Türkiye klinikleri cardiovascular sciences最新文献

Effect of Previous Stent Implantation in Elective Coronary Artery Bypass Grafting Operation; Multivariate Analysis of 1,259 Patients: Retrospective Clinical Trial 择期冠状动脉旁路移植术中既往支架植入的影响1259例患者的多因素分析:回顾性临床试验

Türkiye klinikleri cardiovascular sciences Pub Date : 2023-01-01 DOI: 10.5336/cardiosci.2022-95172

Mehmet Erdem TOKER, Muharrem DAĞLI, Cüneyt ARKAN, Ömer Faruk AKARDERE

{"title":"Effect of Previous Stent Implantation in Elective Coronary Artery Bypass Grafting Operation; Multivariate Analysis of 1,259 Patients: Retrospective Clinical Trial","authors":"Mehmet Erdem TOKER, Muharrem DAĞLI, Cüneyt ARKAN, Ömer Faruk AKARDERE","doi":"10.5336/cardiosci.2022-95172","DOIUrl":"https://doi.org/10.5336/cardiosci.2022-95172","url":null,"abstract":"Objective: This study aims to investigate the effect of previous stent implantation on early mortality in patients undergoing elective coronary artery bypass grafting (CABG). Material and Methods: A total of 1,259 patients who underwent elective isolated CABG between January 2015 and December 2016 were included. There were 970 patients in the CABG without stent group and 289 patients in the CABG with stent group. Preoperative, intraoperative, and postoperative data of both groups were compared. Predictors of early mortality in CABG were examined using the logistic regression analysis. Results: Early mortality rates after surgery between the groups were similar (CABG without stent group vs. CABG with stent group; 2.9% vs. 3.1%, p=0.998). The length of intensive care unit stay, the use of intraaortic balloon pump, tracheotomy, new dialysis, revision and the use of extracorporeal membrane oxygenator were also comparable between the groups (p>0.05). The mean number of grafts was significantly lower in the CABG with stent group than the CABG without stent group (2.62±0.91 vs. 2.87±0.9; p<0.001 respectively). Multivariate analysis revealed that an ejection fraction of ≤40% [odds ratio (OR): 3.8; 95% confidence interval (CI): 1.9-7.7; p<0.001], preoperative renal failure (OR: 3.7; 95% CI: 1.5-8.8; p=0.003), and advanced age (OR: 1.07; 95% CI: 1.03-1.1; p<0.001) were independent predictors of early mortality. Previous stent implantation has not been found out as a risk factor for early mortality (OR: 1.08; 95% CI: 0.5-2.3; p=0.998). Conclusion: Previous stent implantation was not found to be a factor affecting early mortality in patients undergoing elective CABG operations.","PeriodicalId":495085,"journal":{"name":"Türkiye klinikleri cardiovascular sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134888161","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

A Practical Technique to Advance Stent Through Uncrossable Coronary Lesions: A Prospective Cohort Study 一种实用的技术推进支架通过不可穿越的冠状动脉病变:一项前瞻性队列研究

Türkiye klinikleri cardiovascular sciences Pub Date : 2023-01-01 DOI: 10.5336/cardiosci.2023-98476

Ömer ALYAN, Mutlu Çağan SÜMERKAN, Kudret KESKİN, Hilal ACAR DEMİR

{"title":"A Practical Technique to Advance Stent Through Uncrossable Coronary Lesions: A Prospective Cohort Study","authors":"Ömer ALYAN, Mutlu Çağan SÜMERKAN, Kudret KESKİN, Hilal ACAR DEMİR","doi":"10.5336/cardiosci.2023-98476","DOIUrl":"https://doi.org/10.5336/cardiosci.2023-98476","url":null,"abstract":"Objective: Uncrossable coronary lesions are still challenging to treat. Several devices and techniques are introduced, including rotational atherectomy, or anchor balloon. However, these methods are expensive, not always available, and associated with lower procedural success and higher major adverse cardiac events. Our study describes a simple, effective method [patience technique (PT)] to advance a stent through uncrossable lesions that has not been described in the literature. Material and Methods: In a prospective study with 24 patients undergoing uncrossable lesion percutaneous coronary intervention with stent advancement failures, we identify PT and describe our experience with PT. The PT is the process of pushing the uncrossed same stent for a prolonged time under an optimum constant force to overcome the intraluminal friction. Results: Twenty-three (95.8%) patients had modified American College of Cardiology/ American Heart Association classification Type C, 22 (91.70%) diffuse [median length: 38 mm (quartiles 31.25-52.25)], 22 (91.70%) eccentric and 20 (83.30%) moderate-extensive calcified lesions. Respectively, 8 (27.59%) of 29 stenosis was in left anterior descending, and right coronary artery, 6 (20.69%) left circumflex coronary artery, 3 (10.35%) D1, 2 (6.90%) left main coronary artery-Cx, 1 (3.45%) LCxOM2 and saphenous vein graft-LCxOM2. The median stent advancement time was 134.00 seconds (quartiles 95.25-178.50). All procedures progressed after using the PT and finally resulted successfully without complications. Conclusion: The PT is feasible, and safe for facilitating the passage of stents through uncrossable lesions. Before advancing percutaneous cardiac intervention techniques, this method could be used advantageously in calcified, diffuse, and eccentric lesions.","PeriodicalId":495085,"journal":{"name":"Türkiye klinikleri cardiovascular sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134888513","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

