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Bakirci EM, Degirmenci H, Hamur H. The Association Between C-Reactive Protein/Albumin Ratio and Severity of Carotid Artery Stenosis. Angiology 2023; 74:97. [PMID: 33147980 DOI: 10.1177/0003319720971969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2023]
Affiliation(s)
- Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
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Bakirci EM, Degirmenci H, Hamur H, Cosgun MS, Coskun R, Gunduz T, Tan M, Dogan MO, Tanriseven HI, Cakir M, Buyuklu M. Predictors of left atrial remodeling in newly diagnosed hypertensive patients: a speckle-tracking echocardiographic study. Int J Cardiovasc Imaging 2021; 37:2881-2889. [PMID: 34002299 DOI: 10.1007/s10554-021-02259-3] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 04/26/2021] [Indexed: 11/26/2022]
Abstract
Endothelial dysfunction, oxidative stress, and increased inflammatory activity are the main pathophysiological mechanisms responsible for cardiac remodeling secondary to hypertension. Bilirubin has anti-oxidant, anti-inflammatory, and anti-fibrotic functions. This report's objectives are to determine whether Query identifiers of left atrial (LA) remodeling, total atrial conduction time (TACT) and LA reservoir strain (LARS), are associated with serum total bilirubin levels, and to identify the possible predictors of LA remodeling in newly diagnosed hypertensive subjects. One hundred thirty-four subjects were enrolled in this study. TACT was evaluated by tissue Doppler imaging, and LARS was calculated by speckle-tracking echocardiography. Laboratory parameters were recorded. The subjects were classified into two separate groups according to the median value of TACT and LARS. In patients with supramedian TACT, LA volume index (LAVI) and epicardial adipose tissue (EAT) thickness were higher, while LARS and LVGLS were lower. In subjects with inframedian LARS, TACT was longer, LAVI and EAT thickness were higher, and LVGLS was lower. Patients with supramedian TACT and inframedian LARS were older and had lower total bilirubin. Total bilirubin, EAT thickness, and age were predictors of TACT and LARS. Serum bilirubin levels may have a protective effect on the LA remodeling process in newly diagnosed hypertensive subjects.
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Affiliation(s)
- Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey.
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Muharrem Said Cosgun
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Resit Coskun
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Tayfun Gunduz
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Mucahit Tan
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Mehmet Onur Dogan
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Halil Ibrahim Tanriseven
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Murat Cakir
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
| | - Mutlu Buyuklu
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24000, Erzincan, Turkey
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Bakirci EM, Degirmenci H, Duman H, Demirelli S, Hamur H, Buyuklu M, Ceyhun G, Kutlusoy E. Aortic propagation velocity in the prediction of coronary artery disease severity. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2021; 166:51-56. [PMID: 33612836 DOI: 10.5507/bp.2021.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Accepted: 01/07/2021] [Indexed: 11/23/2022] Open
Abstract
AIMS To investigate the association of the aortic propagation velocity (APV) with coronary artery disease (CAD) in patients with stable angina pectoris (SAP) through SYNTAX scores (SS). METHODS The study population comprised 214 SAP subjects who received a coronary angiography. The APV and carotid intima-media thickness (CIMT) were examined and SS was calculated. Subjects were grouped following specific SS criteria: SS less than 22 (low) and SS greater than or equal to 22 (high). RESULTS High SS subjects had lower APV compared to low SS [39.0 (32.0-51.7) vs. 55.0 (45.0-62.0) cm/s, respectively; P<0.001] and higher CIMT (0.86 ± 0.24 vs. 0.74 ± 0.21 mm, respectively; P<0.001). APV demonstrated a negative correlation with the CIMT (r=-0.239, P<0.001), age (r=-0.188, P=0.006) , and SS (r=-0.561, P <0.001) and showed a positive association with LV ejection fraction (r=0.163, P=0.017). APV, CIMT, diabetes, low-density lipoprotein cholesterol (LDL-C), and age were determined to be markers independently of a high SS. CONCLUSION APV, CIMT, diabetes, LDL-C and age are independently linked to the CAD severity of SAP subjects. Decreased APV, an indicator of subclinical atherosclerosis, may independently help determine the severity of atherosclerotic CAD in SAP patients.
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Affiliation(s)
- Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Hakan Duman
- Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
| | - Selami Demirelli
- Department of Cardiology, Kayseri Education and Research Hospital, Kayseri, Turkey
| | - Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Mutlu Buyuklu
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Gokhan Ceyhun
- Department of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Ergun Kutlusoy
- Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey
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Degirmenci H, Bakirci EM. The CHA2DS2-VASc Score and Acute Stent Thrombosis After Primary Percutaneous Coronary Intervention. Angiology 2021; 72:492. [PMID: 33412901 DOI: 10.1177/0003319720985635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Husnu Degirmenci
- Faculty of Medicine, Department of Cardiology, 162315Erzincan Binali Yildirim University, Erzincan, Turkey
| | - Eftal Murat Bakirci
- Faculty of Medicine, Department of Cardiology, 162315Erzincan Binali Yildirim University, Erzincan, Turkey
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Buyuklu M, Kandemir FM, Set T, Bakırcı EM, Degirmenci H, Hamur H, Topal E, Kucukler S, Turkmen K. Beneficial Effects of Ozone Therapy on Oxidative Stress, Cardiac Functions and Clinical Findings in Patients with Heart Failure Reduced Ejection Fraction. Cardiovasc Toxicol 2018; 17:426-433. [PMID: 28097518 DOI: 10.1007/s12012-017-9400-8] [Citation(s) in RCA: 12] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The aim of study was to determine the effects of ozone therapy on the oxidative stress, cardiac functions and clinical findings in patients with heart failure reduced ejection fraction (HFrEF). A total of 40 patients with New York Heart Association 2 and 3 HF with left ventricular ejection fraction (LVEF) <35%, and 40 subjects without HF as control group were included in the study. Patients with HFrEF were given additional ozone therapy of major and minor administrations along with conventional HF treatment for 5 weeks. Before and after ozone therapy, left ventricular end-systolic and end-diastolic volumes (LVESV, LVEDV) and the 6 minute walk distance (6MWD) and blood levels of the superoxide dismutase (SOD), catalase (CAT), glutathione (GSH), glutathione peroxidase (GSHPx), malondialdehyde (MDA), nitric oxide (NO) and N-terminal pro-brain natriuretic peptide (NT-proBNP) were measured. Ozone therapy significantly reduced the serum levels of NO and MDA (p < 0.001, respectively) and significantly increased the levels of SOD, CAT, GSH and GSHPx (p < 0.001, respectively). LVEDV and LVESV were found to be significantly reduced; however, LVEF was not found to be significantly increased (p = 0.567). As the biochemical improvement marker of HF, NT-proBNP was significantly reduced (p < 0.001). The clinical HF improvement marker of 6 minute walk distance was also modestly increased (p < 0.001). Ozone therapy might be beneficial in terms of activating antioxidant system and merit further therapeutic potential to conventional HF treatment in patients with HFrEF.
