77 results on '"Izci, Servet"'
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52. Pulmonary artery and right ventricle function in patients with bicuspid aortic valve.
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Geçmen, Çetin, Güler, Gamze Babür, Hatipoğlu, Suzan, Kahyaoğlu, Muzaffer, Çap, Murat, İzci, Servet, Önal, Çağatay, Erdoğan, Emrah, Hakgör, Aykun, Candan, Özkan, Kalaycı, Arzu, Unkun, Tuba, and İzgi, İbrahim Akın
- Abstract
Copyright of Archives of the Turkish Society of Cardiology / Türk Kardiyoloji Derneği Arşivi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2017
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53. Kararlı anjina pektorisi olan hastalarda SYNTAX skoru ile hesaplanan koroner arter hastalığı yaygınlığı ve ciddiyetinin sol atriyum deformasyonu parametreleri üzerine etkileri.
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Kalaycı, Arzu, Karabay, Can Yücel, Taşar, Onur, İzci, Servet, Geçmen, Çetin, Oduncu, Vecih, İzgi, İbrahim Akın, and Kırma, Cevat
- Abstract
Copyright of Archives of the Turkish Society of Cardiology / Türk Kardiyoloji Derneği Arşivi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2017
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- View/download PDF
54. The treatment of a patient with intravenous lipid emulsion infusion after amitryptiline overdose which caused in QRS interval prolongation; a case report
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Izci, Filiz, primary, Izci, Servet, additional, Acar, Emrah, additional, and Izci, Vedat, additional
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- 2015
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55. Thrombus Formation on the Tricuspid Valve After De Vega’s Annuloplasty and Repair of Endocardial Cushion Defect
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Efe, Süleyman Çağan, primary, Unkun, Tuba, additional, İzci, Servet, additional, Çap, Murat, additional, Bakal, Ruken Bengi, additional, Acar, Rezzan Deniz, additional, Geçmen, Çetin, additional, Erdoğan, Emrah, additional, and Özdemir, Nihal, additional
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- 2014
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56. Severe Coronary Vasospasm Complicated with Ventricular Tachycardia
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Acar, Göksel, primary, Fidan, Serdar, additional, Izci, Servet, additional, and Avcı, Anıl, additional
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- 2014
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57. Implantation of ECMO Instead of Left Ventricular Assist Device Because of Right Atrial Thrombus Detected by Intraoperative Transesophageal Echocardiography.
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Gürcü, Mustafa Emre, Erkılınç, Atakan, Şavluk, Ömer Faruk, Güzelmeriç, Füsun, Cevirme, Deniz, and İzci, Servet
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EXTRACORPOREAL membrane oxygenation ,THROMBOSIS ,TRANSESOPHAGEAL echocardiography ,DILATED cardiomyopathy ,FATIGUE (Physiology) ,HEART assist devices - Abstract
Copyright of Journal of the Society of Thoracic Carido-Vascular Anaesthesia & Intensive Care is the property of Gogus Kalp Damar Anestezi ve Yogun Bakim Dernegi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
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- View/download PDF
58. The awareness, efficacy, safety, and time in therapeutic range of warfarin in the Turkish population: WARFARIN-TR.
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Çelik, Ahmet, İzci, Servet, Kobat, Mehmet Ali, Ateş, Ahmet Hakan, Çakmak, Abdülkadir, Çakıllı, Yasin, Yılmaz, Mehmet Birhan, and Zoghi, Mehdi
- Subjects
- *
DRUG therapy , *WARFARIN , *DRUG-food interactions , *HYPERTENSION , *THERAPEUTICS , *CONGESTIVE heart failure treatment , *PHYSIOLOGICAL effects of tobacco - Abstract
Objective: The awareness, time in therapeutic range (TTR), and safety of warfarin therapy were investigated in the adult Turkish population. Methods: This multicenter prospective study includes 4987 patients using warfarin and involved regular international normalized ratio (INR) monitoring between January 1, 2014 and December 31, 2014. TTR was calculated according to F.R. Roosendaal's algorithm. Awareness was evaluated based on the patients' knowledge of warfarin's affect and food-drug interactions. Results: The mean TTR of patients was 49.52±22.93%. The patients with hypertension (55.3%), coronary artery disease (23.2%), congestive heart failure (24.5%), or smoking habit (20.8%) had significantly lower TTR levels than the others. Of the total number of patients, 42.6% had a mechanical valve, 38.4% had non-valvular atrial fibrillation (AF), and 19% had other indications for warfarin. Patients with other indications had lower TTR levels than those with mechanical valve and non-valvular AF (p=0.018). Warfarin awareness decreased in higher age groups. The knowledge of warfarin's food-drug interactions was 55%. People with higher warfarin awareness had higher TTR levels. Patients with ≤8 INR monitoring/year had lower TTR levels (46.4±25.3 vs. 51.1±21.3, respectively, p<0.001) and lower awareness (44.6% vs. 60.6%, p<0.001) than patients with ≥8 INR monitoring/year. In this study, 20.1% of the patients had a bleeding event (major bleeding 15.8%, minor bleeding 84.2%) within a year. Conclusion: Both the mean TTR ratios and awareness of the Turkish population on warfarin therapy were found to be low. It was thought that low TTR levels of the Turkish population may be caused by the low awareness of warfarin, warfarin's food-drug interactions, and high rates of concomitant diseases. [ABSTRACT FROM AUTHOR]
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- 2016
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59. Evaluation of torsion and twist mechanics of the left ventricle in patients with systemic lupus erythematosus.
