Koşuyolu Heart Journal最新文献

{"title":"The Relationship Between Electrocardiographic P Wave Parameters and Left Atrial Volume and Volume Indices in Patients with Hypertension","authors":"I. Artac, B. Balcı, S. Sevimli, A. Karakurt, I. Rencüzoğulları, Metin Çağdaş, Y. Karabağ, Dogan Ilis","doi":"10.51645/khj.2022.m213","DOIUrl":"https://doi.org/10.51645/khj.2022.m213","url":null,"abstract":"Introduction: This study was designed to evaluate the relationship between left atrial volume index, which is an important indicator of left ventricular diastolic dysfunction, and electrocardiographic parameters such as P wave duration, P wave dispersion (PWDISP), P wave terminal force (PWTF), and P wave peak time (PWPT) in hypertensive patients.\u0000 Patients and Methods: A total of 58 patients with a diagnosis of hypertension between June 2017 and April 2018 were included in this retrospective study. Age-sex matched 58 healthy subjects constituted the control group. The patients without diastolic dysfunction and stage I diastolic dysfunction were included in the normal left atrial pressure (NLAP) group, while stage II and stage III diastolic dysfunction patients constituted the high left atrial pressure (HLAP) group.\u0000 Results: The PWDmax, PWDISP, and PWPT which are calculated from the lead DII (PWPTDII) were found to be longer in the group of hypertensive patients (p< 0.05, for all). Electrocardiographic parameters of PWDmax, PWDISP, PWTF, PWPTDII, and PWPTVI were found to be longer in patients with HLAP. Both PWPTVI (p= 0.008 r= 0.395) and PWPTDII (p< 0.001 r= 0.456) were significantly correlated with left atrial volume index.\u0000 Conclusion: In this study, the relationship between PWPT and diastolic dysfunction was revealed for the first time in the literature. In addition, the PWPT was found to be increased in patients with increased left atrial pressure (LAP). Our findings deserve attention because electrocardiography is an inexpensive and easily accessible diagnostic method that can be used to detect diastolic dysfunction in hypertensive patients.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128924907","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 Vasodilator Drugs on Intima Damage in Preparation of the Saphenous Vein Graft","authors":"Mehmet Alaaddin Pekedis","doi":"10.51645/khj.2022.m251","DOIUrl":"https://doi.org/10.51645/khj.2022.m251","url":null,"abstract":"Introduction: The most important issue in the success of coronary bypass surgery is the quality of the grafts used. In this study, the effect of vasodilator drugs for intimal damage on the harvested saphenous veins of coronary bypass patients was investigated.\u0000 Patients and Methods: A total of 10 patients who underwent coronary bypass surgery, had 2-cm long segments of saphenous veins harvested and divided into four study groups. Isotonic solutions in Group I (control group) and Group II, verapamil in Group III, and nitroglycerin in Group IV were applied to the saphenous veins at equal times, in the control group under 20 mmHg and in the other groups 100 mmHg pressure. Upon the completion of the preparation, saphenous vein grafts were studied with light and electron microscopy. Endothelial cell loss and intimal and medial edema were considered in evaluations. Scoring was done from 0 to 3. A median score was assessed for each group.\u0000 Results: There was a statistically significant difference between the control and saline groups in terms of endothelial and media damage (0.7 ± 0.48, 2.8 ± 0.42) (p< 0.001), while there was no statistically significant difference between the control group and the verapamil and nitroglycerin groups (0.7 ± 0.48, 1.4 ± 0.54) (0.7 ± 0.48, 1.2 ± 0.44) (p> 0.05). Likewise, no statistically significant difference was found between verapamil and nitroglycerin (1.4 ± 0.54, 1.2 ± 0.44) (p> 0.05). It was determined that the verapamil and nitroglycerin groups had the closest score to the control group, the endothelial and medial damage was minimal in the verapamil and nitroglycerin group, like the control group, and a large amount of endothelial and media damage was observed in the saline group.