Anatolian Journal of Cardiology最新文献

{"title":"Reply to Letter to the Editor: \"Importance of Pretest Probability for Calculating Positive Predictive Value\".","authors":"Serhat Erol, Aslıhan Gürün Kaya, Fatma Arslan, Sümeyye Ayöz, Ayşegül Gürsoy Çoruh, Melahat Kul, Evren Özçınar, Aydın Çiledağ, Zeynep Pınar Önen, Akın Kaya, Özlem Özdemir Kumbasar, Stavros V Konstantinides","doi":"10.14744/AnatolJCardiol.2024.4803","DOIUrl":"10.14744/AnatolJCardiol.2024.4803","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Metric Shedding Light on the Relationship Between White Coat Hypertension and Anxiety: The Hospital Anxiety and Depression Scale-Anxiety.","authors":"Yeliz Güler, Ömer Genç, Abdullah Yıldırım, Ufuk S Halil, Gazi Çapar, Cansu G Özdoğan, Aslan Erdoğan, Ahmet Güler, Cevat Kırma","doi":"10.14744/AnatolJCardiol.2024.4746","DOIUrl":"10.14744/AnatolJCardiol.2024.4746","url":null,"abstract":"<p><strong>Background: </strong>To investigate the relationship between anxiety and white coat hypertension (WCH) using the hospital anxiety and depression scale-anxiety (HADS-A) score.</p><p><strong>Methods: </strong>Participants lacking a pre-existing diagnosis of hypertension but displaying increased office blood pressure were included in this study. Subsequently, they were classified as either newly diagnosed sustained hypertension (SustHT) or white coat hypertension (WCH) patients, as determined by 24-hour ambulatory blood pressure monitoring measurements. The assessment of their anxiety levels was conducted using the HADS-A questionnaire. We performed regression, comparative, and sensitivity analyses to elucidate the association between anxiety and WCH.</p><p><strong>Results: </strong>In this cohort of 303 consecutive individuals (mean age 54 years, 46% female), 81 (26.7%) patients were diagnosed with WCH. Those with WCH were younger (49 vs. 56 years, P < .001), had higher heart rate (85 vs. 76 bpm, P < .001) and exhibited a female predominance (56% vs. 43%, P = .049) compared to individuals with SustHT. The HADS-A was higher in WCH than in SustHT (9.0 ± 2.9 vs. 6.6 ± 2.6, P < .001). Furthermore, HADS-A showed positive correlation with systolic and diastolic pressures measured in the out-patient clinic (r = 0.523 and r = 0.387, respectively; P < .001 for both). The full model with HADS-A had better discriminatory power (Harrell's c-index 0.82 vs. 0.77, P = .0025), increased calibration, and a greater net benefit than the base model without. The ROC curve analysis, using a cut-off of >6 for HADS-A, demonstrated a sensitivity of 76.5% and specificity of 53.6% in detecting WCH (Area Under the Curve = 0.72, P < .001).</p><p><strong>Conclusions: </strong>Our study revealed that individuals with WCH, in comparison to those with SustHT, exhibit a higher level of anxiety as indicated by HADS-A.</p>","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of Pretest Probability for Calculating Positive Predictive Value.","authors":"Almina Erdem, Mustafa Oğuz, İrem Yılmaz, Mert Babaoğlu, Mehmet Uzun","doi":"10.14744/AnatolJCardiol.2024.4802","DOIUrl":"10.14744/AnatolJCardiol.2024.4802","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of 24-Hour Mean Arterial Pressure with Systolic and Diastolic Blood Pressure in Hypertension: Insights from Ambulatory Blood Pressure Monitoring.","authors":"Ayşegül Karahan, Utku Zor","doi":"10.14744/AnatolJCardiol.2024.4514","DOIUrl":"10.14744/AnatolJCardiol.2024.4514","url":null,"abstract":"<p><strong>Background: </strong>Twenty-four-hour mean arterial pressure (MAP) is underutilized for the diagnosis and risk assessment of hypertension in clinical settings. The objective of this study is to assess the relation of MAP with systolic and diastolic blood pressure (BP) in diagnosing hypertension on 24-hour ambulatory blood pressure monitoring (ABPM), while also examining its diagnostic effectiveness.</p><p><strong>Methods: </strong>This retrospective study analyzed 24-hour ABPM of 532 adults. Hypertension diagnosis was made based on 2 criteria: the standard 24-hour systolic/diastolic BP measurement criteria and the 24-hour MAP measurement criteria. The relation of the 24-hour MAP with systolic and diastolic measurements and the predictors affecting its accuracy were evaluated.</p><p><strong>Results: </strong>A total of 532 patients were included, and 409 (76.9%) were diagnosed with hypertension based on 24-hour ambulatory systolic/diastolic BP criteria. Among hypertensive patients, 191 (46.7%) were overlooked by 24-hour MAP criteria. Multiple logistic regression analysis identified age ≥52.4 (OR = 3.23, 95% CI:2.02-5.16, P < .001), female gender (OR = 2.54, 95%CI:1.61-4.02, P < .001), and less variation in daytime/nighttime systolic/diastolic BP as significant independent predictors of overlooked hypertension by 24-hour MAP criteria.