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Cardiac Involvement is the Reason for Persistent Dyspnea in Post COVID-19 Patients without Pulmonary Sequelae: A Retrospective Study 心脏受累是COVID-19后无肺后遗症患者持续呼吸困难的原因:一项回顾性研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5336/cardiosci.2022-88692
Tuğçe Çöllüoğlu, M. Acat, Ömer Özsaraç, Y. Akin, O. Önalan
Objective: Several forms of cardiovascular involvement have been described in acute coronavirus disease-2019 (COVID-19) infection and also it has been shown that acute infection is responsible for cardiac symptoms. However, the data on cardiac involvement and associated symptoms in chronic phase remains unclear. Recent evidence have shown that the reason for persistent dyspnea can be persistent cardiac dysfunction in post COVID-19 infection. The aim of our study was to investigate the relationship between persistent dyspnea and cardiac involvement in post COVID-19 patients without pulmonary sequelae. Material(s) and Method(s): In our study, we recruited 30 post COVID-19 patients with dyspnea between January 2021 and July 2021. In all patients, the absence of pulmonary sequelae was detected with PFT and chest- CT. 2D-TTE, 2D-STE and MPS were performed for each case. Result(s): Left ventricular dysfunction was detected in 63.3% of patients and also 93.3% of patients had extensive abnormal GLS at 3 month follow-up. Of the patients, 33.3% had myocardial perfusion defect (MPD) and all MPDs were observed to be reversible defects. MPD was obviously seen in anterior wall (60%) and mid (20%) to apical (70%) segments. As compared with patients without MPD, patients with MPD had higher CK-MB (p: 0.016) and troponin I (p: 0.011), lesser PW thickness (p:0.020) and lower peak systolic strain rate at A2C view (p:0.031). Patients with NYHA III had more impaired GLS than patients with NYHA II (p:0.035). Conclusion(s): Our study suggests ischemic or non-ischemic cardiac dysfunction may be associated with persistent dyspnea in post- COVID- 19 patients without lung sequelae. Copyright © 2022 by Turkiye Klinikleri.
目的:在急性冠状病毒病-2019 (COVID-19)感染中,已经描述了几种形式的心血管疾病,并且已经表明急性感染是心脏症状的原因。然而,慢性期心脏受累和相关症状的数据尚不清楚。最近的证据表明,COVID-19感染后持续呼吸困难的原因可能是持续的心功能障碍。本研究的目的是探讨无肺后遗症的COVID-19后患者持续呼吸困难与心脏受累之间的关系。材料和方法:在我们的研究中,我们招募了30名在2021年1月至2021年7月期间出现呼吸困难的COVID-19后患者。在所有患者中,PFT和胸部CT检查均未发现肺部后遗症。分别行2D-TTE、2D-STE、MPS检查。结果:随访3个月,63.3%的患者出现左室功能不全,93.3%的患者出现广泛的GLS异常。33.3%的患者存在心肌灌注缺损(MPD), MPD均为可逆性缺损。MPD明显见于前壁(60%)和中节段(20%)至根尖节段(70%)。与无MPD患者相比,MPD患者的CK-MB (p: 0.016)和肌钙蛋白I (p: 0.011)较高,PW厚度较小(p:0.020), A2C位收缩应变率峰值较低(p:0.031)。NYHA III组患者GLS受损程度高于NYHA II组(p:0.035)。结论:我们的研究表明,在COVID- 19后无肺后遗症的患者中,缺血性或非缺血性心功能障碍可能与持续呼吸困难有关。Turkiye Klinikleri版权所有©2022。
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引用次数: 0
Circulating Long Intergenic Non-Coding RNA LINC01538 as Potential Novel Biomarker for Acute Myocardial Infarction: Prospective Cohort Study 循环长基因间非编码RNA LINC01538作为急性心肌梗死潜在的新型生物标志物:前瞻性队列研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5336/cardiosci.2022-90615
C. Soliman, S. Agwa, S. Fathy, M. Emam, Ahmed M. Elshazly, D. Ibrahim
ABS TRACT Objective: Non-coding RNAs are the RNAs with no pro- tein coding function, long non-coding RNAs (LncRNAs) are the non-co-ding RNAs with more than 200 nucleotides. During the journey of discovering novel biomarkers for diagnosis of myocardial infarction (MI), the principle of studying the LncRNA as a potential would be al- ways attractive, as it needs easy sample collection, has high detection sensitivity and high myocardial tissue specificity. Our main objective was to investigate the potential of LINC01538 as a novel diagnostic biomarker for MI. Material and Methods: Quantitative real-time poly- merase chain reaction (RT-qPCR) was used to assess the expression of the serum LINC01538 in 50 ST