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Bulut, Mustafa, Acar, Rezzan Deniz, Acar, Şencan, Fidan, Serdar, Yesin, Mahmut, İzci, Servet, Efe, Süleyman Cağan, and Çakır, Hakan
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LEFT heart ventricle ,SYSTEMIC lupus erythematosus diagnosis ,ECHOCARDIOGRAPHY ,CARDIOVASCULAR disease related mortality ,MYOCARDITIS - Abstract
Objective: Myocardial involvement in systemic lupus erythematosus (SLE) has great importance. The aim of this study is to evaluate the rotation and twisting mechanics of the left ventricle (LV) in patients with SLE. Methods: Forty-three patients fulfilled at least four of the American College of Rheumatology criteria for SLE and 30 individuals as controls were included in the study. SLE disease activity was assessed using the SELENA-SLEDAI score. Echocardiography was performed for all subjects. The patients fulfilled at least four of the American College of Rheumatology criteria for SLE were enrolled in the study. SLE disease activity was assessed using the SELENA-SLEDAI score. Echocardiography was performed for all individuals.Comparisons between groups were made using independent samples t-test with the standard statistical software (SPSS, version 15.0; SPSS Inc., Chicago, IL, USA). Each image was digitally stored for offline analysis. Measurement of global strain assessed by 17-segment model and rotational parameters were performed. LV ejection fraction was calculated by the biplane Simpson's method. Comparisons between groups were made using the independent samples t-test with the standard statistical software. A p value of 0.05 was considered statistically significant. Results: The values of mean global longitudinal strain, basal global circumferential strain (GCS), mean basal radial strain, and apical GCS were significantly lower in SLE patients. The difference between basal rotation, apical rotation, twist of the LV, and torsion of the LV in the SLE patients and controls were not significant (8.8±5.5 vs. 10.6±5.8, p=0.183;-4.7±3.0 vs. -4.8±3.2, p=0.947; 11.7±6.4 vs. 13.2±6.4, p=0.366; and 1.8±0.8 vs. 1.9±2.3, p=0.725, respectively). Although there was not any significant relationship between SELENA-SLEDAI score and myocardial strain analyses of the LV, the basal rotation and the torsion of the LV were lower in patients with SLE having a SLEDAI score of ≥17 (p=0.024 for basal rotation and p=0.032 for torsion). Conclusion: The number of segmental and global strain analyses were decreased in SLE patients with globally normal LVEF. The twist and torsion mechanics of the LV were preserved according to the control group, and the left ventricular torsion and basal rotation were found to be significantly decreased in those with an activity score of ≥17. [ABSTRACT FROM AUTHOR]
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- 2016
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60. Coronary angioplasty for in-stent restenosis in patient with anomalous single coronary artery arising from right sinus valsalva
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Açar, Göksel, primary, Fidan, Serdar, additional, İzci, Servet, additional, and Alizade, Elnur, additional
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- 2013
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61. P-wave and QT dispersion in patients with conversion disorder.
