102 results on '"Akıl, Mehmet Ata"'
Search Results
2. Monocyte to HDL cholesterol ratio and lymphocyte to monocyte ratio are predictors of pulmonary arterial hypertension
- Author
-
Bilik, Mehmet Zihni, primary, Oylumlu, Muhammed, additional, Oylumlu, mustafa, additional, Acun, Baris, additional, Arik, Baran, additional, Arslan, Bayram, additional, Acet, Halit, additional, Polat, Nihat, additional, and Akıl, Mehmet Ata, additional
- Published
- 2024
- Full Text
- View/download PDF
3. Echocardiographic Epicardial Fat Thickness and Neutrophil to Lymphocyte Ratio Are Novel Inflammatory Predictors of Cerebral Ischemic Stroke
- Author
-
Akıl, Eşref, Akıl, Mehmet Ata, Varol, Sefer, Özdemir, Hasan Hüseyin, Yücel, Yavuz, Arslan, Demet, Akyüz, Abdurahman, and Alan, Sait
- Published
- 2014
- Full Text
- View/download PDF
4. New inflammatory predictors for non-valvular atrial fibrillation: echocardiographic epicardial fat thickness and neutrophil to lymphocyte ratio
- Author
-
Acet, Halit, Ertaş, Faruk, Akıl, Mehmet Ata, Oylumlu, Mustafa, Polat, Nihat, Yıldız, Abdulkadir, Bilik, Mehmet Zihni, Yüksel, Murat, Kaya, Zeynettin, and Ülgen, Mehmet Sıddık
- Published
- 2014
- Full Text
- View/download PDF
5. Normal echocardiographic measurements in a Turkish population: The Healthy Heart ECHO-TR Trial.
- Author
-
Şafak, Özgen, Giirsof, Ozan Mustafa, Karakoyuıf, Süleyman, Çağdaf, Metin, Asarcıklı, Lale Dinç, Demir, Fulya AVCI, Ersof, İbrahim, Akyüz, Abduırahman, Özliik, Özlem Arıcaıı, Er, Fahri, Baktık, Ahmet Oğuz, Yesin, Mahmut, Eren, Hayati, Sunguı, Aylin, Kurmuş, Özge, Emren, Volkan, Tülüce, Selcen Yakar, Akçaf, Filiz Akyıldız, Akıl, Mehmet Ata, and Makca, Tuba
- Subjects
BODY surface area ,HYPOTENSION ,REFERENCE values ,HEART beat ,HOSPITAL admission & discharge - Abstract
Objective: Normal reference values for the cardiac chambers are widely based on cohorts from European or American populations. In this study, we aimed to obtain normal echocardiography measurements of healthy Turkish volunteers to reveal the age, gender, and geographical region dependent differences between Turkish populations and other populations. Methods: Among 31 collaborating institutions from all regions of Turkey, 1154 healthy volunteers were enrolled in this study. Predefined protocols were used for all participants during echocardiographic examination. Blood biochemical parameters were also obtained for all patients on admission. The American Society of Echocardiography and European Association of Cardiovascular Imaging recommendations were used to assess the echocardiographic cardiac chamber quantification. Results: The study included 1154 volunteers (men: 609; women: 545), with a mean age of 33.5±11 years. Compared to men, women had a smaller body surface area, lower blood pressure and heart rate, lower hemoglobin, total cholesterol, lower low-density lipoprotein (LDL) levels, and higher high density lipoprotein (HDL) levels. Cardiac chambers were also smaller in women and their size varied with age. When we compared the regions in Turkey, the lowest values of left cardiac chamber indices were seen in the Marmara region and the highest values were observed in the Mediterranean region. Regarding the right cardiac indices, the Mediterranean region reported the lowest values, while the Black Sea region and the Eastern Anatolia region reported the highest values. Conclusion: This is the first study that evaluates the normal echocardiographic reference values for a healthy Turkish population. These results may provide important reference values that could be useful in routine clinical practice as well as in further clinical trials. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
6. Stent Restenozunu Öngördürmede Eozinofil-Lenfosit Oranının Kullanışlılığı
- Author
-
Bilik, Mehmet Zihni, Akıl, Mehmet Ata, Acet, Halit, Yüksel, Murat, Oylumlu, Mustafa, Polat, Nihat, Aktan, Adem, Alan, Sait, Dicle Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, and 0-Belirlenecek
- Subjects
Eosinophils ,Koroner restenoz ,Coronary restenosis ,Lenfositler ,Stents ,Koroner restenoz,stentler,eozinofiller,lenfositler ,Lymphocytes ,Stentler ,Coronary restenosis,stents,eosinophils,lymphocytes ,Eozinofiller - Abstract
Amaç: Stent içi restenoz (SR), perkütan koroner girişimin (PKG) önemli komplikasyonlarından biridir. Eozinofil ile SR arasındaki ilişkiyi ortaya çıkaran çok sayıda çalışma olmasına rağmen, literatürde eozinofil-lenfosit oranı (ELO)’nın SR gelişimi ile ilişkisi hakkında veri bulunmamaktadır. Bu çalışmada, hastaların başvuru ELO değerlerinin SR ile ilişkisini araştırmayı amaçladık. Yöntemler: Çalışmaya, daha önce koroner stent takılmış olup hastanemize stabil angina nedeniyle başvuran ve tekrar koroner anjiyografisi yapılan 314 hasta dahil edildi. Hastaların verileri retrospektif olarak incelendi. Anjiyografik olarak SR tespit edilen 197 kişi hasta grubuna alındı, stentleri açık olan 117 hasta ise kontrol grubuna dahil edildi. Bulgular: Yaş, cinsiyet, hipertansiyon, diabetes mellitus, LDL-kolesterol, HDL-kolesterol, platelet sayısı, platelet-lenfosit oranı (PLO), hemoglobin düzeyleri ve sol ventrikül ejeksiyon fraksiyonu (LVEF) ölçümleri bakımından gruplar arasında anlamlı bir fark yoktu. Başvuruda bakılmış olan kan beyaz küre sayısı (WBC), nötrofil, eozinofil, C-reaktif protein (CRP), ELO ve nötrofil-lenfosit oranı (NLO) değerleri SR grubunda kontrol grubuna göre istatistiksel olarak anlamlı şekilde daha yüksek lenfosit değerleri daha düşüktü. Tüm hastalar ELO düzeylerine göre iki gruba ayrıldığında, yüksek-ELO grubunda düşük-ELO grubuna kıyasla daha sık SR görüldü. Başvuru ELO değerinin ≥0,745 olması durumunda, SR’u %64 sensitivite ve %61 spesifite ile öngördürebildiği saptandı. Sonuç: Bu çalışmada ELO değerleri kontrol grubuna kıyasla SR grubunda anlamlı olarak daha yüksek bulundu. Çalışmadan elde ettiğimiz bulgular ışığında kolay ve ucuz bir yöntem olan ELO, SR açısından yüksek riskli hastaların belirlenmesine yardımcı olabilir ve yüksek ELO, SR için bir öngördürücü olarak kullanılabilir., Objective: Stent restenosis (SR) is an important complication of percutaneous coronary intervention. There are many studies explored the relation of eosinophils with SR, however, there is no data about relationship between eosinophil-lymphocyte ratio (ELR) and SR. In this study we aimed to investigate the relationship between the value of ELR on admission and SR. Methods: The study was included 314 patients who had been applied a coronary stent implantation and they were admitted to cardiology clinic with stabile angina and underwent repeat coronary angiography. The data obtained from patients were analyzed retrospectively. The patient group was consisted of 197 patients who were diagnosed as SR, and the control group was consisted of 117 patients whose stents were patent angiographically. Results: The groups were similar in terms of age, gender, hypertension, diabetes mellitus, LDL-C, HDL-C, platelet count, platelet-lymphocyte ratio (PLR), hemoglobin and left ventricle ejection fraction (LVEF). White blood cell (WBC), neutrophil, eosinophil, C-reactive protein (CRP), ELR and neutrophil-lymphocyte ratio (NLR) on admission were higher in the SR group compared to the controls. All patients were categorized into two groups according to ELR values and SR was more frequent in the high ELR group compared to low ELR group. An ELR value of ≥0.745 predicted SR with 64% sensitivity and 61% specifity. Conclusion: In this study ELR was found statistically higher in SR patients compared to the controls. According to our data ELR as an inexpensive and easy method, may contribute to determination of high risk patients and increased ELR can be used as a predictor of SR.