\u0000 Conclusion: The use of vasodilators (verapamil or nitroglycerin) in the preparation of the saphenous vein graft increases the early and late success of vein grafts by protecting the tunica intima and media in the graft, preventing the formation of thrombus in the early period and the development of branchendothelial fibromuscular hyperplasia and atherosclerosis in the late period.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132753022","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 Relationship Between the Severity of Atherosclerosis and Periodontal Disease Index in Diabetic Patients","authors":"A. Güler, Emre Yılmaz, A. Demir, Neşe Bayıroğlu, A. Kalkan, F. Uzun, M. Ertürk","doi":"10.51645/khj.2022.m236","DOIUrl":"https://doi.org/10.51645/khj.2022.m236","url":null,"abstract":"Introduction: Although the link between coronary artery disease (CAD) and periodontal disease has previously been demonstrated, there is insufficient research on how the severity of both diseases impact each other. This study aimed to investigate the relationship between the severity of periodontal disease and the diffuseness of CAD in diabetic patients.\u0000 Patients and Methods: A total of 127 diabetic patients with CAD were included in this study. The SYNTAX score determined the diffuseness of CAD, and the patients were divided into two groups as the SYNTAX score ≤22 and >22. The plaque index and periodontal disease index were used in the dental evaluation. The relationship of these indexes to the diffuseness of coronary artery disease has been investigated.\u0000 Results: In this study, the plaque index and periodontal disease index correlate significantly with the high SYNTAX score in diabetic patients. In univariate logistic regression analysis, PDI was a predictive variable for the SYNTAX score above 22 in diabetic patients. According to the ROC curve analysis, it was shown that the periodontal disease index of 4.3 could predict a high SYNTAX score.\u0000 Conclusion: To sum up, we found a significant relationship between periodontal disease severity and coronary artery disease diffuseness. PDI was found to be a predictor of a high SYNTAX score.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130010760","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":"A Single-Center Retrospective Study of Patients with ALCAPA","authors":"Berra Zümrüt Tan Recep, Aybala Tongut, A. Hatemi, Nihat Çine, Eylem Tunçer, Hakan Ceyran","doi":"10.51645/khj.2022.m268","DOIUrl":"https://doi.org/10.51645/khj.2022.m268","url":null,"abstract":"Introduction: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare but fatal disease. Untreated cases have a first-year mortality rate of 90%. We aimed to evaluate the early outcomes of patients who were operated on for ALCAPA in our clinic.\u0000 Patients and Methods: We retrospectively reviewed the cases of seven patients who were operated on in our clinic for ALCAPA between 2013 and 2019. Preoperative, early postoperative, and first year echocardiography results were compared.\u0000 Results: Five patients (71.4%) underwent reimplantation and two patients (28.6%) underwent Takeuchi repair. The median age was 25 months and 71.4% (n= 5) of the patients were aged ≤1 year. In preoperative echocardiograms, mean ejection fraction (EF) was 32.1 ± 4.9% and mean preoperative MR grade was 2.1 ± 0.7. Two patients with severe MR (grade 3) underwent simultaneous mitral annuloplasty. The mean EF % significantly increased (p= 0.023) and the mean MR grade significantly decreased (p= 0.039, p< 0.05) in the early postoperative period. This finding was not statistically associated with surgical technique or age. The mortality rate was 14.3% (n= 1). The patient who died had severe preoperative LV dysfunction and MR, which did not improve after surgical intervention.\u0000 Conclusion: Early improvement in LV function and MR grade after ALCAPA repair is crucial for survival regardless of age. Moderate or mild functional MR may spontaneously improve after the surgical correction of LV dysfunction. Simultaneous mitral valve intervention is needed in cases of severe MR and patients aged ≥1 year.