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Abstract
Objective: The aim of this study was to evaluate the expression levels of cardiac-related circulating microRNAs (miRNAs) in ST-elevation myocardial infarction (STEMI) patients. Methods: This study has a prospective experimental cohort design. A total of 12 consecutive patients with acute chest pain within 12 h admitted to emergency department (STEMI group) and 13 adult patients with normal coronary angiography during the same period were enrolled (control group) in this study. Changes in the expression of miR-122, miR-208, miR-375, miR-22, miR-133b, miR-92b, miR-21, miR-133a, miR-423-5p, miR-27b, miR-30a-3p, miR-17, miR-30d, miR-642, and miR-95 were analyzed using quantitative reverse transcription-polymerase chain reaction. Blood samples were collected before angiography and 24 h after angiography. Data were analyzed using the Statistical Package for the Social Sciences v19. Results: The STEMI group included 12 patients (7 males) with an average age of 56.5±8.3 (range, 44–69) years. The control group included 13 patients (9 males) with an average age of 59±11 (range, 42–80) years. When fold differences were calculated for the miRNA expression values, only miR-30d and miR-423-5p expression levels in STEMI patients showed significant differences in expression levels compared with control patients. The miRNA levels were 2.3-fold higher for miR-30d (p=0.034) and 6.9-fold higher for miR-423-5p (p=0.017). There was no significant correlation between troponin I and miR-30d or miR-423-5p levels (p>0.05). Conclusion: In this study, the expression levels of miRNAs related to cardiac disease were evaluated in peripheral blood. The circulating miR-423-5p and miR-30d levels in peripheral blood were found to be higher in STEMI cases than in the control group. Further studies should be conducted to evaluate their potential use as biomarkers in STEMI cases. (Anatol J Cardiol 2016; 16; 392-6)
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Affiliation(s)
- Ufuk Eryılmaz
- Department of Cardiology, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey.
| | - Çağdaş Akgüllü
- Department of Cardiology, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey
| | - Nurettin Beşer
- ADU BILTEM Epidemiology Unit, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey
| | - Ömer Yıldız
- ADU BILTEM Epidemiology Unit, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey
| | - İmran Kurt Ömürlü
- Department of Biostatistics, Adnan Menderes University; Aydın-Turkey
| | - Bülent Bozdoğan
- ADU BILTEM Epidemiology Unit, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey
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Akgüllü Ç, Eryılmaz U, Güngör H, Zencir C. Management of mechanical valve thrombosis during pregnancy, case report and review of the literature. International Journal of the Cardiovascular Academy 2017. [DOI: 10.1016/j.ijcac.2017.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Yeniçerioğlu Y, Akdam H, Dursun B, Alp A, Sağlam Eyiler F, Akın D, Gün Y, Hüddam B, Batmazoğlu M, Gibyeli Genek D, Pirinççi S, Ersoy İR, Üzüm A, Soypaçacı Z, Tanrısev M, Çolak H, Demiral Sezer S, Bozkurt G, Akyıldız UO, Akyüz Ünsal Aİ, Ünübol M, Uslu M, Eryılmaz U, Günel C, Meteoğlu İ, Yavaşoğlu İ, Ünsal A, Akar H, Okyay P. Screening Fabry's disease in chronic kidney disease patients not on dialysis: a multicenter study. Ren Fail 2016; 39:104-111. [PMID: 27832731 PMCID: PMC6014365 DOI: 10.1080/0886022x.2016.1254656] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVES Fabry's disease is an X-linked inherited, rare, progressive, lysosomal storage disorder, affecting multiple organs due to the deficient activity of α-galactosidase A (α-Gal A) enzyme. The prevalence has been reported to be 0.15-1% in hemodialysis patients; however, the information on the prevalence in chronic kidney disease not on dialysis is lacking. This study aimed to determine the prevalence of Fabry's disease in chronic kidney disease. METHODS The patients older than 18 years, enclosing KDIGO 2012 chronic kidney disease definitions, not on dialysis, were enrolled. Dried blood spots on Guthrie papers were used to analyze α-Gal A enzyme and genetic analysis was performed in individuals with enzyme activity ≤1.2 μmol/L/h. RESULTS A total of 1453 chronic kidney disease patients not on dialysis from seven clinics in Turkey were screened. The mean age of the study population was 59.3 ± 15.9 years. 