Koşuyolu Heart Journal最新文献

{"title":"Relationship Between Left Atrial Strain and Malnutrition Scores in Diabetic Patients","authors":"Flora Özkalaycı, A. Karagoz, Işıl Kutlutürk Karagöz, S. Efe, Erdem Türkyilmaz, I. Tanboğa, C. Kaymaz","doi":"10.51645/KHJ.2021.M33","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M33","url":null,"abstract":"Objectives: Malnutrition is a serious public health problem that is associated with adverse outcomes in a broad range of disease including cardiovascular disease and diabetes mellitus. Malnutrition is demonstrated to be accompanying to several disease, yet there is a lack of evidence on the impact of malnutrition on cardiac functions in patients with diabetic patients with diabetic retinopathy. Herewith our primary goal was to evaluate the relation between any degree malnutrition with left atrial strain in relevant patient group.\u0000 Patients and Methods: Patients with diabetes mellitus with retinopathy, who were referred to the outpatient cardiology clinic were assessed. Those who had sinus rhythm, had no findings of significant valvular heart disease and coronary artery disease underwent to 2-dimensional speckle tracking echocardiography and assessed for malnutrition in their prior examinations were included to the study. Hundred and seventy patients met the inclusion criteria. Malnutrition scores such as CONUT score, NRI, and PNI were used to evaluate nutrition condition of the patients.\u0000 Results: Thirty percent of all diabetic patients were demonstrated to have malnutrition according to the CONUT score. Left atrial conduit strain was demonstrated to decrease [ß: -7.5 (CI 95%, -10.7, -4.3 p<0.001)], Left atrial reservoir strain was demonstrated to increase [ß: 2.48(CI 95%,0.83- 4.13 p<0.03)] and Left atrial contractile strain was demonstrated to decrease [ß: -4.21(CI 95%, -2.21, -6.01 p<0.001)] in the presence of any degree malnutrition.\u0000 Conclusion: In this study we have demonstrated that malnutrition is an important entity in patients with diabetes mellitus and also has a significant impact on Left atrial strain.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"82 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122923978","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":"Comparison of high-flow nasal cannula and conventional oxygen therapy following extubation after pediatric cardiac surgery: a retrospective study","authors":"Ö. Şavluk, A. A. Yılmaz, Y. Yavuz, Fatma Ukil Işıldak, Babürhan Özbek, Ergi̇n Arslanoğlu, N. Çine, H. Ceyran","doi":"10.51645/KHJ.2021.M92","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M92","url":null,"abstract":"Objectives: Infants and children with congenital heart disease may develop respiratory failure in association with cardiac surgery or as a result of heart disease. In fact, the postextubation period in this group of patients can be complex and the use of continuous positive airway pressure or non-invasive ventilation may be necessary if conventional oxygen therapy is not sufficient. The aim of our study was to compare efficiency and outcomes of high-flow nasal cannula or conventional oxygen therapy post-extubation after pediatric cardiac surgery .\u0000 Patients and Methods: A single centre retrospective study was conducted between January and december 2020 in our 12 beds pediatric cardiac intensive care unit. Patients were divided into two groups. In one group 45 patients (Group I), those who received high-flow nasal cannula after extubation, and in the other group 45 patients (Group II), those who received oxygen therapy with a mask after extubation. The aim of the study was to evaluate the relative efficacy of high flow nasal cannula and conventional oxygen therapy on PaCO2 ,PaO2 and PaO2/FiO2.\u0000 Results: PaO2 values at 1, 6, 12, 24 and 48 h post-extubation were significantly higher in high-flow nasal cannula group (p<0,05). PaCO2 values were significantly lower in the high-flow nasal cannula group at 1, 6, 12, 24 and 48 h post-extubation (p=0,01). PaO2/FiO2 values in high-flow nasal cannula group at all-time points post-extubation were significantly higher than in conventional oxygen therapy group (p=0,01).\u0000 Conclusion: High-flow nasal cannula is useful in decreasing PaCO2 and improving PaO2 in children following extubation after cardiac surgery. In addition, the simplicity of and tolerability to high-flow nasal cannula is also important. Although more expensive, the use of high-flow nasal cannula can be considered as a safe and effective alternative to conventional oxygen therapy following pediatric cardiac surgery.