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Izci, Filiz, Hocagil, Hilal, Izci, Servet, Izci, Vedat, Koc, Merve Iris, and Acar, Rezzan Deniz
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P-waves (Electrocardiography) ,ELECTROCARDIOGRAPHY ,CONVERSION disorder ,VENTRICULAR arrhythmia ,CARDIOLOGY - Abstract
Objective: The aim of this study was to investigate QT dispersion (QTd), which is the noninvasive marker of ventricular arrhythmia and sudden cardiac death, and P-wave dispersion, which is the noninvasive marker of atrial arrhythmia, in patients with conversion disorder (CD). Patients and methods: A total of 60 patients with no known organic disease who were admitted to outpatient emergency clinic and were diagnosed with CD after psychiatric consultation were included in this study along with 60 healthy control subjects. Beck Anxiety Inventory and Beck Depression Scale were administered to patients and 12-lead electrocardiogram measurements were obtained. Pd and QTd were calculated by a single blinded cardiologist. Results: There was no statistically significant difference in terms of age, sex, education level, socioeconomic status, weight, height, and body mass index between CD patients and controls. Beck Anxiety Inventory scores (25.2±10.8 and 3.8±3.2, respectively, P<0.001) and Beck Depression Scale scores (11.24±6.15 and 6.58±5.69, respectively, P<0.01) were significantly higher in CD patients. P-wave dispersion measurements did not show any significant differences between conversion patients and control group (46±5.7 vs 44±5.5, respectively, P=0.156). Regarding QTc and QTd, there was a statistically significant increase in all intervals in conversion patients (416±10 vs 398±12, P,0.001, and 47±4.8 vs 20±6.1, P<0.001, respectively). Conclusion: A similar relation to that in literature between QTd and anxiety and somatoform disorders was also observed in CD patients. QTc and QTd were significantly increased compared to the control group in patients with CD. These results suggest a possibility of increased risk of ventricular arrhythmia resulting from QTd in CD patients. Larger samples are needed to evaluate the clinical course and prognosis in terms of arrhythmia risk in CD patients. [ABSTRACT FROM AUTHOR]
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- 2015
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62. Successful management of a brachial artery aneurysm with percutaneous intervention and onemonth rivaroxaban therapy.
- Author
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Yılmaz, Fatih, Şengör, Büşra Güvendi, and İzci, Servet
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BRACHIAL artery ,ANEURYSMS ,RIVAROXABAN ,COMPUTED tomography - Abstract
The article presents the case of a 39-year-old male who was rushed to emergency department due to sudden onset of pain, coldness and cyanosis in his distal phalanx of the right fifth digit to discuss the management of brachial artery aneurysm with rivaroxaban therapy and percutaneous intervention.
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- 2021
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63. Authors' reply.
- Author
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İzci, Filiz, Hocagil, Hilal, İzci, Servet, Koç, Merve İris, İzci, Vedat, and Acar, Rezzan Deniz
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ARRHYTHMIA ,P-waves (Electrocardiography) - Abstract
A response from the authors of the article "Therapeutics and Clinical Risk" in a previous issue of the journal is presented.
- Published
- 2015
64. Thrombus Formation on the Tricuspid Valve After De Vega's Annuloplasty and Repair of Endocardial Cushion Defect.
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Çağan Efe, Süleyman, Unkun, Tuba, İzci, Servet, Çap, Murat, Bakal, Ruken Bengi, Acar, Rezzan Deniz, Geçmen, Çetin, Erdoğan, Emrah, and Özdemir, Nihal
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EMBOLISM prevention ,TRICUSPID valve ,ASPIRIN ,CARDIOLOGY ,CHEST diseases ,DIAGNOSTIC imaging ,ECHOCARDIOGRAPHY ,MEDICAL referrals ,OPERATIVE surgery ,THROMBOSIS ,TRICUSPID valve diseases ,ANATOMY - Published
- 2014
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65. Left atrial appendage ostial stenosis in a patient with rheumatic mitral valve disease.
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Demirel, Muhittin, Toprak, Cüneyt, Acar, Emrah, İzci, Servet, and Öcal, Lütfi
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- 2016
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66. Left atrial thrombi which occlude the pulmonary vein in a patient with mitral mechanical prosthesis valve: The role of computed tomography in imaging.
