Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2021-83584
Veysel Başar, Fatih Öztürk, F. Yiğit, A. Zengin, F. Çiçekçioğlu, H. Hançer, A. Fedakar, M. Yanartaş
ABS TRACT Objective: To investigate the perioperative and postop- erative effects of preoperative levosimendan use in coronary artery patients with low ejection fraction (EF) (<40%). Material and Methods: A total of 6,571 coronary bypass patients who were treated at Kartal Ko ş uyolu High Specialization Training and Research Hospital between 2016 and 2019 were scanned, and 132 patients with preoperative EF below 40% were retrospectively analyzed. The patients were divided into 2 groups as those who received preoperative levosimendan (Group 1: 90 patients) and the control group, who did not receive it at all (Group 2: 42 patients). All of the patients included in the study were on- pump coronary bypass patients and excluded off-pump bypass, emergency bypass, and other concomitant procedures. Results: In terms of EF values, improvements over time were significantly different in favor of Group 1 (p<0.043). The duration of the intensive care unit stay in Group 1 was longer (p<0.047). The changes in patients in terms of postoperative venous oxygen saturation over time were found to be statis- tically positive in favor of Group 1 (p<0.042). Mortality was observed in 5 patients in the postoperative early period (first 30 days), all of whom were from Group 1. However, no statistical difference was observed. Conclusion: Preoperative use of levosimendan in coronary artery patients with low EF improved some hemodynamic parameters; however, it did not make a significant hemodynamic and clinical contribution to surgery success in high-risk patients.
目的:探讨左西孟旦在低射血分数(EF)(<40%)冠状动脉患者术前应用的围术期和术后效果。材料与方法:对2016 - 2019年在Kartal Ko uyolu高级专科培训研究医院接受冠状动脉搭桥治疗的6571例患者进行扫描，回顾性分析术前EF低于40%的132例患者。将患者分为术前给予左西孟旦治疗组(第1组:90例)和未给予左西孟旦治疗组(第2组:42例)。所有纳入研究的患者均为体外循环冠状动脉搭桥术患者，排除体外循环搭桥术、急诊搭桥术和其他伴随手术。结果:在EF值方面，随着时间的推移，1组的改善有显著差异(p<0.043)。组1患者重症监护时间更长(p<0.047)。术后静脉氧饱和度随时间的变化，1组有统计学意义上的阳性(p<0.042)。术后早期(前30天)死亡5例，均为第1组。然而，没有观察到统计学差异。结论:术前应用左西孟旦可改善冠心病低EF患者的部分血流动力学参数;然而，它并没有对高危患者的手术成功做出显著的血流动力学和临床贡献。
{"title":"Prophylactic Use of Levosimendan in High-Risk Coronary Artery Disease: Retrospective Clinical Research","authors":"Veysel Başar, Fatih Öztürk, F. Yiğit, A. Zengin, F. Çiçekçioğlu, H. Hançer, A. Fedakar, M. Yanartaş","doi":"10.5336/cardiosci.2021-83584","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-83584","url":null,"abstract":"ABS TRACT Objective: To investigate the perioperative and postop- erative effects of preoperative levosimendan use in coronary artery patients with low ejection fraction (EF) (<40%). Material and Methods: A total of 6,571 coronary bypass patients who were treated at Kartal Ko ş uyolu High Specialization Training and Research Hospital between 2016 and 2019 were scanned, and 132 patients with preoperative EF below 40% were retrospectively analyzed. The patients were divided into 2 groups as those who received preoperative levosimendan (Group 1: 90 patients) and the control group, who did not receive it at all (Group 2: 42 patients). All of the patients included in the study were on- pump coronary bypass patients and excluded off-pump bypass, emergency bypass, and other concomitant procedures. Results: In terms of EF values, improvements over time were significantly different in favor of Group 1 (p<0.043). The duration of the intensive care unit stay in Group 1 was longer (p<0.047). The changes in patients in terms of postoperative venous oxygen saturation over time were found to be statis- tically positive in favor of Group 1 (p<0.042). Mortality was observed in 5 patients in the postoperative early period (first 30 days), all of whom were from Group 1. However, no statistical difference was observed. Conclusion: Preoperative use of levosimendan in coronary artery patients with low EF improved some hemodynamic parameters; however, it did not make a significant hemodynamic and clinical contribution to surgery success in high-risk patients.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80336092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2021-86207
M. Demir, Ömer Faruk Keskin, A. Iyisoy