Elevation MI (STEMI) patients and 48 controls. Results: The study showed a significant increase in serum level expression of LINC01538 in MI patients compared to controls [12 (6.6- 21.8) vs. 0.07 (0.01-0.2), p<0.001]. LINC01538 expression level in MI group was positively correlated with creatine kinase MB and high sen- sitive cardiac troponin I (hs-cTnI) (r=0.39, p=0.006 and r=0.22, p=0.007, respectively). Hs-cTnI found to have diagnostic value for MI with an area under curve (AUC) 0.917 [95% confidence interval (CI): 0.855-0.979, p<0.001] at an optimal cutoff point of 1.45 ng/L, 90% sensitivity and 91% specificity. However, LINC01538 showed the highest diagnostic value with an AUC 0.980 (95% CI: 0.942- 1, p<0.001) at an op- timal cut-off point of 1.76, 100% sensitivity and 98% specificity. Conclusion: Our findings have, for the first time, demonstrated that cir- culating LINC01538 are highly expressed in patients with MI, functioning as potential novel biomarker for diagnosis.
摘要目的:非编码rna是指不具有蛋白编码功能的rna,长链非编码rna (long Non-coding rna, LncRNAs)是指长度超过200个核苷酸的非编码rna。在发现新的诊断心肌梗死(MI)的生物标志物的过程中,将LncRNA作为一种潜在的生物标志物进行研究的原则始终具有吸引力,因为它易于采集样本,具有高检测灵敏度和高心肌组织特异性。我们的主要目的是研究LINC01538作为一种新的心肌梗死诊断生物标志物的潜力。材料和方法:采用定量实时聚合酶链反应(RT-qPCR)来评估50例ST段抬高型心肌梗死(STEMI)患者和48例对照组血清LINC01538的表达。结果:研究显示,与对照组相比,心肌梗死患者血清中LINC01538的表达水平显著升高[12(6.6- 21.8)比0.07 (0.01-0.2),p<0.001]。心肌梗死组LINC01538表达水平与肌酸激酶MB和高敏感心肌肌钙蛋白I (hs-cTnI)呈正相关(r=0.39, p=0.006和r=0.22, p=0.007)。Hs-cTnI对心肌梗死具有诊断价值,曲线下面积(AUC)为0.917[95%可信区间(CI): 0.855-0.979, p<0.001],最佳截断点为1.45 ng/L,灵敏度为90%,特异性为91%。然而,LINC01538在1.76的最佳截止点上显示出最高的诊断价值,AUC为0.980 (95% CI: 0.942- 1, p<0.001),灵敏度为100%,特异性为98%。结论:我们的研究结果首次证明了循环LINC01538在心肌梗死患者中高表达,作为潜在的新型诊断生物标志物。
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引用次数: 0
The Relationship of In-Hospital Mortality with Cardiac Injury in COVID-19 Patients: A Retrospective Cohort Study COVID-19患者住院死亡率与心脏损伤的关系:一项回顾性队列研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5336/cardiosci.2022-93884
Sevil Gülaştı, Ferdi Gülaştı
Objective: Coronavirus disease-2019 (COVID-19) emerged in late 2019 and has caused a pandemic, resulting in significant morbidity and mortality. However, the clinical significance of cardiac injury in patients affected by COVID-19 is still unknown. Therefore, our objective was to explore the association between cardiac injury and mortality in hospitalized patients with COVID-19. Material(s) and Method(s): The study included four hundred forty-three patients with laboratory values for troponin and follow-up. The mean age was 57.3+/-16.0 years. The male to female ratio was 1.53. Fever (45.6%) and cough (42.7%) were the most frequent sign and symptom at admission. Hypertension was the most common comorbidity, identified in 140 patients (31.6%). Result(s): In 143 (32.2%) patients, we determined cardiac injury. The median length of hospital stay was ten days. The mortality rate was 14.4%. The median length of hospital stay was longer in patients with cardiac injury (14 days vs. 9 days, respectively) (p<0.001). The mortality rate was 3.7% in the patients without cardiac injury, whereas the mortality rate was significantly higher among the patients with cardiac injury (37.7%, p<0.001). The multivariable model showed that cardiac injury was the only independent risk factor for death. There was a higher risk of death in patients with cardiac injury than in those without cardiac injury [hazard ratio, 4.01 (95% confidence interval, 1.85-8.72, p<0.001)]. Conclusion(s): In conclusion, cardiac injury is a common condition among hospitalized patients with COVID-19 and is associated with an elevated risk of in-hospital mortality. In addition, it is significantly more common in patients with known heart disease, complicating the treatment process.Copyright © 2022 by Turkiye Klinikleri.