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İzci, Servet, Acar, Emrah, Toprak, Cüneyt, and Gündüz, Sebahattin
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- 2015
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67. Biküspit aort kapaklı hastalarda pulmoner arter ve sağ ventrikül fonksiyonları
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İbrahim Akın İzgi, Suzan Hatipoglu, Servet İzci, Aykun Hakgör, Çetin Geçmen, Özkan Candan, Emrah Erdogan, Arzu Kalayci, Tuba Unkun, Muzaffer Kahyaoglu, Çağatay Önal, Gamze Babur Güler, Murat Çap, Gecmen, Cetin, Kahyaoglu, Muzaffer, Cap, Murat, Izci, Servet, Onal, Cagatay, Erdogan, Emrah, Hakgor, Aykun, Candan, Ozkan, Kalayci, Arzu, Unkun, Tuba, Izgi, Ibrahim Akin Kartal Kosuyolu Yuksek Ihtisas Training & Res Hos, Dept Cardiol, Istanbul, Turkey, Guler, Gamze Babur Istanbul Medipol Univ, Fac Med, Dept Cardiol, Istanbul, Turkey, and Hatipoglu, Suzan Istanbul Emsey Hosp, Dept Cardiol, Istanbul, Turkey
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Aortic valve ,Adult ,Male ,lcsh:Internal medicine ,lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_specialty ,Turkey ,Heart Ventricles ,Diastole ,Heart Valve Diseases ,lcsh:Medicine ,Pulmonary Artery ,Cohort Studies ,Young Adult ,Bicuspid aortic valve ,Aort Kapak ,Afterload ,bicuspid ,Bicuspid Aortic Valve Disease ,Internal medicine ,medicine.artery ,Ascending aorta ,strain rate ,medicine ,Strain Hızı ,Humans ,Systole ,lcsh:RC31-1245 ,Aorta ,business.industry ,lcsh:R ,Middle Aged ,medicine.disease ,Biküspit ,medicine.anatomical_structure ,lcsh:RC666-701 ,Ventricle ,Echocardiography ,Aortic Valve ,Pulmonary artery ,Heart Function Tests ,Cardiology ,cardiovascular system ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Objective: Bicuspid aortic valve (BAV) is a complex developmental anomaly caused by abnormal aortic leaflet formation during valvulogenesis. The present study is an assessment of the effects of BAV disease on the ascending aorta and pulmonary artery (PA), and an evaluation of the consequences for systolic and diastolic functioning of the left and right ventricles. Methods: Total of 66 patients were eligible for inclusion. Pulmonary artery maximum diameter (PAD) was obtained 1 cm distal to the pulmonary annulus. Using pulsed-wave tissue Doppler imaging, left ventricular (LV) early diastolic velocity (E′) measurement was obtained at the annulus with placement of sample volume. Right ventricle (RV) peak global strain rate during systole (RV-SRS), early diastole (RV-SRE), and late diastole (RV-SRA) were calculated. Results: In this study, 40.9% (n=27) of patients were female and average age was 35±11years. RV-SRS values (β=-.781, t=-2.723; p=0.010) and log-LV tissue Doppler imaging E’ (β=2.996, t=-5.405; p=
- Published
- 2017
68. The awareness, efficacy, safety, and time in therapeutic range of warfarin in the Turkish population: WARFARIN-TR
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Ahmet, Çelik, Servet, İzci, Mehmet Ali, Kobat, Ahmet Hakan, Ateş, Abdülkadir, Çakmak, Yasin, Çakıllı, Mehmet Birhan, Yılmaz, Mehdi, Zoghi, Didem, Ovla, Ege Üniversitesi, [Celik, Ahmet] Mersin Univ, Fac Med, Dept Cardiol, Mersin, Turkey -- [Izci, Servet] Kosuyolu Educ & Res Hosp, Dept Cardiol, Istanbul, Turkey -- [Kobat, Mehmet Ali] Firat Univ, Fac Med, Dept Cardiol, Elazig, Turkey -- [Ates, Ahmet Hakan] Samsun Educ & Res Hosp, Dept Cardiol, Samsun, Turkey -- [Cakmak, Abdulkadir] Amasya Univ, Fac Med, Dept Cardiol, Amasya, Turkey -- [Cakilli, Yasin] Siyami Ersek Educ & Res Hosp, Dept Cardiol, Istanbul, Turkey -- [Yilmaz, Mehmet Birhan] Cumhuriyet Univ, Fac Med, Dept Cardiol, Sivas, Turkey -- [Zoghi, Mehdi] Ege Univ, Dept Cardiol, Fac Med, Izmir, Turkey, Celikcan, Havva Didem -- 0000-0003-4868-861X, Altay, Servet -- 0000-0001-7112-3970, YILMAZ, Mehmet Birhan -- 0000-0002-8169-8628, YILMAZ, MEHMET BIRHAN -- 0000-0002-8169-8628, Ozbek, Kerem -- 0000-0002-0603-3976, Kis, Mehmet -- 0000-0003-0775-8992, and Koksal Cakirlar, Fatma -- 0000-0003-4279-434X
- Subjects
medicine.medical_specialty ,Turkish population ,endocrine system ,business.industry ,Warfarin ,Atrial fibrillation ,medicine.disease ,Coronary artery disease ,warfarin ,time in therapeutic range ,INR self-monitoring ,Heart failure ,Internal medicine ,Concomitant ,medicine ,Physical therapy ,cardiovascular diseases ,Cardiology and Cardiovascular Medicine ,Prospective cohort study ,business ,medicine.drug ,Original Investigation - Abstract