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Affiliation(s)
- Mutlu Buyuklu
- Department of Cardiology, Faculty of Medicine, Erzincan University, 24500, Erzincan, Turkey.
| | - Fatih Mehmet Kandemir
- Department of Biochemistry, Faculty of Veterinary Medicine, Atatürk University, 25000, Erzurum, Turkey
| | - Turan Set
- Department of Family Physician, Faculty of Medicine, Karadeniz Technical University, 61000, Trabzon, Turkey
| | - Eftal Murat Bakırcı
- Department of Cardiology, Faculty of Medicine, Erzincan University, 24500, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan University, 24500, Erzincan, Turkey
| | - Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan University, 24500, Erzincan, Turkey
| | - Ergun Topal
- Department of Cardiology, Faculty of Medicine, Erzincan University, 24500, Erzincan, Turkey
| | - Sefa Kucukler
- Department of Biochemistry, Faculty of Veterinary Medicine, Atatürk University, 25000, Erzurum, Turkey
| | - Kultigin Turkmen
- Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Necmettin Erbakan University, 42000, Konya, Turkey
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Hamur H, Onk OA, Vuruskan E, Duman H, Bakirci EM, Kucuksu Z, Degirmenci H, Buyuklu M, Topal E. Determinants of Chronic Total Occlusion in Patients With Peripheral Arterial Occlusive Disease. Angiology 2016; 68:151-158. [DOI: 10.1177/0003319716641827] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Chronic total occlusion (CTO) is a common finding in 40% of the patients with peripheral arterial disease (PAD). The aim of this study was to investigate the determinants of CTO in patients with PAD. The study included a total of 211 nonanemic patients with PAD. All patients were categorized according to the Fontaine classification. In lower extremity angiography cohorts, CTO− patients were designated as group 1 and CTO+ patients were designated as group 2. Patients with CTO had significantly higher red cell distribution width (RDW), neutrophil–lymphocyte ratio, uric acid, and high-sensitivity C-reactive protein compared to patients without CTO ( P ≤ .001, P = .036, P ≤ .001, and P = .015, respectively). Albumin, total bilirubin, and direct bilirubin were significantly lower in the patients with CTO compared to patients without CTO ( P = .023, P ≤ .001, and P = .049, respectively). Multivariate logistic regression analysis showed that RDW, uric acid, and total bilirubin were independent predictors of CTO in patients with PAD. We demonstrated that increased RDW and uric acid levels and lower total bilirubin values were independently associated with CTO in patients with PAD.
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Affiliation(s)
- Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Oruc Alper Onk
- Department of Cardiovascular Surgery, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Ertan Vuruskan
- Department of Cardiology, Dr. Ersin Arslan State Hospital, Gaziantep, Turkey
| | - Hakan Duman
- Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey
| | - Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Zafer Kucuksu
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Mutlu Buyuklu
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Ergun Topal
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
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Hamur H, Duman H, Demirtas L, Bakirci EM, Durakoglugil ME, Degirmenci H, Kalkan K, Yildirim E, Vuruskan E. Total Bilirubin Levels Predict Subclinical Atherosclerosis in Patients With Prediabetes. Angiology 2016; 67:909-915. [PMID: 26921264 DOI: 10.1177/0003319716632394] [Citation(s) in RCA: 16] [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: 11/17/2022]
Abstract
Bilirubin may have important antiatherosclerotic effects. Prediabetes (PD), the intermediate stage before diabetes mellitus, is associated with increased cardiovascular morbidity and mortality. We evaluated the relationship between serum bilirubin levels and carotid intima-media thickness (cIMT), as a surrogate marker of subclinical atherosclerosis, in patients with PD. We enrolled 170 consecutive patients with PD. The patients underwent ultrasonography to evaluate cIMT. The patients were divided into groups according to cIMT values (<0.9 vs ≥0.9 mm). The patients with cIMT ≥ 0.9 mm had significantly higher diastolic blood pressure, neutrophil-lymphocyte ratio (NLR), and glycated hemoglobin values compared with patients having cIMT < 0.9 mm, whereas total and direct bilirubin values were significantly lower in this group. Multivariate regression analyses revealed NLR and total bilirubin as the independent predictors of subclinical atherosclerosis. The present study demonstrated that NLR and lower total bilirubin levels were independent predictors of subclinical atherosclerosis in patients with PD. Simple measures such as NRL and total bilirubin may provide predictive information regarding the risk of cardiovascular disease in patients with PD.
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Affiliation(s)
- Hikmet Hamur
- 1 Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Hakan Duman
- 2 Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey
| | - Levent Demirtas
- 3 Department of Internal Medicine, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Eftal Murat Bakirci
- 1 Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | | | - Husnu Degirmenci
- 1 Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Kamuran Kalkan
- 4 Department of Cardiology, Training and Research Hospital, Erzurum, Turkey
| | - Erkan Yildirim
- 4 Department of Cardiology, Training and Research Hospital, Erzurum, Turkey
| | - Ertan Vuruskan
- 5 Department of Cardiology, Dr. Ersin Arslan State Hospital, Gaziantep, Turkey
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Hamur H, Bakirci EM, Degirmenci H. PP-126 Alcohol Does Not Kill But Makes Life Miserable. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.228] [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]
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Hamur H, Onk OA, Degirmenci H, Kahraman U, Bakirci EM, Tuncer ON. The retrieval of atrial septal defect closure device embolized into aortic arch. Intractable Rare Dis Res 2016; 5:114-6. [PMID: 27195195 PMCID: PMC4869577 DOI: 10.5582/irdr.2016.01016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Percutaneous atrial septal defect (ASD) closure has become an increasingly simplified procedure over the past decade. The device embolization is seen rarely but it can be fatal. Although percutaneous retrieval is feasible, surgical removal might be preferred when the endothelialization status of the device is unknown. We report a comlication of such closure in a 43-year-old woman: embolization of the ASD occluder device into aortic arch 12 months after implantation. We removed the device surgically and closed the ASD.