- Published
- 2016
7. Kronik böbrek yetersizliği olan hastalarda hemodiyaliz öncesi ve sonrası sağ ventrikül sistolik fonksiyonlarının farklı ekokardiyografi yöntemleri ile değerlendirilmesi
- Author
-
Akyüz, Abdurrahman, Yıldız, Abdulkadir, Akıl, Mehmet Ata, Bilik, Mehmet Zihni, İnci, Ümit, Kayan, Fethullah, Yıldız, İsmail, Yılmaz, Zülfikar, Yıldırım, Yaşar, Ülgen, Mehmet Sıddık, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, Akyüz, Abdurrahman, Yıldız, Abdulkadir, Akıl, Mehmet Ata, Bilik, Mehmet Zihni, İnci, Ümit, Kayan, Fethullah, Yıldız, İsmail, Yılmaz, Zülfikar, Yıldırım, Yaşar, and Ülgen, Mehmet Sıddık
- Subjects
Kronik böbrek yetersizliği ,Hemodiyaliz ,Chronic kidney failure ,Ekokardiyografi ,Echocardiography ,Hemodialysis ,Right ventricular systolic ,Sağ ventrikül sistolik - Abstract
Öz: Amaç: Bu çalışmadaki amacımız kronik böbrek yetersizliği (KBY) olan hastalarda önyükteki azalmanın sağ ventrikül sis- tolik fonksiyonlarını belirlemede kullanılan yeni ve eski eko- kardiyografi parametreleri üzerine etkisini araştırmaktır. Çalışma planı: Yaş ortalaması 48±15 olan 19u kadın top- lam 30 KBYli hasta çalışmaya alındı. Hastaların hemodiyaliz öncesi ve sonrasında ekokardiyografi ile sol ventrikül ejeksi- yon fraksiyonu (SVEF), sol atriyum hacmi, sağ atriyum alanı, sağ ventrikül diyastol sonu alanı, sistolik pulmoner arter ba- sıncı, sağ ventrikül fraksiyonel alan değişikliği (FAD), nabız sağ ventrikül miyokart performans indeksi (Tei indeksi), sağ ventrikül doku Doppler S hızı, izovolumetrik miyokardiyal ak- selerasyon (IVA), triküspit anuler plan yer değiştirme (TAP- SE), sağ ventrikül çıkış yolu sistolik yer değiştirme (RVOT SE) parametreleri değerlendirildi. Bulgular: Sağ ventrikül sistolik fonksiyonlarını belirlemeye yarayan sağ ventrikül S hızı ve RVOT SE parametrelerinde hemodiyaliz sonrası anlamlı bir değişiklik olmadığı (sırası ile p=0.919 ve p=0.186); FAD, Tei indeksi, IVA ve TAPSE değer- lerinin ise belirgin bir şekilde arttığı (tümü için p
- Published
- 2014
8. Usefulness of Platelet-Lymphocyte Ratio to Predict Stent Thrombosis in Patients with ST Elevation Myocardial Infarction
- Author
-
Oylumlu, Mustafa, Yıldız, Abdulkadir, Yüksel, Murat, Korkmaz, Ahmet, Aydın, Mesut, Bilik, Mehmet Zihni, Akıl, Mehmet Ata, and Ülgen, Sıddık
- Subjects
surgical procedures, operative ,cardiovascular diseases ,equipment and supplies ,Percutaneous coronary intervention,platelet to lymphocyte ratio ,ST elevation myocardial infarction ,stent thrombosis ,Perkutan koroner girişim,trombosit lenfosit oranı ,ST yükselmeli miyokard infarktüsü ,stent trombozu - Abstract
Introduction: Stent thrombosis, an iatrogenic disease, is an important complication of percutaneous coronary intervention (PCI). The platelet to lymphocyte ratio (PLR) has been recently proposed to be a marker of thrombosis and inflammation, mainly in cancer patients. The aim of this study was to determine whether PLR in patients presenting with acute ST elevation myocardial infarction (STEMI) is predictive of the development of stent thrombosis.Patients and Methods: We retrospectively analyzed the clinical, hematologic, and angiographic data of total 201 patients (mean age 59.8±13.1 years, 3 out of 4 were males) who had undergone PCI for acute STEMI and a further control coronary angiography. 54 of them were diagnosed as stent thrombosis and formed the patient group and 147 patients matched with patient group in terms of age, gender, traditional coronary risk factors, stent implantation procedure, and stent type and length formed the control group in whom the stent implanted during primary PCI was found patent in the repeat coronary angiography.Results: The pre-procedural PLR was significantly higher in patients with stent thrombosis compared to patients without stent thrombosis (176±68 vs. 135±62; p, Giriş: İyatrojenik bir hastalık olan stent trombozu, perkutan koroner girişimin (PCI) önemli bir komplikasyonudur. Trombosit lenfosit oranının (PLR) son zamanlarda daha çok kanser hastalarında, tromboz ve inflamasyonun bir belirteci olduğu gösterilmiştir. Bu çalışmanın amacı akut ST yükselmeli miyokard infarktüsü (STYMİ) ile başvuran hastalarda PLR'nin stent trombozu gelişiminin bir öngördürücüsü olup olmadığını araştırmaktır.Hastalar ve Yöntem: Akut ST yükselmeli miyokard infarktüsü tanısıyla primer PCI yapılan ve daha sonra stabil anjina veya Akut koroner sendrom tanısıyla tekrar koroner anjiyografi yapılarak stent trombozu tanısı alan 54 olgu çalışmanın hasta grubunu oluştururken; bunlarla yaş, cinsiyet, koroner risk faktörleri, stent uygulama prosedürü ile stent tipi ve boyu bakımından benzer olup primer PCI sonrası yapılan koroner anjiyografide stenti patent bulunan 147 hasta kontrol grubunu oluşturdu. Toplam 201 hastanın (ortalama yaş 59,8±13,1 yıl, ¾'ü erkek) klinik, hematolojik ve anjiyografik verilerini retrospektif olarak inceledik.Bulgular: İşlem öncesi PLR, stent trombozu gelişen hastalarda gelişmeyenler ile karşılaştıldığında anlamlı olarak daha yüksekti (176±68'e karşı 135±62; p
- Published
- 2015
9. Novel predictors of infarct-related artery patency for ST-segment elevation myocardial infarction: Platelet-to-lymphocyte ratio, uric acid, and neutrophil-to-lymphocyte ratio
- Author
-
Acet, Halit, Ertaş, Faruk, Akıl, Mehmet Ata, Özyurtlu, Ferhat, Yıldız, Abdulkadir, Polat, Nihat, Aydın, Mesut, and Ege Üniversitesi
- Subjects
body regions ,surgical procedures, operative ,Kalp ve Kalp Damar Sistemi ,cardiovascular diseases - Abstract
BSTRACT Objective: the neutrophil/lymphocyte ratio (NLR), the platelet/lymphocyte ratio (PLR), and uric acid (UA) are inflammatory markers in cardiovascular disease. However, there are not enough data on infarct-related artery (IRA) patency in ST-segment elevation myocardial infarction (STEMI). We aimed to investigate the association of NLR, PLR, and UA with IRA patency before percutaneous coronary intervention (PCI) in STEMI. Methods: the study was designed as a retrospective study. Three hundred and twenty-four consecutive patients with STEMI were divided into two groups according to pre-PCI Thrombolysis in Myocardial Infarction flow grade (TIMI). Patients with a TIMI flow grade of into the spontaneous reperfusion (SR) group, while patients with TIMI flow grade of 0, 1 and 2 were placed into the non-SR group. the χ2 and independentsamples t-test, Mann-Whitney U test, multivariate logistic regression analysis, and receiver-operator characteristic (ROC) curve analysis were used for the statistical analysis. Results: PLR, NLR, and UA values in the SR group were lower than in the non-SR group (p190, UA>5.75 mg/dL, and NLR>4.2 predicted non-SR. the sensitivity and specificity of the association between low IRA TIMI flow grade and PLR were 88% and 84%, 72% and 66% for UA, and 74% and 44% for NLR, respectively. Conclusion: We determined that PLR and UA are novel predictors of IRA patency before PCI. We suggest that PLR and UA may be used in riskstratifying STEMI. (
- Published
- 2015
10. PROGNOSTIC FACTORS AND IN-HOSPITAL OUTCOME OF NATIVE VALVE ENDOCARDITIS IN TURKEY. A MULTICENTER STUDY
- Author
-
Akıl, Mehmet Ata, Acet, Halit, Elbey, Mehmet Ali, Aydın, Mesut, Bilik, Zihni, Yıldız, Abdülkadir, and Ülgen, Sıddık
- Subjects
native valve endocarditi ,prognostic factors ,mortality - Abstract
Yuksel, Murat/0000-0003-2636-5211 WOS: 000364114800011 Aim: To investigate the predisposing factors, demographic and clinical characteristics, echocardiographic and prognostic features, and Outcomes of patients with native valve infective endocarditis (IE) in Turkey in a multicenter based study. Materials and methods: The study population consisted Of 15,8 consecutive patients with native valve IE (NVE). Data on demographics, medical history, medications, clinical procedures, predisposing factors, clinical examination, microbiology, antibiotic therapy, echocardiography, surgery, complications, and outcome were collected and compared. Results: The mean age of the patients was 47 19 (range 13-87). Seventy seven patients (49%) Were female. Of the 158. NVE patients, 49 died during hospitalization. Mortality rate was 31%. Twenty eight patients experienced a stroke. The patients who died during hospitalization were significantly older than the survivors and had higher mean heart rate, white blood cell, C reactive protein, creatinine, poor NYHA functional etas's, multiple vegetations and large vegetations. Culture negative endocarditis was seen in 54 eases (34%). Staphylococci were the most common causative organisms (28%). Eighty patients had undergone surgical treatment (51%). Hemoglobin, presence of multiple vegetation, vegetation size. (>10 mm), septic shock and poor NYHA Class on admission were independent risks for in hospital mortality and stroke Beside these variables C. reactive Protein was also an independent risk for in hospital mortality Conclusion: Native valve IE in Turkey was associated with high in hospital mortality. Rheumatic heart disease continues to be the most common underlying heart condition and echocardiographie findings on admission were the most important independent predictors of mortality or stroke.