WOS: 000384427500009, PubMed ID: 27004711, Objective: The awareness, time in therapeutic range (TTR), and safety of warfarin therapy were investigated in the adult Turkish population. Methods: This multicenter prospective study includes 4987 patients using warfarin and involved regular international normalized ratio (INR) monitoring between January 1, 2014 and December 31, 2014. TTR was calculated according to F.R. Roosendaal's algorithm. Awareness was evaluated based on the patients' knowledge of warfarin's affect and food-drug interactions. esults: The mean TTR of patients was 49.52 +/- 22.93%. The patients with hypertension (55.3%), coronary artery disease (23.2%), congestive heart failure (24.5%), or smoking habit (20.8%) had significantly lower TTR levels than the others. Of the total number of patients, 42.6% had a mechanical valve, 38.4% had non-valvular atrial fibrillation (AF), and 19% had other indications for warfarin. Patients with other indications had lower TTR levels than those with mechanical valve and non-valvular AF (p=0.018). Warfarin awareness decreased in higher age groups. The knowledge of warfarin's food-drug interactions was 55%. People with higher warfarin awareness had higher TTR levels. Patients with = 8 INR monitoring/year. In this study, 20.1% of the patients had a bleeding event (major bleeding 15.8%, minor bleeding 84.2%) within a year. Conclusion: Both the mean TTR ratios and awareness of the Turkish population on warfarin therapy were found to be low. It was thought that low TTR levels of the Turkish population may be caused by the low awareness of warfarin, warfarin's food-drug interactions, and high rates of concomitant diseases.
- Published
- 2016
69. Electrocardiographic Changes During and After Alcohol Withdrawal.
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İzci F, Ünübol B, and İzci S
- Abstract
Background: Our study aimed to examine the possible risk of ventricular arrhythmia and sudden cardiac death by calculating the electrocardiographic changes and indicators of ventricular repolarization during and after alcohol withdrawal., Methods: One hundred participants who were identified with alcohol withdrawal and who met the inclusion criteria were included in the study. Data were collected between July 2020 and August 2020. The distance interval between Q and T waves, corrected distance interval between Q and T waves, T peak/distance interval between Q and T waves, and T peak/corrected distance interval between Q and T waves interval ratios ratios were measured in 12-lead electrocardiographic measurements during the withdrawal period and after withdrawal symptoms subsided in patients with a Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised score >7 and a Framingham heart risk score <10%., Results: There was a significant difference between the patient's heart rate, distance interval between Q and T waves, corrected distance interval between Q and T waves interval, and T peak/distance interval between Q and T waves values during withdrawal (input) and after alcohol withdrawal (output) ( P < . 05). The mean corrected distance interval between Q and T waves interval input value (433.63 ± 17.79) is significantly different and higher than the output value of the mean corrected distance interval between Q and T waves (420.67 ± 13.78) ( P < . 05). Similarly, the mean T peak input value (81.36 ± 5.90) is significantly different and higher than the mean T peak output value (79.94 ± 5.39) ( P < . 05) and the mean T peak/input value of the distance interval between Q and T waves (0.222 ± 0.00) than the mean T peak / output value of the distance interval between Q and T waves (0.214 ± 0.00) ( P < . 001)., Conclusion: These consequences suggest the risk for an accelerated hazard of ventricular arrhythmias in participants with alcohol withdrawal. Significantly, considering the improvement of the electrocardiographic changes of the patients after terminating alcohol intake, a possible cardiac arrhythmia may be more common during this period. Close monitoring of electrocardiograms and timely withdrawal treatment can prevent life-threatening arrhythmias in alcohol withdrawal patients., Competing Interests: Declaration of Interests: The authors have no conflict of interest to declare., (2023 The authors.)
- Published
- 2023
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70. DETERMINING THE RISK OF CARDIOVASCULAR DISEASE IN PATIENTS DIAGNOSED WITH SCHIZOPHRENIA AND BIPOLAR AFFECTIVE DISORDER.