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Affiliation(s)
- Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
- Address correspondence to: Dr. Hikmet Hamur, Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan 24000, Turkey. E-mail:
| | - Oruc Alper Onk
- Department of Cardiovascular Surgery, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Umit Kahraman
- Department of Cardiovascular Surgery, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Osman Nuri Tuncer
- Department of Cardiovascular Surgery, Faculty of Medicine, Erzincan University, Erzincan, Turkey
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Demirelli S, Degirmenci H, Fırtına S, Salcan I, Ermis E, Duman H, Ipek E, Hamur H, Ceyhun G. Evaluation of heart rate variability and night-time blood pressure measurements in patients with idiopathic sudden sensorineural hearing loss. Eur Rev Med Pharmacol Sci 2016; 20:726-732. [PMID: 26957277] [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: 06/05/2023]
Abstract
OBJECTIVE The aim of this study is to investigate the role of the autonomic nervous system in the etiology of idiopathic sudden sensorineural hearing loss (ISSHL) by measuring heart rate variability (HRV) and night-time blood pressure levels. PATIENTS AND METHODS A total of 58 patients, 31 ISSHL patients (group 1) and 27 healthy volunteers (control group; group 2), were included in this study. Clinical and ambulatory blood pressure measurements and Holter electrocardiography were performed in both groups. After these evaluations, HRV parameters and night-time blood pressure values were determined. RESULTS Mean systolic blood pressure (SBP) and mean diastolic blood pressure (DBP) measured at night-time were higher in group 1 compared to group 2 (p < 0.05). Heart rate variability parameters were lower in group 1 than in group 2. CONCLUSIONS In patients with ISSHL, elevated blood pressure at night-time and reduced heart rate variability suggest that autonomic nervous system dysfunction might play a role in the etiopathogenesis of the disease. The measurements of ambulatory blood pressure and heart rate variability can reveal more enlightening data in the determination of the etiology of ISSHL and guiding the treatment.
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Affiliation(s)
- S Demirelli
- Department of Cardiology, Erzurum Education and Research Hospital, Erzurum, Turkey.
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Hamur H, Duman H, Keskin E, Inci S, Kucuksu Z, Degirmenci H, Topal E. The relation between erectile dysfunction and extent of coronary artery disease in the patients with stable coronary artery disease. Int J Clin Exp Med 2015; 8:21295-21302. [PMID: 26885069 PMCID: PMC4723914] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2015] [Accepted: 10/19/2015] [Indexed: 06/05/2023]
Abstract
INTRODUCTION Erectile dysfunction (ED) and coronary artery disease (CAD) are closely related as a result of endothelial dysfunction leading to the restriction of blood flow. ED is a potential independent risk factor of CAD. We investigated the prevalence and severity of ED, the extent of CAD and the time interval between the symptoms of ED and CAD in the stable coronary artery patients. MATERIALS AND METHODS 161 patients applied coronary angiography were divided into two groups according to SYNTAX score as group 1 (n=81) SYNTAX score ≤22, and group 2 (n=80) SYNTAX score >22. The prevalence and severity of ED was determined by using The International Index of Erectile Function (IIEF). RESULTS The prevalence of ED was 43.2% in group 1 and 61.3% in group 2 (P=0.022). The score of IIEF was 23.1 (15-29) in group 1, 19.3 (6-29) in group 2; there was a significant difference (P=0.000). In the multivariate logistic regression analysis carried out in order to determine the independent predictors on Syntax score, it was found that LDL (odds ratio: 1.032, 95% confidence interval: 1.009-1.055, P=0.007) and IIEF score (odds ratio: 0.825, 95% confidence interval: 0.733-0.928, P=0.001) were the independent predictors. The time between the symptoms of ED and CAD 30.1 ± 4.8 months in group 1, and 40.5 ± 4.3 months in group 2 (P=0.000). CONCLUSION The severity of ED is an independent factor predicting the extent of CAD. The early detection of ED enables to make a cardiovascular evaluation. Therefore, taking the cardiovascular risk factors under an aggressive treatment may contribute to prevent the cardiovascular cases which may develop in the future.
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Affiliation(s)
- Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan UniversityErzincan, Turkey
| | - Hakan Duman
- Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdoğan UniversityRize, Turkey
| | - Ercument Keskin
- Department of Urology, Faculty of Medicine, Erzincan UniversityErzincan, Turkey
| | - Sinan Inci
- Department of Cardiology, Aksaray State HospitalAksaray, Turkey
| | - Zafer Kucuksu
- Department of Cardiology, Faculty of Medicine, Erzincan UniversityErzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan UniversityErzincan, Turkey
| | - Ergun Topal
- Department of Cardiology, Faculty of Medicine, Erzincan UniversityErzincan, Turkey
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Demirelli S, Degirmenci H, Ermis E, Inci S, Nar G, Ayhan ME, Fırtına S, Hamur H, Durmaz SA. The importance of speckle tracking echocardiography in the early detection of left ventricular dysfunction in patients with polycystic ovary syndrome. Bosn J Basic Med Sci 2015; 15:44-9. [PMID: 26614851 DOI: 10.17305/bjbms.2015.552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Revised: 07/12/2015] [Accepted: 07/13/2015] [Indexed: 11/16/2022] Open
Abstract
Polycystic ovary syndrome (PCOS) is characterized by hormonal and metabolic abnormalities and is thought to increase a risk for cardiovascular diseases. In this study we use speckle tracking echocardiography (STE) to evaluate left ventricular (LV) dysfunction in the early period of the disease. We enrolled 31 patients with PCOS and 32 healthy volunteers as a control group. The participants' ages ranged between 18 and 40 years. PCOS was diagnosed according to the Rotterdam criteria. LV strain (LS) and strain rate (SR) were evaluated using apical two-chamber (2C), three-chamber (3C), and four-chamber (4C) imaging. Global LS and SR were calculated as average of three apical views. The waist-to-hip ratio, homeostasis model assessment-insulin resistance (HOMA-IR), and fasting insulin and triglyceride levels were higher in the PCOS group than in the controls (p=0.001, p=0.001, p=0.001, and p=0.005, respectively). In the PCOS group, the mitral A wave, deceleration time (DT), and isovolumetric relaxation time (IVRT) were significantly higher than in the controls (all p<0.05). The LV global longitudinal strain (GLS) and global longitudinal SR systolic (GLSRS) were significantly lower in the PCOS patient group (both p= 0.001). There were strong negative correlations between GLS and both fasting insulin (r=-0.64) and DT (r=-0.62) (both p<0.05). The study demonstrated that PCOS patients had decreased LV function using STE. Therefore, STE imaging appears to be useful for the early detection of subclinical LV dysfunction in patients with PCOS.