- Published
- 2014
11. Karotis artere stent yerleştirme: Tek merkez deneyimi ve klinik sonuçları
- Author
-
Polat, Nihat, Akıl, Eşref, Çil, Habib, Özaydoğdu, Necdet, Akıl, Mehmet Ata, Çaylı, Murat, Dicle Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, and 0-Belirlenecek
- Subjects
Stroke ,İnme ,Karotis arter stentleme ,Karotis arter darlığı ,Clinical outcomes ,Carotid artery stenosis ,Klinik sonuç ,Carotid artery stenting - Abstract
Amaç: Bu çalışmada kliniğimize başvuran, karotis arter hastalığı tanısı almış ve karotis arter stentleme (KAS) ile revaskülarize edilen hastaların özelliklerini ve orta vadeli klinik sonuçlarını sunmayı amaçladık. Yöntemler: Tek merkezli, geriye dönük Mayıs 2012- Mayıs 2014 tarihleri arasında karotis artere müdahale gerekliliği olan ve KAS işlemini kabul eden hastalar çalışmaya dahil edildi. Hastanın klinik özellikleri ve işlem ile ilgili verileri hasta dosyaları taranarak elde edildi. Daha sonra taburculuk sonrası hastanın yaşayıp yaşamadığı ve işlem sonrası yeni inme geçirip geçirmediği hastane kayıtlarından ve/veya telefon ile öğrenildi. Bulgular: Dahil edilme kriterlerini sağlayan 26 hasta çalışmaya alındı. Hastaların %69’u bayan olup, yaş ortalaması 66±9 yıl saptandı. Hastaların %73’ü semptomatik olup, %73’ünde hipertansiyon, %27’sinde diabetes mellitus, %39’unda hiperlipidemi, % 69’unda koroner arter hastalığı ve %31’inde aktif sigara içiciliği mevcuttu. Bütün hastalarda self ekspandable stent ve distal emboli koruyucu cihaz kullanıldı. İşlem ile ilişkili olarak 18 hastaya sol, 6 hastaya sağ ve 2 hastaya ayrı seanslarda iki taraflı olmak üzere 26 hastaya toplamda 28 başarılı KAS işlemi yapıldı. Sadece 1 hastaya rezidü darlık nedeniyle ikinci stent yerleştirme ihtiyacı oldu. İşlemle ilişkili sadece 1 hastada 24 saate tamamen düzelen hava embolisine bağlı güç kaybı oldu. Hastalar tekrarlayan inme ve ölüm açısından 11,5±8 (en az 2-en çok 27, median 10) ay takip edildi. Takip süresince hiçbir hastada tekrarlayan inme ve trans iskemik atak saptanmadı. Sadece 1 hastada 8 ay sonra ölüm gözlendi. Sonuç: Deneyimli merkezlerde KAS başarılı bir şekilde uygulanmakta olup komplikasyon riski oldukça düşüktür. KAS’ın orta vadeli klinik sonuçları oldukça yüz güldürücüdür. Objective: In this study, we aimed to present the characteristics and short-term clinical outcomes of the patients admitted to our clinic with a diagnosis of carotid artery disease and revascularized by carotid artery stenting (CAS). Methods: The study was retrospective and a singlecentered study. Between May 2012 and May 2014 the patients with an indication for carotid artery intervention and accepted CAS procedure were included in the study. Clinical characteristics and procedural data of the patients were obtained by scanning patient files. After discharge, hospital records were scanned and patients were called to learn whether or not patients were alive and that they have suffered a recent stroke. Results: We included 26 patients that meet the inclusion criteria in the study. 69% of patients were female with a mean age of 66 ± 9 years. 73% of patients were symptomatic, 73% had hypertension, 27% had diabetes mellitus, 39% had hyperlipidemia, 69% had coronary artery disease and 31% were active smoker. In all patients, selfexpandable stents and distal embolic protection devices were used. 18 left, six right, and two bilateral (in separate sessions) carotid arteries were stented with a total of 26 patients and 28 successful CAS. Due to residual stenosis a second stent was implanted only in one patient. One patient experienced a partial muscle weakening in upper extremity due to an air embolism, which recovered spontaneously in 24 hours. Patients were followed for 11.5 ± 8 (minimum 2-maximum 27, median 10) months. During follow-up, no patients had recurrent stroke and transischemic attack. One patient died after eight months of CAS. Conclusion: CAS is being successfully applied with a very low risk of complications in experienced centers. Short-term clinical results of CAS are quite satisfactory.
- Published
- 2014
12. The right ventriculer fonction in the acute ST elevation miyocardial infarction
- Author
-
Akıl, Mehmet Ata, İltümür, Kenan, Kardiyoloji Anabilim Dalı, Dicle Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, TR166123, and Akıl, Mehmet Ata
- Subjects
Kardiyoloji ,Sağ ventrikül ,Right ventricule ,Tricuspid annular plane systolic excursion (TAPSE) ,Miyokard performans indeksi (MPI) ,Cardiology ,Akut miyokard infarktüsü ,Acute myocardial infarction ,Triküspid annular plane sistolic excursion (TAPSE) ,Myocardial performance index (MPI) - Abstract
Sağ ventrikül (RV) karmaşık anatomik yapısı nedeniyle ekokardiyografi ile değerlendirmek zordur. Akut miyokard infarktüsünde (AMİ) sağ ventrikül fonksiyonları genelde standart ekokardiyografi parametreleri kullanılarak incelenmiştir. Biz bu çalışmada AMİ'li hastalarda yeni ekokardiyografi metodlarını da kullanarak infarktüs lokalizasyonunun sağ ventrikül fonksiyonları üzerindeki etkilerini [sağ ventrikül EF, triküspid anüler hareket (TAPSE), triküspid anüler pik sistolik akım(Sm) hızı, sağ ventrikül MPİ ve diastolik fonksiyonları (konvansiyonel ve doku doppler ile)] karşılaştırmayı amaçladık.Çalışmaya toplam 89 AMİ'li hasta alındı. Bu hastaların 39 tanesi anteriyor , 25 tanesi inferior, 25 tanesi inferior+sağ ventrikül Mİ idi.Tüm hastalara ilk 24-72 saat içinde rutin ekokardiografik ölçümlere ek olarak sağ ventrikül doku dopler, RVEF, myokard performans indeksi (MPİ) ve TAPSE ölçümleri alındı.Anteriyor ve inferiyor miyokard infarktüsü ile karşılaştırıldığında sağ ventrikül tutulumu olan inferior Mİ'de sağ ventrikül fonksiyonlarının bozulmuş olduğu görüldü. TAPSE sağ ventrikül tutulumu olan inferior MI (19±1mm) grubunda sağ ventrikül tutulumu olmayan inferior MI (23±1mm) ve anterior MI (23±1mm) gurubu hastalarına göre daha düşüktü(p
- Published
- 2008
13. The Association Between MGP Gene Polymorphisms and Coronary Artery Disease
- Author
-
Bilik, Mehmet Zihni, additional, Kara, Ali Fuad, additional, Göğebakan, Bülent, additional, Akıl, Mehmet Ata, additional, Özyurtlu, Ferhat, additional, Acet, Halit, additional, and Alan, Sait, additional
- Published
- 2016
- Full Text
- View/download PDF
14. Unexpected guest: Atrial fibrillation due to electrical shock
- Author
-
Bilik, Mehmet Zihni, primary, Akyüz, Abdurrahman, additional, Akıl, Mehmet Ata, additional, İnci, Ümit, additional, Acet, Halit, additional, and Toprak, Nizamettin, additional
- Published
- 2016
- Full Text
- View/download PDF
15. Patent duktus arteriozusun perkütan yolla kapatılması: Üçüncü basamak bir merkezin deneyimi
- Author
-
Kaya, Hasan, Ertaş, Faruk, Polat, Nihat, Yıldız, Abdulkadir, Akıl, Mehmet Ata, Soydinç, Mehmet Serdar, Alan, Sait, Ülgen, Mehmet Sıddık, Dicle Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, and 0-Belirlenecek
- Subjects
Perkütan kapatma ,congenital, hereditary, and neonatal diseases and abnormalities ,Amplatzer duct ocluder ,Patent ductus arteriosus ,Percutaneous closure ,patent ductus arteriosus,percutaneous closure,Amplatzer duct occluder ,Amplatzer duct occluder ,Patent ductus arteriosus,perkütan kapatma,Amplatzer duct ocluder - Abstract
Objective: We sought to evaluate our clinical experience and short-term results of percutaneous closure of patent ductus arteriosus (PDA). Methods: We studied 20 patients (17 female, mean age 24±8 years) undergoing percutaneous closure of PDA between March 2010-March 2013 in our clinic. Amplatzer duct occluder (ADO) I was used in 13 patients and ADO II was used in 7 patients for PDA closure. Clinical characteristics of patients, properties of percutaneous closure intervention, complications and short-term results are evaluated. Results: The mean ductus waist diameter measured by angiographic examination was 5±2 mm (2-9 mm). Procedure was successfully performed in all patients. Occluder device embolization was occurred in one patient in whom device was retrieved by snare catheter and PDA was successfully closed with same device. The early total occlusion rate was 85%. Occlusion rate as determined by echocardiographic control performed the day after was 95% whereas 100% at first month. In the follow-up of 19±9 months, no complications were observed. Conclusion: Percutaneous closure of PDA using ADO I and II devices are safe and effective., Amaç: Bu çalışmada erişkinlerde patent ductus arteriosusların (PDA) perkütan yolla kapatılması işlemindeki klinik deneyimlerimiz ve erken dönem sonuçlarımızı değerlendirmeyi amaçladık. Yöntemler: Kliniğimizde Mart 2010-Mart 2013 tarihleri arasında PDA tanısı ile perkütan kapatma işlemi uygulanan 20 hasta (ortalama yaşı 24±8 yıl, 17 kadın) çalışmaya dahil edildi. PDA kapatma işleminde 13 hastada Amplatzer duct ocluder (ADO) I cihazı, 7 hastada ise ADO II cihazı kullanıldı. Hastaların klinik özellikleri, yapılan perkütan kapatma girişimlerinin özellikleri, gelişen komplikasyonlar ve erken dönem sonuçları değerlendirildi. Bulgular: Anjiografik ölüçümde duktus en dar yeri ortalaması 5±2 mm (2-9 mm) ölçüldü. İşlem tüm hastalarda başarılı sonuçlandı. Yalnızca bir hastada ADO I cihazı bırakıldıktan hemen sonra embolize oldu. Embolize olan cihaz yakalayıcı kateter kullanılarak başarılı bir şekilde geri alındı ve aynı cihaz ile başarılı bir şekilde PDA kapatıldı. İşlem sonrası erken kapanma oranı %85, birinci gün ekokardiyografi kontrolünde tam kapanma oranı %95, 1. ay kontrolde kapanma oranı %100 izlendi. Ortalama 19±9 ay (2-37 ay) boyunca izlenen hastalarda herhangi bir komplikasyon izlenmedi. Sonuç: ADO I ve ADO II cihazlarıyla perkütan PDA kapatma işlemi başarılı ve güvenilir bir yöntemdir.