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134082903","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":"Phoenix Dactylifera L. Tree Fruit Exerts Cardioprotective Effect Against DoxorubicinInduced Heart Damage in Rats via Inhibition of Oxidative Stress","authors":"R. Coşkun, A. Celik, M. S. Coşgun, C. Dündar, M. Türkoğlu, H. Süleyman","doi":"10.51645/khj.2022.m210","DOIUrl":"https://doi.org/10.51645/khj.2022.m210","url":null,"abstract":"Introduction: Phoenix Dactylifera L (PDL) is a fruit containing a rich source of nutrients and bioactive molecules. Doxorubicin is a widely used agent, especially in the treatment of solid cancers. However, cardiotoxicity is one of its most challenging side effects. The present study aimed to investigate the preventive effect of PDL extract against doxorubicin-induced cardiotoxicity.\u0000 Patients and Methods: A total of 24 albino Wistar rats were divided into four equal groups. Phoenix Dactylifera L (PDLG) and Phoenix Dactylifera L + doxorubicin (PDXG) groups were strictly fed PDL for two weeks. The control group (CG) and the doxorubicin group (DOXG) were fed a standard diet. During this time, 5 mg/kg of doxorubicin was injected intraperitoneally to DOXG and PDXG once a day.\u0000 Results: Administration of doxorubicin to the DOXG significantly increased tissue oxidative stress parameters and caused the cardiac biomarker troponin-I (TP-I) to be released into the circulation; on the contrary, the levels of potent antioxidants such as total glutathione, superoxide dismutase, and catalase significantly decreased in DOXG compared to the other three groups. However, feeding purely with PDL decreased oxidative stress parameters and TP-I levels in PDXG animals, despite exposure to doxorubicin. Additionally, an excessive decrease of tissue antioxidants was prevented when compared to the DOXG. Histopathological damage signs, such as necrosis and hemorrhage, were severe in the DOXG. However, in the PDXG animals, feeding with PDL provided the integrity of the heart tissue structure.\u0000 Conclusion: PDL was able to improve the cardiotoxic consequences of doxorubicin biochemically and histopathologically, possibly due to its antioxidant properties.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114377363","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":"Inferior Vena Cava Collapsibility Index and the Risk of Contrast-Induced Nephropathy in Patients Undergoing Coronary Angiography","authors":"Fatih Yılmaz","doi":"10.51645/khj.2022.m223","DOIUrl":"https://doi.org/10.51645/khj.2022.m223","url":null,"abstract":"Introduction: The present study aims to investigate the association between contrast-induced nephropathy (CIN) and inferior vena cava collapsibility index (IVC-CI) measured via echocardiography to estimate intravascular volume.\u0000 Patients and Methods: A total of 100 patients were referred to coronary angiography (CAG). On the day of admission, blood samples were collected, and an echocardiographic evaluation was performed to estimate IVC-CI immediately before CAG. IVC-CI ratios were stratified into three groups (low, mid, high) (<50%, 50-75%, >75%). Creatinine was assessed again at 48 hours following the CAG procedure. The difference between baseline serum creatinine and serum creatinine at 48 hours was calculated as ΔCrea while the difference in GFR was calculated as ΔGFR. Biochemical parameters and CIN ratios were compared between all groups.\u0000 Results: There were no differences across the groups in terms of procedural characteristics, preprocedural lab parameters, and concomitant medication. ΔCreatinine, ΔGFR, and the incidence of CIN were significantly higher in the high IVC-CI group.\u0000 Conclusion: Post-procedure incidence of CIN, ΔGFR, and Δcreatinine compared to the pre-procedure values were higher in the high IVC-CI group.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122951505","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":"Evaluation of Nosocomial Infections and Related Hospital Mortality in Coronary Intensive Care Unit","authors":"Yeşim Uygun Kızmaz, Ş. Külahçıoğlu, H. C. Tokgöz, Ö. Akbal, A. Karagöz","doi":"10.51645/khj.2022.m190","DOIUrl":"https://doi.org/10.51645/khj.2022.m190","url":null,"abstract":"Introduction: Mechanical/therapeutic technologies have resulted in an increased risk of infections including ventilator-associated pneumonia, central line-associated bloodstream infections, and potentially increased the risk of care process complications such as anesthesia/intubation/sedation complications; central line infections, stress ulcers, delirium, and the use of inappropriate or false medications in coronary intensive care units. These complications are associated with significantly increased in-hospital mortality, morbidity, length of stay, and/or healthcare costs and are potentially preventable. We aimed to evaluate the nosocomial infections developed in the coronary intensive care unit and the relationship between coronary intensive care unit infections and in-hospital mortality.