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Hamur H, Duman H, Bakirci EM, Kucuksu Z, Demirelli S, Kalkan K, Degirmenci H. Bilirubin Levels and Thrombus Burden in Patients With ST-Segment Elevation Myocardial Infarction. Angiology 2015; 67:565-70. [DOI: 10.1177/0003319715603899] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We investigated whether serum bilirubin level (a marker of heme oxygenase activity) is a predictor of thrombus burden in patients with acute myocardial infarction. Patients (n = 229; male 72.9%; mean age 63 ± 13.4 years) who were admitted with ST-segment elevation myocardial infarction (STEMI) were enrolled. Patients were divided into 2 groups. Group 1 was defined as low thrombus burden and group 2 was defined as high thrombus burden. Patients with high thrombus burden had higher total bilirubin levels (14.4 [4.3-22.9] vs 7.7 [2.4-20.3] µmol/L, P ≤ .001), (0.84 [0.25-1.34] vs 0.45 [0.14-1.19] mg/dL P ≤ .001) and direct bilirubin levels (3.1 [2.1-8.4] vs 1.7 [0.5-6.5] µmol/L, P ≤ .001), (0.18 [0.03-0.49] vs 0.10 [0.03-0.38] mg/dL, P ≤ .001). At multivariate analysis, total bilirubin (odds ratio: 1.05, 95% confidence interval: 1.03-1.08, P ≤ .001) was the independent predictor of high thrombus burden. In conclusion, total bilirubin level is independently associated with high thrombus burden in patients with STEMI.
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Affiliation(s)
- Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Hakan Duman
- Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey
| | - Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Zafer Kucuksu
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Selami Demirelli
- Department of Cardiology, Training and Research Hospital, Erzurum, Turkey
| | - Kamuran Kalkan
- Department of Cardiology, Training and Research Hospital, Erzurum, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
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Demirtas L, Degirmenci H, Akbas EM, Ozcicek A, Timuroglu A, Gurel A, Ozcicek F. Association of hematological indicies with diabetes, impaired glucose regulation and microvascular complications of diabetes. Int J Clin Exp Med 2015; 8:11420-11427. [PMID: 26379958 PMCID: PMC4565341] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Accepted: 07/10/2015] [Indexed: 06/05/2023]
Abstract
In recent years, there has been renewed interest in hematological parameters as predictors of endothelial dysfunction and inflammation. The aim of our study is to evaluate the relationship between HbA1c and hematological indices, and to evaluate the relationship between these parameters and microvascular complications of diabetes. Three hundred and seven diabetic patients (124 male, 183 female; mean age 50.8±8.5), and 187 controls (76 male, 111 female; mean age 51.1±10.1) were included in the study. In the diabetic group, mean platelet volume (MPV), plateletcrit (PCT), platelet distribution width (PDW), white blood cell count (WBC), platelet count, platelet to lymphocyte ratio (PLR) and neutrophil to lymphocyte ratio (NLR) were significantly higher than the control group (P<0.05). Diabetic patients were divided into two group according to their HbA1c levels (Group 1; HbA1c <7 (n=82) and group 2; HbA1c ≥7 (n=225)). Mean platelet volume, PCT and PDW levels were significantly increased in group 2. Mean platelet volume was significantly increased in diabetic patients with retinopathy compared to those without retinopathy (P=0.006). The neutrophil to lymphocyte ratio and PLR levels were significantly higher in patients with nephropathy (P=0.004, P=0.004 respectively). There was statistically significant difference of lymphocyte count between patients with and without neuropathy. In correlation analysis, positive correlation between HbA1c and PCT (rs=0.192, P<0.001), HbA1c and PDW (rs=0.305, P<0.001), HbA1c and MPV (rs=0.352, P<0.001) were determined. In binary logistic regression analysis; WBC, PDW and PLR levels were found to be independently associated with diagnosis of diabetes while WBC, MPV, PLR and NLR levels were found to be independently associated with impaired glucose regulation. This study demonstrates that altered hematological indices are closely associated with HbA1c levels in individuals with and without diabetes and some of these parameters are associated with diabetic microvascular complications. These associations may be explained by connection between these easy accessible and inexpensive hematological indices and inflammation, tendency to coagulation and thrombosis in patients with diabetes.
