Koşuyolu Heart Journal最新文献_第5页

Percutaneous Treatment of Massive Pneumoperitoneum Following Reintubation After Coronary Artery Bypass Surgery 冠状动脉搭桥术后再插管后大量气腹的经皮治疗

Koşuyolu Heart Journal Pub Date : 2022-04-01 DOI: 10.51645/khj.2022.m218

A. Selçuk, M. E. Erol, Sertan Özyalçın

{"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}

引用次数: 0

The Relationship Between Levels of Sex Steroids and Coronary Collateral Circulation in Men Patients with Coronary Artery Disease 男性冠心病患者性类固醇水平与冠状动脉侧枝循环的关系

Koşuyolu Heart Journal Pub Date : 2022-04-01 DOI: 10.51645/khj.2022.m158

A. Erdoğan, E. Cakmak, A. Güler, A. Kılıçgedik, C. Kırma

{"title":"The Relationship Between Levels of Sex Steroids and Coronary Collateral Circulation in Men Patients with Coronary Artery Disease","authors":"A. Erdoğan, E. Cakmak, A. Güler, A. Kılıçgedik, C. Kırma","doi":"10.51645/khj.2022.m158","DOIUrl":"https://doi.org/10.51645/khj.2022.m158","url":null,"abstract":"Introduction: Coronary collateral circulation (CCC) is a natural bypass system for restoring blood flow, and a well-developed CCC is held to protect myocardial function and improve survival after coronary obstruction in patients with coronary artery disease (CAD). Sex steroids have been suggested as potentially hampering the course of CAD progression. We explored the relationship between the serum levels of sex steroids and CCC.\u0000 Patients and Methods: A total of 115 males with chronic coronary artery disease who had at least one total coronary artery occlusion were included. Patients were divided into two groups: a well CCC group (Rentrop grades 2-3, n= 64) and a poorly developed CCC group (Rentrop grades 0-1, n= 51). Serum levels of total testosterone, free testosterone, sex hormone-binding globulin (SHBG), and dehydroepiandrosterone sulfate (DHEA-S) were recorded. A p-value below 0.05 was accepted as significant in all analyses. The confidence interval was accepted as 95%.\u0000 Results: Serum total testosterone (ng/dL; 274.5 ± 57.7 vs. 329 ± 64.8, p< 0.001), free testosterone (pg/mL; 8.2 ± 2.4 vs. 12 ± 3.2, p< 0.001), DHEAS [µg/dL; 111 (58) vs. 160 (85.5), p< 0.001] and SHBG concentrations (nmol/L; 29.3 ± 8.6 vs. 33.2 ± 10.2; p= 0.027) were significantly higher in the well coronary collateral group (WCG). According to the results of multiple regression analyses, diabetes [OR= 3.56, CI (1.26-3.5) p= 0.017], free testosterone level [OR= 1.57, CI (1.26-1.96), p< 0.001] and total testosterone level [OR= 1.01, CI (1.00-1.02), p= 0.009] were determined to be independent predictors.\u0000 Conclusion: This study showed that a high level of sex steroids was a predictor of good collateral development in patients with chronic CAD.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"1 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":"129083915","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

When Should the Sternum Be Closed After Aortic Surgery? 主动脉手术后胸骨何时关闭?

