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4. Evaluation of left atrial mechanical function and atrial conduction abnormalities in patients with isolated bicuspid aortic valve

Author

Arısoy, Arif, Memiç, Kadriye, Demirelli, Selami, Karaman, Kayıhan, Altunkaş, Fatih, Karayakalı, Metin, Karavelioğlu, Yusuf, Gaziosmanpaşa Üniversitesi, and 0-Belirlenecek

Subjects
Kalp ve Kalp Damar Sistemi
Abstract

Amaç: Bu çalışmada, ciddi kapak işlev bozukluğu olmayan tek başına biküspit aort kapağı (BAK) bulunan hastalarda sol atriyum (SA) mekanik işlevlerini ve atriyal ileti zamanlarını (AİZ) değerlendirdik, ayrıca SA işlevleri ve aort esneklik parametreleri arasındaki ilişkiyi araştırdık.Yöntemler: Çalışma popülasyonumuz tek başına BAK bulunan 34 hasta (ortalama yaş 34±13 yıl) ile yaş ve cinsiyet açısından uyumlu 29 sağlıklı gönüllüden (ortalama yaş 30±10 yıl) oluşmaktaydı. Sol atriyum hacimleri iki düzlemli alan uzunluk yöntemi kullanılarak ölçüldü. Ayrıca SA aktif, pasif boşalma hacimleri ve fraksiyonları hesaplandı. Atriyum içi ve atriyumlar arası AİZ'ler doku Doppler görüntüleme kullanılarak ölçüldü. Aort gerilimi, aort sertlik indeksi, aort gerilebilirliği ve aort esneklik katsayısı gibi aort esneklik parametreleri hesaplandı.Bulgular: Sol atriyum çapı, en yüksek hacmi, atriyum sistolü öncesi hacmi ve SA aktif boşalma fraksiyonu BAK hasta grubunda anlamlı olarak yüksekti (sırasıyla, 33.2±3.2 mm ve 34.9±2.8 mm, p=0.030; 16.2±4.6 mL/m2 ve 19.8±4.8 mL/m2, p=0.004; 10.2±3.7 mL/m ve 12.1±4.9 mL/m2, p=0.029; %30.4±12.0 ve %39.9±11.8, p=0.003). Atriyal ileti zamanları her iki grup arasında benzerdi. Biküspit aort kapağı hasta grubunda; aort gerilebilirliği anlamlı olarak düşükken, aort sertlik indeksi ve aort esneklik katsayısı anlamlı olarak yüksekti (sırasıyla, 8.1±4.6 [10-6cm2dyn-1] ve 5.1±3.6 [10-6cm2dyn-1], p=0.006; 4.1±2.8 ve 7.3±4.9, p=0.003; 3.6±2.8 [dyn.cm-2106] vs 5.9±3.9 [dyn.cm-2106], p=0.010). Korelasyon analizinde SA aktif boşalma fraksiyonu, aort sertlik indeksi ve mitral A dalga hızı ile anlamlı derecede ilişkiliydi (sırasıyla, r=0.431; p

Published
2016

5. Evaluation of atrial conduction features in stable chronic obstructive pulmonary disease patients and its relationship with neutrophil to lymphocyte ratio

Author

Arısoy, Arif, Memiç, Kadriye, Erçen Diken, Özlem, Karavelioğlu, Yusuf, Demirelli, Selami, Topçu, Selim, Deǧirmenci, Hüsnü, Bakırcı, Eftal Murat, Altunkaş, Fatih, Karaman, Kayıhan, and Hitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü

Subjects
Neutrophil to Lymphocyte Ratio, Chronic Obstructive Pulmonary Disease, fungi, Atrial Fibrillation, Atrial Conduction Time
Abstract