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İzci F, Ayık B, İzci S, Cemaller Ç, and Erdemli M
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- Humans, Female, Heart, Cardiovascular Diseases epidemiology, Antipsychotic Agents adverse effects, Bipolar Disorder epidemiology, Schizophrenia epidemiology
- Abstract
Background: In Schizophrenia (SCZ) and Bipolar Affective Disorder (BAD) patients using the Framingham Heart Risk Scoring (FHRS), we aimed to investigate the possible cardiac arrhythmia risk by calculating electrocardiogram (ECG) parameters (QT, QTc, Tpe, and TPE/QTc ratios), which are ventricular repolarization markers., Subjects and Methods: A total of 140 BAD and 253 SCZ patients were included in the study. Age, blood test results (fasting blood glucose, LDL-HDL-TC levels, hemogram values), blood pressure and heart rate, smoking status, antihypertensive drug use, and FHRS were calculated from the patient files, and sociodemographic information was recorded. In addition, ECG calculations were performed, and QT, QTc, TPe, TPe/QTc ratios and heart rate were measured., Results: When we evaluated the cardiac risk indexes of SCZ and BAD patients, we detected that FHRS was higher in smokers, female patients, and those with other medical diseases such as diabetes mellitus (DM) (p<0.05). In addition, we found that QTc rates, markers of ventricular repolarization, were associated with FHRS, the number of antipsychotics used, patient age, disease duration, and the number of hospitalizations. TPe and QT rates were found to increase in parallel with FHRS. In addition, a positive correlation was found between QTc rates in females, patients with DM, and those using additional medical drugs. (p<0.05), Conclusions: In BAD and SCZ patients, diabetes diagnosis, other medical drug use, a high Framingham heart score, the number of antipsychotics, the disease duration, the patient's age, and an increased number of hospitalizations may increase the risk of cardiac arrhythmia. Therefore, possible cardiac risk should be considered in patients with chronic drug use, such as BAD and SCZ. Regulating the treatment and follow-up of this group of patients against possible cardiac risks will reduce cardiac mortality and morbidity
- Published
- 2023
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71. Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients.
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Külahçıoğlu Ş, Acar RD, İzci S, Demir D, Doğan Kaya S, Gürcü ME, Gücün M, and Kırali MK
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- Aged, Cross-Sectional Studies, Female, Hospital Mortality, Hospitalization, Humans, Male, Middle Aged, Retrospective Studies, Acute Coronary Syndrome epidemiology, Heart Failure therapy
- Abstract
Objective: Parallel to the aging of the world population, the complexity of patients with cardiac problems has increased, especially in intensive cardiology care units, and the importance of multidisciplinary care has become more evident. The aim of this study was to analyze the clinical characteristics and gender-related differences of patients hospitalized in a large intensive cardiology care unit., Methods: This single-center, retrospective, cross-sectional study includes all hospitalizations in a large intensive cardiology care unit between January 2016 and March 2021. All data were obtained using data collection software and transferred to MEDULLA, Turkey's general database system., Results: Of the 55 737 consecutive patients included in the analysis, 16342 (29%) were women. The mean age of males was 59.71 ± 12 years, and the mean age of females was 63.3 ± 14 years (P <.001). Over a period of 5 years, the most common reason for hospitalization in the intensive cardiac care unit was acute coronary syndrome. The number of acute coronary syndrome patients who underwent coronary angiography was found to be 17 478 (31%), of which 12 878 were males and 26.3% were female. The number of patients who underwent at least 1 stent implantation was 13 952 (80% of coronary angiography procedures), and 2960 (21%) were women. The second cause of hospitalization in the intensive cardiology care unit was arrhythmias (5654 patients [10%]) followed by advanced heart failure (932 patients [1.7%]). During follow-up in the intensive cardiology care unit, the percentage of development of multiorgan failure was found to be approximately 18%. The mortality rate was 7% in women, which was higher than in men (4%). While the most common cause of death was acute coronary syndrome, the highest rate of death was found in patients with advanced heart failure. Among the patients who died, the mean age of females was higher than that of males, and the length of hospital stay was longer., Conclusion: Although numerically the highest death rate was observed in male acute coronary syndrome patients, the highest mortality rate was found in patients with advanced heart failure. Due to the elderly population and the increase in the number of patients requiring multidisciplinary treatment, the development of multiorgan failure in intensive cardiology care units seems to be one of the most important causes of death. Although the number of females hospitalized in the intensive cardiology care unit is lower than that of males, the mean age and mortality rate were found to be higher than males.
- Published
- 2022
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72. Plasma catestatin level predicts sPESI score and mortality in acute pulmonary embolism.