- Published
- 2013
16. Non-valvular atrial fibrillation in the elderly; preliminary results from the National AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) Study
- Author
-
Ertaş, Faruk, Oylumlu, Mustafa, Akıl, Mehmet Ata, Acet, Halit, Bilik, Mehmet Zihni, Çelepkolu, Tahsin, and Özhan, Hakan
- Subjects
Anticoagulation ,Elderly ,Atrial fibrillation ,Predictor - Abstract
akil, mehmet ata/0000-0001-6004-1822; KAYA, HASAN/0000-0003-3923-4026 WOS: 000319517900003 PubMed: 23661513 OBJECTIVE: This study aimed at the assessment of the clinical approach to atrial fibrillation (AF) in the older population and the consistency with the guidelines based on the records of the multicenter, prospective AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) study. PATIENTS AND METHODS: 2242 consecutive patients admitted to the Cardiology Outpatient Clinics of 17 different tertiary Health Care Centers with at least one AF attack determined on electrocardiographic examination, were included in the study. Among the patients included in the study, 631 individuals aged 75 years and older were analyzed. RESULTS: The mean age of the patients was determined as 80.3 +/- 4.2 years. The most frequent type of AF in geriatric population was the persistent-permanent type with a percentage of 88%. 60% of the patients with AF were female. Hypertension was the most common co-morbidity in patients with AF (76%). While in 16% of patients a history of stroke, transient ischemic attack or systemic thromboembolism was present, a history of bleeding was present in 14% of the patients. 37% of the patients were on warfarin treatment and 60% of the patients were on aspirin treatment. In 38% of the patients who were on oral anticoagulant treatment, INR level was in the effective range. CONCLUSIONS: The rate of anticoagulant use in the elderly with AF was 37% and considering the reason of this situation was the medication not being prescribed by the physician, one should pay more attention particularly in the field of treatment.
- Published
- 2013
17. Non-Valvular Atrial Fibrillation in the Elderly; Preliminary Results from the National AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) Study [conferenceObject]
- Author
-
Ertaş, Faruk, Oylumlu, Mustafa, Akıl, Mehmet Ata, Acet, Halit, Bilik, Mehmet Zihni, Çelepkolu, Tahsin, and Özhan, Hakan
- Abstract
29th Turkish Cardiology Congress of the Turkish-Society-of-Cardiology (TSC) with International Participation -- OCT 26-29, 2013 -- Antalya, TURKEY Kaya, Hasan/0000-0003-3923-4026; WOS: 000329858400146 … Turkish Soc Cardiol
- Published
- 2013
18. Mean Platelet Volume and Neutrophil Lymphocyte Ratio as New Markers of Preeclampsia Severity
- Author
-
Akıl, Mehmet Ata, primary
- Published
- 2015
- Full Text
- View/download PDF
19. The relationship of TIMI risk index with SYNTAX and Gensini risk scores in predicting the extent and severity of coronary artery disease in patients with STEMI undergoing primary percutaneous coronary intervention
- Author
-
Acet, Halit, primary, Ertaş, Faruk, additional, Bilik, Mehmet Zihni, additional, Aydın, Mesut, additional, Yüksel, Murat, additional, Polat, Nihat, additional, Yıldız, Abdulkadir, additional, Özyurtlu, Ferhat, additional, Akıl, Mehmet Ata, additional, Çiftçi, Leyla, additional, Özbek, Mehmet, additional, Alan, Sait, additional, and Toprak, Nizamettin, additional
- Published
- 2015
- Full Text
- View/download PDF
20. Apelin Levels In Isolated Coronary Artery Ectasia
- Author
-
Bilik, Mehmet Zihni, primary, Kaplan, İbrahim, additional, Yıldız, Abdulkadir, additional, Akıl, Mehmet Ata, additional, Acet, Halit, additional, Yüksel, Murat, additional, Polat, Nihat, additional, Aydın, Mesut, additional, Oylumlu, Mustafa, additional, Ertaș, Faruk, additional, Kaya, Hasan, additional, and Alan, Sait, additional
- Published
- 2015
- Full Text
- View/download PDF
21. The relationship between neutrophil to lymphocyte ratio, platelet to lymphocyte ratio and thrombolysis in myocardial infarction risk score in patients with ST elevation acute myocardial infarction before primary coronary intervention
- Author
-
Acet, Halit, primary, Ertaş, Faruk, additional, Bilik, Mehmet Zihni, additional, Akıl, Mehmet Ata, additional, Özyurtlu, Ferhat, additional, Aydın, Mesut, additional, Oylumlu, Mustafa, additional, Polat, Nihat, additional, Yüksel, Murat, additional, Yildiz, Abdulkadir, additional, Kaya, Hasan, additional, Akyüz, Abdurrahman, additional, Ayçiçek, Hilal, additional, Özbek, Mehmet, additional, and Toprak, Nizamettin, additional
- Published
- 2015
- Full Text
- View/download PDF
22. The Utility of the Serum Albumin Levels on Admission for Predicting Angiographic No Reflow After Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction
- Author
-
Acet, Halit, primary, Ertaş, Faruk, additional, Aydın, Mesut, additional, Kaya, Hasan, additional, Yüksel, Murat, additional, Bilik, Mehmet Zihni, additional, Polat, Nihat, additional, Akıl, Mehmet Ata, additional, Yıldız, Abdulkadir, additional, Özbek, Mehmet, additional, Çiftçi, Leyla, additional, and Ozaydoğdu, Necdet, additional
- Published
- 2015
- Full Text
- View/download PDF
23. Usefulness of Platelet-Lymphocyte Ratio to Predict Stent Thrombosis in Patients with ST Elevation Myocardial Infarction
- Author
-
Oylumlu, Mustafa, primary, Yıldız, Abdulkadir, additional, Yüksel, Murat, additional, Korkmaz, Ahmet, additional, Aydın, Mesut, additional, Bilik, Mehmet Zihni, additional, Akıl, Mehmet Ata, additional, and Ülgen, Sıddık, additional
- Published
- 2014
- Full Text
- View/download PDF
24. Relationship Between Hematologic Indices and Global Registry of Acute Coronary Events Risk Score in Patients With ST-Segment Elevation Myocardial Infarction
- Author
-
Acet, Halit, primary, Ertaş, Faruk, additional, Akıl, Mehmet Ata, additional, Özyurtlu, Ferhat, additional, Polat, Nihat, additional, Bilik, Mehmet Zihni, additional, Aydın, Mesut, additional, Oylumlu, Mustafa, additional, Yüksel, Murat, additional, Yıldız, Abdulkadir, additional, Kaya, Hasan, additional, Akyüz, Abdurrahman, additional, and Özbek, Mehmet, additional
- Published
- 2014
- Full Text
- View/download PDF
25. A novel predictor of infarct-related artery patency before percutaneous intervention and in-hospital outcomes for ST-segment elevation myocardial infarction patients: serum bilirubin level
- Author
-
Acet, Halit, primary, Ertas, Faruk, additional, Akıl, Mehmet Ata, additional, Polat, Nihat, additional, Aydın, Mesut, additional, Akyüz, Abdurrahman, additional, Ayçiçek, Hilal, additional, and Alan, Sait, additional
- Published
- 2014
- Full Text
- View/download PDF
26. New inflammatory predictors for non-valvular atrial fibrillation: echocardiographic epicardial fat thickness and neutrophil to lymphocyte ratio
- Author
-
Acet, Halit, primary, Ertaş, Faruk, additional, Akıl, Mehmet Ata, additional, Oylumlu, Mustafa, additional, Polat, Nihat, additional, Yıldız, Abdulkadir, additional, Bilik, Mehmet Zihni, additional, Yüksel, Murat, additional, Kaya, Zeynettin, additional, and Ülgen, Mehmet Sıddık, additional
- Published
- 2013
- Full Text
- View/download PDF
27. The Relationship of the Glycosylated Hemoglobin A1c Levels with the Severity of the Coronary Artery Disease in Non-diabetic Stable Angina Patients
- Author
-
Kaya, Hasan, primary, Ertaş, Faruk, additional, Oylumlu, Mustafa, additional, Akıl, Mehmet Ata, additional, Şimşek, Zeki, additional, and Alan, Sait, additional
- Published
- 2013
- Full Text
- View/download PDF
28. Non-Valvular Atrial Fibrillation in the Elderly; Preliminary Results from the National AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) Study
- Author
-
Ertas, Faruk, primary, Oylumlu, Mustafa, additional, Akıl, Mehmet Ata, additional, Acet, Halit, additional, Bilik, Mehmet Zihni, additional, Celepkolu, Tahsin, additional, Yildiz, Abdulkadir, additional, Kaya, Hasan, additional, Alan, Sait, additional, and Özhan, Hakan, additional
- Published
- 2013
- Full Text
- View/download PDF
29. Percutaneous Closure of Patent Ductus Arteriosus: Experience of a Tertiary Referral Center
- Author
-
Kaya, Hasan, primary, Ertaş, Faruk, additional, Polat, Nihat, additional, Yıldız, Abdulkadir, additional, Akıl, Mehmet Ata, additional, Soydinç, Mehmet Serdar, additional, Alan, Sait, additional, and Ülgen, Mehmet Sıddık, additional
- Published
- 2013
- Full Text
- View/download PDF
30. The Relationship between RDW and the GRACE Risk Score with in Hospital Death in Non-ST Elevation Myocardial Infarction and Unstable Angina Pectoris
- Author
-
Polat, Nihat, primary, Yıldız, Abdülkadir, additional, Oylumlu, Mustafa, additional, Kaya, Hasan, additional, Acet, Halit, additional, Akıl, Mehmet Ata, additional, Yüksel, Murat, additional, Bilik, Mehmet Zihni, additional, Aydın, Mesut, additional, and Ülgen, Mehmet Sıddık, additional
- Published
- 2013
- Full Text
- View/download PDF
31. The Relationship Between QT Dispersion and Exaggerated Blood Pressure Response to Exercise Stress Testing
- Author
-
Ertaş, Faruk, primary, Yavuz, Celal, additional, Kaya, Hasan, additional, Karahan, Oğuz, additional, Demirtaş, Sinan, additional, Acet, Halit, additional, Oylumlu, Mustafa, additional, Akıl, Mehmet Ata, additional, Bilik, Mehmet Zihni, additional, and Alan, Sait, additional
- Published
- 2013
- Full Text
- View/download PDF
32. Relationship Between Hematologic Indices and Global Registry of Acute Coronary Events Risk Score in Patients With ST-Segment Elevation Myocardial Infarction.