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Affiliation(s)
- Levent Demirtas
- Department of Internal Medicine, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan UniversityErzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan UniversityErzincan, Turkey
| | - Emin Murat Akbas
- Department of Endocrinology, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan UniversityErzincan, Turkey
| | - Adalet Ozcicek
- Department of Internal Medicine, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan UniversityErzincan, Turkey
| | - Aysu Timuroglu
- Department of Internal Medicine, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan UniversityErzincan, Turkey
| | - Ali Gurel
- Department of Nephrology, Mengücek Gazi Training and Research HospitalErzincan, Turkey
| | - Fatih Ozcicek
- Department of Internal Medicine, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan UniversityErzincan, Turkey
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Demirelli S, Degirmenci H, Inci S, Arisoy A. Cardiac manifestations in Behcet's disease. Intractable Rare Dis Res 2015; 4:70-5. [PMID: 25984424 PMCID: PMC4428189 DOI: 10.5582/irdr.2015.01007] [Citation(s) in RCA: 73] [Impact Index Per Article: 8.1] [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: 03/01/2015] [Revised: 03/17/2015] [Accepted: 03/19/2015] [Indexed: 11/05/2022] Open
Abstract
Behcet's disease (BD) is a chronic inflammatory disorder, with vasculitis underlying the pathophysiology of its multisystemic effects. Venous pathology and thrombotic complications are hallmarks of BD. However, it has been increasingly recognised that cardiac involvement and arterial complications are also important aspects of the course of the disease. Cardiac lesions include pericarditis, endocarditis, intracardiac thrombosis, myocardial infarction, endomyocardial fibrosis, and myocardial aneurysm. Treatment of cardiovascular involvement in BD is largely empirical, and is aimed towards suppressing the vasculitis. The most challenging aspect seems to be the treatment of arterial aneurysms and thromboses due to the associated risk of bleeding. When the prognosis of cardiac involvement in BD is not good, recovery can be achieved through oral anticoagulation, immunosuppressive therapy, and colchicine use. In this review, we summarise the cardiovascular involvement, different manifestations, and treatment of BD.
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Affiliation(s)
- Selami Demirelli
- Selami Demirelli, M.D, Department of Cardiology, Erzurum Education and Research Hospital, Erzurum, Turkey
- Address correspondence to: Dr. Selami Demirelli, Department of Cardiology, Erzurum Education and Research Hospital, Erzurum, Turkey. E-mail:
| | - Husnu Degirmenci
- Husnu Degirmenci, M.D, Department of Cardiology, Erzincan Universty, Erzincan, Turkey
| | - Sinan Inci
- Sinan Inci, M.D, Department of Cardiology, Aksaray State Hospital, Aksaray, Turkey
| | - Arif Arisoy
- Arif Arisoy, Department of Cardiology, M.D, Gaziosmanpasa Universty, Medical Faculty, Tokat, Turkey
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Bakirci EM, Degirmenci H, Hamur H, Gunay M, Gulhan B, Aydin M, Kucuksu Z, Ceyhun G, Topal E. New inflammatory markers for prediction of non-dipper blood pressure pattern in patients with essential hypertension: Serum YKL-40/Chitinase 3-like protein 1 levels and echocardiographic epicardial adipose tissue thickness. Clin Exp Hypertens 2015; 37:505-10. [PMID: 25919569 DOI: 10.3109/10641963.2015.1013122] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [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: 11/13/2022]
Abstract
The aim of the present study was to investigate whether YKL-40 levels and epicardial adipose tissue (EAT) thickness were associated with non-dipping pattern in essential hypertension (HT). Age- and sex-matched 40 dipper hypertensive patients and 40 non-dipper hypertensive patients were included in the study. Non-dippers had significantly increased EAT thickness and higher YKL-40 and high-sensitivity C-reactive protein levels than dippers. Multivariate logistic regression analysis showed that the EAT thickness and serum levels of YKL-40 and high-sensitivity C-reactive protein were independent predictors of non-dipping pattern in essential HT. In essential HT, presence of non-dipping pattern is associated with increased inflammatory response.
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Affiliation(s)
| | | | | | | | - Barıs Gulhan
- c Department of Microbiology, Faculty of Medicine , Erzincan University , Erzincan , Turkey
| | - Merve Aydin
- c Department of Microbiology, Faculty of Medicine , Erzincan University , Erzincan , Turkey
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17
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Bakirci EM, Demirtas L, Degirmenci H, Topcu S, Demirelli S, Hamur H, Buyuklu M, Akbas EM, Ozcicek A, Ozcicek F, Ceyhun G, Topal E. Relationship of the total atrial conduction time to subclinical atherosclerosis, inflammation and echocardiographic parameters in patients with type 2 diabetes mellitus. Clinics (Sao Paulo) 2015; 70:73-80. [PMID: 25789513 PMCID: PMC4351316 DOI: 10.6061/clinics/2015(02)01] [Citation(s) in RCA: 7] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Revised: 10/13/2014] [Accepted: 11/12/2014] [Indexed: 01/20/2023] Open
Abstract
OBJECTIVES The aim of our study was to evaluate the total atrial conduction time and its relationship to subclinical atherosclerosis, inflammation and echocardiographic parameters in patients with type 2 diabetes mellitus. METHODS A total of 132 patients with type 2 diabetes mellitus (mean age 54.5 ± 9.6 years; 57.6% male) and 80 age- and gender-matched controls were evaluated. The total atrial conduction time was measured by tissue-Doppler imaging and the carotid intima-media thickness was measured by B-mode ultrasonography. RESULTS The total atrial conduction time was significantly longer in the patients with type 2 diabetes mellitus than in the control group (131.7 ± 23.6 vs. 113.1 ± 21.3, p<0.001). The patients with type 2 diabetes mellitus had significantly increased carotid intima-media thicknesses, neutrophil to lymphocyte ratios and high-sensitivity C-reactive protein levels than those of the controls. The total atrial conduction time was positively correlated with the high-sensitivity C-reactive protein level, neutrophil to lymphocyte ratio, carotid intima-media thickness and left atrial volume index and negatively correlated with the early diastolic velocity (Em), Em/late diastolic velocity (Am) ratio and global peak left atrial longitudinal strain. A multiple logistic regression analysis demonstrated that the neutrophil to lymphocyte ratio, carotid intima-media thickness and global peak left atrial longitudinal strain were independent predictors of the total atrial conduction time. CONCLUSIONS We suggest that subclinical atherosclerosis and inflammation may represent a mechanism related to prolonged total atrial conduction time and that prolonged total atrial conduction time and impaired left atrial myocardial deformation may be represent early subclinical cardiac involvement in patients with type 2 diabetes mellitus.