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Izci S, Acar E, and Inanir M
- Abstract
Introduction: Acute pulmonary embolism (APE) is an emergent cardiothoracic disorder. The PESI score is used to estimate 30-day mortality in patients diagnosed with non-high-risk APE. Also, there are biomarkers for predicting prognosis and mortality in APE. Catestatin (CST) is accepted as a marker ofsympathetic nervous system activity which has been shown that the sympathetic nervous system activation can contribute pathogenesis in APE. So, we attempt herein to investigate the correlation of PE diagnosis and prognostic determination with plasma CST levels in PE patients., Material and Methods: Blood samples were drawn at admission for laboratory assays and CST measurements. Plasma levels of CST were measured by ELISA according to the manufacturer's instruction. Transthoracic echocardiography was performed for the assessment of RV dysfunction using a Toshiba Applio 500 echocardiographic system within 24 h of the admission., Results: Plasma CST levels were higher in patients with APE than in the control group (17.5 ±6.1 ng/ml vs. 27.3 ±5.7 ng/ml, p < 0.001). Plasma CST levels were higher in the sPESI ≥ 1 ( n = 72) than in the patients with sPESI < 1 (37.3 ±6.1 vs. 24.2 ±5.3 ng/ml, p < 0.001). There was a positive correlation between CST level and sPESI score (±0.581, p < 0.001). Mortality occurred in 20 patients with sPESI ≥ 1 (27.7%) and in 9 patients with sPESI < 1 (10.2%) ( p = 0.010). Receiver operating characteristic (ROC) curve analysis using a cut-off level of 31.2 ng/ml, and the CST level predicted mortality with a sensitivity of 100% and specificity of 52.6% (AUC = 0.883, 95% CI: 0.689-0.921). Furthermore, the CST level was correlated with right ventricular dysfunction., Conclusions: CST can predict sPESI score and mortality in patients with APE., Competing Interests: The authors declare no conflict of interest., (Copyright © 2020 Termedia & Banach.)
- Published
- 2020
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73. Non-O-blood types associated with higher risk of high-grade atrioventricular block.
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Acar E, İzci S, Inanir M, Yılmaz MF, Kılıçgedik A, Güler Y, Izgi IA, and Kirma C
- Abstract
Introduction: The non-O phenotype of the ABO genotype has been linked with an increased risk of cardiovascular disease. Atrioventricular (AV) block (AVB) is defined as retardation or cessation in the route of an electrical impulse passing from the atria to the ventricles because of an anatomical or functional disruption in the conduction system. We aimed to interpret the association between blood group status and high-grade atrioventricular block (HAVB)., Material and Methods: This study was implemented as a retrospective review of the recorded data of patients diagnosed with high-grade AV block and a control group. The study population consisted of 640 patients with HAVB and 570 control subjects., Results: Presence of non-O blood group ( p < 0.001) was significantly more prevalent in HAVB patients than in the control subjects. Blood group type was the sole independent predictor of HAVB in multiple regression analysis ( p < 0.001, OR = 1.35, 95% CI: 1.08-1.57). Also, third-degree AVB had a higher incidence in the non-O blood subgroup and also non-O blood group was a predictor of third-degree AVB ( p < 0.001, OR = 1.39, 95% CI: 1.13-1.69). The incidence of HAVB did not distinguish between the two Rh (D) groups. Rh (D) status did not have an impact on HAVB., Conclusions: This is the first study that has evaluated the potential relationship between HAVB and ABO blood groups. The main finding of this report is that patients with non-O blood group types have a higher risk for development of HAVB compared with O blood group patients., Competing Interests: The authors declare no conflict of interest., (Copyright: © 2019 Termedia & Banach.)
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- 2019
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74. Pulmonary artery and right ventricle function in patients with bicuspid aortic valve.
- Author
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Geçmen Ç, Babür Güler G, Hatipoğlu S, Kahyaoğlu M, Çap M, İzci S, Önal Ç, Erdoğan E, Hakgör A, Candan Ö, Kalaycı A, Unkun T, and İzgi İA
- Subjects
- Adult, Aorta physiopathology, Aortic Valve physiopathology, Bicuspid Aortic Valve Disease, Cohort Studies, Echocardiography, Female, Heart Function Tests, Humans, Male, Middle Aged, Turkey epidemiology, Young Adult, Aortic Valve abnormalities, Heart Valve Diseases epidemiology, Heart Valve Diseases physiopathology, Heart Ventricles physiopathology, Pulmonary Artery physiopathology
- Abstract
Objective: Bicuspid aortic valve (BAV) is a complex developmental anomaly caused by abnormal aortic leaflet formation during valvulogenesis. The present study is an assessment of the effects of BAV disease on the ascending aorta and pulmonary artery (PA), and an evaluation of the consequences for systolic and diastolic functioning of the left and right ventricles., Methods: Total of 66 patients were eligible for inclusion. Pulmonary artery maximum diameter (PAD) was obtained 1 cm distal to the pulmonary annulus. Using pulsed-wave tissue Doppler imaging, left ventricular (LV) early diastolic velocity (E') measurement was obtained at the annulus with placement of sample volume. Right ventricle (RV) peak global strain rate during systole (RV-SRS), early diastole (RV-SRE), and late diastole (RV-SRA) were calculated., Results: In this study, 40.9% (n=27) of patients were female and average age was 35±11years. RV-SRS values (ß=-.781, t=-2.723; p=0.010) and log-LV tissue Doppler imaging E' (ß=-2.996, t=-5.405; p=<0.001) were negatively correlated, and log-PAD (ß=4.861, t=3.052; p=0.005) was positively and independently correlated with ascending aortic diameter., Conclusion: Ascending aorta diameter is positively correlated with PA diameter in BAV patients, and RV strain rate and LV diastolic parameters are affected before development of the valve disease.