45.6% of patients were female. The creatinine clearance of 77.3% of patients was below 60 mL/min/1.73 m2, 8.4% had proteinuria, and 2.5% had isolated microscopic hematuria. The mean value of patients' α-Gal A enzyme was detected as 2.93 ± 1.92 μmol/L/h. 152 patients had low levels of α-Gal A enzyme activity (≤1.2 μmol/L/h). In mutation analysis, A143T and D313Y variants were disclosed in three male patients. The prevalence of Fabry's disease in chronic kidney disease not on dialysis was found to be 0.2% (0.4% in male, 0.0% in female). CONCLUSION Fabry's disease should be considered in the differential diagnosis of chronic kidney disease with unknown etiology even in the absence of symptoms and signs suggestive of Fabry's disease.
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Affiliation(s)
- Yavuz Yeniçerioğlu
- a Department of Internal Medicine, Division of Nephrology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Hakan Akdam
- a Department of Internal Medicine, Division of Nephrology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Belda Dursun
- b Department of Internal Medicine, Division of Nephrology , Pamukkale University School of Medicine , Denizli , Turkey
| | - Alper Alp
- a Department of Internal Medicine, Division of Nephrology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | | | - Davut Akın
- d Denizli State Hospital Nephrology , Denizli , Turkey
| | - Yelda Gün
- c Aydın State Hospital Nephrology , Aydın , Turkey
| | - Bülent Hüddam
- e Department of Nephrology , Muğla Sıtkı Koçman University Education and Research Hospital , Muğla , Turkey
| | | | - Dilek Gibyeli Genek
- e Department of Nephrology , Muğla Sıtkı Koçman University Education and Research Hospital , Muğla , Turkey
| | - Serhat Pirinççi
- f Department of Public Health , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - İsmail Rıfkı Ersoy
- g Department of Nephrology, İzmir Katip Çelebi University Education and Research Hospital , İzmir , Turkey
| | - Atilla Üzüm
- g Department of Nephrology, İzmir Katip Çelebi University Education and Research Hospital , İzmir , Turkey
| | - Zeki Soypaçacı
- g Department of Nephrology, İzmir Katip Çelebi University Education and Research Hospital , İzmir , Turkey
| | - Mehmet Tanrısev
- h Department of Nephrology , İzmir Tepecik Education and Research Hospital Internal Medicine , İzmir , Turkey
| | - Hülya Çolak
- h Department of Nephrology , İzmir Tepecik Education and Research Hospital Internal Medicine , İzmir , Turkey
| | - Sibel Demiral Sezer
- h Department of Nephrology , İzmir Tepecik Education and Research Hospital Internal Medicine , İzmir , Turkey
| | - Gökay Bozkurt
- i Department of Genetics , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Utku Oğan Akyıldız
- j Department of Neurology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Ayşe İpek Akyüz Ünsal
- k Department of Ophthalmology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Mustafa Ünübol
- l Department of Internal Medicine, Division of Endocrinology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Meltem Uslu
- m Department of Dermatology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Ufuk Eryılmaz
- n Department of Cardiology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Ceren Günel
- o Department of Otorhinolaryngology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - İbrahim Meteoğlu
- p Department of Pathology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - İrfan Yavaşoğlu
- q Department of Internal Medicine, Division of Hematology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Alparslan Ünsal
- r Department of Radiology , Adnan Menderes University School of Medicine , Aydın , Turkey
| | - Harun Akar
- h Department of Nephrology , İzmir Tepecik Education and Research Hospital Internal Medicine , İzmir , Turkey
| | - Pınar Okyay
- f Department of Public Health , Adnan Menderes University School of Medicine , Aydın , Turkey
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Güngör H, Zencir C, Akgüllü Ç, Eryılmaz U. A practical solution for coil migration and coronary artery dissection in the same patient with coronary artery fistula. International Journal of the Cardiovascular Academy 2016. [DOI: 10.1016/j.ijcac.2015.12.002] [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: 10/22/2022] Open