{"title":"Cobrahead Deformity in Right Ventricular Disc of an Amplatzer Septal Occluder Device During Transcatheter Closure of the Post-Myocardial Infarction Ventricular Septal Rupture","authors":"M. Demir, Ömer Faruk Keskin, A. Iyisoy","doi":"10.5336/cardiosci.2021-86207","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-86207","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84503266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2021-86491
Berna Gerdan, Ümran Dal Yılmaz
{"title":"Determination of Anxiety Levels of Patients Before and After Coronary Artery By-Pass Graft Surgery: Descriptive Study","authors":"Berna Gerdan, Ümran Dal Yılmaz","doi":"10.5336/cardiosci.2021-86491","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-86491","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85821154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2021-86952
Neslihan Çi̇çekli̇, İlknur Çalişkan
ÖZET Amaç: Araştırma, açık kalp ameliyatı olacak hastaların spiritüel iyi oluş ve umut düzeylerinin belirlenmesi amacıyla tanımlayıcı türde yapılmıştır. Gereç ve Yöntemler: Araştırmanın örneklemini Sağlık Bilimleri Üniversitesi Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesinde açık kalp ameliyatı olmak için yatan 166 hasta oluşturmuştur. Araştırmanın verileri; hasta tanıtım formu, Herth Umut İndeksi, Spiritüel İyi Oluş Ölçeği ile toplanmıştır. Verilerin analizinde tanımlayıcı veriler sayı yüzdelik hesaplamaları, Kolmogorov-Smirnov testi, tek yönlü ANOVA, bağımsız gruplar için t-testi, Kruskal-Wallis testi ve Pearson korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hastaların %72,3’ünün 51 yaş ve üzeri yaş grubunda, %69,3’ünün erkek, %45,3’ü ilkokul mezunu, %84,9’unun evli, %51,2’sinin baypas ameliyatı geçireceği, %84,3’ünün daha önce kalp ameliyatı geçirmediği, %41’inin 4-6 gündür hastanede kaldığı belirlenmiştir. Hastaların Spiritüel İyi Oluş Ölçeği toplam puanının 115,93±10 ve Herth Umut İndeksi toplam puanının 39,11±5,40 olduğu saptanmıştır. Araştırmaya katılmaya gönüllü hastaların tanıtıcı özelliklerine göre Spiritüel İyi Oluş Ölçeği’nden aldıkları puanlar arasında istatistiksel olarak anlamlı farklılık bulunmamıştır (p>0,05). Araştırma kapsamındaki hastaların eğitim durumu, daha önce kalp ameliyatı geçirme durumu ve hastanede kalış süresine göre Herth Umut İndexi’nden aldıkları puanlar arasında istatistiksel olarak anlamlı farklılık belirlenmiştir (p<0,05). Sonuç: Araştırmada, hastaların spiritüel iyi oluşlarının ve umut düzeylerinin yüksek olduğu, spiritüel iyi oluş ile umut düzeyi arasında ilişki olmadığı sonucuna ulaşıldı.
{"title":"Determination of Spiritual Well-Being and Hope Level of Patients Undergoing Open Heart Surgery: A Descriptive Study","authors":"Neslihan Çi̇çekli̇, İlknur Çalişkan","doi":"10.5336/cardiosci.2021-86952","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-86952","url":null,"abstract":"ÖZET Amaç: Araştırma, açık kalp ameliyatı olacak hastaların spiritüel iyi oluş ve umut düzeylerinin belirlenmesi amacıyla tanımlayıcı türde yapılmıştır. Gereç ve Yöntemler: Araştırmanın örneklemini Sağlık Bilimleri Üniversitesi Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesinde açık kalp ameliyatı olmak için yatan 166 hasta oluşturmuştur. Araştırmanın verileri; hasta tanıtım formu, Herth Umut İndeksi, Spiritüel İyi Oluş Ölçeği ile toplanmıştır. Verilerin analizinde tanımlayıcı veriler sayı yüzdelik hesaplamaları, Kolmogorov-Smirnov testi, tek yönlü ANOVA, bağımsız gruplar için t-testi, Kruskal-Wallis testi ve Pearson korelasyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hastaların %72,3’ünün 51 yaş ve üzeri yaş grubunda, %69,3’ünün erkek, %45,3’ü ilkokul mezunu, %84,9’unun evli, %51,2’sinin baypas ameliyatı geçireceği, %84,3’ünün daha önce kalp ameliyatı geçirmediği, %41’inin 4-6 gündür hastanede kaldığı belirlenmiştir. Hastaların Spiritüel İyi Oluş Ölçeği toplam puanının 115,93±10 ve Herth Umut İndeksi toplam puanının 39,11±5,40 olduğu saptanmıştır. Araştırmaya katılmaya gönüllü hastaların tanıtıcı özelliklerine göre Spiritüel İyi Oluş Ölçeği’nden aldıkları puanlar arasında istatistiksel olarak anlamlı farklılık bulunmamıştır (p>0,05). Araştırma kapsamındaki hastaların eğitim durumu, daha önce kalp ameliyatı geçirme durumu ve hastanede kalış süresine göre Herth Umut İndexi’nden aldıkları puanlar arasında istatistiksel olarak anlamlı farklılık belirlenmiştir (p<0,05). Sonuç: Araştırmada, hastaların spiritüel iyi oluşlarının ve umut düzeylerinin yüksek olduğu, spiritüel iyi oluş ile umut düzeyi arasında ilişki olmadığı sonucuna ulaşıldı.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89307196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2021-86281
