Pub Date : 2019-01-01DOI: 10.5336/cardiosci.2018-63205
Ümit Arslan, E. Calik
{"title":"Effificacy of Thrombolytic Therapy Applied Through Foot Veins in Lower Extremity Acute and Subacute Deep Vein Thrombosis","authors":"Ümit Arslan, E. Calik","doi":"10.5336/cardiosci.2018-63205","DOIUrl":"https://doi.org/10.5336/cardiosci.2018-63205","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"87 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83611580","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.2018-63153
M. Omaygenc, I. Karaca, E. Ibisoglu, Ü. Özer, B. Çakal, H. Güneş, D. Omaygenç, O. Olmuşçelik, B. Boztosun
ABS TRACT Objective: Radial artery spasm (RAS), is a major drawback for the routine use of radial access during coronary interventions and anxiety is a well-documented predictor of RAS. In this study, we aimed to assess the relationship between RAS and level of anxiety (LOA) which was quantified with different scales. Material and Methods: 123 consecutive patients scheduled for elective coronary angiography were enrolled. Demographic and procedural relevant features were noted, and then, patients were asked to fill three anxiety scales; Beck Anxiety Inventory (BAI), Spielberger State Anxiety Inventory (SSAI) and Spielberger Trait Anxiety Inventory (STAI). Clinical RAS was accepted to exist if 2 or more of predefined clinical features had been met. Results: RAS was observed in 20 patients (16.3%). In the RAS (+) group, the frequency of female gender, low body mass index, total procedure time, and procedures carried out with more than one puncture attempts were significantly higher, whereas smokers were less. BAI and SSAI scores of RAS (+) group were significantly higher. According to the pre-defined cut-off values of all abovementioned scales, only SSAI based comparison revealed the higher frequency of patients with considerable LOA in RAS(+) group (%, 45 vs 75, p=0.013). When regression analyses were performed, total procedure time (HR: 2.96, 95% CI=0.96-9.11; p=0.032) and having an SSAI score over 40 (HR: 2.49, 95% CI=1.09–5.71; p=0.024) were designated as independent predictors of RAS. Conclusion:Anxiety is a considerable risk factor for RAS occurrence but the testing method of LOA also matters. Regarding our results, SSAI was an accurate one for anticipating RAS.
{"title":"Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions","authors":"M. Omaygenc, I. Karaca, E. Ibisoglu, Ü. Özer, B. Çakal, H. Güneş, D. Omaygenç, O. Olmuşçelik, B. Boztosun","doi":"10.5336/CARDIOSCI.2018-63153","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2018-63153","url":null,"abstract":"ABS TRACT Objective: Radial artery spasm (RAS), is a major drawback for the routine use of radial access during coronary interventions and anxiety is a well-documented predictor of RAS. In this study, we aimed to assess the relationship between RAS and level of anxiety (LOA) which was quantified with different scales. Material and Methods: 123 consecutive patients scheduled for elective coronary angiography were enrolled. Demographic and procedural relevant features were noted, and then, patients were asked to fill three anxiety scales; Beck Anxiety Inventory (BAI), Spielberger State Anxiety Inventory (SSAI) and Spielberger Trait Anxiety Inventory (STAI). Clinical RAS was accepted to exist if 2 or more of predefined clinical features had been met. Results: RAS was observed in 20 patients (16.3%). In the RAS (+) group, the frequency of female gender, low body mass index, total procedure time, and procedures carried out with more than one puncture attempts were significantly higher, whereas smokers were less. BAI and SSAI scores of RAS (+) group were