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Affiliation(s)
- Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Levent Demirtas
- Department of Internal Medicine, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Selim Topcu
- Department of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Selami Demirelli
- Department of Cardiology, Erzurum Education and Research Hospital, Erzurum, Turkey
| | - Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Mutlu Buyuklu
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Emin Murat Akbas
- Department of Internal Medicine, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Adalet Ozcicek
- Department of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Fatih Ozcicek
- Department of Internal Medicine, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Gokhan Ceyhun
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Ergun Topal
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
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Demirelli S, Sam CT, Ermis E, Degirmenci H, Sen I, Arisoy A, Arslan K, Duman H, Simsek Z. Long-Term Cardiac Remodeling in Elite Athletes: Assessment by Tissue Doppler and Speckle Tracking Echocardiography. Echocardiography 2014; 32:1367-73. [DOI: 10.1111/echo.12860] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Affiliation(s)
- Selami Demirelli
- Department of Cardiology; Erzurum Education and Research Hospital; Erzurum Turkey
| | - Cemil Tugrulhan Sam
- Department of Physical Education and High School; Atatürk University; Erzurum Turkey
| | - Emrah Ermis
- Department of Cardiology; Erzurum Education and Research Hospital; Erzurum Turkey
| | | | - Ilhan Sen
- Department of Physical Education and High School; Atatürk University; Erzurum Turkey
| | - Arif Arisoy
- Department of Cardiology; Gaziosmanpasa University; Tokat Turkey
| | - Kursat Arslan
- Department of Cardiology; Erzurum Education and Research Hospital; Erzurum Turkey
| | - Hakan Duman
- Department of Cardiology; Erzurum Education and Research Hospital; Erzurum Turkey
| | - Ziya Simsek
- Department of Cardiology; Faculty of Medicine; Atatürk University; Erzurum Turkey
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Kutluhan S, Degirmenci H, Sahin M, Kale B. EHMTI-0274. Secondary headache due to orbital pseudotumor: a case report. J Headache Pain 2014. [PMCID: PMC4180180 DOI: 10.1186/1129-2377-15-s1-c14] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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20
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Bakirci EM, Degirmenci H, Duman H, Inci S, Hamur H, Buyuklu M, Ceyhun G, Topal E. Increased Epicardial Adipose Tissue Thickness is Associated With Angiographic Thrombus Burden in the Patients With Non-ST-Segment Elevation Myocardial Infarction. Clin Appl Thromb Hemost 2014; 21:612-8. [PMID: 25381157 DOI: 10.1177/1076029614558113] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [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: 01/13/2023] Open
Abstract
We aimed to evaluate the relation among epicardial adipose tissue (EAT) thickness, angiographic presence of thrombus, and the no-reflow in the patients with non-ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. The study population consisted of 229 patients. The EAT thickness and neutrophil to lymphocyte ratio (NLR) were significantly higher in the patients with coronary thrombus than in those without coronary thrombus (6.1 ± 1.1 vs 5.1 ± 1.3 mm, P < .001 and 3.4 ± 0.9 vs 2.5 ± 0.7, P < .001, respectively) and in the patients with no-reflow compared to patients with reflow. The EAT thickness was found to be correlated positively with the degree of the thrombus burden, NLR, and waist circumference and negatively with high-density lipoprotein cholesterol. Multivariate logistic regression analysis demonstrated that EAT thickness and NLR independently predicted coronary thrombus formation and no-reflow. We have suggested that EAT can play an important role in the pathophysiology of coronary thrombus formation and the no-reflow.
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Affiliation(s)
- Eftal Murat Bakirci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Husnu Degirmenci
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Hakan Duman
- Department of Cardiology, Faculty of Medicine, Rize University, Rize, Turkey
| | - Sinan Inci
- Department of Cardiology, Aksaray State Hospital, Aksaray, Turkey
| | - Hikmet Hamur
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Mutlu Buyuklu
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Gokhan Ceyhun
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Ergun Topal
- Department of Cardiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
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21
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Degirmenci H, Açikel M, Bakirci EM, Duman H, Demirelli S, Tas H, Simsek Z, Karakelleoglu S, Aksakal E, Erol MK. Comparison of effects of nebivolol, carvedilol and irbesartan on left ventricular hypertrophy associated with hypertension. Eur Rev Med Pharmacol Sci 2014; 18:630-637. [PMID: 24668702] [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: 06/03/2023]
Abstract
OBJECTIVES The aim of this study was to investigate if the new generation beta-blockers are as effective as irbesartan, which is an angiotensin receptor blocker (ARB), on left ventricular hypertrophy (LVH). PATIENTS AND METHODS The study included 85 patients (average age: 56.6±9.6 year) with stage 1 and 2 hypertension, who previously didn't receive an antihypertensive treatment, but diagnosed with LVH echocardiographically. The patients were divided into three different treatment groups: irbesartan (n=28), nebivolol (n=25) and carvedilol (n=32). The patients were reassessed clinically and echocardiographically at 3, 6 and 12 months after the treatments. RESULTS There was no statistically significant difference in baseline left ventricular mass index (LVMI) and other parameters among the three treatment groups (p > 0.05). Although there was no significant decrease in LVMI in irbesartan and carvedilol groups at 3 months after the treatment (p > 0.05), the values measured at 6 and 12 months (p < 0.0001) were significant. The decrease in LVMI in the nebivolol group was significant at 3, 6 and 12 months (p < 0.0001). There was a significant difference in measurements at 12 months (p < 0.05). CONCLUSIONS Both of the new generation beta-blockers were more effective than irbesartan in the regression of LVH. A significant regression in LVH was observed 3 months after nebivolol treatment and 6 months after irbesartan and carvedilol treatments.
