Cardiovascular Surgery and Interventions最新文献_第5页

C-reactive protein/albumin ratio in predicting atrial fibrillation after coronary artery bypass grafting c反应蛋白/白蛋白比值预测冠状动脉搭桥术后房颤

Cardiovascular Surgery and Interventions Pub Date : 2022-07-07 DOI: 10.5606/e-cvsi.2022.1233

A. A. Pala

{"title":"C-reactive protein/albumin ratio in predicting atrial fibrillation after coronary artery bypass grafting","authors":"A. A. Pala","doi":"10.5606/e-cvsi.2022.1233","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1233","url":null,"abstract":"Objectives: In the present study, the purpose was to investigate the usability of the preoperative C-reactive protein/albumin ratio as a predictor of the development of postoperative atrial fibrillation in patients who undergo coronary artery bypass grafting. Patients and methods: A total of 336 patients (228 males, 108 females; mean age: 58.1±8.5 years; range 35 to 88 years) who underwent isolated coronary artery bypass grafting with cardiopulmonary bypass between January 2019 and January 2021 were reviewed in the single-center, retrospective study. Those with postoperative sinus rhythm were considered Group 1 (n=258), and patients with postoperative atrial fibrillation were defined as Group 2 (n=78). Preoperative routine biochemical tests of the patient groups were evaluated. Results: The incidence of postoperative atrial fibrillation was 23.2%. Statistically significant differences were detected between the two groups in terms of age (p<0.001) and previous percutaneous coronary intervention (p=0.028). In multivariate analysis, age, hemoglobin, mean platelet volume, neutrophil/lymphocyte ratio, and C-reactive protein/albumin ratio variables were found to be independent predictive factors of postoperative atrial fibrillation development (p<0.001, p=0.005, p=0.002, p<0.001, and p<0.001, respectively). Conclusion: Preoperative hemoglobin, mean platelet volume, calculated neutrophil/lymphocyte ratio, and C-reactive protein/albumin ratio values can be used as predictors of postoperative atrial fibrillation development in patients who will undergo coronary artery bypass grafting.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134153128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Berry syndrome: A rare aortopulmonary malformation 浆果综合征:一种罕见的主动脉肺畸形

Cardiovascular Surgery and Interventions Pub Date : 2022-07-07 DOI: 10.5606/e-cvsi.2022.1310

Mohammed Wahaj Ali

引用次数: 0

A right atrial arteriovenous hemangioma excision under a beating heart after percutaneous catheter cardiac ablation 经皮导管心脏消融术后心脏跳动下的右心房动静脉血管瘤切除术

Cardiovascular Surgery and Interventions Pub Date : 2022-07-07 DOI: 10.5606/e-cvsi.2022.1272

Mohammad Alsalaldeh

引用次数: 0

The relationship between left ventricular diastolic dysfunction and hemoglobin A1c levels in the type 2 diabetes mellitus patient population 2型糖尿病患者左室舒张功能障碍与糖化血红蛋白水平的关系

Cardiovascular Surgery and Interventions Pub Date : 2022-07-07 DOI: 10.5606/e-cvsi.2022.1333

Tuncay Güzel

{"title":"The relationship between left ventricular diastolic dysfunction and hemoglobin A1c levels in the type 2 diabetes mellitus patient population","authors":"Tuncay Güzel","doi":"10.5606/e-cvsi.2022.1333","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1333","url":null,"abstract":"Objectives: This study aimed to investigate the relationship between hemoglobin A1c (HbA1c) levels, which is a good marker for determining glycemic levels, and left ventricular diastolic dysfunction (LVDD) in the type 2 diabetes mellitus (DM) patient population. Patients and methods: This retrospective study was conducted with 116 type 2 DM patients (62 males, 54 females; mean age: 58.4±9.5 years; range, 18 to 65 years) between July 2019 and November 2021. The patients were divided into two groups as those without LVDD (n=55, Group 1) and those with LVDD (n=61, Group 2). Early to late diastolic transmural flow velocity (E/A) ratio, the mean ratio (E/e') of mitral inflow (E) and mitral annular (e'), HbA1c levels, other hemogram and biochemical parameters, and demographic data were recorded. Results: The HbA1c level was significantly higher in the group with LVDD (6.96±1.23 vs. 9.00±2.19, p<0.001). While the mean E/e' ratio was 9.69±2.73 in the group without LVDD, it was 16.00±1.69 in the group with LVDD, and there was a significant difference between the two groups (p<0.001). The mean E/A ratio was significantly higher in the group without LVDD (1.25±0.51 vs. 1.02±0.53, p=0.021). In regression operating characteristics analysis, a HbA1c cut-off value of 7.35 and was found to be a predictor of LVDD in the type 2 DM patient group with a sensitivity of 80% and specificity of 80% (AUC: 0.805; 95% confidence interval: 0.718-0.892; p<0.001). Conclusion: Providing close glycemic follow-up and monitoring the HbA1c level can reduce heart failure and other comorbid conditions that may develop, particularly after LVDD.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126236753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A rare complication of pericardiocentesis: Pneumopericardium 心包穿刺术中一种罕见的并发症:心包气肿