Aims: Chronic obstructive pulmonary disease (COPD) has been associated with a high frequency of cardiac arrhythmia. While many studies have examined the development of atrial fibrillation (AF) in COPD patients, there is insufficient data about atrial conduction time (ACT) and its relationship with the Neutrophil to Lymphocyte ratio (NLR) in these patients. The aim of the present study was to evaluate atrial conduction features and its relationship with NLR. Materials and methods: The study groups comprised 40 patients with COPD and 40 healthy subjects, who were subjected to pulmonary function tests, 12-lead surface electrocardiograms, echocardiographic examinations and blood sample tests. ACT was measured through tissue Doppler imaging, while NLR was measured by dividing the neutrophil count by the lymphocyte count. Results: Pulmonary function values were significantly lower in COPD patients than in the control group, as would be expected (p

Published
2015

6. Koroner arter bypass cerrahisi yapılan hastalarda kardiyovasküler risk faktörleri ve koroner ateroskleroz ciddiyetinin uzun dönem greft açıklık oranına etkisi

Author

Memiç, Kadriye, Çiftçi, Çavlan, and Kardiyoloji Ana Bilim Dalı

Subjects
Kardiyoloji, Coronary disease, Cardiovascular system, Risk factors, Cardiology, Coronary artery bypass, Transplants, Atherosclerosis, Surgery-cardiovascular
Abstract

Koroner arter hastalığı (KAH), tüm dünyada mortalite ve morbiditenin en önemli sebebidir. KAH'na sebep olduğu bilinen pek çok risk faktörü mevcuttur. Primer ve sekonder korunmada bu risk faktörlerinin iyi bilinmesi gerekmektedir. Koroner arter by-pass greft (KABG) operasyonu geçiren hastalarda nativ arterler ve by-pass greftlerinde aterosklerotik süreç devam eder. KABG sonrası başarı, greft açıklığı ile doğru orantılıdır. Biz çalışmamızda, kişiye ait kardiyovasküler risk (KV) faktörlerinin ve koroner anjiyografide saptanan ateroskleroz şiddetinin, KABG cerrahisi sonrası uzun dönemde greft ömrüne etkisini araştırmayı amaçladık.Çalışmaya, 1990-2010 yılları arasında yapılan koroner anjiyografi sonucunda izole KABG cerrahisi gerçekleştirilen ve izleminde çeşitli nedenlerle koroner anjiyografileri yapılan 974 hasta (738 erkek, 236 kadın, yaş ortalaması 57.9 ± 9.0) dahil edildi. Hastalara ait demografik özellikler, risk faktörleri ve biyokimyasal değerler retrospektif olarak kaydedildi. Hastaların operasyon öncesi ve sonrası koroner anjiyografileri incelendi. KAH yaygınlığı, Gensini skor indeksi hesaplanarak belirlendi. KAH risk faktörlerinin, greft açıklık oranına etkisi analiz edildi.Çalışmamızda, greft oklüzyon gelişimine risk faktörlerinden aile hikayesi (p=0.005), sigara (p=

Published
2011

8. Cardiac tamponade as the first clinical sign of gastric adenocarcinoma: a rare condition.

Author

Arısoy, Arif, Memiç, Kadriye, Karavelioğlu, Yusuf, and Şen, Fatma

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.)

Published
2014
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10. Evaluation of left atrial mechanical function and atrial conduction abnormalities in patients with isolated bicuspid aortic valve.

Author

Arısoy A, Memiç K, Demirelli S, Karaman K, Altunkaş F, Karayakalı M, Karavelioğlu Y, and Çelik A

Subjects
Adult, Aortic Valve physiopathology, Bicuspid Aortic Valve Disease, Blood Flow Velocity, Case-Control Studies, Female, Heart Conduction System, Humans, Male, Middle Aged, Pulsatile Flow, Vascular Stiffness, Young Adult, Aorta physiopathology, Aortic Valve abnormalities, Heart Atria physiopathology, Heart Valve Diseases physiopathology
Abstract