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Affiliation(s)
- H Degirmenci
- Department of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
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22
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Degirmenci H, Duman H, Demirelli S, Bakirci EM, Hamur H, Inci S, Simsek Z, Askın L, Arısoy A, Lazoglu Z. Assessment of effect of irbesartan and nebivolol on the left atrium volume and deformation in the patients with mild-moderate hypertension. Eur Rev Med Pharmacol Sci 2014; 18:781-789. [PMID: 24706300] [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: 06/03/2023]
Abstract
BACKGROUND We aimed to assess the effects of irbesartan and nebivolol on the left atrium (LA) volume and deformation in the patients with mild-moderate hypertension. PATIENTS AND METHODS The study comprised of 160 patients (mean age: 55.6±9.6 years), who had Stage 1 or 2 hypertension according to the European Society of Cardiology (ESC) and have not been receiving antihypertensive therapy. The patients were assigned to treatment groups; irbesartan (n=80) and nebivolol (n=80). The patients were clinically and echocardiographically reevaluated on the 6th and 12th months after the onset of treatment. RESULTS There was no difference between the two treatment groups in terms of baseline demographic, clinical and echocardiographic characteristics. Moreover, no difference was observed between the treatment groups on the 6th and 12th months. Intragroup analyses revealed that systolic blood pressure (SBP) and diastolic blood pressure (DBP) significantly decreased in time and diastolic function parameters were improved. However, whilst significant increase was observed in conduit volume, decrease was observed in other volumes of the LA in the irbesartan and nebivolol groups. This significant change was observed on the 6th month in both treatment groups. LA global peak systolic strain (LAGLSs), LA global peak systolic strain rate (LAGLSRs), LA global peak strain rate during early ventricular diastole (LAGLSRe) and LA global peak strain rate (LAGLSRa) during late ventricular diastole (LAGLSRa) values began to be significantly increased after 6 months of treatment in both treatment groups. CONCLUSIONS We found that nebivolol, which is a new generation beta blocker, is effective as irbesartan with proven efficacy in improving LA volume and LA myocardial performance in patients with mild-moderate hypertension. Moreover, we determined that strain and strain rate, which are the new echocardiographic parameters, are effective as LA volumes in assessing LA functions.
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Affiliation(s)
- H Degirmenci
- Department of Cardiology, Erzincan University, Erzincan, Turkey.
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23
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Hamur H, Acikel M, Bakirci EM, Degirmenci H, Duman H, Demirelli S, Erol F, Tas MH, Aksakal E, Karakelleoglu S. Evaluation of plasma brain natriuretic peptid levels in patients with isolated left bundle branch block and preserved left ventricular systolic function. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht307.p675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abstract
Quadricuspid aortic valve (QAV) is a rare cause of aortic regurgitation. Most cases are detected incidentally during echocardiography, angiography, autopsy or surgery. It may also be associated with other congenital anomalies of the heart. A 70 year-old man was admitted to our hospital with a five-month history of dyspnea. Echocardiographic examination showed a QAV leading to moderate aortic regurgitation, severe mitral regurgitation, left ventricular dysfunction and aortic root dilatation. Surgical treatment was considered, but the patient refused. We describe a case of QAV leading to aortic regurgitation.
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25
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Simsek Z, Hakan Tas M, Degirmenci H, Gokhan Yazıcı A, Ipek E, Duman H, Gundogdu F, Karakelleoglu S, Senocak H. Speckle Tracking Echocardiographic Analysis of Left Ventricular Systolic and Diastolic Functions of Young Elite Athletes with Eccentric and Concentric Type of Cardiac Remodeling. Echocardiography 2013; 30:1202-8. [DOI: 10.1111/echo.12263] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [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)
- Ziya Simsek
- Department of Cardiology; Ataturk University; Erzurum Turkey
| | - M. Hakan Tas
- Department of Cardiology; Ataturk University; Erzurum Turkey
| | | | - A. Gokhan Yazıcı
- Department of Physical Education and Sport; Ataturk University; Erzurum Turkey
| | - Emrah Ipek
- Department of Cardiology; Research and Training Hospital; Erzurum Turkey
| | - Hakan Duman
- Department of Cardiology; Ataturk University; Erzurum Turkey
| | - Fuat Gundogdu
- Department of Cardiology; Ataturk University; Erzurum Turkey
| | | | - Huseyin Senocak
- Department of Cardiology; Ataturk University; Erzurum Turkey
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26
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Tas M, Simşek Z, Degirmenci H, Çolak A, Bayram E, Şenocak H. PP-177 CAN LAD OCCLUSION RESTORE LIMA GRAFT FLOW? Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70381-4] [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: 10/26/2022]
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27
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Tas M, Şimşek Z, Degirmenci H, Çolak A, Ogul H, Şenocak H. PP-057 BIOPROSTHETIC MITRAL VALVE AND LEFT ATRIAL THROMBUS. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70261-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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28
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Tas M, Şimşek Z, Degirmenci H, Yazıcı G, Elbey M, Gündogdu F. OP-055 VALUE OF P DISPERSION IN ELITE ATHLETES. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70056-1] [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: 10/26/2022]
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29
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Simsek Z, Tas MH, Bilen Y, İpek E, Cankaya E, Duman H, Degirmenci H, Aksu U, Lazoglu Z. PP-062 RELATION OF LEFT ATRIAL FUNCTIONS, P-TERMINAL FORCE AND INTERATRIAL BLOCK IN CHRONIC HAEMODIALYSIS PATIENTS. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70266-3] [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: 10/26/2022]
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30
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Şimsek Z, Tas MH, Degirmenci H, Yazıcı AG, Duman H, Gündogdu F, Karakelleoglu S, Senocak H. PP-059 SPECKLE-TRACKING ECHOCARDIOGRAPHIC ANALYSIS OF LEFT VENTRICULAR SYSTOLIC AND DIASTOLIC FUNCTIONS OF YOUNG ELITE ATHLETES WITH ECCENTRIC AND CONCENTRIC TYPE OF CARDIAC REMODELLING. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70263-8] [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]
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31
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Tas MH, Simsek Z, Degirmenci H, Ogul H, Colak A, Senocak H. Left Atrial Thrombus in a Patient with Mitral Bioprosthetic Valve. Korean Circ J 2013; 43:432-3. [PMID: 23882296 PMCID: PMC3717430 DOI: 10.4070/kcj.2013.43.6.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2012] [Revised: 12/26/2012] [Accepted: 12/28/2012] [Indexed: 11/11/2022] Open
Affiliation(s)
| | - Ziya Simsek
- Department of Cardiology, Atatürk University, Erzurum, Turkey
| | | | - Hayri Ogul
- Department of Cardiology, Atatürk University, Erzurum, Turkey
| | | | - Huseyin Senocak
- Department of Cardiology, Atatürk University, Erzurum, Turkey
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32
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Tas MH, Simsek Z, Degirmenci H, Ogul H, Aksu U, Kantarci A. A Rare Congenital Anomaly: Interrupted Aortic Arch and Giant Ascending Aortic Aneurysm in a Young Male. Korean Circ J 2013; 43:578-9. [PMID: 24044020 PMCID: PMC3772306 DOI: 10.4070/kcj.2013.43.8.578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2013] [Revised: 02/26/2013] [Accepted: 04/01/2013] [Indexed: 11/20/2022] Open
Affiliation(s)
| | - Ziya Simsek
- Department of Cardiology, Ataturk University, Turkey
| | | | - Hayri Ogul
- Department of Cardiology, Ataturk University, Turkey
| | - Ugur Aksu
- Department of Cardiology, Ataturk University, Turkey
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Degirmenci H, Acikel M, Bakirci EM, Duman H, Tas H, Simsek Z, Demirelli S, Aksakal E, Karakelleoglu S, Erol MK. Abstract 123: An Assessment of the Effects of Nebivolol, Carvedilol and Irbesartan on Left Ventricular Hypertrophy Due to Hypertension. Hypertension 2012. [DOI: 10.1161/hyp.60.suppl_1.a123] [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: 11/16/2022]
Abstract
The aim of this study is to research if the new generation beta-blockers (BB), carvedilol (C) and nebivolol (N), are as effective as irbesartan (I) on left ventricular hypertrophy (LVH) and to research whether or not there is a difference between C and N treatments.
