Journal of Cardiology & Cardiovascular Surgery最新文献

{"title":"A case of ventricular tachycardia after an earthquake","authors":"E. Polat, Engin Dondurmacı, Sedat Sakallı, Ökkeş Karaburan","doi":"10.51271/jccvs-0009","DOIUrl":"https://doi.org/10.51271/jccvs-0009","url":null,"abstract":"Severe earthquakes are a natural disaster with high morbidity and mortality. Loss of limbs, acute abdominal surgeries, infectious diseases, kidney failure, psychological illnesses are well-known health problems. Earthquakes also have negative effects on the cardiovascular system. Here, we present a patient who was stable before the earthquake but had episodes of ventricular tachycardia after the earthquake.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology & Cardiovascular Surgery","volume":"26 s1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120839249","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}

{"title":"The effect of long holidays on emergency department visits and cardiac emergencies","authors":"E. Polat, M. Demir, Rifat Kılıçaslan","doi":"10.51271/jccvs-0006","DOIUrl":"https://doi.org/10.51271/jccvs-0006","url":null,"abstract":"Aims: Patients who visit the emergency department (ED) on holidays have delays in diagnosis and treatment due to a lack of personnel and equipment, and these holiday periods may result in increased morbidity and mortality. In this study, we aimed to investigate the impact of a nine-day holiday on ED admissions and admissions due to cardiac complaints in our country, Turkey.\u0000Methods: This was a retrospective study. Patients were analyzed in 4 periods: Pre-Eid-El-Fitr, Eid-El-Fitr, pre-Eid al-Adha, and Eid al-Adha. Waiting times in the ED, the left without being seen (LWBS), consultations, admission diagnoses of cardiac patients, referral status of cardiac patients, and hospitalization were examined.\u0000Results: The most frequent visits to the ED were on Eid al-Adha (n=6581, 40.1 %). The waiting time before the ED examination increased with the crowd, and the longest waiting time was observed during Eid al-Adha (38.09 ±51.74 min, p<0.001). LWBS rate was the highest during the Eid al-Adha (15.4%). It was observed that cardiac emergencies had shorter waiting times. Among the cardiac emergency patients, all NSTEMI patients could not be referred from the ED during the Eid al-Adha period due to the fullness of the angiography centers, and the patients were transferred to the intensive care unit when the beds became available.\u0000Conclusion: Due to the crowded EDs during extended holiday periods, the triage system gains importance for the early detection and treatment of cardiac patients. A regular patient flow chart should be established on a provincial basis to avoid delays in the treatment process of patients needing angiography.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116156531","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}

{"title":"Iatrogenic coronary artery dissection that occurred during postpartum coronary angiography","authors":"Mustafa Kaan Dişyapar, G. Ergün","doi":"10.51271/jccvs-0010","DOIUrl":"https://doi.org/10.51271/jccvs-0010","url":null,"abstract":"Dissection of the left main coronary artery (LMCA) during diagnostic coronary angiography is a rare but catastrophic event with a poor prognosis. Immediate reperfusion with hemodynamic support should be the primary goal in patients who develop impaired blood flow distal to the acute LMCA and the first option is coronary artery by-pass grafting. We present a 37-year-old female patient in the postpartum period who was admitted to the emergency department because of chest pain and was urgently admitted to our catheterization laboratory with the diagnosis of NONSTMI. During coronary angiography, the patient developed a dissection that started with the left main coronary artery and progressed to the circumflex and left descending artery. The patient was successfully treated with emergency percutaneous intervention.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130394224","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}

{"title":"Infective endocarditis prophylaxis","authors":"Şerife Altun Demircan","doi":"10.51271/jccvs-0007","DOIUrl":"https://doi.org/10.51271/jccvs-0007","url":null,"abstract":"Infective endocarditis is a serious infection disease which has a mortality rate of 30% in the first year in our country. Today in the majority of the cases, infective endocarditis is thought to develop after transient bacteremia of bacteria in the oral microbiota during daily procedures such as toothbrushing. Good oral hygiene and dental care are more effective than antibiotic prophylaxis. In recent guidelines, antibiotic prophylaxis is recommended for the high-risk group for the development of infective endocarditis and for dental procedures with bleeding.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123647647","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}