Koşuyolu Heart Journal Pub Date : 2022-04-01 DOI: 10.51645/khj.2022.m215

Veysel Başar, F. Yiğit, Fariz Jafarov, H. Sunar

{"title":"When Should the Sternum Be Closed After Aortic Surgery?","authors":"Veysel Başar, F. Yiğit, Fariz Jafarov, H. Sunar","doi":"10.51645/khj.2022.m215","DOIUrl":"https://doi.org/10.51645/khj.2022.m215","url":null,"abstract":"Introduction: There are many factors affecting postoperative morbidity and mortality in patients managed with delayed sternal closure (DSC) after aortic surgery. This study aimed to examine the postoperative management of patients after DSC and the factors affecting morbidity and mortality.\u0000 Patients and Methods: Among 2151 patients who underwent ascending aorta and/or aortic valve surgery between January 2012 and December 2020, 64 patients managed with DSC were included in the study. The records of the patients were obtained from the hospital archive/hospital electronic database. Postoperative day 30 was determined as early mortality.\u0000 Results: Uncontrollable bleeding 34.4% (n= 22), LCOS (Low Cardiac Output Syndrome) 31.4% (n= 20) and mediastinal edema 28.1% (n= 18)were the main causes for DSC. In the remaining patients (6.3%, n= 4), DSC was preferred for other non-specific reasons such as uncontrollable arrhythmia. Forty-five patients’ chests (70.3%) were closed in the postoperative period, and 19 patients (29.7%) could not be closed due to death (p< 0.001). Early mortality was observed in 27 patients (42.2%), and sepsis was observed in 10 patients (15.6%). Deep sternal wound infection (DSWI) was present in 4.7% of the patients and the rate of sepsis was higher in this patient group (66.7%-13.1%, p< 0.05). There was no statistically significant difference in the probability of sepsis in the culture-positive patient group (p> 0.05). However, the closure time was longer in patients with a previous operation history, postoperative acute renal failure, surgical site infection, and postoperative bleeding revision/surgical revision (p< 0.05).\u0000 Conclusion: DSC can be preferred as a life-saving method for various reasons such as bleeding diathesis, mediastinal edema, and malignant arrhythmia after open-heart surgery. Accurate timing and close follow-up are important for sternal closure. In these patients, a multidisciplinary approach is required in the postoperative period.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"33 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":"124369136","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

Youtube as a source of information on "Manual Blood Pressure Measurement" Youtube作为“手动血压测量”的信息来源

Koşuyolu Heart Journal Pub Date : 2021-12-21 DOI: 10.51645/khj.2021.m183

M. F. Yılmaz, S. Kalkan

{"title":"Youtube as a source of information on \"Manual Blood Pressure Measurement\"","authors":"M. F. Yılmaz, S. Kalkan","doi":"10.51645/khj.2021.m183","DOIUrl":"https://doi.org/10.51645/khj.2021.m183","url":null,"abstract":"Objectives: The aim of the study is to evaluate the quality and reliability of videos on manual blood pressure measurement on Youtube.\u0000 Patients and Methods: In January 2021, the first 100 videos found as a result of a search with the keywords 'manual blood pressure measurement' on Youtube were watched and evaluated. According to exclusion criteria, 75 videos were included in the study. Duplicate videos, irrelevant videos, and videos in languages other than English were excluded from the study. Each video was scored according to the questions prepared based on the guidelines. The GQS score and the 'Reliability' score were used to assess the quality of the videos.\u0000 Results: According to the checklist prepared according to the hypertension consensus report, the mean score of the videos was 8.33 ± 2.1. When the videos were evaluated according to their sources, the average score of the videos of the health sites was 9±2.5, the average score of the videos of the individual health workers was 8.66±1.8, the average score of the videos of the unidentified people was 7.54±2.1.\u0000 Conclusion: Manual blood pressure measurement videos on Youtube have little educational value. Videos of health websites should be preferred for education.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131100569","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: 2

Early and Long Term Results of Our Open Heart Surgical Operations in the Presence of Active Oncological Diseases 我们的心脏直视手术在活动性肿瘤疾病存在的早期和长期结果

Koşuyolu Heart Journal Pub Date : 2021-12-21 DOI: 10.51645/khj.2021.m198

M. Toker, Cüneyt Arkan, A. Taşçı, E. Polat, Üzeyi̇r Yilmaz, Tunahan Sari, Ömer Faruk Akardere

{"title":"Early and Long Term Results of Our Open Heart Surgical Operations in the Presence of Active Oncological Diseases","authors":"M. Toker, Cüneyt Arkan, A. Taşçı, E. Polat, Üzeyi̇r Yilmaz, Tunahan Sari, Ömer Faruk Akardere","doi":"10.51645/khj.2021.m198","DOIUrl":"https://doi.org/10.51645/khj.2021.m198","url":null,"abstract":"Objectives: Active cancer and heart disease, which share similar environmental and biological characteristics, can occur concomitantly. Open heart surgery may be required for these patients when indicated. The aim of this study is to demonstrate the early and long-term results and discuss the intervention strategy in patients with different types of active malignancies, who underwent open heart surgery.\u0000 Patients and Methods: Between January 2012 and May 2020, open heart surgery was performed on 10 patients with active malignancies. The mean age was 65.5 (52–77), and 4 of the patients were female. 2 patients were operated emergently due to advanced pleural effusion. AVR+CABG, CABG, CABG+left upper lobectomy and AVR+MVR were performed in 4 patients with lung cancer; AVR+CABG were performed in 1 patient with colon cancer; CABG was performed in 4 patients each with one of the following conditions: lymphoma, breast cancer, essential thrombocytosis, meningioma); and mass resection operation from the left atrium and left ventricle was performed in one patient with osteosarcoma.\u0000 Results: 8 patients were discharged and 2 patients died in the early postoperative period. Postoperative left hemiparesis developed in 1 patient. 6-month, 1-year and 5-year survival rates were 79%, 37.5% and 25%, respectively.\u0000 Conclusion: Open heart surgery can be successfully performed with acceptable mortality and morbidity rates on the high-risk patient group with active cancer. We believe that, where percutaneous coronary intervention and/or TAVI are not considered or deemed appropriate, surgical intervention should be performed with careful patient selection in patients with multi-vessel coronary artery disease, coronary artery stenosis +aortic stenosis, and in cases requiring double valve replacement.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115825853","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