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133605461","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 Discharge Information Calendar on Healthy Lifestyle Behaviors of Patients after Coronary Artery Bypass Graft Surgery","authors":"Merve Afacan, Seher Ünver","doi":"10.51645/KHJ.2021.M93","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M93","url":null,"abstract":"Objectives: To evaluate the effect of discharge information calendar on healthy lifestyle behaviors (HLB) of patients who underwent coronary artery bypass graft (CABG) surgery.\u0000 Patients and Methods: This randomized controlled study was carried out on 68 patients (study group=33; control group=35) who underwent CABG surgery between 10.11.2017-10.10.2018. Data were collected from the patient information form and HLB Scale-II. The patients were visited by the researcher one day before their discharge and verbal information was given about the HLB. Discharge information calendar that is designed as a desktop calendar and includes 14 main headings on HLB was used to inform the patients in the study group. HLB of the patients were evaluated at the day before discharge, 2nd and 6th weeks following discharge.\u0000 Results: The mean scale scores obtained from the 2nd and 6th weeks of the study group were significantly higher compared with the control group (p<0.001).\u0000 Conclusion: The information provided using discharge information calendar to the patients after CABG surgery are effective in gaining HLB for the patients. It is recommended to use visual and written materials (such as the discharging information calendar) to inform patients and help patients to remember the information during the post-discharge period.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122041559","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":"Intractable spasm in a hypoplastic brachioradial artery during coronary angiography. A last chance before surgery","authors":"S. Emren, Emre Özdemir, S. Girgin, Muhammet Mücahit Tiryaki, M. Aksun, C. Nazlı","doi":"10.51645/KHJ.2021.M86","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M86","url":null,"abstract":"For the past several years coronary angiography through radial artery has been preferred vascular access over femoral artery due to the favorable outcomes. However radial access has also rare drawbacks. One of the main complications of radial approach is vascular spasm. Although radial spasm can easily be resolved with various intervention, rarely it may be intractable in particular anatomic variations. These patients might be needed advanced treatment methods to overcome vasospasm. In this paper we report an intractable spasm in a hypoplastic radial artery during angiography which could only be resolved by neuraxial blockage after failure of conventional treatments.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123324543","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":"Clinical outcomes of isolated redo mitral valve replacement in patients with mitral prosthetic heart valve dysfunction","authors":"A. Güner, Ersin Kadiroğulları, T. İyigün, İsmail Gürbak, B. Onan, Ünal Aydın, M. Gürsoy, M. Ertürk","doi":"10.51645/KHJ.2021.M107","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M107","url":null,"abstract":"Objectives: Redo mitral valve replacement (redo-MVR) represents a clinical challenge due to a higher rates of peri-operative morbidity and mortality.\u0000 Patients and Methods: This retrospective study enrolled a total of 103 patients who underwent isolated redo-MVR due to prosthetic valve dysfunction. Patients who had an isolated bypass, low echocardiographic quality, history of repeated re-replacements (more than twice), paravalvular leak repair without preoperative and intraoperative transesophageal echocardiography examination, isolated congenital surgery or isolated open-heart surgical intervention (of any type) without a valve procedure at their first or later operations were excluded. The primary endpoint of the study was in-hospital death. Secondary endpoint included individual morbidity.\u0000 Results: A total of 103 patients (mean age: 50.7 13.4 years; male: 58) who underwent isolated redo-MVR were enrolled in this study. The most common complaint of the patients at admission was obstruction or heart failure-related symptoms (80.6%) and the primary indication for redo-MVR was prosthetic valve thrombosis in 58 patients (56.3%). In-hospital mortality was 12.6% (13 patients). The post-operative complications included major bleeding (n=11) post-operative infection (sepsis, mediastinitis, pneumonia, wound infection, n=15), low cardiac output syndrome (n=10), acute kidney injury (n=17), pericardial effusion with tamponade (n=10), pleural effusion requiring hospitalization and drainage (n=18), ischemic stroke (n=4), fatal ventricular arrhythmia (n=1), peripheral embolism (n=1), moderate to severe paravalvular leak (n=5). There was not any catastrophic heart laceration.\u0000 Conclusion: In-hospital mortality and complications of the isolated redo-MVR in our center are acceptable. With a well-defined protocol and appropriate patient selection, mortality in emergencies cases may be reduced.