Cardiovascular Surgery and Interventions Pub Date : 2022-07-07 DOI: 10.5606/e-cvsi.2022.1221

Oktay Şenöz

引用次数: 1

Early clinical results of surgical treatment of active infective endocarditis 手术治疗活动性感染性心内膜炎的早期临床结果

Cardiovascular Surgery and Interventions Pub Date : 2022-03-18 DOI: 10.5606/e-cvsi.2022.1169

D. Azboy

{"title":"Early clinical results of surgical treatment of active infective endocarditis","authors":"D. Azboy","doi":"10.5606/e-cvsi.2022.1169","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1169","url":null,"abstract":"Objectives: In this study, we present early results of surgery in patients who were surgically treated for active infective endocarditis (IE). Patients and methods: Between October 2015 and June 2020, a total of 28 patients (21 males, 7 females; mean age: 62±9 years; range: 46 to 78 years) with an active IE who were not previously operated were retrospectively analyzed. The diagnosis of IE was made on the basis of clinical and transthoracic echocardiographic findings, and microbiological growth in the blood culture. The patients were divided into two groups according to the type of surgery [Group 1 (valve replacement group; n=21) and Group 2 (valve repair; n=7)]. Baseline and operative data of the patients were compared. Results: The median follow-up was 3.4 (range: 2-5 yeras) years. Blood cultures were positive in 19 (67.8%) patients. Coagulase-negative Staphylococci, Staphylococcus epidermidis, and methicillin-resistant Staphylococcus aureus were the most common microorganisms. The main symptoms were fever, fatigue, shortening of breath, and dyspnea. We performed an urgent surgery in six patients who had congestive heart failure resistant to medical treatment (n=2) and pulmonary embolic events (n=4). If there were perivalvular abscess formation, and multiloculated mobile and large vegetations in patients with sepsis or hemodynamic instability despite intense medical treatment including inotropic administration, we preferred early surgery. The postoperative mortality rate was 10.7%. Conclusion: Our study results suggest that active IE is associated with high mortality rates. Valve repair may be chosen in eligible patients after the extensive resection of infected leaf lets with acceptable results.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116275508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Prior left ventricular systolic dysfunction is an independent predictor of in-hospital mortality in patients with COVID-19 既往左室收缩功能障碍是COVID-19患者住院死亡率的独立预测因子

Cardiovascular Surgery and Interventions Pub Date : 2022-03-18 DOI: 10.5606/e-cvsi.2022.1212

M. Çap

{"title":"Prior left ventricular systolic dysfunction is an independent predictor of in-hospital mortality in patients with COVID-19","authors":"M. Çap","doi":"10.5606/e-cvsi.2022.1212","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1212","url":null,"abstract":"Objectives: This study aims to examine the effect of left ventricular systolic dysfunction (LVSD) on in-hospital mortality in patients hospitalized for novel coronavirus disease 2019 (COVID-19). Patients and methods: Between June 2020 and December 2020, a total of 847 patients (423 males, 424 females; median age: 68 years; range, 58 to 77 years) who had echocardiography and had positive real-time reverse transcriptase-polymerase chain reaction were retrospectively analyzed. A left ventricular ejection fraction (LVEF%) of <50% was defined as LVSD. Results: In 138 patients, LVEF was <50% and in 709 patients LVEF was >50% (non-LVSD). Of the patients with LVSD, 89 had mid-range LVEF (40 to 49%), and 49 had reduced LVEF (LVEF <40%). Intensive care unit admission (p<0.001), myocardial injury (p<0.001), and mechanical ventilation (p<0.001) were more frequent in patients with LVSD, and LVSD was found to significantly increase the risk of and in-hospital mortality (odds ratio=2.57, 95% confidence interval, 1.43-4.60, p=0.002). Among patients with LVSD, no significant difference was observed in terms of in-hospital mortality between patients with mid-range LVEF and patients with reduced LVEF. Conclusion: Our study results showed that LVSD significantly increased the risk of in-hospital mortality in patients hospitalized for COVID-19. In addition, an increased risk of in-hospital mortality was present in both the mid-range LVEF and the reduced LVEF group, separately.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121216147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In which cases of beta-blocker intoxication in childhood, does hypoglycemia develop more easily? 在儿童时期β -受体阻滞剂中毒的哪些情况下，低血糖更容易发生?