Method:
This study is a clinical, prospective and cohort study. The study included 85 patients (mean age:56.6±9.6 years) with stages 1 or 2 hypertension and LVH who didn’t receive antihypertensive. Three different treatment groups [I (n=28), N (n=25) and C (n=32)] were assessed clinically and echocardiographically 3, 6 and 12 months after the initial treatment. Devereux formula was used in the measurement of left ventricular mass (LVM). LVM index (LVMI) ≥125 g/m
2
in male and ≥110g/m
2
in female was accepted as LVH.
Results:
There was no significant difference among treatment groups according to the initial LVMI and blood pressures (BP). Both between I and N groups and between I and C groups, there was a significant difference in the measurements of 12
th
month (p<0.05) while there wasn’t a significant difference in 3
rd
and 6
th
months according to LVMI. There was no significant difference between N and C groups
(Figure).
While the decrease of values in systolic and diastolic BPs were significant in all treatment groups at 3, 6 and 12 months after beginning (p<0.001), there was no significant difference among treatment groups.
Conclusions:
This study shows that both of the new generation BBs can be more effective than irbesartan in the regression of LVH due to hypertension. However, there is no significant difference between N and C treatments. Still, the results should be supported by other prospective and randomized studies.
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Affiliation(s)
| | | | | | | | - Hakan Tas
- Atatürk Univ Med Faculty, Erzurum, Turkey
| | | | | | | | | | - Mustafa K Erol
- Mehmet Akif Ersoy Egitim Arastirma Hastanesi, Istanbul, Turkey
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Degirmenci H, Bakirci E, Arslan S, Demir O, Duman H. PP-052: COEXISTENCE OF DIFFERENT TYPES OF VENTRICULAR SEPTAL DEFECT. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70332-1] [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: 10/18/2022]
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Degirmenci H, Bakirci E, Sevimli S, Aksakal E, Duman H. PP-194: INFECTIVE ENDOCARDITIS OF MITRAL VALVE IN ADULT CORRECTED TRANSPOSITION. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70394-1] [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: 11/24/2022]
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Saylik F, Bakirci E, Degirmenci H, Inci S, Yuce I, Kantarci M, Gundogdu F. PP-007: HUGE LEFT VENTRICULAR APICAL CYSTIC THROMBUS MIMICKING HYDATIC CYST. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70294-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Aksakal E, Emet M, Degirmenci H, Uzkeser M. PP-278: A CASE OF SERPENTINE-LIKE RIGHT ATRIAL THROMBUS CAUSING PULMONARY EMBOLISM. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70446-6] [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: 10/18/2022]
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Bakirci E, Degirmenci H, Tamer A, Aksakal E, Sevimli S. PP-230: KOUNIS SYNDROME SECONDARY TO IBUPROFEN USE. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70420-x] [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: 11/30/2022]
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Bakirci E, Degirmenci H, Tas M, Tamer A, Sevimli S. PP-229: CATHETER-INDUCED VASOSPASM OF THE RIGHT CORONARY ARTERY MIMICKING CORONARY LESION. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70419-3] [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: 10/18/2022]
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Degirmenci H, Aksakal E, Arslan S. PP-178: GIANT EUSTACHIAN VALVE MIMICKING COR TRIATRIATUM DEXTER. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70388-6] [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: 11/30/2022]
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Bakirci E, Arslan S, Degirmenci H, Sevimli S. PP-085: A QUADRICUSPID AORTIC VALVE CAUSING MODERATE AORTIC REGURGITATION. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70347-3] [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: 10/18/2022]
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Bakirci E, Degirmenci H, Tas M, Hamur H, Sevimli S. PP-004: HUGE RIGHT ATRIAL THROMBUS CAUSING PULMONARY EMBOLISM. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70291-1] [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]
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Degirmenci H, Gundogdu F, Bakirci E, Saylik F, Karal H. PP-009: LEFT ATRIAL APPENDAGE THROMBUS MIMICKING A MASS ON POSTERIOR MITRAL LEAFLET. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70295-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Degirmenci H, Bakirci E, Arslan S, Hamur H, Sevimli S. PP-050: ADULT COMPLETE ATRIOVENTRICULAR CANAL DEFECT. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70331-x] [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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Degirmenci H, Arslan S, Bakirci EM. PP-172 SUSTAINED VENTRICULAR TACHYCARDIA ASSOCIATED WITH LEVOSIMENDAN INFUSION. Int J Cardiol 2010. [DOI: 10.1016/s0167-5273(10)70317-x] [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: 10/19/2022]
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Gundogdu F, Bakirci EM, Degirmenci H, Becit N. PP-152 SINUS OF VALSALVA THROMBOSIS CAUSING PERIPHERAL EMBOLISM. Int J Cardiol 2010. [DOI: 10.1016/s0167-5273(10)70297-7] [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: 10/19/2022]
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