- Author
-
Acet, Halit, Ertaş, Faruk, Akıl, Mehmet Ata, Özyurtlu, Ferhat, Polat, Nihat, Bilik, Mehmet Zihni, Aydın, Mesut, Oylumlu, Mustafa, Yüksel, Murat, Yıldız, Abdulkadir, Kaya, Hasan, Akyüz, Abdurrahman, and Özbek, Mehmet
- Abstract
The aim of this study was to evaluate the relationship between hematologic indices and the Global Registry of Acute Coronary Events (GRACE) score in patients with ST-segment elevation myocardial infarction (STEMI). A total of 800 patients who consecutively and retrospectively presented with STEMI within 12 hours of symptom onset. After accounting for exclusion criteria, a total of 379 patients remained in the study. We enrolled 379 patients with STEMI (mean age 61.7 ± 13.6 years; men 73%). Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), red cell distribution width (RDW), and monocyte count were associated with increased worse GRACE risk score (P = .008, P = .012, P = .005, P = .022, respectively). In multivariate linear regression analysis, NLR, PLR, RDW, and monocyte count were found to be independent predictors of GRACE risk score. We demonstrate for the first time that PLR, RDW, and monocyte were associated with the GRACE score in patients with STEMI. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
33. The relationship between atrial electromechanical delay and left atrial mechanical function in stroke patients.
- Author
-
Akıl, Mehmet Ata, Akıl, Eşref, Bilik, Mehmet Zihni, Oylumlu, Mustafa, Acet, Halit, Yildiz, Abdülkadir, Akyüz, Abdurrahman, Ertas, Faruk, and Toprak, Nizamettin
- Subjects
- *
MECHANICAL properties of the heart , *STROKE patients , *ELECTROMECHANICAL effects , *ELECTROPHYSIOLOGY , *CEREBRAL infarction , *ECHOCARDIOGRAPHY - Abstract
Objective: The aim of this study was to evaluate the relationship between atrial electromechanical delay (EMD) measured with tissue Doppler imaging (TDI) and left atrial (LA) mechanical functions in patients with ischemic stroke and compare them with healthy controls. Methods: Thirty patients with ischemic stroke were enrolled into this cross-sectional, observational study. The control group consisted of 35 age- and gender-matched apparently healthy individuals patients. Acute cerebral infarcts of probable embolic origin were diagnosed via imaging and were confirmed by a neurologist. Echocardiographically, time intervals from the beginning of P wave to beginning of A wave from the lateral and septal mitral and right ventricular tricuspid annuli in TDI were recorded. The differences between these intervals gave the mechanical delays (inter- and intra-atrial). Left atrial (LA) volumes were measured using the biplane area-length method, and LA mechanical function parameters were calculated. Statistical analysis was performed using student's t-test, chi-squared test, and Pearson's test. Results: The laboratory and clinical characteristics were similar in the two groups. Increased left atrial EMD (21.36±10.38 ms versus 11.74±6.06 ms, p<0.001), right atrial EMD (13.66±8.62 ms versus 9.66±6.81 ms, p=0.040), and interatrial EMD (35.03±9.95 ms versus 21.40±8.47 ms, p<0.001) were observed in stroke patients as compared to controls. Active LA emptying volume and fraction and passive LA emptying volumes and fraction were similar between controls and stroke patients. Total LA emptying volumes were significantly increased in stroke patients as compared to healthy controls (33.19±11.99 mL/m2 versus 27.48±7.08 mL/m2, p=0.021). Conclusion: According to the results of our study, interatrial electromechanical delay may be a new predictor for ischemic stroke. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
34. Identifying autonomic nervous system dysfunction in acute cerebrovascular attack by assessments of heart rate variability and catecholamine levels.
- Author
-
Akıl, Eşref, Tamam, Yusuf, Akıl, Mehmet Ata, Kaplan, İbrahim, Bilik, Mehmet Zihni, Acar, Abdullah, and Tamam, Banu
- Subjects
NERVOUS system abnormalities ,CEREBROVASCULAR disease ,CATECHOLAMINES ,ETIOLOGY of stroke ,HEART beat ,TIME-domain analysis - Abstract
Objective: This study aimed to evaluate changes in the autonomic nervous system caused by cerebral lesions due to acute stroke. We assessed heart rate variability and catecholamine levels in lieu of stroke lesion localization. Materials and Methods: A total of 60 stroke patients and 31 healthy controls were enrolled in the study. Plasma epinephrine and norepinephrine levels were measured on the first, third, and seventh days following the stroke event. Heart rate variability was evaluated with time-domain and frequency-domain analyses via 24-hour Holter monitor recordings. Results: On the first and third day following the stroke, norepinephrine levels were significantly higher in all patient groups as compared to controls. Epinephrine levels on the first, third and seventh days after the stroke were significantly higher in patients with lesions in the right middle cerebral artery territory than controls. In frequency-domain analysis, patients with right middle cerebral artery territory lesions had greater low frequency and low frequency to high frequency ratio values than controls. Time-domain analysis revealed significant decreases in the standard deviation from the mean for 5-minute 288 R-R intervals in patients with lesions in the right middle cerebral artery and posterior cerebral artery territory when contrasted with controls. Patients with lesions in the right middle cerebral artery territory demonstrated the highest increase in the percentage of consecutive R-R intervals differing by more than 50 ms (pNN50) as compared to the control group. Conclusion: These findings indicate that autonomic dysfunction favoring an increase in sympathetic activity occurs in acute stroke patients. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
35. The relationship between neutrophil to lymphocyte ratio and SYNTAX score in patients with ST-segment elevation myocardial infarction.