</p><p><strong>Conclusion: </strong>Our study highlights a relation between 24-hour MAP and systolic/diastolic BP measurements in diagnosing hypertension via 24-hour ABPM, especially in older adults and women. Systolic/diastolic criteria offer greater sensitivity for hypertension detection compared to MAP alone. This underscores the need for refined diagnostic criteria and suggests that reliance on MAP alone may lead to underdiagnosis in these vulnerable populations, necessitating further investigation.</p>","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unique Case of ALCAPA in an Elderly Patient: Conservative Management and Long-Term Follow-Up.","authors":"Jie Wang, Ping Hu, Xiao-Jing Ma, Jun Xie","doi":"10.14744/AnatolJCardiol.2024.4836","DOIUrl":"10.14744/AnatolJCardiol.2024.4836","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Review: Methodological and Interpretative Issues in COVID-19 and Acute Coronary Syndrome Study.","authors":"Basil Joy","doi":"10.14744/AnatolJCardiol.2024.4659","DOIUrl":"10.14744/AnatolJCardiol.2024.4659","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Ventricular Pseudoaneurysms.","authors":"Cemal Köseoğlu, Can Ramazan Öncel","doi":"10.14744/AnatolJCardiol.2024.4702","DOIUrl":"10.14744/AnatolJCardiol.2024.4702","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Cardiovascular Disease and Comparison of Risk Category Predictions of Systemic Coronary Risk Evaluation Score-2 and 4 Other Cardiovascular Disease Risk Assessment Tools Among People Living with Human Immunodefficiency Virus in Türkiye.","authors":"Elif Tükenmez Tigen, Deniz Gökengin, Hülya Özkan Özdemir, Halis Akalın, Bülent Kaya, Aydın Deveci, Asuman İnan, Dilara İnan, Adalet Altunsoy, Ayşe Serra Özel, İlkay Karaoğlan, Haluk Eraksoy, Tuna Demirdal, Taner Yıldırmak, Serhat Birengel, Ayşe İnci, Arzu Nazlı, Bircan Kayaaslan, Sevgi Özan Köse, Çiğdem Ataman Hatipoğlu, Yasemin Esen, Tuba Koç, Petek Gilik, Volkan Korten","doi":"10.14744/AnatolJCardiol.2024.4558","DOIUrl":"10.14744/AnatolJCardiol.2024.4558","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease (CVD) is a major cause of mortality among people living with HIV (PLWH). We aimed to assess the prevalence of diagnosed CVD and the risk of CVD among PLWH using 5 different tools.</p><p><strong>Methods: </strong>This retrospective, cross-sectional study was conducted in 20 tertiary centers in Türkiye between October 2021 and March 2022, among 1425 PLWH aged 40-75 years. About 82.7% were male, with a median age of 51. Web-based tools for each score were used for CVD risk calculations.</p><p><strong>Results: </strong>Of 1425 PLWH enrolled, 10.8% had confirmed CVD, and 1132 had their risk scores evaluated. Of those participants, 42.8% had a higher risk of CVD (10-year risk of atherosclerotic CVD risk score (ASCVD) above 7.5%), and according to the European Society of Cardiology systemic coronary risk evaluation 2 (SCORE2), 71.7% had a high- to very high-risk rate. The agreement between various CVD risk tools varied, with Framingham heart study risk score (FRS), modified FRS, data collection on adverse effects of anti-HIV drugs (DAD), and SCORE2 for high-risk countries showing overall agreement rates of 82%, 94%, 91%, and 36%, respectively, compared to ASCVD. According to the 2021 European and 2019 American Cardiology guidelines, 75.3% and 47.1% of PLWH would be eligible for lipid-lowering agents, respectively.</p><p><strong>Conclusion: </strong>The diagnosed CVD prevalence highlighted the importance of monitoring cardiovascular health and comorbidities in this population. SCORE2 identified a greater number of individuals at high/very high risk compared to other prediction tools. The implementation of CVD prevention through lipid-lowering therapy was far from desired levels in our cohort.</p>","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Challenging and Rare Morphology in a Patient with Hypertrophic Cardiomyopathy: Quadricuspid Mitral Valve.","authors":"Duygu İnan, Muhammet Tekin, Funda Özlem Pamuk, Sevil Tuğrul Yavuz, Ali Fuat Tekin, Serçin Özkök, Alev Kılıçgedik","doi":"10.14744/AnatolJCardiol.2024.4741","DOIUrl":"10.14744/AnatolJCardiol.2024.4741","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical Myocardial Infarction Associated with Airbag Deployment: Insights from Electrocardiographic Changes and Intravascular Imaging.","authors":"Dong-Tao Li, Yu-Bin Wang, Yan Jiao, Yu Chen, Jian-Yong Zheng","doi":"10.14744/AnatolJCardiol.2024.4701","DOIUrl":"10.14744/AnatolJCardiol.2024.4701","url":null,"abstract":"","PeriodicalId":7835,"journal":{"name":"Anatolian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}