Pub Date : 2019-01-01DOI: 10.5336/cardiosci.2018-64374
H. Yiğit, E. Ergun, P. Koşar
{"title":"Cardiac Magnetic Resonance Imaging and Magnetic Resonance Angiography in Surgically Corrected Tetralogy of Fallot Patients","authors":"H. Yiğit, E. Ergun, P. Koşar","doi":"10.5336/cardiosci.2018-64374","DOIUrl":"https://doi.org/10.5336/cardiosci.2018-64374","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85209471","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 : 2019-01-01DOI: 10.5336/CARDIOSCI.2019-65779
Onur Avcı, Oğuz Gündoğdu
ABS TRACT Objective: We aimed to determine whether there is a correlation between perfusion parameters [Lactate (lac), venoarterial carbondioxide gradient (∆pCO2), central venous oxygen saturation (ScVO2)] and the relationship between these parameters and cerebral oxygenation in normothermia (T2), hypothermia (T3) and re-warming (T4) periods in cardiopulmonary bypass procedure (CPB). Material and Methods: Forty patients aged 19-78 years who were scheduled for elective coronary artery bypass surgery were included in the study. Mean arterial pressure (MAP), cerebral oxygenation (rSO2), periferic oxygen saturation (SpO2) values were recorded and by taking blood samples from arterial cannula and central venous catheter simultaneously; hematocrit (Htc), ∆pCO2, lac, ScVO2, actual base excess (aBE), bicarbonate (HCO3) values were recorded in T1 (after anesthesia induction and central venous catheterization), T2 (normothermia, 36oC, at the start of CPB), T3 (hypotermia, 32oC) and in T4 (at the end of CPB, rewarming, 36oC). Results: Between ∆pCO2-lac values, only positive correlation was found in T4 and there was no correlation between them at other times. There was significant negative correlation between rSO2 and lac in T1, T3 and T4, but no significant correlation was found between rSO2-∆pCO2 parameters at any time. The correlations of lac and ∆pCO2 with cross-clamp and CPB durations were positive, whereas the correlations between ScVO2 and rSO2 with cross-clamp and CPB durations were negative. Conclusion: ∆pCO2 is not an early indicator of hypoperfusion in patients undergoing CPB in accordance with the literature and the lactate level is a guiding parameter in reporting the perfusion status. We recommend the intraoperative use of cerebral oximetry to prevent the brain from being affected by hypoperfusion during CPB and to prevent postoperative neurocognitive disorders in patients.
{"title":"Evaluation of Cerebral Oxygenation and Tissue Perfusion in Patients Ongoing Coronary Artery Surgery with Cardiopulmonary By-pass","authors":"Onur Avcı, Oğuz Gündoğdu","doi":"10.5336/CARDIOSCI.2019-65779","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2019-65779","url":null,"abstract":"ABS TRACT Objective: We aimed to determine whether there is a correlation between perfusion parameters [Lactate (lac), venoarterial carbondioxide gradient (∆pCO2), central venous oxygen saturation (ScVO2)] and the relationship between these parameters and cerebral oxygenation in normothermia (T2), hypothermia (T3) and re-warming (T4) periods in cardiopulmonary bypass procedure (CPB). Material and Methods: Forty patients aged 19-78 years who were scheduled for elective coronary artery bypass surgery were included in the study. Mean arterial pressure (MAP), cerebral oxygenation (rSO2), periferic oxygen saturation (SpO2) values were recorded and by taking blood samples from arterial cannula and central venous catheter simultaneously; hematocrit (Htc), ∆pCO2, lac, ScVO2, actual base excess (aBE), bicarbonate (HCO3) values were recorded in T1 (after anesthesia induction and central venous catheterization), T2 (normothermia, 36oC, at the start of CPB), T3 (hypotermia, 32oC) and in T4 (at the end of CPB, rewarming, 36oC). Results: Between ∆pCO2-lac values, only positive correlation was found in T4 and there was no correlation between them at other times. There was significant negative correlation between rSO2 and lac in T1, T3 and T4, but no significant correlation was found between rSO2-∆pCO2 parameters at any time. The correlations of lac and ∆pCO2 with cross-clamp and CPB durations were positive, whereas the correlations between ScVO2 and rSO2 with cross-clamp and CPB durations were negative. Conclusion: ∆pCO2 is not an early indicator of hypoperfusion in patients undergoing CPB in accordance with the literature and the lactate level is a guiding parameter in reporting the perfusion status. We recommend the intraoperative use of cerebral oximetry to prevent the brain from being affected by hypoperfusion during CPB and to prevent postoperative neurocognitive disorders in patients.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78831012","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 : 2019-01-01DOI: 10.5336/cardiosci.2019-70586