significantly higher. According to the pre-defined cut-off values of all abovementioned scales, only SSAI based comparison revealed the higher frequency of patients with considerable LOA in RAS(+) group (%, 45 vs 75, p=0.013). When regression analyses were performed, total procedure time (HR: 2.96, 95% CI=0.96-9.11; p=0.032) and having an SSAI score over 40 (HR: 2.49, 95% CI=1.09–5.71; p=0.024) were designated as independent predictors of RAS. Conclusion:Anxiety is a considerable risk factor for RAS occurrence but the testing method of LOA also matters. Regarding our results, SSAI was an accurate one for anticipating RAS.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"os-39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87225835","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.2018-63455
Özlem Sarısoy, C. Ayabakan, N. Tokel
{"title":"Determination of Factors Affecting the Results of Balloon Angioplasty in Coarctation of Aorta","authors":"Özlem Sarısoy, C. Ayabakan, N. Tokel","doi":"10.5336/cardiosci.2018-63455","DOIUrl":"https://doi.org/10.5336/cardiosci.2018-63455","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89471258","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.2018-64280
F. Borulu, Yusuf Velioglu
{"title":"Returning to Native Vessels with Endovascular Method and Excision of Infected Grafts in the Limb with Recurrent Graft Occlusion","authors":"F. Borulu, Yusuf Velioglu","doi":"10.5336/cardiosci.2018-64280","DOIUrl":"https://doi.org/10.5336/cardiosci.2018-64280","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"94 10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87668285","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.2018-62841
Can Ergün, Murat Urhan
{"title":"Effects of Curcumin on Metabolic Syndrome Components","authors":"Can Ergün, Murat Urhan","doi":"10.5336/cardiosci.2018-62841","DOIUrl":"https://doi.org/10.5336/cardiosci.2018-62841","url":null,"abstract":"","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76038887","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.2018-63647
M. Haberal, Ö. Dikiş, E. Akar, H. Kaya
Objective: The aim of our study is to present and analysis of the pleural effusion (PE) cases diagnosed in the last 5 years by pleural puncture on pleurisy cases arriving at the emergency service, or persistent PE despite being followed up and treated at the pulmonary diseases clinic, or where the character of the fluid cannot be defined and finally treated with uniportal (single port) video assisted thoracoscopic surgery (VATS). Material and Methods: Between April 2012 and December 2017, it was found that a total of 407 patients with PE. Hospital records of 152 exudative PE (EPE) cases treated by VATS were retrospectively evaluated. The cases were subdivided into four groups on the basis of patient ages of 18-28; 29-39; 40-50 and 51 years and over, the diagnoses made for each group were noted along with the demographic characteristics, hospital stay after VATS and time taken for pleural drainage. Results: A total of 152 EPE cases with a mean age of 54.98 years (18-83 yr); consisting of 97 (63.8%) males were included in this study. The mean stay in our clinic was 7.2 (5-12) days; the mean time for tubed drainage took 4.6 (3-7) days. The causes of EPE were nonspecific pleurisy (NSP) (40.8%), malignancie (30.9%), tuberculosis (TB) (27.0%) and sarcoidosis (1.3%). Conclusion: In the aetiologies of EPE cases, with TB ranking first in underdeveloped countries and malignancies ranking first in the developed countries. In cases treated with uniportal VATS, incidences of TB, malignant pleurisy and malignant mesothelioma diagnoses are high and the procedure is reliable.