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Akgüllü Ç, Sırıken F, Eryılmaz U, Akdeniz M, Ömürlü İK, Pekcan G, Güngör H, Kurtoğlu T. The relation between compliance to the Mediterranean diet and the extensiveness of coronary artery disease. Turk Kardiyol Dern Ars 2015; 43:340-9. [PMID: 26142787 DOI: 10.5543/tkda.2015.49321] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE There are various studies showing the cardiovascular benefits of the Mediterranean diet (MD), but, to the best of our knowledge, this is the first study which aimed to investigate the relation between adherence to the MD and severity of coronary artery disease (CAD). METHODS The study was a single centre, cross-sectional prospective study which included 200 consecutive patients (131 men [65.5%] and 69 women [34.5%], mean age 57±9) who were diagnosed with CAD by coronary angiography between January 2012 and April 2013. A food frequency questionnaire was administered to the patients. Compliance to the MD was evaluated by the MD score (MDS), which collects prominent diet characteristics under 10 main titles. Each patient's angiographic data was examined by a cardiologist, and Gensini scores (GS) were then calculated to evaluate the extensiveness of coronary atherosclerosis. RESULTS Forty-four percent of patients were in the third category of body mass index (BMI) (≥30 kg/m2) and 17.5% were in the first category (BMI<25 kg/m2). Education levels were markedly low, with 78% of the patients having fewer than six years in education. Most patients had low physical activity levels (55.5%). Frequency of metabolic syndrome was prominent (79%). The median (25-75 percentiles) of GS was found to be 21.25 (7-44.75) and the MD score was 4 (3-5). A negative correlation was found between compliance to the MD and GS (r=-0.380, p<0.001). CONCLUSION This study found that in patients with CAD, compliance with the traditional MD is related to decreased severity of coronary atherosclerosis.
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Affiliation(s)
- Çağdaş Akgüllü
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
| | - Fatih Sırıken
- Department of Dietetics and Nutrition, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Ufuk Eryılmaz
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Mehmet Akdeniz
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - İmran Kurt Ömürlü
- Department of Biostatistics, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Gülden Pekcan
- Department of Dietetics and Nutrition, Hacettepe University, Faculty of Health Sciences, Ankara, Turkey
| | - Hasan Güngör
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Tünay Kurtoğlu
- Department of Cardiovascular Surgery, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
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Akgüllü Ç, Eryılmaz U, Zencir C, Güngör H. Management of a subclavian artery thrombosis causing acute anterior wall infarction and concurrent left arm ischemia in a patient with prior coronary bypass. Turk Kardiyol Dern Ars 2015; 42:751-5. [PMID: 25620337 DOI: 10.5543/tkda.2014.80524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We report a 57-year-old patient with acute anterior wall infarction with a history of a coronary baypass graft operation in 2007. He also had concurrent left arm cyanosis and severe pain. He had received diagnosis of pancreatic adenocarcinoma one month previously and had had his first chemotherapy in the previous week with gemcitabine and 5-fluorouracil. After the angiography, a giant thrombus was detected in the proximal left subclavian artery, deteriorating the flows of both left internal mammarian artery (LIMA) to left anterior descending (LAD) coronary artery graft, as well as the left brachial artery. The proximal subclavian artery was stented and good flow was achieved. Through the LIMA, the distal part of LAD, which was totally obstructed with probable distal thrombus embolization, was reached and a percutaneous balloon angioplasty performed. However, the no-reflow phenomenon was observed in distal LAD. A Fogarty traction of thrombus was performed successfully for the revascularization of the left arm. Approximately 30 minutes after the procedure, both angina and ST segment elevation in ECG were resolved under unfractioned heparin and nitroglycerin infusion. However, the patient died due to sepsis seven days after admission to hospital. In the literature, there are only a few previous reports on this rare clinical entity. The eitology, presentation, and the possible management strategies of this clinical entity is presented in this report.