{"title":"Left main coronary artery aneurysm: a rare case report","authors":"O. Beyazal, M. N. Karabulut, Koray Apaydın, M. Yanartaş, N. Kayalar","doi":"10.51271/jccvs-0008","DOIUrl":"https://doi.org/10.51271/jccvs-0008","url":null,"abstract":"Left main coronary artery (LMCA) aneurysm is a rare condition and the treatment strategy has not been fully determined. Although usually asymptomatic, myocardial ischemia or infarction may develop or rupture. Antiaggregant therapy should be given to prevent thrombus formation. In appropriate cases, percutaneous methods or surgical strategies can be successfully applied, especially in the case of concomitant coronary artery disease (CAD). We present a case of coronary artery bypass surgery performed on a patient with concurrent critical CAD with an aneurysm distal to the LMCA and proximal to the left anterior descending artery.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127858337","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}

{"title":"Risk factors related with congenital heart disease: a single center experience","authors":"C. Şanlı, Said Ağaoğlu, Y. Kandur","doi":"10.51271/jccvs-0001","DOIUrl":"https://doi.org/10.51271/jccvs-0001","url":null,"abstract":"Aims: Many cases of congenital heart disease are multifactorial and result from a combination of genetic predisposition and\u0000an as-yet-to-be-determined environmental stimulus. The purpose of the study is to determine the patients who were diagnosed with CHD through echocardiography and to reveal the risk factors that may cause congenital heart anomalies in our center.\u0000Methods: The medical records of pediatric patients applied to our pediatric cardiology clinic between January 2010 –December 2017 were retrospectively reviewed.\u0000Results: 147 cases were diagnosed with CHD. 60 (52.6%) of the cases were female and 54 (47.4) were male. 77 of the 114 patients included in the study were acyanotic (67.5%) and 37 (32.5%) were cyanotic. Seventeen of the acyanotic patients had mixed CHD. The mean maternal gestational age was 28.2±5.78 years. 26 (22.8%) were born preterm. 17 (14.9 %) patients were born with low birth weight (under 2500 g). 8 (7%) patients were LGA (large for gestational age) (birth weight over 4000 g). Average birth weight was 2,98±740,8 gr. Consanguinity was found in the parents of 28 (24.5%) patients. There was a history of CHD in the relatives of 6 (5.2%) patients, siblings of 4 (3.5%) patients, and parents of 5 (4.3%) patients. Chromosomal abnormalities were found in 9 (7.9%) patients.\u0000Conclusion: Our study is a valuable contribution to the existing literature in that it showed that the frequency and distribution of congenital heart diseases have not changed in recent years, and its findings are compatible with the literature findings.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"186 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132352467","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}

{"title":"Isolated right ventricular thrombus with the severe chronic obstructive pulmonary disease","authors":"B. Ateş, K. Esenboğa, Nil Özyüncü","doi":"10.51271/jccvs-0004","DOIUrl":"https://doi.org/10.51271/jccvs-0004","url":null,"abstract":"Unknown incidence, isolated right ventricular thrombus is a very uncommon disorder. It has frequently been claimed to be linked to right ventricular infarction, deep vein thrombosis, or pulmonary embolism. There have been cases of severe chronic obstructive pulmonary disease and profound hypoxia, which may lead to right ventricular dysfunction and thrombus in the isolated right ventricle. An 80-year-old man with acute respiratory failure was hospitalized to our emergency room. He also had Alzheimer's, COPD, diabetes mellitus, and atherosclerotic heart disease. The patient wasn't consistently using his prescription drugs and oxygen therapy. His lungs were examined, and wheezing or a drawn-out expiration was found. S1 and S2 were normal on cardiac auscultation, and there was no S3, S4, or murmur. Similar to earlier ECGs, the electrocardiogram displayed T wave inversion in leads V1-V5 and D2-D3-AVF. No pulmonary embolism was observed with computed tomography. A 1.5x2.8 cm mass was discovered between the right ventricular trabeculae during routine echocardiography, which was used to assess heart function. Moreover, there was middle tricuspid regurgitation, right ventricular dilatation, and an 8 mm tricuspid annular plane systolic extension (TAPSE). To make the diagnosis clearer, cardiac magnetic resonance imaging was carried out. Nodular forms between the trabeculations in the right ventricle were seen using cardiac resonance imaging and were considered to be thrombi because they appeared hypointense on late contrast images. Treatment with apixaban and an inhaler were both initiated. A control examination was scheduled for the patient. Transthoracic echocardiography, transesophageal echocardiography, and cardiac magnetic resonance imaging can all identify RV thrombus. Although transthoracic surgery is the procedure of choice in clinical practice, right ventricular thrombus diagnosis is not usually as straightforward as left ventricular thrombus diagnosis. According to recent studies, the most precise method for detecting myocardial thrombus is cardiac MRI. While being more expensive than transthoracic echocardiography, cardiac MRI can be utilized to differentiate between different types of heart masses or to rule out fatal conditions such right ventricular thrombus.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122302118","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}