Objective: Present study is an evaluation of left atrial (LA) mechanical and conduction function in patients with bicuspid aortic valve (BAV) without significant valve dysfunction, and an investigation of relationship between LA function and aortic elasticity., Methods: Study population consisted of 34 isolated BAV patients (mean age: 34±13 years) and 29 healthy, age- and sex-matched volunteers (mean age: 30±10 years). LA volume was measured using biplane area-length method and LA active and passive emptying volume and fraction was calculated. Intra- and interatrial atrial conduction time (ACT) was measured with tissue Doppler imaging. Aortic elasticity parameters were calculated including aortic strain, aortic stiffness index, aortic distensibility, and aortic elastic modulus., Results: LA diameter, LA maximum volume, LA volume before atrial systole, and LA active emptying fraction were significantly higher in patients with BAV (33.2±3.2 mm vs 34.9±2.8 mm, p=0.030; 16.2±4.6 mL/m2 vs 19.8±4.8 mL/m2, p=0.004; 10.2±3.7 mL/m2 vs 12.1±4.9 mL/m2, p=0.029; and 30.4±12.0% vs 39.9±11.8%, p=0.003, respectively). ACT was similar between groups. Aortic distensibility was significantly lower and aortic stiffness index and aortic elastic modulus were significantly higher in patients with BAV (8.1±4.6 [10-6cm2dyn-1] vs 5.1±3.6 [10-6cm2dyn-1], p=0.006; 4.1±2.8 vs 7.3±4.9, p=0.003; 3.6±2.8 [dyn.cm-2106] vs 5.9±3.9 [dyn.cm-2106], p=0.010, respectively). In correlation analysis, LA active emptying fraction was significantly correlated with aortic stiffness index and mitral A- velocity (r=0.431, p<0.001; r=0.304, p=0.016, respectively)., Conclusion: The present study demonstrated that LA mechanical functions and aortic elasticity parameters were deteriorated, while atrial conduction time was preserved in patients with isolated BAV. Furthermore, LA mechanical functions were significantly correlated with aortic elasticity parameters and mitral inflow A-wave velocity.

Published
2016
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11. Cardiac tamponade as the first clinical sign of gastric adenocarcinoma: a rare condition.

Author

Arısoy A, Memiç K, Karavelioğlu Y, and Sen F

Subjects
Adenocarcinoma complications, Cardiac Tamponade diagnostic imaging, Cardiac Tamponade etiology, Diagnosis, Differential, Dyspnea, Echocardiography, Transesophageal, Fatigue, Gastroscopy, Humans, Male, Middle Aged, Stomach Neoplasms complications, Tomography, X-Ray Computed, Adenocarcinoma diagnosis, Cardiac Tamponade diagnosis, Stomach Neoplasms diagnosis
Abstract

Cardiac tamponade originating from a primary gastric cancer (GC) is a rare condition. Patients are generally asymptomatic until the disease is advanced. We report a rare patient with cardiac tamponade as the first manifestation of primary GC. A 46-year-old male was admitted with progressive dyspnea. Cardiac tamponade was diagnosed on two-dimensional ultrasonographic echocardiography. Pericardiocentesis yielded 1500 ml of bloody fluid. Pericardial cytologic examination was positive for malignant cells. The patient underwent abdominal computed tomography scan, which showed thickening of the gastric wall and several mesenteric lymph nodes. Endoscopic examination of the stomach disclosed malignant ulcer along the lesser curvature, and the biopsy showed diffuse type adenocarcinoma. Chemotherapy was initiated by the Oncology Department, and he had no pericardial effusion after six courses of systemic chemotherapy. In conclusion, this is a rare condition and difficult to diagnosis early. Thus, physicians should be aware of malignancy of the stomach when patients present with unexplained cardiac manifestations.

Published
2014
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12. Case images: quadricuspid aortic valve with partial pulmonary venous return anomaly and atrial septal defect.

Author

Doğan T, Arısoy A, Memiç K, and Dağlı M

Subjects
Aortic Valve diagnostic imaging, Aortic Valve pathology, Bicuspid Aortic Valve Disease, Echocardiography, Transesophageal, Heart Defects, Congenital diagnostic imaging, Heart Septal Defects, Atrial diagnostic imaging, Heart Valve Diseases diagnostic imaging, Humans, Male, Middle Aged, Scimitar Syndrome diagnostic imaging, Tomography, X-Ray Computed, Heart Defects, Congenital pathology, Heart Septal Defects, Atrial pathology, Heart Valve Diseases pathology, Scimitar Syndrome pathology
Published
2014
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