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Affiliation(s)
- Çağdaş Akgüllü
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
| | - Ufuk Eryılmaz
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Cemil Zencir
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Hasan Güngör
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
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Affiliation(s)
- Ufuk Eryılmaz
- Department of Cardiology, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey.
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Abstract
A 41-year-old female was admitted to our hospital with an unidentified source of fever, dyspnea and dizziness. Transthoracic echocardiography demonstrated severe mitral valve regurgitation, and further examination with transesophageal echocardiography (TEE) revealed a 7 mm vegetation on the anterior mitral leaflet. Blood cultures were negative, and after 45 days of empiric 12 g/day ampicillin-sulbactam therapy, the vegetation was shown to have disappeared. However, due to ongoing severe mitral regurgitation and valve deformity, a prosthetic metallic mitral valve replacement was performed. After the operation, TEE was performed again due to subfebrile fever; however, the valve was normal and blood cultures were negative. Because of the probable relapse risk of infective endocarditis, the preoperative intravenous antibiotherapy was continued for 21 days and then orally for one week. Then, she was placed on follow-up by our outpatient clinic. As her INR was highly unstable during this period and she developed new-onset subfebrile fever, she was hospitalized again, and the TEE demonstrated vegetation. Blood cultures were still negative, and a combination of vancomycin-rifampicin-gentamicin was started. While under that therapy, first stroke and after a few days recurrent trans-ischemic attack developed, and the vegetation was seen to have enlarged. Urgent valve operation was performed with a bioprosthetic mitral valve, and ampicillin-sulbactam therapy was added to her previous antibiotherapy at the suggestion of the Microbiology Department. Oral anticoagulant therapy was planned for three months; however, during the postoperative period, her INR levels were highly unstable and could not be maintained in therapeutic ranges for even two consecutive days. Adjusted dosage of dabigatran to 110 mg/bid according to renal clearance in combination with 150 mg/day aspirin was started. However, valve thrombosis and a massive stroke developed under this therapy. The thrombosis disappeared after continuous heparin infusion, and she was discharged with neurological sequelae on 150 mg/day aspirin 55 days after her last operation. During the follow-up period of four months, no other clinical events occurred.
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Affiliation(s)
- Cağdaş Akgüllü
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın.