Serum Uric Acid is Associated with Right Heart Failure in Patients with Heart Failure with Reduced Ejection Fraction: A Cross-Sectional Study 血尿酸与心力衰竭伴射血分数降低患者右心衰相关:一项横断面研究

Türkiye klinikleri cardiovascular sciences Pub Date : 2023-01-01 DOI: 10.5336/cardiosci.2023-96729

Rengin Çetin GÜVENÇ, Abdurrahman NASER

{"title":"Serum Uric Acid is Associated with Right Heart Failure in Patients with Heart Failure with Reduced Ejection Fraction: A Cross-Sectional Study","authors":"Rengin Çetin GÜVENÇ, Abdurrahman NASER","doi":"10.5336/cardiosci.2023-96729","DOIUrl":"https://doi.org/10.5336/cardiosci.2023-96729","url":null,"abstract":"Objective: Serum uric acid (UA), which is the final product of purine metabolism, is a predictor of left-sided heart failure (HF), as well as being a marker of outcomes and survival in patients with heart failure with reduced ejection fraction (HFrEF). Right-sided HF may or may not accompany HFrEF, but is associated with worse prognosis and increased morbidity and mortality when present. All available data for the association between RHF and UA are derived from patients with pulmonary arterial hypertension, and virtually no data is available for patients with HFrEF. Our aim was to understand the relationships between UA, echocardiographic markers of right ventricular systolic function and RHF in patients with HFrEF. Material and Methods: A total of 45 patients with an ejection fraction <40% and signs of HF were included. Patients were divided into tertiles according to serum UA concentration. RHF was defined according to the modified Interagency Registry for Mechanically Assisted Circulatory Support criteria. Results: Compared to patients within the lowest UA tertile, patients within the 3rd tertile had a significantly higher incidence of RHF (50.0% vs. 0.0%, Bonferroni-corrected p=0.009) and a significantly lower tricuspid annular plane systolic excursion (20.5±4.4 vs. 16.1±4.4, p=0.02). After adjusting for relevant clinical, demographic, laboratory and echocardiographic variables, serum UA remained a significant predictor of RHF [odds ratio: 2.89, 95% confidence interval (CI): 1.21-6.91, p=0.017]. For serum UA, the c-statistic for determination of RHF was 0.83 (95% CI: 0.71-0.96). Conclusion: Serum UA is associated with the occurrence of RHF in patients with HFrEF.","PeriodicalId":495085,"journal":{"name":"Türkiye klinikleri cardiovascular sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887924","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

Caregiver Burden and Quality of Life of Caregivers of Patients with Ventricular Assist Device: A Descriptive Study 使用心室辅助装置患者的照顾者负担与生活质量:一项描述性研究

Türkiye klinikleri cardiovascular sciences Pub Date : 2023-01-01 DOI: 10.5336/cardiosci.2023-98712

Nihal ÇELİKTÜRK DORUKER, Fatma DEMİR KORKMAZ, Yelda CANDAN DÖNMEZ, Serpil BULUT

{"title":"Caregiver Burden and Quality of Life of Caregivers of Patients with Ventricular Assist Device: A Descriptive Study","authors":"Nihal ÇELİKTÜRK DORUKER, Fatma DEMİR KORKMAZ, Yelda CANDAN DÖNMEZ, Serpil BULUT","doi":"10.5336/cardiosci.2023-98712","DOIUrl":"https://doi.org/10.5336/cardiosci.2023-98712","url":null,"abstract":"Objective: The aim of this study was to determine the caregiver burden and quality of life of family members who care for patients with ventricular assisted devices. Material and Methods: This cross-sectional and descriptive study was conducted in the cardiovascular surgery clinic of a university hospital with 90 caregivers caring for patients who implanted ventricular assist device at least 3 months ago. A questionnaire prepared by the researchers was used to collect data. The questionnaire comprised 2 sections. The first section included questions on sociodemographic and clinical characteristics of patients and caregivers, whereas the second section included the Family Caregiver Quality of Life Scale in Heart Failure (FAMQOL) and Zarit Caregiver Burden Scale (ZCBS). Research data were collected by face-to-face interview method. Descriptive statistics, independent samples t-test and one-way analysis of variance, and Pearson's correlation were used for data analysis. Results: The mean FAMQOL Scale score of caregivers was 47.24±14.57 and the mean ZCBS score was 58.87±19.55. Statistically significant negative correlation was determined between the mean FAMQOL Scale and ZCBS scores. Conclusion: Caregiver burden and quality of life of caregivers of patients with ventricular assist was moderate. Increase in caregiver burden decreases the caregiver's quality of life.","PeriodicalId":495085,"journal":{"name":"Türkiye klinikleri cardiovascular sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134888516","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

A Primary Right Atrial Leiomyosarcoma in a 59-Year-Old Female Patient 一例59岁女性原发性右心房平滑肌肉瘤

Türkiye klinikleri cardiovascular sciences Pub Date : 2023-01-01 DOI: 10.5336/cardiosci.2023-98070

Şeyma ÖZTÜRK, Çetin BORAN

引用次数: 0