Relationship Between Autonomic Nervous System Activity and Recurrence after Cryoballoon Ablation in Patients with Paroxysmal Atrial Fibrillation. 阵发性心房颤动患者冷冻球囊消融后自主神经系统活动与复发的关系。

Koşuyolu Heart Journal Pub Date : 2021-11-22 DOI: 10.51645/khj.2021.m123

Fi̇li̇z Kızılırmak Yılmaz, Fatih Yılmaz, A. Yıldırım, H. Güneş, T. Gökdeniz, F. E. Olgun, T. Aktemur, Ümeyi̇r Savur, F. Kılıçaslan

{"title":"Relationship Between Autonomic Nervous System Activity and Recurrence after Cryoballoon Ablation in Patients with Paroxysmal Atrial Fibrillation.","authors":"Fi̇li̇z Kızılırmak Yılmaz, Fatih Yılmaz, A. Yıldırım, H. Güneş, T. Gökdeniz, F. E. Olgun, T. Aktemur, Ümeyi̇r Savur, F. Kılıçaslan","doi":"10.51645/khj.2021.m123","DOIUrl":"https://doi.org/10.51645/khj.2021.m123","url":null,"abstract":"Objectives: In this study, we aimed to investigate the relationship between autonomic dysfunction (AD) determined according to the blood pressure (BP) and heart rate (HR) response in exercise treadmill test (ETT) prior to cryoballoon ablation (CBA), and the recurrence of atrial fibrillation (AF) after CBA in patients with paroxysmal AF.\u0000 Patients and Methods: Seventy-six patients (mean age 53±11 years, 61.8% male) with paroxysmal AF who underwent CBA were enrolled. Before CBA the ETT was performed by all patients. BP and HR response in ETT were compared between patients with and without AF recurrence.\u0000 Results: AD rate was significantly higher in the group with recurrence compared to the non- recurrent group (p<0.001). In addition to AD, age, female gender and lower exercise capacity were also associated with post-CBA AF recurrence ( p>0.05 for all ). Examining AD parameters, systolic blood pressure at peak exercise (SBPpeak) (p<0.001) and diastolic blood pressure at peak exercise (DBPpeak) (p<0.001), slow heart rate recovery (HRR) (p<0.001) were significantly higher in the recurrent group.\u0000 Conclusion: AD may associated with AF recurrence after CBA in patients with paroxysmal AF. SBPpeak, DBPpeak and slow HRR appear to be predictors of AF recurrence after ablation.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124318770","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

Long-term predictors of composite of major adverse cardiovascular and cerebrovascular events in carotid artery stenosis patients after stenting 颈动脉狭窄患者支架置入术后主要心脑血管不良事件复合的长期预测因素