{"title":"Sodium-glucose co-transporter 2 (SGLT2) inhibitors: a brief review","authors":"M. Demir, Z. Ercan, B. Erdoğan","doi":"10.51271/jccvs-0003","DOIUrl":"https://doi.org/10.51271/jccvs-0003","url":null,"abstract":"Sodium-glucose co-transporter-2 inhibitors are novel antihyperglycemic agents which have crucial effects on the heart and kidneys beyond their glucose-lowering features. Their main clinical benefits have been reported in individuals with type 2 diabetes mellitus, chronic kidney disease, heart failure, and proteinuria. However, adverse reactions (euglycemic ketoacidosis, kidney dysfunction, genital and urinary tract infections, hypovolemia, etc) remain to be the main object of the debate regarding their use. The recruited data have encouraged clinicians to use those medicines in individuals who fit the indications for use.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"48 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117036511","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}

{"title":"Interatrial blocks in patients with tavi and their associations with clinic parameters","authors":"E. Alıç, Mustafa Yetişen, M. D. Savcılıoğlu, G. Altunbas","doi":"10.51271/jccvs-0002","DOIUrl":"https://doi.org/10.51271/jccvs-0002","url":null,"abstract":"Aims: The present study attempted to evaluate the prevalence of basal interatrial blocks (IABs), their associations with clinical parameters, and the interatrial conduction in the follow-up after a successful transcatheter aortic valve implantation (TAVI) procedure among patients with severe aortic stenosis.\u0000Methods: We retrospectively evaluated the findings of 90 patients undergoing TAVI in our center. Overall, we considered the presence and grades of IABs and P-wave durations in electrocardiograms (ECG), preoperative echocardiography (ECHO) findings (maximum and mean gradients and left atrium (LA) diameter), valve size and type, and changes in these parameters at sixth month.\u0000Results: Forty-six patients were included in the study which are suitable for the pre-determined inclusion criteria. We found the mean age of the patients to be 74.78 ± 8.66 years. In preoperatively-evaluated ECGs, while we detected partial IABs in 37% of the patients, there were advanced IABs in 6.5%, but 56.5% yielded no interatrial conduction disorder. On the other hand, in postoperatively-evaluated ECGs, while we observed partial IABs in 30.4% of the patients, there were advanced IABs among 21.7% (p = 0.017). Nevertheless, we could not conclude any IABs among 47.8% of the patients. Besides, 54.3% of the patients received a self-expandable valve, and a balloon-expandable valve was inserted in 45.7%. In this regard, we detected partial (7 patients) and advanced (2 patients) IABs in the preoperatively-evaluated ECGs of the patients receiving a self-expandable valve. In the postoperative ECGs of these patients, while the partial IAB remained the same in 4 patients (57.1%), it progressed to an advanced IAB in 3 (42.9%). In addition, while the advanced IAB regressed to a partial IAB in one patient, it remained the same for the other patient. In this group, the mean P-wave durations were found to be 118.4±22.67 before the TAVI and 119.6±21.69 after the TAVI (p = 0.113). In the preoperative ECGs of 21 patients with a balloon-expandable valve, we detected partial IABs in 10 patients and an advanced IAB in one patient. While a partial IAB developed in five patients (p = 0.022), five patients with a partial IAB developed an advanced IAB following the procedure (p = 0.022). In this group, we noticed a significant difference between preoperative (127.62±19.4) and postoperative (138.71+ 32.03) P-wave durations (p = 0.038).\u0000Conclusion: In a nutshell, we concluded no significant change in interatrial conduction time of the patients with TAVI compared to the baseline in their sixth-month ECGs. When considered by valve type, we concluded that the development and progression of IABs were significant among those with a balloon-expandable valve. The higher postoperative mean gradient among those with a balloon-expandable valve compared to those with a self-expandable valve may be associated with significantly longer P-wave duration among those with a balloon-expandable valve.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130346049","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}

{"title":"Cyclosporine induced bradycardia: is it rarely seen?","authors":"D. Mutlu, B. Kültürsay, Z. Akman, Murat Ünal, Ö. P. Zanbak Mutlu, Fuat Polat","doi":"10.51271/jccvs-0005","DOIUrl":"https://doi.org/10.51271/jccvs-0005","url":null,"abstract":"Immunosuppressive patients experience various side effects from their treatment. Cyclosporine is a commonly prescribed immunomodulatory agent with an increasing clinical applications. Although most common documented side effect is nephropathy, it can cause some cardiac side effects. This report presents a rare side effect of cyclosporine; bradycardia attacks in an immunosuppressed patient.","PeriodicalId":231655,"journal":{"name":"Journal of Cardiology &amp; Cardiovascular Surgery","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132042334","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}