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Akgüllü Ç, Hekim T, Eryılmaz U, Boyacıoğlu M, Güngör H, Meteoğlu İ, Karul A, Onbaşılı OA. The usefulness of carvedilol and nebivolol in preventing contrast nephropathy in rats. Ren Fail 2015; 37:511-7. [DOI: 10.3109/0886022x.2015.1006087] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
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Akgüllü Ç, Ömürlü İK, Eryılmaz U, Avcil M, Dağtekin E, Akdeniz M, Güngör H, Zencir C. Predictors of early death in patients with acute pulmonary embolism. Am J Emerg Med 2014; 33:214-21. [PMID: 25499176 DOI: 10.1016/j.ajem.2014.11.022] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Revised: 11/10/2014] [Accepted: 11/15/2014] [Indexed: 10/24/2022] Open
Abstract
AIM We aimed to determine the predictors of early death in the course of acute pulmonary embolism (APE). MATERIALS AND METHODS We included 206 patients who had been admitted to our hospital between January 2011 and April 2013 with the diagnosis of APE. We derived a new model including corrected QT interval dispersion (QTcd) and P wave dispersion (Pd), echocardiographic findings, laboratory markers, and blood cell count indices to predict early death in patients with APE. RESULTS Thirty patients (14.5%) died; 176 patients (85.5%) lived after diagnosis of APE. Logistic regression (LR) analysis found that troponin I (odds ratio [OR], 1.084 [95% confidence interval {CI}, 1.009-1.165]), creatinine (OR, 4.153 [95% CI, 1.375-12.541]), mean platelet volume (OR, 1.991 [95% CI, 1.230-3.223]), neutrophil to lymphocyte ratio (NLR) (OR, 1.079 [95% CI, 1.005-1.160]), QTcd (OR, 1.084 [95% CI, 1.043-1.127]), Pd (OR, 1.049 [95% CI, 1.004-1.096]) were associated with early death in APE. New LR model (area under the curve [AUC], 0.970) performed better than the simplified pulmonary embolism severity index (sPESI) score (AUC, 0.859) in predicting early death in APE (P=.021). The predictivity of the sPESI score significantly improved after its single combination with creatinine, QTcd, or troponin I. When the combined model was constructed together with these 6 independent variables and sPESI score, stepwise LR model automatically excluded Pd and NLR, and the AUC from the rest of the combined model was 0.976, which is significantly different from the AUC of sPESI (0.859) (P=.0031). CONCLUSIONS Creatinine, troponin I, and QTcd significantly improves sPESI score. A new model with troponin I, creatinine, mean platelet volume, NLR, QTcd, and Pd seems to have greater prognostic power than the sPESI scoring system.
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Affiliation(s)
- Çağdaş Akgüllü
- Department of Cardiology, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey.
| | - İmran Kurt Ömürlü
- Department of Biostatistics, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
| | - Ufuk Eryılmaz
- Department of Cardiology, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
| | - Mücahit Avcil
- Emergency Department, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
| | - Evrin Dağtekin
- Department of Cardiology, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
| | - Mehmet Akdeniz
- Department of Cardiology, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
| | - Hasan Güngör
- Department of Cardiology, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
| | - Cemil Zencir
- Department of Cardiology, Medical Faculty, Adnan Menderes University, Aydin 09100, Turkey
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Abstract
OBJECTIVE There are still contradictory data in the literature whether patients with acromegaly are under risk in terms of atherosclerotic heart disease. Increased arterial stiffness develops before atherosclerosis and is evaluated to be a risk factor for atherosclerosis. Mean platelet volume (MPV) is currently gaining interest as a new independent cardiovascular risk factor. There are contrasting views about arterial stiffness in patients with acromegaly. There is no report in literature studying MPV in acromegaly patients. The aim of this study was to evaluate MPV and arterial stiffness in patients with acromegaly. METHODS This study was designed as an observational cross-sectional, case-controlled study. Twenty-eight patients with acromegaly and 22 healthy volunteers were recruited for the study. The arteriography device Mobil-O-Graph® (IEM GmbH. Stolberg, Germany) which can perform oscillometric measurements was used to measure arterial stiffness. The Mann-Whitney U test, Student's t-test, Spearman's nonparametric correlation analysis and the chi-square test were used to statistical analyze. RESULTS Aortic pulse wave velocity (PWV) value was found to be 6.41 ± 2.12 m/s in the patient group with active acromegaly and 5.24 ± 1.04 m/s in the healthy control group. The difference was statistically significant (p=0.03). The mean MPV value was found to be 9.68 ± 1.11 in the patient group with active acromegaly and 8.53 ± 1.18 in the healthy control group. There was a statistically significant difference between the two groups (p=0.004). In patients with acromegaly, a positive correlation was found between MPV and insulin-like growth hormone-I (IGF-1) level (p=0.021, r=0.434). CONCLUSION We determined an increase in aortic PWV and MPV in patients with acromegaly. In conclusion, evaluation of MPV and arterial stiffness in future studies could be beneficial in determining the risks for cardiovascular disease in patients with acromegaly.