{"title":"Analysis of Pleural Effusion Cases Diagnosed with Uniportal Video Assisted Thoracoscopic Surgery","authors":"M. Haberal, Ö. Dikiş, E. Akar, H. Kaya","doi":"10.5336/CARDIOSCI.2018-63647","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2018-63647","url":null,"abstract":"Objective: The aim of our study is to present and analysis of the pleural effusion (PE) cases diagnosed in the last 5 years by pleural puncture on pleurisy cases arriving at the emergency service, or persistent PE despite being followed up and treated at the pulmonary diseases clinic, or where the character of the fluid cannot be defined and finally treated with uniportal (single port) video assisted thoracoscopic surgery (VATS). Material and Methods: Between April 2012 and December 2017, it was found that a total of 407 patients with PE. Hospital records of 152 exudative PE (EPE) cases treated by VATS were retrospectively evaluated. The cases were subdivided into four groups on the basis of patient ages of 18-28; 29-39; 40-50 and 51 years and over, the diagnoses made for each group were noted along with the demographic characteristics, hospital stay after VATS and time taken for pleural drainage. Results: A total of 152 EPE cases with a mean age of 54.98 years (18-83 yr); consisting of 97 (63.8%) males were included in this study. The mean stay in our clinic was 7.2 (5-12) days; the mean time for tubed drainage took 4.6 (3-7) days. The causes of EPE were nonspecific pleurisy (NSP) (40.8%), malignancie (30.9%), tuberculosis (TB) (27.0%) and sarcoidosis (1.3%). Conclusion: In the aetiologies of EPE cases, with TB ranking first in underdeveloped countries and malignancies ranking first in the developed countries. In cases treated with uniportal VATS, incidences of TB, malignant pleurisy and malignant mesothelioma diagnoses are high and the procedure is reliable.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87136574","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.2018-63402
S. Akansel, M. Sarğın, S. Erdoğan, Ö. Yıldırımtürk, S. Aka
The left ventricular assist devices (LVAD) are increasingly getting used as an alternative option of heart transplantation in patients with advanced heart failure. However, it is associated device-related complications such as thromboembolism, infection and cerebrovascular accident. We report a patient with intracranial abscess and hemorrhage caused by driveline infection, who underwent LVAD implantation previously. In this report, we show that a driveline infection may predispose major complications after discontinuation of antibiotics even with successful treatment.
{"title":"Intracranial Abscess Due to Septic Embolism in a Patient with Left Ventricular Assist Device","authors":"S. Akansel, M. Sarğın, S. Erdoğan, Ö. Yıldırımtürk, S. Aka","doi":"10.5336/CARDIOSCI.2018-63402","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2018-63402","url":null,"abstract":"The left ventricular assist devices (LVAD) are increasingly getting used as an alternative option of heart transplantation in patients with advanced heart failure. However, it is associated device-related complications such as thromboembolism, infection and cerebrovascular accident. We report a patient with intracranial abscess and hemorrhage caused by driveline infection, who underwent LVAD implantation previously. In this report, we show that a driveline infection may predispose major complications after discontinuation of antibiotics even with successful treatment.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76813801","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.2018-64163
I. Alur, M. Yildirim, A. Fedakar
116 artial pulmonary venous return anomaly (PPVRA) is described as drainage of one or more pulmonary veins into the right atrium or to a systemic vein. This abnormal venous return may be towards the superior and inferior vena cava, the azygos vein, the portal or the hepatic veins.1 This cardiac anomaly is a very rare. The prevalence of this, 0.1-0.2% in adult population reported.2 Mostly, abnormal right pulmonary veins (especially right upper pulmonary veins) are opened to the right atrium (RA) or superior vena cava (SVC). The left-sided PPVRA may be drained into the innominate vein, hemiazygos vein and coronary sinus.1 PPVRA is commonly associated with atrial septal defect (ASD) and other congenital heart anomalies.1 PPVRA is seen in approximately 10-15% of ostium secundum ASD cases and 85% of patients with sinus venosus ASD.3