目的:2019冠状病毒病(COVID-19)于2019年底出现,并已引起大流行,发病率和死亡率很高。然而,COVID-19患者心脏损伤的临床意义尚不清楚。因此,我们的目的是探讨COVID-19住院患者心脏损伤与死亡率之间的关系。材料和方法:本研究纳入了443例肌钙蛋白化验值及随访的患者。平均年龄为57.3±16.0岁。男女比例为1.53。发热(45.6%)和咳嗽(42.7%)是入院时最常见的体征和症状。高血压是最常见的合并症,140例(31.6%)。结果:143例(32.2%)患者确定心脏损伤。住院时间中位数为10天。死亡率为14.4%。心脏损伤患者的中位住院时间更长(分别为14天和9天)(p<0.001)。无心脏损伤组的死亡率为3.7%,有心脏损伤组的死亡率为37.7%,p<0.001。多变量模型显示,心脏损伤是死亡的唯一独立危险因素。心脏损伤患者的死亡风险高于无心脏损伤患者[风险比为4.01(95%可信区间为1.85 ~ 8.72,p<0.001)]。结论:总之,心脏损伤是COVID-19住院患者的常见病,并与院内死亡风险升高相关。此外,它在已知心脏病患者中更为常见,使治疗过程复杂化。Turkiye Klinikleri版权所有©2022。
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引用次数: 0
Hemoglobin A1c is a Predictor of Poor Collateral Development in Non-Diabetic Patients with Coronary Chronic Total Occlusion: Retrospective Clinical Trial 糖化血红蛋白是非糖尿病冠状动脉慢性全闭塞患者侧支不良发展的预测指标:回顾性临床试验
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5336/cardiosci.2022-92530
M. Kış, Tuncay Güzel
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引用次数: 0
Fibrosis-4 Index for Prediction of the Severity of Acute Pulmary Embolism: Cross-sectional Research 预测急性肺栓塞严重程度的纤维化-4指数:横断面研究
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5336/cardiosci.2020-78435
T. Karabağ, F. Mutlu, S. Efe
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引用次数: 1
The Effect of Vitamin D Deficiency on the Risk and Time of Stent Restenosis After Percutaneous Coronary Angioplasty: Case-Control Study 维生素D缺乏对经皮冠状动脉血管成形术后支架再狭窄风险和时间的影响:病例-对照研究
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5336/cardiosci.2021-84366
Aysun Erdem Yaman, U. S. Ceylan
{"title":"The Effect of Vitamin D Deficiency on the Risk and Time of Stent Restenosis After Percutaneous Coronary Angioplasty: Case-Control Study","authors":"Aysun Erdem Yaman, U. S. Ceylan","doi":"10.5336/cardiosci.2021-84366","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-84366","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75078368","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}
引用次数: 1
Impact of Adding Favipiravir to Hydroxychloroquine and Azithromycin Treatment on QTc Interval in COVID-19 法匹拉韦联合羟氯喹和阿奇霉素治疗对COVID-19患者QTc间期的影响
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5336/CARDIOSCI.2020-80082
I. Cerik, Hatun Öztürk Çerik, A. Dogan, S. Dereli, O. Bektaş, Y. Kaya
Objective: The Coronavirus disease-2019 (COVID-19) pandemic has caused the death of many people worldwide. Treatment protocol had to be developed as soon as possible so drug combinations, whose reliability has not been fully disclosed, have started to be used. In this study, we aimed to evaluate the effect of azithromycin (AZT), hydroxychloroquine (HCQ), and favipiravir (FVR) combination on the corrected QT (QTc) interval. Material and Methods: Eighty-four consecutive COVID 19 patients were enrolled in the study. All patients received AZT and HCQ, however, FVR was added to the combination in 32 