Nihal Çeli̇ktürk, Aylin Durmaz Edeer
148 heart transplant is used to treat heart failure patients whose medical treatment has failed and who have a life expectancy of less than two years.1 In Europe, 1,776 heart transplants and 2,884 heart transplants in North America were done in 2017.2 Data on heart transplants before 2011 have not been published by the Ministry of Health in Turkey. The Ministry of Health reported 659 patients have undergone heart transplant surgery between 2011 and 2019.3 Today, the number of heart transplants is increasing slightly. Self-Care Agency and Associated Factors in Heart Transplant Patients
{"title":"Self-Care Agency and Associated Factors in Heart Transplant Patients","authors":"Nihal Çeli̇ktürk, Aylin Durmaz Edeer","doi":"10.5336/cardiosci.2019-70586","DOIUrl":"https://doi.org/10.5336/cardiosci.2019-70586","url":null,"abstract":"148 heart transplant is used to treat heart failure patients whose medical treatment has failed and who have a life expectancy of less than two years.1 In Europe, 1,776 heart transplants and 2,884 heart transplants in North America were done in 2017.2 Data on heart transplants before 2011 have not been published by the Ministry of Health in Turkey. The Ministry of Health reported 659 patients have undergone heart transplant surgery between 2011 and 2019.3 Today, the number of heart transplants is increasing slightly. Self-Care Agency and Associated Factors in Heart Transplant Patients","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"235 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74480819","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 : 2019-01-01DOI: 10.5336/cardiosci.2019-66103
F. Kahraman, Ö. Uku
194 etralogy of Fallot (TOF) constitutes approximately 7-10% of congenital heart diseases (CHDs) and is the most common cyanotic CHD with 0.23-0.63 cases per 1,000 births. Thanks to advanced surgical procedures, lifetime is increased in these patients, but they are at greater risk for coronary artery disease as they get older. There are only a few TOF patients with acute myocardial infarction (MI) in the literature. We aimed to share a case with corrected TOF and normal coronary arteries who also had acute inferior MI.
{"title":"Acute Inferior Myocardial Infarction in a Patient with Corrected Tetralogy of Fallot with Normal Coronary Arteries","authors":"F. Kahraman, Ö. Uku","doi":"10.5336/cardiosci.2019-66103","DOIUrl":"https://doi.org/10.5336/cardiosci.2019-66103","url":null,"abstract":"194 etralogy of Fallot (TOF) constitutes approximately 7-10% of congenital heart diseases (CHDs) and is the most common cyanotic CHD with 0.23-0.63 cases per 1,000 births. Thanks to advanced surgical procedures, lifetime is increased in these patients, but they are at greater risk for coronary artery disease as they get older. There are only a few TOF patients with acute myocardial infarction (MI) in the literature. We aimed to share a case with corrected TOF and normal coronary arteries who also had acute inferior MI.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88291099","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 : 2019-01-01DOI: 10.5336/cardiosci.2019-70014
C. Ceylan, M. Aksit, Mehmet Can Uğur, Merve Zeytinli Akşit, Bilge Taşkiran, A. Çolak
{"title":"CRP, TNF, VEGF, FGF and PNTX Blood Levels in Patients with Essential Thrombocytosis and Polistemia Vera","authors":"C. Ceylan, M. Aksit, Mehmet Can Uğur, Merve Zeytinli Akşit, Bilge Taşkiran, A. Çolak","doi":"10.5336/cardiosci.2019-70014","DOIUrl":"https://doi.org/10.5336/cardiosci.2019-70014","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74789145","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 : 2019-01-01DOI: 10.5336/cardiosci.2019-70392