Koşuyolu Heart Journal Pub Date : 2021-11-22 DOI: 10.51645/khj.2021.m194

S. Demir, A. Kılıçgedik, Büşra Gvendi Şengör, Sleyman Çağan Efe, G. Kocabay, M. Yazıcıoğlu, C. Kırma

{"title":"Long-term predictors of composite of major adverse cardiovascular and cerebrovascular events in carotid artery stenosis patients after stenting","authors":"S. Demir, A. Kılıçgedik, Büşra Gvendi Şengör, Sleyman Çağan Efe, G. Kocabay, M. Yazıcıoğlu, C. Kırma","doi":"10.51645/khj.2021.m194","DOIUrl":"https://doi.org/10.51645/khj.2021.m194","url":null,"abstract":"Objectives: We hypothesized that long-term morbidity and mortality can be identified by the presence of comorbidities in patients with carotid artery stenosis. In our study we aimed to investigate the relationship between clinical characteristics, laboratory findings and long-term prognosis in carotid artery stenosis patients after stenting\u0000 Patients and Methods: We retrospectively enrolled 212 patients whom underwent carotid artery stenting (CAS) between January 2010 and December 2012 at Kartal-Kosuyolu Training and Research Hospital. CAS was performed in symptomatic patients with >60% stenosis and in asymptomatic patients with >80% stenosis of extracranial carotid artery. Symptoms were defined by an ipsilateral cerebral or ocular minor or major ischemic event within the past 6 months.\u0000 Results: Mean age of study population was 67.4 ± 7.9 years and 158 patients (74.5%) were male. In the follow-up period 18 patients had MI, 18 patients had major stroke, 23 patients had transient ischemic attack. Twenty-one patients (9.9%) died from cerebral-cardiovascular causes. All MACCE was found in 64 patients (30.2%). Multivariate analysis revealed that age (OR: 1.09, 95% CI: 1.02-1.17, p = 0.05), heart failure (OR: 3.78, 95% CI: 1.48-9.62, p = 0.005), creatinine (OR: 3.54, 95% CI: 1.16-10.82, p=0.026) and neutrophil-lymphocyte ratio (OR: 2.88, 95% CI: 1.90-4.36, p < 0.0001) were independent predictors of the MACCE.\u0000 Conclusion: Although, the short-term risk of patients undergoing CAS dominated by lesion-related factors, pre-existing comorbidities may be even more important for the long-term event. Age, heart failure, creatinine and neutrophil-lymphocyte ratio were found as the most important risk factors of MACCE.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131418787","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

Impaired heart rate recovery may predict radial artery spasm in patients undergoing coronary angiography via radial access 心率恢复受损可以预测经桡动脉通道进行冠状动脉造影的患者的桡动脉痉挛

Koşuyolu Heart Journal Pub Date : 2021-11-22 DOI: 10.51645/khj.2021.m202

İsmail Gürbak, A. Güler, C. Panç, A. Güner, M. Ertürk

{"title":"Impaired heart rate recovery may predict radial artery spasm in patients undergoing coronary angiography via radial access","authors":"İsmail Gürbak, A. Güler, C. Panç, A. Güner, M. Ertürk","doi":"10.51645/khj.2021.m202","DOIUrl":"https://doi.org/10.51645/khj.2021.m202","url":null,"abstract":"Objectives: Radial artery spasm (RAS) is associated with several pathophysiological pathways, including endothelial and autonomic dysfunction, and causes failed coronary interventions. Heart rate recovery (HRR) is a simple measurement of autonomic nervous system dysfunction. We aimed to investigate the relationship between HRR and RAS during coronary angiography (CA) in the present study.\u0000 Patients and Methods: This study included 167 patients (mean age 54.6 ± 8.2, 131 males) who underwent a treadmill stress test (TST) according to the Bruce protocol before trans-radial CA. HRR in the first minute (HRR1) was calculated as the difference between peak heart rate and heart rate one minute after the TST. Patients were divided into two groups according to the presence of RAS.\u0000 Results: Among the study population, RAS developed in 26 patients (15.5%). HRR1 and HRR in the third minute (HRR3) were lower in the RAS group. Also, the abnormal HRR1 rate was higher in the RAS group (35.5% vs. 76.9%, p < 0.001). Total procedural time, more than one puncture attempt, more than one catheter use, fluoroscopy time, radiation exposure, contrast volume was higher in the RAS group. Female gender, total procedural time, more than one catheter use, and abnormal HRR1 were independent predictors of RAS.\u0000 Conclusion: The current data suggest that a significant relationship was found between abnormal HRR1 and RAS. HRR, a simple autonomic dysfunction parameter, can provide additional information regarding the success of radial procedures.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125592341","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

The investigation of the calcium metabolism changes in rheumatic mitral valve patients 风湿性二尖瓣患者钙代谢变化的研究