patients with severe pneumonia at the beginning. ECG characteristics of all patients before treatment and on the fifth day of treatment were compared. Results: There was no significant difference between the HCQ+AZT group (n=52) and HCQ+AZT+FVR groups (n=32) in terms of baseline clinical characteristics. QTc interval significantly prolonged on the fifth day of treatment in the HCQ+AZT group (413,75±30,13;440,27±36,11 p<0.001) and in the HCQ+AZT+FVR group (426,65±32,83;468,22±42,13 p<0.001). When both groups were compared in terms of ΔQTc, a significant increase was observed in the HCQ+AZT+FVR group compared to the HCQ+AZT group (40(-14/175), 23(-28/213) respectively, p=0.042). In seven of the patients, QTc> 500 ms was detected after the treatment, four patients in the HCQ+AZT+FVR group and three patients in the HCQ+AZT group. Conclusion: We observed that FVR caused more prolongation in the QTc interval when used with the combination of HCQ+AZT. We recommend that patients who receive this treatment be monitored more closely for QTc.
目的:2019冠状病毒病(COVID-19)大流行已在全球范围内造成许多人死亡。必须尽快制定治疗方案,以便开始使用其可靠性尚未充分披露的药物组合。在本研究中,我们旨在评估阿奇霉素(AZT)、羟氯喹(HCQ)和法匹拉韦(FVR)联合使用对校正QT间期(QTc)的影响。材料和方法:84例连续的COVID - 19患者入组研究。所有患者均接受AZT和HCQ治疗,但32例重症肺炎患者在开始时加用FVR。比较所有患者治疗前和治疗第5天的心电图特征。结果:HCQ+AZT组(n=52)与HCQ+AZT+FVR组(n=32)在基线临床特征方面无显著差异。治疗第5天,HCQ+AZT组QTc间期明显延长(413、75±30、13;440、27±36、11),治疗后500 ms, HCQ+AZT+FVR组4例,HCQ+AZT组3例。结论:我们观察到FVR与HCQ+AZT联合使用时更能延长QTc间期。我们建议对接受这种治疗的患者进行更密切的QTc监测。
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引用次数: 1
Diagnostic Considerations and Analytical Characteristics of Methods for the Determination of Cardiac Troponins: Traditional Review 心脏肌钙蛋白测定方法的诊断考虑和分析特点:传统综述
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5336/cardiosci.2021-84307
Aleksey Michailovich Chaulin
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引用次数: 3
Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition 股动脉狭窄由血管周围肿块引起:术中发现情况的血管内治疗
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5336/cardiosci.2021-82604
H. S. Başbuğ, V. Kızılgöz
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引用次数: 0
P Wave and QT Dispersion in Patients with Subclinical Hypothyroidism: Case-control Research 亚临床甲状腺功能减退患者的P波和QT离散度:病例对照研究
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5336/cardiosci.2021-83346
C. Yıldız, A. Karakurt
{"title":"P Wave and QT Dispersion in Patients with Subclinical Hypothyroidism: Case-control Research","authors":"C. Yıldız, A. Karakurt","doi":"10.5336/cardiosci.2021-83346","DOIUrl":"https://doi.org/10.5336/cardiosci.2021-83346","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"16 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82928514","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}
引用次数: 0
期刊
Turkiye Klinikleri Cardiovascular Sciences
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