Cardiovascular Surgery and Interventions Pub Date : 2022-03-18 DOI: 10.5606/e-cvsi.2022.1263

G. Gökalp

{"title":"In which cases of beta-blocker intoxication in childhood, does hypoglycemia develop more easily?","authors":"G. Gökalp","doi":"10.5606/e-cvsi.2022.1263","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1263","url":null,"abstract":"Objectives: In this study, we aimed to investigate factors which could facilitate the identification of hypoglycemia in beta-blocker (BB) intoxication cases. Patients and methods: Between November 2020 and November 2021, a total of 136 patients (53 males, 83 females; mean age: 11.6+5.7 years; range, 2 to 17 years) who were admitted to the emergency department with BB poisoning were included in the study. The data on the cases were taken from the hospital’s automation system. Results: The mean systolic blood pressure (SBP) was 86.2±12 mmHg, the mean heart rate (HR) was 72.9±12.2 bpm, and the mean blood glucose level (BGL) was 104.4±42.8 mg/dL. When the relationship between the HR, SBP, and BGL of the cases was examined, there was a poor positive correlation between BGL and HR (r=0.32, p<0.01). No linear correlation was detected between BGL and SBP or between BGL and toxic dose percentage (r=0.23, p=0.06 and r=0.16, p=0.05). A very strong negative correlation was found between the percentage of toxic dose and SBP, and between the toxic dose percentage and HR (r=-0.90, p<0.01 and r=-0.76, p=0.04). There was a weak positive correlation between HR and SBP (r=0.42, p=0.09). Conclusion: We found a correlation between the decrease in HR and the decrease in BGL. Younger age, female sex, and high dose of the drug facilitated the development of hypoglycemia.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132735713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clues on electrocardiography to predict the presence of paroxysmal atrial fibrillation in patients with acute ischemic stroke: A propensity score-matched study 心电图提示预测急性缺血性卒中患者阵发性心房颤动的存在:一项倾向评分匹配研究

Cardiovascular Surgery and Interventions Pub Date : 2022-03-18 DOI: 10.5606/e-cvsi.2022.1231

Oktay Şenöz

{"title":"Clues on electrocardiography to predict the presence of paroxysmal atrial fibrillation in patients with acute ischemic stroke: A propensity score-matched study","authors":"Oktay Şenöz","doi":"10.5606/e-cvsi.2022.1231","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1231","url":null,"abstract":"Objectives: In this study, we aimed to detect surface electrocardiography (ECG) markers that could be predictive of paroxysmal atrial fibrillation (PAF) attacks in patients with ischemic stroke. Patients and methods: Between November 2017 and April 2021, a total of 112 patients (65 males, 47 females; mean age: 70.5±6.8 years; range, 51 to 84 years) hospitalized for acute ischemic stroke with sinus rhythm on surface ECG who underwent Holter ECG monitoring for PAF were retrospectively analyzed. The patients were divided into two groups of 56 patients in each (Group 1: those with PAF on Holter ECG and Group 2: those without PAF). Both groups were matched according to demographic, clinical, and echocardiographic features using the propensity score matching method. Results: Demographic, clinical, and echocardiographic features were similar between groups (p>0.05). The mean maximum P-wave duration (PWD) and P-wave dispersion (PWDis) were longer in Group 1 than Group 2 (108.4±9.9 vs. 102.5±10.2 ms; p=0.002, 49.4±13.6 vs. 36.8±11.7 ms; p<0.001). Similarly, the mean P-wave terminal force in lead V1 (PTFV1) was higher in Group 1 than Group 2 (4415±909 vs. 3826±568 μV·ms; p<0.001). Logistic regression analysis revealed high PWDis (odds ratio [OR]: 1.164; 95% confidence interval [CI]: 1.069-1.268; p<0.001) and PTFV1 (OR: 1.156; 95% CI: 1.065-1.254; p=0.001) as independent predictors of PAF. Conclusion: PWDis and PTFV1 are independent predictors of PAF in patients with acute ischemic stroke. These simple and easily accessible predictors that can be detected via surface ECG may be used as a guide to identify patients who require longer rhythm monitoring to better detect occult PAF, thereby preventing recurrent strokes.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128764118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Roemheld syndrome: Apprehending arrhythmia in a different perspective Roemheld综合征:从不同角度认识心律失常

Cardiovascular Surgery and Interventions Pub Date : 2022-03-18 DOI: 10.5606/e-cvsi.2022.1261

Eka Prasetya Budi Mulia

引用次数: 1