- Author
-
Acet, Halit, Ertaş, Faruk, Bilik, Mehmet Zihni, Kayan, Fethullah, Akıl, Mehmet Ata, Aydın, Mesut, Akyüz, Abdurrahman, Yüksel, Murat, Ayçiçek, Hilal, Özbek, Mehmet, Oylumlu, Mustafa, Yıldız, Abdulkadir, and Alan, Sait
- Subjects
LYMPHOCYTES ,NEUTROPHILS ,MYOCARDIAL infarction ,BIOMARKERS ,DEATH rate ,PATIENTS - Abstract
Copyright of Journal of Clinical & Experimental Investigations is the property of Modestum Publications 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
- 2014
- Full Text
- View/download PDF
36. Assessment of Platelet to Lymphocyte Ratio to Predict Stent Thrombosis in Patients with ST Elevation Myocardial Infarction
- Author
-
Yildiz, Abdulkadir, Yuksel, Murat, Oylumlu, Mustafa, Bilik, Mehmet Zihni, Acet, Halit, Akil, Mehmet Ata, Polat, Nihat, Aydin, Mesut, Ertas, Faruk, Kaya, Hasan, Islamoglu, Yahya, Elbey, Mehmet Ali, and Cil, Habip
- Published
- 2013
- Full Text
- View/download PDF
37. The Relationship between Serum Osteopontin Levels and Isolated Coronary Artery Ectasia
- Author
-
Yıldız, Abdulkadir, Bilge, Onder, Bilik, Mehmet Zihni, Akil, Mehmet Ata, Oylumlu, Mustafa, Akin, Halil, Altintas, Bernas, Yuksel, Murat, Acet, Halit, Polat, Nihat, Aydin, Mesut, Kaya, Hasan, and Alan, Sait
- Published
- 2013
- Full Text
- View/download PDF
38. Evaluation of Platelet to Lymphocyte Ratio to Predict No-Reflow in Patients With Acute Myocardial Infarction
- Author
-
Yıldız, Abdulkadir, Tuncez, Abdullah, Polat, Nihat, Acet, Halit, Oylumlu, Mustafa, Yuksel, Murat, Akyuz, Abdurrahman, Aydin, Mesut, Bilik, Mehmet Zihni, Akil, Mehmet Ata, Ertas, Faruk, Kaya, Hasan, and Elbey, Mehmet Ali
- Published
- 2013
- Full Text
- View/download PDF
39. Assessment of Right Ventricular Systolic Functions in Patients with Chronic Renal Failure before and after Hemodialysis
- Author
-
Yıldız, Abdulkadir, Akyuz, Abdurrahman, Yuksel, Murat, Oylumlu, Mustafa, Bilik, Mehmet Zihni, Polat, Nihat, Akil, Mehmet Ata, Acet, Halit, Aydin, Mesut, Inci, Umit, Ulgen, Mehmet Siddik, Alan, Sait, and Toprak, Nizamettin
- Published
- 2013
- Full Text
- View/download PDF
40. The Effects of Nebivolol on QT Duration and Dispersion in Patients with Coronary Slow Flow
- Author
-
Şahin, Musa, Şimşek, Hakkı, Akyol, Aytac, Akdag, Serkan, Akil, Mehmet Ata, Aksoy, Hakan, Dogan, Adnan, and Gumrukcuoglu, Hasan Ali
- Published
- 2013
- Full Text
- View/download PDF
41. The Association between Neutrophil to Lymphocyte Ratio and Presence of Ventricular Premature Contractions
- Author
-
Yıldız, Abdulkadir, Yuksel, Murat, Oylumlu, Mustafa, Polat, Nihat, Acet, Halit, Bilik, Mehmet Zihni, Aydin, Mesut, Akil, Mehmet Ata, Ertas, Faruk, Kaya, Hasan, Elbey, Mehmet Ali, Tekbas, Ebru, and Islamoglu, Yahya
- Published
- 2013
- Full Text
- View/download PDF
42. The Association between Neutrophil/Lymphocyte Ratio and Functional Capacity in Patients with Idiopathic Dilated Cardiomyopathy
- Author
-
Yıldız, Abdulkadir, Tuncez, Abdullah, Grbovic, Enis, Polat, Nihat, Yuksel, Murat, Aydin, Mesut, Oylumlu, Mustafa, Acet, Halit, Bilik, Mehmet Zihni, Akil, Mehmet Ata, Kaya, Hasan, Ertas, Faruk, and Cebeci, Muhammed
- Published
- 2013
- Full Text
- View/download PDF
43. ST elevasyonlu miyokard infarktüsünde infarkt lokalizasyonuna göre sağ ventrikül fonksiyonlarının ileri ekokardiografik metotlarla karşılaştırılması.
- Author
-
Akıl, Mehmet Ata, Ertaş, Faruk, Kaya, Hasan, Bilik, Mehmet Zihni, Oylumlu, Mustafa, Yıldız, Abdulkadir, İltumur, Kenan, and Ülgen, Mehmet Sıddık
- Subjects
- *
VENTRICULAR fibrillation , *CARDIAC arrest , *MYOCARDIAL infarction , *ECHOCARDIOGRAPHY , *TRICUSPID valve - Abstract
Objectives: In this study, we aimed to compare the effects of infarct localization in patients with ST Elevated Myocardial Infarction (STEMI) on the right ventricular (RV) functions by using advanced echocardiographic methods. Materials and methods: A total of 89 patients with STEMI were included into the study and patients were divided to three groups as anterior, isolated-inferior and inferior+RV MI groups. In addition to standard echocardiographic mesurements, RV tissue doppler, RV Ejection Fraction (RVEF), Myocardial performance index (MPI) and TAPSE measurements of all patients were performed between 24-72 hours after the event. Results: Compared to groups, RV functions in inferior MI with RV involvement group were deteriorated. Tricuspid annular plane systolic excursion (TAPSE) value for the inferior MI with RV involvement (19±1mm) group were lower than those for Inferior MI group without RV involvement (23±1mm) and anterior MI (23±1mm) (p<0.05). The RV MPI value for inferior MI group with RV involvement (0.76±0.14) were found to be higher than those for anterior (0.64±0.1) and inferior MI (0.56±0.1) group without RV involvement (p<0.05). Peak Sm (r = -0.35, p = 0.01), TAPSE (r = -0.47, p<0.001) and RV EF (r = -0.46, p<0.001) showed a negative correlation with RV MPI value. Furthermore, RV tricuspid E/A rate (r = -0.19, p = 0.7) and RV free wall tissue doppler Em/Am rate (r = -0.26, p = 0.01) displayed a negative correlation with RV MPI value. Conclusions: Use of advanced methods addition to the conventional echocardiographic methods in STEMI patients, could produce more valuable information to evaluate RV functions and provide a positive impact on treatment strategies. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
44. Clinical characteristics of the patients presented with supraventricular tachycardia in southeast Anatolian region of Turkey.
- Author
-
Aydın, Mesut, Yıldız, Abdulkadir, Aktan, Adem, Polat, Nihat, Yüksel, Murat, Akıl, Mehmet Ata, Özbek, Hilal, and İslamoğlu, Yahya
- Subjects
- *
INPATIENT care , *CLINICAL trials , *SUPRAVENTRICULAR tachycardia , *ACUTE coronary syndrome - Abstract
Objective: In this study, we aimed to evaluate the characteristic of patients with supraventricular tachycardia for proper diagnosis and treatment in Southeast Anatolian region. Methods: The study was has a retrospective cross-sectional design. One hundred eighty-seven consecutive patients who underwent catheter ablation of SVT between June 2012 and April 2014 at the Dicle University Heart Hospital were included in the study. In those patients, in whom the arrhythmia substrate was identified, ablation therapy was carried out using radiofrequency (RF) energy. Results: Among SVTs 119 (63.6%) patients had atrioventricular nodal re-entry tachycardia (AVNRT), 20 (10.7%) patients had concealed atrioventricular re-entry tachycardia (AVRT), 40 (21.4%) patients had Wolf Parkinson White (WPW) syndrome, and 8 (4.3%) patients had atrial tachycardia. RF ablation was applied on 184 patients. Overall RF ablation success rate was 96.2%. Overall recurrence was 8 (4%) of 187 patients during the followup period 12 ± 6 (1-23) months. The recurrence was 4 (3.4%) of 119 patients in AVNRT, 2(5%) of 40 patients in WPW syndrome and 2 (10%) of 20 patients in concealed AVRT. There was no statistically significant difference between groups in terms of recurrence. Two patients having AVNRT ablation died due to acute coronary syndrome in clinical follow-up. Conclusion: The acute and long-term success rates of SVT ablation were in accordance with literature. The other characteristics of SVT were similar with the current data. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
45. Snapshot evaluation of acute and chronic heart failure in real-life in Turkey: A follow-up data for mortality
- Author
-
Hakan Altay, Rengin Çetin Güvenç, Savaş Özer, Emrah Aksakal, Dilek Ural, Mustafa Gökhan Vural, Mehmet Yilmaz, Yuksel Cavusoglu, Uğur Aksu, Lale Tokgozoglu, Mehmet Ata Akıl, Ahmet Çelik, Yıldırım Nesligül, Lütfü Bekar, RTEÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Özer, Savaş, Kırıkkale Üniversitesi, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, Akıl, Mehmet Ata, Ural, Dilek (ORCID 0000-0001-6419-0323 & YÖK ID 1057), Yılmaz, Mehmet Birhan, Aksakal, Emrah, Aksu, Uğur, Altay, Hakan, Nesligül, Yıldırım, Çelik, Ahmet, Bekar, Lütfü, Vural, Mustafa Gökhan, Güvenç, Rengin Çetin, Çavuşoğlu, Yüksel, Tokgözoğlu, Lale, School of Medicine, and [Belirlenecek]
- Subjects
Male ,Angiotensin receptor ,medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Multivariate analysis ,Turkey ,medicine.drug_class ,Tüm Nedenlere Bağlı Ölüm ,heart failure ,Heart failure ,Kalp Yetmezliği ,Beta-Blocker Devamı ,Risk Factors ,Medicine ,Cardiac and cardiovascular systems ,Internal medicine ,medicine ,Humans ,In real life ,Akut Miyokardiyal Enfarksiyon ,Prospective Studies ,Registries ,Beta blocker ,Survival analysis ,Original Investigation ,Aged ,Ejection fraction ,business.industry ,All-cause mortality ,Prognosis ,Age Factors ,[No Keywords] ,Middle Aged ,medicine.disease ,Survival Analysis ,Prognoz ,lcsh:RC666-701 ,Acute Disease ,Chronic Disease ,Cohort ,Cardiology ,all-cause mortality ,Female ,prognosis ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
Objective: heart failure (HF) is a progressive clinical syndrome. SELFIE-TR is a registry illustrating the overall HF patient profile of Turkey. Herein, all-cause mortality (ACM) data during follow-up were provided. Methods: this is a prospective outcome analysis of SELFIE-TR. Patients were classified as acute HF (AHF) versus chronic HF (CHF) and HF with reduced ejection fraction (HFrEF), HF with mid-range ejection fraction, and HF with preserved ejection fraction and were followed up for ACM. Results: there were 1054 patients with a mean age of 63.3±13.3 years and with a median follow-up period of 16 (7-17) months. Survival data within 1 year were available in 1022 patients. Crude ACM was 19.9% for 1 year in the whole group. ACM within 1 year was 13.7% versus 32.6% in patients with CHF and AHF, respectively (p, NA