\u0000 Patients and Methods: The data of 500 patients followed in the coronary intensive care unit more than 48 hours between 01.01.2019 and 31.12.2020 were retrospectively analyzed. Patient records were obtained from surveillance data obtained by infectious diseases and clinical microbiology specialists and infection control nurses through daily visits. The criteria determined by the Centers for Disease Control and Prevention were used in the diagnosis of nosocomial infections. Various clinical samples (blood, urine, endotracheal aspiration fluid) taken from the patients were processed in the microbiology laboratory using qualitative or quantitative methods.\u0000 Results: The most common detected infection type was catheter-related bloodstream infection (79.1%), followed by catheter-associated urinary tract infection (18.7%) and ventilator-associated pneumonia (6.25%) respectively. Gram-negative bacillus infections accounted for 70.8% of the causative agents, gram-positive cocci for 20.18%, and fungal infections for 12.5%. The most frequently detected microorganism species were Klebsiella pneumoniae (K. pneumoniae) and Escherichia coli (E. coli) [7 (14.5%), 6 (12.5%)] respectively. Central venous catheter use was more common in non-infected group than infected group [45.0 (93.8%), 50.0 (73.5%) p= 0.005]. Continuous renal replacement therapy was more common in infected group compared to non-infected group [32 (66.7%), 21 (30.9%) p< 0.001]. The numbers of intubated days were higher in the infected group than in the non-infected group and this was statistically significant [mean (SD) 9.9 ± 9.2, 2.3 ± 2.9, P< 0.001]. In-hospital mortality rates were higher in infected group compared to non-infected group [28 (58.3%), 19 (27.9%), p= 0.001].\u0000 Conclusion: We found a significant relationship between nosocomial infections and in-hospital mortality in patients who were followed in coronary intensive care unit more than 48 hours [OR= 3.52 (1.30-9.53 CI= 95%) P= 0.01]. The most common sites of nosocomial infections are catheter-related bloodstream infections followed by catheter-associated urinary tract infections and ventilator-associated pneumonia. In multidisciplinary coronary","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114396681","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":"Prognostic Impact of Modified Glasgow Prognostic Score in Patients with Heart Failure with Mildly Reduced Ejection Fraction","authors":"T. Bezgin, A. Celik, A. Karagöz, Nart Zafer Baytuğan, Metin Çağdaş, S. Karakoyun, C. Kaymaz","doi":"10.51645/khj.2022.m221","DOIUrl":"https://doi.org/10.51645/khj.2022.m221","url":null,"abstract":"Introduction: Inflammation and malnutrition may trigger heart failure development and progression (HF). However, the relationship of the modified Glasgow prognostic score (mGPS), which is derived from C-reactive protein and albumin with mildly reduced ejection fraction HF (HFmrEF), is not well-known. We aimed to determine whether the modified Glasgow prognostic score (mGPS) is helpful for the prediction of all-cause mortality in patients with HFmrEF.\u0000 Patients and Methods: Patients with HFmrEF admitted to our outpatient clinic between January 2016 and January 2020 were enrolled. All-cause mortality was defined as the primary endpoint. The mGPS was calculated and, its association with overall survival was determined.\u0000 Results: Data were analyzed for 259 patients. The mGPS≤ 1 in 172 (66%), and 2 in 87 (34%) patients, respectively. Higher mGPS was related to worse results of routine biomarkers associated with prognosis, especially NT-proBNP [777 (112-4564) pg/mL vs. 350 (65-3521) pg/mL, respectively, p< 0.0001)]. In multivariable Cox model, NT-proBNP [1.83 (1.32-2.55), p< 0.0001], mGPS 2 vs. ≤1 [2.43 (1.2-4.93), p= 0.013], and coronary artery disease (CAD) [3.15 (1.46-6.82), p= 0.003] were found to be independently associated with all-cause mortality.