereditary factors, autoimmune and immunologic disorders, infectious diseases, malignancies and medications. Suspicion of the disease and early treatment is of paramount importance. Since the presentation of HLH with only skin involvement is rare, early diagnosis may be difficult. A pathologically confirmed HLH case that presented with maculopapular skin lesions after certolizumab treatment is being reported in this presentation.
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Affiliation(s)
- Göksel Güven
- Department of Internal Medicine, Division of Intensive Care, Ankara University School of Medicine, Ankara, Turkey
| | - Aslıhan Güler
- Department of Internal Medicine, Ankara University School of Medicine, Ankara, Turkey
| | - Nil Özyüncü
- Department of Cardiology, Ankara University School of Medicine, Ankara, Turkey
| | - Leyla Talan
- Department of Internal Medicine, Division of Intensive Care, Ankara University School of Medicine, Ankara, Turkey
| | - Aylin Heper
- Department of Pathology, Ankara University School of Medicine, Ankara, Turkey
| | - Tahsin Murat Turgay
- Department of Rheumatology, Ankara University School of Medicine, Ankara, Turkey
| | - Neriman Defne Altıntaş
- Department of Internal Medicine, Division of Intensive Care, Ankara University School of Medicine, Ankara, Turkey
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Göksülük H, Atmaca Y, Uludağ MG, Kaya CT, Yıldırım O, Akbulut M, Özyüncü N, Erol C. Prevention of minor myocardial injury after elective percutaneous coronary intervention: comparison of ticagrelor versus clopidogrel. Acta Cardiol 2018; 73:1-7. [PMID: 29357752 DOI: 10.1080/00015385.2018.1429193] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2017] [Accepted: 01/15/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Elective percutaneous coronary intervention (ePCI) may cause minor elevation of cardiac enzymes, so-called minor myocardial injury (MMI) which can be due to different pathophysiological mechanism (e.g. distal embolisation, side branch occlusion, increased platelet activation triggered by the intracoronary metallic stents). We aimed to compare the effectiveness of ticagrelor versus clopidogrel for the prevention of MMI and major adverse clinical events (MACEs) after ePCI. METHODS Study population consisted of two groups of patients based on the treatment: Group I, receiving clopidogrel (n = 104), Group II, receiving ticagrelor (n = 96). Cardiac troponin I (cTnI), CK-MB were studied before and 12 hours after the procedure. Elevation of cTnI greater than 0.06 ng/ml was considered as MMI. All patients were also evaluated for the MACEs (death, myocardial infarction, stroke and transient ischaemic attack). RESULTS Fifty-two of 200 patients (26%) had MMI after the procedure. The minor myocardial injury was significantly more prevalent in clopidogrel group than that of ticagrelor group (33% vs. 19%, p = .03). Myocardial infarction (MI) and MACEs were significantly higher in the clopidogrel group (15% vs. 6%, for MI, p = .04; 16% vs. 6%, for MACEs, p = .03, respectively). Multivariate analysis demonstrated antiplatelet treatment, saphenous graft intervention, type-C lesion as independent predictors of MMI. CONCLUSIONS Present study showed that the combination of ticagrelor and aspirin was more effective than combination of clopidogrel and aspirin in decreasing MMI and MACEs after elective stenting.
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Affiliation(s)
| | - Yusuf Atmaca
- a Cardiology Department , Ankara University , Ankara , Turkey
| | | | | | - Onur Yıldırım
- a Cardiology Department , Ankara University , Ankara , Turkey
| | - Müge Akbulut
- a Cardiology Department , Ankara University , Ankara , Turkey
| | - Nil Özyüncü
- a Cardiology Department , Ankara University , Ankara , Turkey
| | - Cetin Erol
- a Cardiology Department , Ankara University , Ankara , Turkey
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Göksülük H, Gulec S, Atmaca Y, Kaya C, Candemir B, Özyüncü N, kürklü S, Erol Ç. TCT-273 Comparison of Silent Cerebral İnfarct Between Right Versus Left Radial Approach in Elective Percutaneous Coronary Intervention/Coronary Angiography. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.351] [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: 11/26/2022]
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Göksülük H, Gulec S, Özyüncü N, Kürklü S, Uludağ D, Öztürk S, Erol Ç. TCT-193 Effect of access site on silent cerebral infarct in patients undergoing coronary angiography and intervention as detected with neuron specific enolase. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Özyüncü N, Güleç S, Özdöl Ç, Candemir B, Ongun A, Tulunay Kaya C, Erol Ç. Impact of serum erythropoietin level on collateral vessel development in patients with coronary artery disease. Anatol J Cardiol 2017; 17:386-391. [PMID: 28315563 PMCID: PMC5469086 DOI: 10.14744/anatoljcardiol.2017.7419] [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] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2017] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE Experimental data have shown that Erythropoietin (EPO) stimulates angiogenesis and neovascularization which may result in improved collateral development. The aim of this study was to investigate the association between serum EPO levels and the extent of coronary collaterals. Patient characteristics possibly related with coronary collaterals were also sought. METHODS A total of 256 patients with high grade coronary stenosis or occlusion were evaluated for the extent of coronary collaterals using Rentrop classification. Patients with grade 0 or 1 collaterals were grouped as poor collaterals, while grade 2 or 3 collaterals were grouped as good collaterals. RESULTS Mean age of the study population was 63 years, 77% were males. Subjects with good collaterals were significantly more likely to have anemia (p=0.038) and stable angina pectoris as clinical presentation (p=0.40). Serum EPO levels were not different among good and poor collateral groups (10.4±9.4 mU/mL vs. 9.7±11 mU/mL, p=0.397). The prevalence of all other cardiovascular risk factors, medications, and angiographic characteristics were similar between the two groups. After adjusting for age, gender, and clinical presentation with stable angina pectoris, presence of anemia persisted to be a significant correlate of the good collateral formation (OR: 1.95; 95%; CI: 1.07-3.54, p=0.029). CONCLUSION There has been conflicting results from trials studying the effects of serum EPO on coronary collateral development. The present study, with the largest patient population studying this topic, suggests that presence of anemia, but not serum EPO level, is associated with good collateral development.
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Affiliation(s)
- Nil Özyüncü
- Department of Cardiology, Faculty of Medicine, Ankara University; Ankara-Turkey.
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Göksülük H, Habibova U, Ongun A, Akbulut M, Özyüncü N, Kürklü TST, Erol C. Evaluation of the effect of dipping pattern in hypertensive patients on the left ventricular systolic functions by two-dimensional strain analysis. Echocardiography 2017; 34:668-675. [DOI: 10.1111/echo.13516] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Affiliation(s)
- Hüseyin Göksülük
- Cardiology Department; Avicenna Hospital; Ankara University; Ankara Turkey
| | - Ulvin Habibova
- Cardiology Department; Avicenna Hospital; Ankara University; Ankara Turkey
| | - Aydan Ongun
- Cardiology Department; Avicenna Hospital; Ankara University; Ankara Turkey
| | - Müge Akbulut
- Cardiology Department; Avicenna Hospital; Ankara University; Ankara Turkey
| | - Nil Özyüncü
- Cardiology Department; Avicenna Hospital; Ankara University; Ankara Turkey
| | | | - Cetin Erol
- Cardiology Department; Avicenna Hospital; Ankara University; Ankara Turkey
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