{"title":"Partial Anomalous Pulmonary Venous Return Presenting with Adult Onset Thalamic Infarction","authors":"I. Alur, M. Yildirim, A. Fedakar","doi":"10.5336/CARDIOSCI.2018-64163","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2018-64163","url":null,"abstract":"116 artial pulmonary venous return anomaly (PPVRA) is described as drainage of one or more pulmonary veins into the right atrium or to a systemic vein. This abnormal venous return may be towards the superior and inferior vena cava, the azygos vein, the portal or the hepatic veins.1 This cardiac anomaly is a very rare. The prevalence of this, 0.1-0.2% in adult population reported.2 Mostly, abnormal right pulmonary veins (especially right upper pulmonary veins) are opened to the right atrium (RA) or superior vena cava (SVC). The left-sided PPVRA may be drained into the innominate vein, hemiazygos vein and coronary sinus.1 PPVRA is commonly associated with atrial septal defect (ASD) and other congenital heart anomalies.1 PPVRA is seen in approximately 10-15% of ostium secundum ASD cases and 85% of patients with sinus venosus ASD.3","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73007332","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.2018-63303
Y. Dönmez, H. Caf, Y. Icen, Atilla Bulut, M. Koç
AABBSSTTRRAACCTT OObbjjeeccttiivvee:: Postural orthostatic tachycardia syndrome (POTS) is an orthostatic intoler- ance with a pathophysiology that is likely to be heterogeneous. Hypertensive patients with a non-dipping pattern have an increased cardiovascular risk. There is a possibility that the same pathophysiological mechanisms may have a role in both POTS and the non-dipping pattern. To our knowledge, there are some studies showing the relation between POTS and non-dipping pattern in normotensive patients. However, data about this relation in hypertensive patients is limited. Our aim was to investigate the relation between 24-hour ambulatory blood pressure monitoring (ABPM) parameters and POTS in our study. MMaatteerriiaall aanndd MMeetthhooddss:: A total of 271 suitable patients were enrolled in our study. ABPM, Tilt table test, echocardiography, and labo- ratory tests were performed. RReessuullttss:: The study included 39 (14.3%) patients with POTS. There were no differences in the demographic variables, drug therapies, and laboratory as well as echocar- diography parameters in all patients. Day-time, night-time, and 24-hour mean systolic and diastolic blood pressures and frequency of non-dipping pattern were significantly higher in patients with POTS. Day-time mean systolic blood pressure and non-dipping pattern were determined as independent predictors for POTS in multivariate logistic regression analysis. CCoonncclluussiioonn:: A relation was observed between POTS and non-dipping pattern in patients with hypertension, which needs further exploration in larger and detailed studies. Clinicians might be aware of POTS if their hypertensive patients complain of palpitations, lightheadedness, and fatigue in an upright position.
{"title":"The Relation Between Non-dipping Blood Pressure Pattern and Postural Orthostatic Tachycardia Syndrome in Hypertensive Patients","authors":"Y. Dönmez, H. Caf, Y. Icen, Atilla Bulut, M. Koç","doi":"10.5336/CARDIOSCI.2018-63303","DOIUrl":"https://doi.org/10.5336/CARDIOSCI.2018-63303","url":null,"abstract":"AABBSSTTRRAACCTT OObbjjeeccttiivvee:: Postural orthostatic tachycardia syndrome (POTS) is an orthostatic intoler- ance with a pathophysiology that is likely to be heterogeneous. Hypertensive patients with a non-dipping pattern have an increased cardiovascular risk. There is a possibility that the same pathophysiological mechanisms may have a role in both POTS and the non-dipping pattern. To our knowledge, there are some studies showing the relation between POTS and non-dipping pattern in normotensive patients. However, data about this relation in hypertensive patients is limited. Our aim was to investigate the relation between 24-hour ambulatory blood pressure monitoring (ABPM) parameters and POTS in our study. MMaatteerriiaall aanndd MMeetthhooddss:: A total of 271 suitable patients were enrolled in our study. ABPM, Tilt table test, echocardiography, and labo- ratory tests were performed. RReessuullttss:: The study included 39 (14.3%) patients with POTS. There were no differences in the demographic variables, drug therapies, and laboratory as well as echocar- diography parameters in all patients. Day-time, night-time, and 24-hour mean systolic and diastolic blood pressures and frequency of non-dipping pattern were significantly higher in patients with POTS. Day-time mean systolic blood pressure and non-dipping pattern were determined as independent predictors for POTS in multivariate logistic regression analysis. CCoonncclluussiioonn:: A relation was observed between POTS and non-dipping pattern in patients with hypertension, which needs further exploration in larger and detailed studies. Clinicians might be aware of POTS if their hypertensive patients complain of palpitations, lightheadedness, and fatigue in an upright position.","PeriodicalId":39118,"journal":{"name":"Turkiye Klinikleri Cardiovascular Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82501938","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：