\u0000 Conclusion: The immune-nutritional score mGPS predicts mortality during long-term follow-up of patients with HFmrEF. The mGPS might be used for risk status assessment of HFmrEF.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128038261","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":"Evaluation of Cardiac Electrophysiological Balance in Patients with Subclinical Hypothyroidism","authors":"F. Şaylık, T. Çınar, M. Selçuk, T. Akbulut","doi":"10.51645/khj.2022.m216","DOIUrl":"https://doi.org/10.51645/khj.2022.m216","url":null,"abstract":"Introduction: Subclinical hypothyroidism (SH) is defined by slightly elevated thyroid-stimulating hormone (TSH) levels with normal free triiodothyronine (fT3) and thyroxine (fT4) levels. SH is related to cardiovascular events, including malignant arrhythmias. Cardiac electrophysiological balance (iCEB) and its corrected form with heart rate (iCEBc) are useful electrocardiographic (ECG) parameters for the prediction of malign arrhythmias. In this study, we aimed to evaluate iCEB and iCEBc in SH patients.\u0000 Patients and Methods: A total of 164 patients (n= 82 patients with SH and n= 82 controls) were enrolled in this study. iCEB was calculated by dividing QT by QRS, and iCEBc was calculated by dividing corrected QT (QTc) by QRS. The groups were compared based on ECG parameters. Correlation and multiple linear regression analyses were used to assess the association of ECG parameters with TSH levels.\u0000 Results: There were no differences between the groups regarding clinical and laboratory findings. Tp-e, QT, QTc, Tp-e/QT, Tp-e/QTc, iCEB, and iCEBc were significantly prolonged in SH patients compared to controls. In correlation analyses, all of the abovementioned ECG parameters were significantly correlated with serum TSH levels. Multiple linear regression analysis indicated that Tp-e, iCEB, and iCEBc were independently associated with serum TSH levels in SH patients.\u0000 Conclusion: To our knowledge, this was the first study to demonstrate that iCEB and iCEBc were both prolonged in SH patients compared to controls, and both of them were independently correlated with TSH levels in such patients.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121318186","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":"Percutaneous Treatment of Massive Pneumoperitoneum Following Reintubation After Coronary Artery Bypass Surgery","authors":"A. Selçuk, M. E. Erol, Sertan Özyalçın","doi":"10.51645/khj.2022.m218","DOIUrl":"https://doi.org/10.51645/khj.2022.m218","url":null,"abstract":"The aim of this study is to present a percutaneous treatment option for a patient with massive pneumoperitoneum following intubation after coronary artery bypass surgery. After coronary artery bypass surgery, a 74-year-old woman had prolonged endotracheal intubation due to hypoxia associated with pneumonia. On postoperative day seven, she was reintubated with inadequate ventilation leading to hypercapnia due to blockage of the endotracheal tube. Shortly after intubation, the patient was hypotensive, tachycardic, and hypoxic. The breath sound was absent on the right hemithorax, and the abdomen was distended. The chest x-ray showed a right-sided tension pneumothorax. A chest tube was placed on suction to the right hemithorax immediately. The computed tomography scan showed a massive pneumoperitoneum without free fluid in the abdomen. Air evacuation from the peritoneum was performed using a 7 French percutaneous venous catheter and 50 cc syringe. As a practical technique to see air bubbles puffing out from the peritoneal cavity, we connected the sterile water-filled syringe to the line upwards. After the air evacuation, the abdomen was softened and non-distended. Arterial blood gas sample and peak airway pressure became normal. To avoid unnecessary surgical procedures, we need to recognize whether pneumoperitoneum is surgical or not. In non-surgical pneumoperitoneum, the less invasive air evacuation techniques may be faster, more practical, and as effective as placing an intraperitoneal tube or laparoscopy. The percutaneous drainage techniques should be tried as a first-line treatment in pneumoperitoneum without symptoms and signs of peritonitis.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124687824","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}