- Published
- 2020
46. Normal echocardiographic measurements in a Turkish population: The healthy Heart Echo-Tr trial
- Author
-
Mahmut Yesin, Mehmet Özkan, Ahmet Oguz Baktir, Süleyman Karakoyun, Ozan Mustafa Gürsoy, Lale Dinc Asarcikli, Özgen Şafak, Ozge Kurmus, Filiz Akyıldız Akçay, İbrahim Ersoy, Fahri Er, Hayati Eren, Volkan Emren, Abdurrahman Akyüz, Tuba Makca, Aylin Sungur, Mehmet Ata Akıl, Fulya Avcı Demir, Metin Çağdaş, Selcen Yakar Tülüce, Oktay Ergene, Özlem Arıcan Özlük, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, and Akıl, Mehmet Ata
- Subjects
Adult ,Male ,Turkish population ,medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Adolescent ,Turkey ,Turkish ,left ventricle ,Heart Ventricles ,030204 cardiovascular system & hematology ,right ventricle ,right atrium ,030218 nuclear medicine & medical imaging ,left atrium ,03 medical and health sciences ,chemistry.chemical_compound ,Young Adult ,0302 clinical medicine ,High-density lipoprotein ,Reference Values ,Internal medicine ,Healthy volunteers ,Heart rate ,Medicine ,Humans ,Young adult ,Aged ,Original Investigation ,Body surface area ,Aged, 80 and over ,Right atrium ,business.industry ,Middle Aged ,Left ventricle ,language.human_language ,Healthy Volunteers ,chemistry ,lcsh:RC666-701 ,Echocardiography ,Reference values ,Left atrium ,language ,Cardiology ,Right ventricle ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
PMID:31674928 Objective: Normal reference values for the cardiac chambers are widely based on cohorts from European or American populations. In this study, we aimed to obtain normal echocardiographic measurements of healthy Turkish volunteers to reveal the age, gender, and geographical region dependent differences between Turkish populations and other populations. Methods: Among 31 collaborating institutions from all regions of Turkey, 1154 healthy volunteers were enrolled in this study. Predefined protocols were used for all participants during echocardiographic examination. Blood biochemical parameters were also obtained for all patients on admission. The American Society of Echocardiography and European Association of Cardiovascular Imaging recommendations were used to assess the echocardiographic cardiac chamber quantification. Results: The study included 1154 volunteers (men: 609; women: 545), with a mean age of 33.5±11 years. Compared to men, women had a smaller body surface area, lower blood pressure and heart rate, lower hemoglobin, total cholesterol, lower low-density lipoprotein (LDL) levels, and higher high density lipoprotein (HDL) levels. Cardiac chambers were also smaller in women and their size varied with age. When we compared the regions in Turkey, the lowest values of left cardiac chamber indices were seen in the Marmara region and the highest values were observed in the Mediterranean region. Regarding the right cardiac indices, the Mediterranean region reported the lowest values, while the Black Sea region and the Eastern Anatolia region reported the highest values. Conclusion: This is the first study that evaluates the normal echocardiographic reference values for a healthy Turkish population. These results may provide important reference values that could be useful in routine clinical practice as well as in further clinical trials.
- Published
- 2019
47. Multiple skleroz hastalarının sol ventrikül fonksiyonların strain ekokardiyografi ile değerlendirilmesi
- Author
-
Özbek, Mehmet, Akıl, Mehmet Ata, Akıl, Eşref, Kardiyoloji Anabilim Dalı, Dicle Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, and Özbek, Mehmet
- Subjects
Kardiyoloji ,Ventricular function-left ,Heart diseases ,Myocardium ,Left ventricular function ,Sol ventrikül fonksiyonları ,Cardiology ,Multiple skleroz ve kalp ,Strain imaging ,Heart ,Subclinical myocardial damage ,Multiple sclerosis ,Echocardiography ,"null" ,Strain görüntüleme ,Multiple skleroz ,Multiple sclerosis and heart ,Cardiomyopathies ,Subklinik miyokardiyal hasar ,Ventricular function - Abstract
Multiple skleroz (MS), merkezi sinir sisteminde (MSS) beyaz madde ön planda olmak üzere fokal demiyelinize plaklarla karakterize kronik inflamatuar bir hastalıktır. Bu açıdan MS; kronik, otoimmün, inflamatuar, demiyelinizan ve nörodejeneratif bir hastalık olarak tanımlanır. Multiple sklerozun akciğer, üriner sistem ve gastrointestinal sistem benzeri farklı organlarda oluşturduğu anormallikler bilinmesine rağmen kardiyovasküler sistem üzerindeki etkileri iyi bilinmemektedir. Literatürde sağ ventrikül (SğV) ve sol ventrikül (SV) fonksiyonlarını inceleyen az sayıda çalışma vardır ve bu çalışmaların sonuçları çelişkili olarak görülmüştür. MS’de kardiyovasküler sistem disfonksiyonu sık rastlanan bir bulgudur. MS hastalarındaki kardiyovasküler sistem bozuklukları otonom sinir sistemi disfonksiyonu sebebiyle olabilir. Kardiyovasküler sempatik ve parasempatik testlerdeki anormallikler birçok yazar tarafından rapor edilmiştir. MS’deki kardiyak etkilenmenin, yeni ekokardiyografik yöntemler ile daha fazla araştırılmasına ihtiyaç vardır. Strain (S) ve strain rate (SR) ekokardiyografinin, MS’deki subklinik miyokardiyal fonksiyon bozukluğunu göstermede yararlı olabileceğinden hareketle böyle bir çalışma planladık. Çalışmamız, 2016 yılında, Nöroloji Anabilim Dalı polikliniğine başvuran ve MS tanısı alan 44 hastadan oluşan hasta ve 40 sağlıklı bireyi içeren kontrol grupları üzerinde yapıldı. Bireylerin ekokardiyografi ile kardiyak fonksiyonları incelendi. Doppler kayıtlarından S ve SR verileri elde edildi. Hasta ve kontrol gruplarının yaş ve cinsiyet gibi değişkenleri her iki grupta benzerdi. Grupları karşılaştırdığımızda, hasta grubunda diyastolik fonksiyon bozukluğunun daha fazla olduğunu bulduk. MS hastalarındaki mitral anüler hızları sağlıklı gruba göre anlamlı olarak daha düşük ölçtük. MS hastalarında kontrol grubuyla karşılaştırıldığında, bazal lateral, bazal anterior, mid inferior segmentlerdeki strain değerleri anlamlı olarak daha düşüktü. MS hastalarında SV ortalama S değerini anlamlı olarak daha düşük ölçtük (%-18,26±1,22 ve %-19,02±1,07, p=0,003). SR değerleri karşılaştırıldığında kontrol grubuna göre MS hastalarında apikal lateral, mid septal, apikal septal, apikal anterior, apikal inferior segmentlere ait strain rate değerleri anlamlı olarak daha düşüktü. MS hastalarında SV ortalama SR değerini anlamlı olarak daha düşük ölçtük (-1,32±0,14 s־¹ ve -1,40±0,15 s־¹, p=0,008). Sonuç olarak, MS’de S görüntüleme tekniği ile sol ventrikül fonksiyonlarının, subklinik düzeyde bozulduğunu saptadık. MS’deki subklinik miyokardiyal fonksiyon bozukluğunun, S görüntüleme tekniği gibi hassas ve yeni yöntemlerle araştırılmasının faydalı olacağını düşünüyoruz. Anahtar Kelimeler: Multiple skleroz, multiple skleroz ve kalp, sol ventrikül fonksiyonları, strain görüntüleme, subklinik miyokardiyal hasar Multiple sclerosis (MS) is seen as an inflammatory demyelinating disease, characterized by the focal demyelinated plaques in the white matter of the central nervous system. In this aspect MS; chronic, autoimmune, inflammatory, demyelinating and neurodegenerative disorder is defined as. Although MS causes functional abnormalities in different organs of the body including the urinary bladder, lungs and the gastrointestinal tract, the effect of MS on cardiac function is not well known. There are only a few studies in the literature related to function of the left or right ventricles and the findings have been conflicting. Cardiovascular system dysfunction is a frequent symptom observed in MS patients. It is thought to be an effect of autonomic nervous system dysfunction. Abnormalities of cardiovascular sympathetic and parasympathetic tests have been reported by several authors. Cardiac affected in MS, there needs to be investigated further with a new echocardiographic methods. Strain(S) and Strain Rate(SR) echocardiography, may be useful in predicting the subclinical myocardial dysfunction in MS, therefore we have planned such a study. Our study, in 2016, admitted to the Department of Neurology clinic and patients consisting of 44 patients diagnosed with MS and control groups was carried out involving 40 healthy individuals. Individuals were analyzed cardiac function by echocardiography. S and SR data were obtained from the Doppler recordings. Variables such as age and sex of the patient and control groups were similar in both groups. When comparing groups, we found that more of diyastolic dysfunction in patients. The MS patients had a significantly reduced mitral anuler velocity compared with healthy subjects. Left ventricular bazal lateral, bazal anterior, mid inferior strain values were significantly lower in MS group when compared the control group. The patients with MS have also decreased mean left ventricular strain score (%-18.26±1.22 vs %-19.02±1.07, p=0.003). Left ventricular apical lateral, mid septal, apical septal, apical anterior, apical inferior strain rate values were lower in MS group when compared the control group. The patients with MS have also decreased mean left ventricular strain rate score (-1.32±0.14 s־¹ vs -1.40±0.15 s־¹, p=0.008). As a result, we found the impaired left ventricular functions in subclinical level by using the technique of strain imaging in MS group. We are thinking that, subclinical myocardial dysfunction in MS should be investigated by more precise and new techniques such as strain imaging technique. Keywords: Multiple sclerosis, multiple sclerosis and heart, left ventricular function, strain imaging, subclinical myocardial damage.