M. Demir, Ömer Faruk Keskin, A. Iyisoy, B. Öz
30 Interrupted aortic arch (IAA), an uncommon malformation of the aortic arch, is defined as a loss of luminal continuity among the ascending and descending portions of the aorta. The incidence of IAA among congenital heart defects is around 1%.1 There are 3 types of the IAA, and they are classified according to the site of the interruption by Celoria and Patton.2 Type A is interrupted distal to the left subclavian artery (LSCA); Type B is interrupted between the left subclavian and left carotid artery (LCA), and Type C is interrupted proximal to the LCA. The frequency of occurrence is listed as B, A, and C, respectively. Survival into adulthood with the isolated anomaly is very rare and depends on the development of collateral circulation. Extra anatomic bypass procedures are the most preferred reconstruction method in adult patients with IAAs.3
{"title":"Percutaneous Aortic Stent Implantation in an Adult Patient with Interrupted Aortic Arch","authors":"M. Demir, Ömer Faruk Keskin, A. Iyisoy, B. Öz","doi":"10.5336/cardiosci.2021-86281","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-86281","url":null,"abstract":"30 Interrupted aortic arch (IAA), an uncommon malformation of the aortic arch, is defined as a loss of luminal continuity among the ascending and descending portions of the aorta. The incidence of IAA among congenital heart defects is around 1%.1 There are 3 types of the IAA, and they are classified according to the site of the interruption by Celoria and Patton.2 Type A is interrupted distal to the left subclavian artery (LSCA); Type B is interrupted between the left subclavian and left carotid artery (LCA), and Type C is interrupted proximal to the LCA. The frequency of occurrence is listed as B, A, and C, respectively. Survival into adulthood with the isolated anomaly is very rare and depends on the development of collateral circulation. Extra anatomic bypass procedures are the most preferred reconstruction method in adult patients with IAAs.3","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88940362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2022-91302
Tuğba Albayram, M. A. Celkan, S. Kul
{"title":"Determining the Effectiveness of Discharge Training Provided After Heart Surgery Through Phone Counselling: Descriptive Research","authors":"Tuğba Albayram, M. A. Celkan, S. Kul","doi":"10.5336/cardiosci.2022-91302","DOIUrl":"https://doi.org/10.5336/cardiosci.2022-91302","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75407620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2022-88726
Özlem KÖSEOĞLU ÖRNEK, Hatice Günaydın, N. Kolac, Burak Acikgöz, A. A. Kavala, Saygın Türkyılmaz
{"title":"Anxiety Levels of Cardiovascular Surgery Patients: Investigation of Coping Methods, Self-Efficacy Level and Social Support Mechanisms: Descriptive and Relational Research","authors":"Özlem KÖSEOĞLU ÖRNEK, Hatice Günaydın, N. Kolac, Burak Acikgöz, A. A. Kavala, Saygın Türkyılmaz","doi":"10.5336/cardiosci.2022-88726","DOIUrl":"https://doi.org/10.5336/cardiosci.2022-88726","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"183 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73205146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.5336/cardiosci.2022-93815
Onur Doyurgan, O. Akdeniz, Yiğit Kılıç, A. Irdem, F. Özdemir, H. Balık, B. Aldudak
{"title":"Comparison of the Results of Open Trap-Door Technique and Closed Coronary Transfer Technique in Arterial Switch Operations: A Retrospective Clinical Study","authors":"Onur Doyurgan, O. Akdeniz, Yiğit Kılıç, A. Irdem, F. Özdemir, H. Balık, B. Aldudak","doi":"10.5336/cardiosci.2022-93815","DOIUrl":"https://doi.org/10.5336/cardiosci.2022-93815","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78855031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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