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"96 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123501688","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 Perioperative and Postoperative Theophylline Administration on Inflammation in Patients Undergoing Pediatric Open-Heart Surgery","authors":"Y. Yavuz, Fatma Ukil Işıldak, Seda Arisut, A. A. Yılmaz, F. Guzelmeric","doi":"10.51645/KHJ.2021.M104","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M104","url":null,"abstract":"","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115041252","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":"Serum sodium levels in patients with ST-segment elevation myocardial infarction: Its effects on in-hospital and long-term clinical outcomes","authors":"L. Öcal, A. Öcal, S. Çerşit, Hayati Eren, E. Cakmak, H. Çakır","doi":"10.51645/KHJ.2021.M79","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M79","url":null,"abstract":"","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125403994","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":"Succesuful endovascular treatment of Budd-Chiari in essensial thrombocystosis patients","authors":"İ. Abdurahmanova, E. Alizade","doi":"10.51645/KHJ.2021.M83","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M83","url":null,"abstract":"","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"24 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125675691","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 Right Ventricular Apical Pacing on Asynchrony Parameters in Different Heart Rates Detected by Tissue Doppler Imaging in Patients with Permanent Pacemaker","authors":"Erdem Türkyilmaz, T. Akgün, M. Can, I. Tanboğa, C. Karabay, C. Kaymaz","doi":"10.51645/KHJ.2021.M9","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M9","url":null,"abstract":"","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115308883","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":"Brugada electrocardiographic pattern unmasked by COVID-19 induced fever","authors":"Cemalettin Yılmaz, G. Kocabay","doi":"10.51645/KHJ.2021.M30","DOIUrl":"https://doi.org/10.51645/KHJ.2021.M30","url":null,"abstract":"A 47-year-old male presented to the emergency room with the complaint of substernal chest pain. On admission, the patient was conscious with a 37.8°C fever, an 108 bpm heart rate and 135/75 mmHg blood pressure and normal respiratory findings (SaO2 95%). The electrocardiogram (ECG) showed a ST-segment elevation in the right precordial leads with no reciprocal changes (Figure 1). An echocardiogram demonstrated a mildly depressed global ejection fraction. Due to the persistence of substernal chest pain and ST-segment elevation, emergent coronary angiography (CAG) was performed, showing normal coronary arteries. After the diagnostic CAG, the patient was transferred to a dedicated COVID-19 intensive care unit. The patient had a 39.1°C fever. ECG was repeated and it revealed coved ST-segment elevation in lead V1 and V2 with a rise of the J-point by 0.25 mV indicative for Brugada type 1 ECG (Figure 2). He denied syncope, dizziness, or palpitations and there was no history of arrhythmic diseases in his family. Laboratory data were unremarkable. The high-sensitivity troponin level was within the normal range along with normal electrolytes. The N-terminal probrain natriuretic peptide (NT-proBNP) level was normal. The C-reactive protein (CRP) level was 40.2 mg/L (normal range: 0-5 mg/L). In order to investigate the cause of fever, the patient was tested for COVID-19 and chest computerized tomography (CT) scan was performed. Chest CT scan showed bilateral pulmonary parenchymal ground glass opacities of the lower lobes consistent with COVID-19 infection (Figure 3). Twenty-four hours after nasoand oropharyngeal swabs, the patient tested positive for COVID-19 by polymerase chain reaction (PCR). He received favipravir, hydroxychloroquine and antipyretic therapy. No anti-arrhythmic treatment was initiated. With defervescence, the ECG demonstrated complete resolution of the initial Brugada-like ECG pattern (Figure 4). He was discharged from the hospital after the 7-day hospital stay when second PCR revealed a negative result. The patient had no prior history of ventricular arrhythmias or syncope and no family history of sudden cardiac death. Since the risk of sudden death in patients with asymptomatic Brugada pattern is low, defibrillator implantation was not done. Instead lifestyle modifications such as treating Cite this article as: Yılmaz C, Kocabay G. Brugada electrocardiographic pattern unmasked by COVID-19 induced eever. Koşuyolu Heart J 2021;24(2):161-162.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131179099","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}