Pınar Kızılırmak, Z. Öngen, M. Kayıkçıoğlu, L. Tokgözoğlu
{"title":"A Systematic Evaluation of LDL-Cholesterol Levels of High Cardioovascular Risk Patients in Turkish Population","authors":"Pınar Kızılırmak, Z. Öngen, M. Kayıkçıoğlu, L. Tokgözoğlu","doi":"10.5336/cardiosci.2019-70392","DOIUrl":"https://doi.org/10.5336/cardiosci.2019-70392","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73778921","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 : 2019-01-01DOI: 10.5336/CARDIOSCI.2018-63266
N. Altiparmak, S. S. Akdeniz, B. Bayram, K. Araz
Objective: The aim of this study was to evaluate the incidence of postoperative bleeding after dental extraction in patients without interruption of single or dual antiplatelet therapy. Material and Metods: The study comprised a total of 195 consecutive subjects who underwent dental extractions performed by the same qualified dentist in Baskent University Department of Oral and Maxillofacial Surgery between the date of February and May 2016. Patients were divided into three groups (n=65 in each group): dual antiplatelet therapy (acetylsalicylic acid and clopidogrel), first control (no antiplatelet or anticoagulant therapy) and second control group (antiplatelet therapy ceased for 3-10 days prior to dental extraction). Results: There was no significant difference in sex distribution, mean age, or in the types or number of teeth extracted between the groups. The incidence of postoperative bleeding was higher in the study group than in the control groups, but the difference was not significant (p>0.05). In the study group, the incidence of postoperative bleeding was higher in patients on dual therapy than in those on acetylsalicylic acid alone or clopidogrel alone; however, the differences were not significant (p>0.05). Conclusion: The findings of the present study suggest that there is no need to stop single or dual antiplatelet therapy prior to dental extraction.
{"title":"Should Antiplatelet Drugs Stopped Before Dental Extraction?","authors":"N. Altiparmak, S. S. Akdeniz, B. Bayram, K. Araz","doi":"10.5336/CARDIOSCI.2018-63266","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2018-63266","url":null,"abstract":"Objective: The aim of this study was to evaluate the incidence of postoperative bleeding after dental extraction in patients without interruption of single or dual antiplatelet therapy. Material and Metods: The study comprised a total of 195 consecutive subjects who underwent dental extractions performed by the same qualified dentist in Baskent University Department of Oral and Maxillofacial Surgery between the date of February and May 2016. Patients were divided into three groups (n=65 in each group): dual antiplatelet therapy (acetylsalicylic acid and clopidogrel), first control (no antiplatelet or anticoagulant therapy) and second control group (antiplatelet therapy ceased for 3-10 days prior to dental extraction). Results: There was no significant difference in sex distribution, mean age, or in the types or number of teeth extracted between the groups. The incidence of postoperative bleeding was higher in the study group than in the control groups, but the difference was not significant (p>0.05). In the study group, the incidence of postoperative bleeding was higher in patients on dual therapy than in those on acetylsalicylic acid alone or clopidogrel alone; however, the differences were not significant (p>0.05). Conclusion: The findings of the present study suggest that there is no need to stop single or dual antiplatelet therapy prior to dental extraction.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85134215","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 : 2019-01-01DOI: 10.5336/cardiosci.2018-63767
A. Ayyıldız, D. Özer, E. Karakoç, Birgul Yelken
{"title":"Acute Heart Failure Due to Low Doses Adriamycin","authors":"A. Ayyıldız, D. Özer, E. Karakoç, Birgul Yelken","doi":"10.5336/cardiosci.2018-63767","DOIUrl":"https://doi.org/10.5336/cardiosci.2018-63767","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84796458","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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