- Published
- 2017
48. The relationship between neutrophil to lymphocyte ratio and SYNTAX score in patients with ST-segment elevation myocardial infarction
- Author
-
Halit Acet, Faruk Ertaş, Mehmet Zihni Bilik, Fethullah Kayan, Mehmet Ata Akıl, Mesut Aydın, Abdurrahman Akyüz, Murat Yüksel, Hilal Ayçiçek, Mehmet Özbek, Mustafa Oylumlu, Abdulkadir Yıldız, Sait Alan, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, Acet, Halit, Ertaş, Faruk, Bilik, Mehmet Zihni, Kayan, Fethullah, Akıl, Mehmet Ata, Aydın, Mesut, Yüksel, Murat, Ayçiçek, Hilal, Özbek, Mehmet, Oylumlu, Mustafa, Yıldız, Abdulkadir, and Alan, Sait
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Leukocyte Counts ,Syntax score ,STEMI ,St elevation myocardial infarction ,Internal medicine ,medicine ,In patient ,cardiovascular diseases ,Neutrophil to lymphocyte ratio ,Neutrophil to lymphocyte ratio,Syntax score,STEMI ,Coronary atherosclerosis ,biology ,business.industry ,Nötrofil lenfosit oranı,Syntax skoru,STEMI ,Percutaneous coronary intervention ,Mean age ,Troponin ,Surgery ,Syntax skoru ,Cardiology ,biology.protein ,Nötrofil lenfosit oranı ,Medicine ,business - Abstract
Objective: We aimed to assess relationship between the severity of coronary atherosclerosis assessed by SYNTAX score (SS) and neutrophil to lymphocyte ratio (NLR) in patients with ST elevation myocardial infarction (STEMI. Methods: After accounting for exclusion criteria, a total of 291 patient with STEMI in whom primary percutaneous coronary intervention was performed were retrospectively included (216 male, 75 female; mean age 61.6+14.0 years). Total and differential leukocyte counts and other biochemical markers were measured at admission. Patients were categorized into tertiles on the basis of SS. Monitoring for major adverse cardiac events (MACEs) was performed during the in hospital follow-up period. Results: The SS high group leukocyte (p=0.009), neutrophil (p=0.008), NLR (p=0.048), peak troponin (p, Amaç: Biz bu çalışmada STEMİ hastalarında nötrofil lenfosit oranı (NLO) ve Syntax skoru (SS) ile değerlendirilen koroner aterosklerozun şiddeti arasındaki ilişkiyi ST yükselmeli miyokard infarktüsü (STEMİ)\'ünde değerlendirmeyi amaçladık. Yöntemler: Dışlama kriterleri sonrası primer perkütan koroner girişim uygulanan geriye dönük olarak toplamda 291 STEMI hastası çalışmaya alındı. (216 erkek,75 kadın, ortalama yaş 61,6±14,0 yıl). Toplam ve diferensiyel lökosit sayımı ve diğer biyokimyasal belirteçler hasta kabulünde alındı. Hastalar SS göre üç tertile ayrıldı. Majör istenmeyen kardiyak olaylar (MİKO) için izleme hastanede yatış döneminde yapıldı Bulgular: SSyüksek grup, lökosit (p=0,009), nötrofil (p=0,008), NLO (p=0,048), zirve troponin (p
- Published
- 2014
49. Novel predictors of infarct-related artery patency for ST-segment elevation myocardial infarction: Platelet-to-lymphocyte ratio, uric acid, and neutrophil-to-lymphocyte ratio
- Author
-
Hilal Ayçiçek, Halit Acet, Faruk Ertaş, Abdurrahman Akyüz, Ferhat Özyurtlu, Mustafa Oylumlu, Sait Alan, Murat Yüksel, Mehmet Zihni Bilik, Mehmet Ata Akıl, Hasan Kaya, Mesut Aydin, Nihat Polat, Nizamettin Toprak, Abdulkadir Yildiz, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, Acet, Halit, Ertaş, Faruk, Akıl, Mehmet Ata, Yıldız, Abdülkadir, Polat, Nihat, Bilik, Mehmet Zihni, Aydın, Mesut, Oylumlu, Mustafa, Kaya, Hasan, Yüksel, Murat, Akyüz, Abdurrahman, Ayçiçek, Hilal, Alan, Sait, and Toprak, Nizamettin
- Subjects
Blood Platelets ,Male ,medicine.medical_specialty ,Infarctrelated artery patency ,Neutrophils ,medicine.medical_treatment ,Coronary angiography ,Myocardial Infarction ,acute myocardial infarction ,Acute myocardial infarction ,Sensitivity and Specificity ,Predictive Value of Tests ,neutrophil-to-lymphocyte ratio ,Internal medicine ,medicine ,Vascular Patency ,ST segment ,Humans ,Myocardial infarction ,Lymphocyte Count ,Lymphocytes ,cardiovascular diseases ,Neutrophil to lymphocyte ratio ,Neutrophil-to-lymphocyte ratio ,Retrospective Studies ,Original Investigation ,business.industry ,Platelet Count ,Percutaneous coronary intervention ,Thrombolysis ,Middle Aged ,medicine.disease ,Platelet-to-lymphocyte ratio ,platelet-to-lymphocyte ratio ,Surgery ,Uric Acid ,body regions ,surgical procedures, operative ,ROC Curve ,Conventional PCI ,Cardiology ,Female ,coronary angiography ,Cardiology and Cardiovascular Medicine ,business ,Uric acid ,TIMI ,infarct-related artery patency - Abstract
Objective: The neutrophil/lymphocyte ratio (NLR), the platelet/lymphocyte ratio (PLR), and uric acid (UA) are inflammatory markers in cardiovascular disease. However, there are not enough data on infarct-related artery (IRA) patency in ST-segment elevation myocardial infarction (STEMI). We aimed to investigate the association of NLR, PLR, and UA with IRA patency before percutaneous coronary intervention (PCI) in STEMI. Methods: The study was designed as a retrospective study. Three hundred and twenty-four consecutive patients with STEMI were divided into two groups according to pre-PCI Thrombolysis in Myocardial Infarction flow grade (TIMI). Patients with a TIMI flow grade of into the spontaneous reperfusion (SR) group, while patients with TIMI flow grade of 0, 1 and 2 were placed into the non-SR group. The χ2 and independentsamples t-test, Mann-Whitney U test, multivariate logistic regression analysis, and receiver-operator characteristic (ROC) curve analysis were used for the statistical analysis. Results: PLR, NLR, and UA values in the SR group were lower than in the non-SR group (p190, UA>5.75 mg/dL, and NLR>4.2 predicted non-SR. The sensitivity and specificity of the association between low IRA TIMI flow grade and PLR were 88% and 84%, 72% and 66% for UA, and 74% and 44% for NLR, respectively. Conclusion: We determined that PLR and UA are novel predictors of IRA patency before PCI. We suggest that PLR and UA may be used in riskstratifying STEMI. (Anatol J Cardiol 2015; 15: 648-56)
- Published
- 2015
50. The relationship between atrial electromechanical delay and left atrial mechanical function in stroke patients
- Author
-
Abdulkadir Yildiz, Abdurrahman Akyüz, Eşref Akıl, Mehmet Zihni Bilik, Nizamettin Toprak, Mehmet Ata Akıl, Halit Acet, Faruk Ertaş, Mustafa Oylumlu, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, Akıl, Mehmet Ata, Akıl, Eşref, Bilik, Mehmet Zihni, Oylumlu, Mustafa, Acet, Halit, Yıldız, Abdulkadir, Akyüz, Abdurrahman, Ertaş, Faruk, and Toprak, Nizamettin
- Subjects
Male ,medicine.medical_specialty ,Stroke patient ,atrial electromechanical delay ,Sensitivity and Specificity ,Doppler imaging ,Heart Conduction System ,Left atrial ,Internal medicine ,medicine ,Humans ,In patient ,Heart Atria ,cardiovascular diseases ,Cerebral infarcts ,Stroke ,Original Investigation ,business.industry ,P wave ,Case-control study ,Middle Aged ,left atrial functions ,medicine.disease ,Left atrial functions ,stroke ,Echocardiography, Doppler ,ROC Curve ,Case-Control Studies ,Cardiology ,Atrial Function, Left ,Female ,Cardiology and Cardiovascular Medicine ,business ,Atrial electromechanical delay - Abstract
PMID: 25537998 Abstract: Objective: The aim of this study was to evaluate the relationship between atrial electromechanical delay (EMD) measured with tissue Doppler imaging (TDI) and left atrial (LA) mechanical functions in patients with ischemic stroke and compare them with healthy controls. Methods: Thirty patients with ischemic stroke were enrolled into this cross-sectional, observational study. The control group consisted of 35 age- and gender-matched apparently healthy individuals patients. Acute cerebral infarcts of probable embolic origin were diagnosed via imaging and were confirmed by a neurologist. Echocardiographically, time intervals from the beginning of P wave to beginning of A wave from the lateral and septal mitral and right ventricular tricuspid annuli in TDI were recorded. The differences between these intervals gave the mechanical delays (inter- and intra-atrial). Left atrial (LA) volumes were measured using the biplane area-length method, and LA mechanical function parameters were calculated. Statistical analysis was performed using student s t-test, chi-squared test, and Pearson s test. Results: The laboratory and clinical characteristics were similar in the two groups. Increased left atrial EMD (21.36±10.38 ms versus 11.74±6.06 ms, p
- Published
- 2015
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.