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Affiliation(s)
- Mustafa Unübol
- Department of Internal Medicine, Division of Endocrinology, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey.
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Akgüllü Ç, Eryılmaz U, Güngör H, Huyut A, Zencir C, Hekim T. A clinical study about contrast nephropathy: risk factors and the role of beta blockers. Anatol J Cardiol 2014; 15:232-40. [PMID: 25333980 PMCID: PMC5337060 DOI: 10.5152/akd.2014.5304] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Objective: There is still a group of patient that have unpredictable risk for the development of contrast nephropathy (CN). There is also an effort to find more effficient strategies to prevent CN. Carvedilol, metoprolol and nebivolol seem to have theoretical potentials for the prevention of CN. In this study, we aimed to investigate their effects on the prevention of CN. We also aimed to define the risk factors associated with the development of CN in our study group. Methods: In this prospective, cross-sectional study, the patients were divided into four groups according to whether they were taking 25 mg/day carvedilol (n:56), 5 mg/day nebivolol (n:60), 50 mg/day metoprolol (n:68) or none (n:63). We made analysis to determine the agents’ efficiency on the prevention of CN. We also performed multiple logistic regression analysis including all groups to define the risk factors associated with CN. Results: The incidents of CN were the lowest in the carvedilol group (4%) while the worst performance occurred in those taking metoprolol (10%). The difference between the groups in terms of the development of CN did not reach statistical significance (p>0.05). Multiple logistic regression analysis showed age (p=0.003), higher triglyceride levels (p=0.011) and family history of coronary artery disease (p=0.038) to be the predictors of CN. Conclusion: In this study, we didn’t find any relation between the development of CN and carvedilol, metoprolol or nebivolol usage. We found age, higher levels of triglyceride and family history of coronary artery disease to be risk factors for predicting CN.
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Affiliation(s)
- Çağdaş Akgüllü
- Department of Cardiology, Faculty of Medicine, Adnan Menderes University; Aydın-Turkey.
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Akgüllü Ç, Eryılmaz U, Huyut A, Hekim T, Güngör H, Zencir C. Comparison of Carvedilol, Nebivolol and Metoprolol for the Prevention of Contrast Induced Nephropathy. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.634] [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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Akgüllü Ç, Eryılmaz U, Sırıken F, Akdeniz M, Ömürlü İK, Kurtoğlu T, Hekim T, Güngör H, Zencir C. The Relationship between Adherence to the Mediterranean Diet and the Severity of Coronary Atherosclerosis. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.348] [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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Akgüllü Ç, Eryılmaz U, Dağtekin E, Akdeniz M, Güngör H, Zencir C, Tekten T, Onbaşılı OA, Ceyhan C. P-wave and QT Dispersions for Predicting Early Death in Patients with Pulmonary Embolism. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.055] [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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Zencir C, Cetin M, Güngör H, Karaman K, Akgüllü C, Eryılmaz U, Avcil M. Evaluation of left ventricular systolic and diastolic functions in patients with coronary slow flow phenomenon. Turk Kardiyol Dern Ars 2013; 41:691-6. [PMID: 24351942 DOI: 10.5543/tkda.2013.51882] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Cemil Zencir
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
| | - Mustafa Cetin
- Department of Cardiology, Adıyaman University Faculty of Medicine, Adıyaman, Turkey
| | - Hasan Güngör
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Kayıhan Karaman
- Department of Cardiology, Gaziosmanpaşa University Faculty of Medicine, Tokat, Turkey
| | - Cağdaş Akgüllü
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Ufuk Eryılmaz
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Mücahit Avcil
- Department of Emergency Medicine, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
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Güngör H, Çam F, Eryılmaz U. Hyperglycemia and atrial fibrillation: new clinical information on electrophysiological changes. Anadolu Kardiyol Derg 2012; 12:551-552. [PMID: 22877898 DOI: 10.5152/akd.2012.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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