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- 2017
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75. [The effects of coronary artery disease severity on left atrial deformation parameters in patients with stable coronary artery disease].
- Author
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Kalaycı A, Karabay CY, Taşar O, İzci S, Geçmen Ç, Oduncu V, İzgi İA, and Kırma C
- Subjects
- Aged, Case-Control Studies, Echocardiography, Female, Heart Atria diagnostic imaging, Humans, Male, Middle Aged, Ventricular Dysfunction, Left diagnostic imaging, Coronary Artery Disease epidemiology, Coronary Artery Disease physiopathology, Heart Atria physiopathology, Ventricular Dysfunction, Left physiopathology
- Abstract
Objectives: Aim of the present study was to investigate correlation between left atrial (LA) deformation parameters assessed using 2-dimensional (2D) speckle tracking echocardiography (STE) and complexity of coronary artery disease according to SYNTAX score (SXscore) in patients with stable coronary artery disease (SCAD)., Study Design: Total of 60 moderate-risk SCAD patients (40 men, 20 women) who underwent coronary angiography and 30 healthy controls were included. Measurements of conventional echocardiographic parameters as well as peak LA strain during ventricular systole (LA-RES), peak LA strain during atrial systole (LA-PUMP), peak LA strain rate during ventricular systole (LA-SRS), peak LA strain rate during early diastole (LA-SRE), and peak LA strain rate during atrial systole (LA-SRA) were obtained., Results: Patients were categorized into 2 groups: low SXscore of <20 (Group I) and high SXscore of ≥20 (Group II). Left ventricular (LV) diastolic functions were significantly impaired and LV filling pressure was significantly higher in high SXscore group. LA-RES (Control Group: 42.3±7.9, Group I: 36.4±8.2, Group II: 27.5±8.1; p<0.001) and LA-PUMP (Control Group: 17.6±3.4, Group I: 15.7±2.5, Group II: 13.1±3.2; p<0.001) were significantly lower in high SXscore group compared with low SXscore group. There was no statistical difference in LA-SRS, LA-SRE, or LA-SRA between the 3 groups. Correlation analysis indicated negative correlation between SXscore level and LA-RES function (r=-0.49; p<0.001)., Conclusion: 2D-STE-based LA deformation parameters are significantly impaired in patients with SCAD who have high SXscore. In addition, evaluation of LA-RES and LA-PUMP functions might be useful in estimating severity of disease in patients with SCAD.
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- 2017
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76. Case images: Left atrial appendage ostial stenosis in a patient with rheumatic mitral valve disease.
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Demirel M, Toprak C, Acar E, İzci S, and Öcal L
- Subjects
- Constriction, Pathologic, Female, Humans, Middle Aged, Atrial Appendage diagnostic imaging, Atrial Appendage physiopathology, Mitral Valve physiopathology, Mitral Valve Insufficiency diagnostic imaging, Mitral Valve Insufficiency physiopathology, Rheumatic Heart Disease complications
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- 2016
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77. Case images: left atrial thrombi which occlude the pulmonary vein in a patient with mitral mechanical prosthesis valve: the role of computed tomography in imaging.
- Author
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İzci S, Acar E, Toprak C, and Gündüz S
- Subjects
- Aged, Female, Heart Atria pathology, Heart Diseases pathology, Humans, Mitral Valve, Pulmonary Veins pathology, Thrombosis pathology, Tomography, X-Ray Computed, Ultrasonography, Heart Atria diagnostic imaging, Heart Diseases diagnostic imaging, Heart Valve Prosthesis, Pulmonary Veins diagnostic imaging, Thrombosis diagnostic imaging
- Published
- 2015
- Full Text
- View/download PDF
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