Koşuyolu Heart Journal Pub Date : 2021-11-22 DOI: 10.51645/khj.2021.m131

A. Celik, R. Çoşkun, M. Karaaslan, T. Bezgin, S. Karakoyun, Metin Çağdaş

{"title":"The investigation of the calcium metabolism changes in rheumatic mitral valve patients","authors":"A. Celik, R. Çoşkun, M. Karaaslan, T. Bezgin, S. Karakoyun, Metin Çağdaş","doi":"10.51645/khj.2021.m131","DOIUrl":"https://doi.org/10.51645/khj.2021.m131","url":null,"abstract":"Objectives: Rheumatic mitral valve disease (RMVD) is associated with autoimmune heart valve injury. Parathyroid hormone (PTH) and vitamin D are two essential molecules that have effects on the immune system. In this study, we aimed to evaluate the relationship between PTH and vitamin D in patients with RMVD.\u0000 Patients and Methods: We investigated 81 patients with RMVD and 75 healthy subjects. According to Wilkins score, baseline clinical, laboratory, and echocardiographic parameters were recorded, and all RMVD patients were analyzed. Multivariate logistic regression analysis was performed between the groups.\u0000 Results: Vitamin D levels were significantly low in the RMVD group. Patients were stratified according to Wilkins score [Wilkins score < 7 (n:50) vs. Wilkins score 7 (n:31)]. Age, BMI, and PTH were significantly higher, and mitral valve area was significantly lower in Wilkins score 7 patients. In multivariate analysis, age (OR: 1.052; 95% CI 1.005-1.100, p=0.028) and PTH (OR: 1.017; 95% CI 1.000-1.033, p=0.047) were found to be independent predictors of high Wilkins score.\u0000 Conclusion: This study showed that vitamin D levels were low in patients with RMVD. According to the Wilkins score, PTH levels were significantly high in patients with high Wilkins score. The contrary changes in PTH and vitamin D levels may trigger inflammation and be responsible for valve damage.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"8 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133652075","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

Clinical features and factors affecting in-hospital mortality of patients who underwent pericardiocentesis due to moderate to severe pericardial effusion 中重度心包积液行心包穿刺患者的临床特点及影响住院死亡率的因素

Koşuyolu Heart Journal Pub Date : 2021-10-28 DOI: 10.51645/khj.2021.m165

Oktay Şenöz, V. Emren, Zeynep Yapan Emren, Ahmet Erseçgin, F. Yurdam, C. Nazlı

{"title":"Clinical features and factors affecting in-hospital mortality of patients who underwent pericardiocentesis due to moderate to severe pericardial effusion","authors":"Oktay Şenöz, V. Emren, Zeynep Yapan Emren, Ahmet Erseçgin, F. Yurdam, C. Nazlı","doi":"10.51645/khj.2021.m165","DOIUrl":"https://doi.org/10.51645/khj.2021.m165","url":null,"abstract":"Objectives: The aim of this study was to determine the primary etiology of pericardial effusion in patients undergoing percutaneous pericardiocentesis. Possible in-hospital mortality related predictors were also investigated.\u0000 Patients and Methods: A retrospective analysis was made of the clinical and laboratory features of 268 patients who underwent pericardiocentesis due to moderate to severe pericardial effusion between January 2009 and March 2020.\u0000 Results: The patients comprised 57.5% males and 42.5% females with a mean age of 62.3±15.4 years. Cardiac compression was detected in 220 (82.1%) patients, of which 208 (77.6%) were clinically tamponade and 12 (4.5%) were asymptomatic cardiac compression. The most common symptom was dyspnea (58.6%) and 10.8% of patients were asymptomatic. Pericardial fluid was exudate in 235 (87.7%) patients. The most common causes were malignancy (37.3%) followed by idiopathic (22.1%) and iatrogenic (12.7%) causes. The patients with asymptomatic cardiac compression were more likely to have malignant effusion than those with other etiologies (p=0.001). In-hospital mortality developed in 37 (13.8%) patients. The independent predictors of in-hospital mortality were determined as follows; etiology other than infectious or idiopathic (OR = 3.447; 95% CI = 1.266, 9.386; p = 0.015), and receiving antithrombotic therapy (OR = 2.306; 95% CI = 1.078, 4.932; p=0.031).\u0000 Conclusion: Malignancy is the most common cause of moderate to severe pericardial effusions. The detection of cardiac compression in asymptomatic patients may be an important indicator of malignancy. Receiving antithrombotic therapy and having a non-idiopathic and non-infectious etiology may be predictors of in-hospital mortality.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"18 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124624266","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