Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir最新文献

{"title":"Factors Affecting QT Interval in Patients with Type 2 Diabetes Mellitus and the Effect of Sodium-Glucose Cotransporter 2 Inhibitors.","authors":"Ali Çoner, Can Ramazan Öncel, Cemal Köseoğlu","doi":"10.5543/tkda.2025.70970","DOIUrl":"https://doi.org/10.5543/tkda.2025.70970","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746632","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":"Would the Hemoglobin, Albumin, Lymphocyte, and Platelet Score Help Predict Atrial Fibrillation Recurrence After Cryoballoon Ablation?","authors":"Uğur Canpolat","doi":"10.5543/tkda.2025.50051","DOIUrl":"https://doi.org/10.5543/tkda.2025.50051","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746634","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":"Implications of Procedure of Thoracic Endovascular Aortic Repair on Left Ventricular Global Longitudinal Strain.","authors":"Taner Şahin, Mehmet Çiçek, Sezgin Atmaca, Ahmet Anıl Şahin, Ömer Çelik","doi":"10.5543/tkda.2025.22994","DOIUrl":"https://doi.org/10.5543/tkda.2025.22994","url":null,"abstract":"<p><strong>Objective: </strong>Aorta, particularly in its proximal segments, expands during systole to store blood, which is subsequently released into the peripheral circulation during diastole, morphologically and histologically. This function, referred to as the \"Windkessel effect,\" ensures continuous and regular blood flow in the peripheral circulation. Thoracic Endovascular Aortic Repair (TEVAR) was introduced in the literature as a treatment for Type B aortic dissections (TBAD). In patients who undergo TEVAR, the placement of a stent graft in the proximal segments of the aorta, which are responsible for the highest capacity of blood storage and elasticity, may disrupt this function. Consequently, this alteration may lead to increased afterload and, over the long term, impair left ventricular systolic function. Previous studies have demonstrated that measurements of left ventricular global longitudinal strain (LVGLS) can detect early systolic dysfunction before any significant changes in left ventricular ejection fraction (LVEF) occur. The aim of this study is to compare preoperative and postoperative LVGLS measurements in patients who underwent TEVAR, thereby illustrating changes in LVGLS associated with the procedure.</p><p><strong>Methods: </strong>Patients who underwent TEVAR for TBAD or Thoracic Aortic Aneurysm (TAA) were included in the study. Patients with malignancy, advanced valvular pathology, end-stage chronic kidney disease, liver failure, or heart failure were excluded. Preoperative data, including comorbidities, medication use, blood parameters, electrocardiography findings, transthoracic echocardiography images, and LVGLS values, were recorded. These parameters were then compared with the values obtained at the postoperative 3-month outpatient follow-up.</p><p><strong>Results: </strong>After TEVAR procedure, a significant decrease in LVGLS was observed (p<0.001). A strong correlation was found between the change in mean arterial pressure (MAP) and the reduction in LVGLS (ρ=0.555, p=0.017). Postoperatively, significant increases were noted in systolic blood pressure (SBP) and MAP (both p<0.001). No significant differences were observed in other parameters before and after the procedure.</p><p><strong>Conclusion: </strong>In our study, a significant increase in SBP and MAP, along with a notable decrease in LVGLS values, were observed following TEVAR procedure. A significant and strong correlation was identified between the increase in MAP and the decrease in LVGLS.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746633","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":"Can Artificial Intelligence Replace Human Peer Review in Cardiovascular Journals?","authors":"Sefa Tatar","doi":"10.5543/tkda.2025.67002","DOIUrl":"https://doi.org/10.5543/tkda.2025.67002","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746631","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":"Local Anesthetic-Related Methemoglobinemia During Cardiac Device Implantation; A Retrospective Registry: The LAMDA Study-Uncorrected Proof.","authors":"Nazif Yalçın, Fatih Kahraman, Mehmet Ali Astarcıoğlu, Taner Şen","doi":"10.5543/tkda.2025.62884","DOIUrl":"https://doi.org/10.5543/tkda.2025.62884","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the frequency of methemoglobin development and identify associated factors in patients undergoing Implantable Cardioverter-Defibrillator (ICD) and Cardiac Resynchronization Therapy (CRT) procedures with the local anesthetic prilocaine.</p><p><strong>Method: </strong>Data from 64 patients were analyzed. The patients' methemoglobin levels before and after the procedure were measured and compared. The relationships between the results and factors such as creatinine, hemoglobin, BMI, and the amount of prilocaine used were examined. Exclusion criteria included: age under 18 years, pregnancy, breastfeeding, malignancy, chemotherapy, hemoglobin chain disorders, liver failure, and renal failure (GFR <60 ml/min), chronic obstructive pulmonary disease, other hypoxic lung diseases and smoker patients.</p><p><strong>Results: </strong>Methemoglobin levels were significantly higher in the first hour after the procedure (p < 0.001). Oxygen saturation levels were significantly lower during the first hour post-procedure (p < 0.001). In the group with elevated methemoglobin levels after the procedure, creatinine levels were significantly higher (p < 0.001), while BMI (p < 0.001) and hemoglobin levels (p < 0.001) were significantly lower. No significant relationship was found with ALT levels (p = 0.425).</p><p><strong>Conclusion: </strong>While significant methemoglobin elevation was observed following ICD/CRT procedures with prilocaine, clinically significant methemoglobinemia cases are rare. A significant relationship was identified between methemoglobin elevation and BMI, hemoglobin, and creatinine.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610835","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 Rare Anatomical Variant: Cryoballoon Ablation of Accessory Pulmonary Vein Originating from the Left Atrial Roof: A Case Report.","authors":"Koray Kalenderoğlu, Mert İlker Hayıroğlu, Melih Öz, Kadir Gürkan","doi":"10.5543/tkda.2025.35324","DOIUrl":"https://doi.org/10.5543/tkda.2025.35324","url":null,"abstract":"<p><p>We administered cryoballoon ablation to a 61-year-old female patient for recurrent paroxysmal atrial fibrillation. Contrast-enhanced CT angiography used to assess the patient's pulmonary vein anatomy prior to cryoballoon ablation revealed an accessory pulmonary vein emanating from the left atrial roof. Cryoballoon ablation was successfully performed on this accessory vein, which is rarely seen in the literature for the first time.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586037","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":"How to Recognize Cardiac Amyloidosis: Explaining With Clinical Case.","authors":"Shafag Mustafaeva, Uzeyir Rahimov, Emin Karimli, Khatira Abdulalimova, Shahla Shabanova","doi":"10.5543/tkda.2024.79810","DOIUrl":"https://doi.org/10.5543/tkda.2024.79810","url":null,"abstract":"<p><p>Cardiac amyloidosis is a rare systemic condition in which amyloid proteins accumulate outside the cells of the heart. These proteins can be deposited in various parts of the heart, including the valves, endocardium, myocardium and pericardium. This abnormal protein deposition can disrupt normal heart function, leading to a range of symptoms and complications, including heart failure, arrhythmias, and even sudden cardiac death. Diagnosis of cardiac amyloidosis is suspected based on characteristic findings, electrocardiogram abnormalities, and echocardiographic features, which prompt further evaluation and confirmation. We present the case of a 57-year-old female who was hospitalized due to significant exertional dyspnea, hypotension, lower extremity edema, and proteinuria. The aim of this case report is to augment clinicians' understanding of this condition and to minimize the interval between symptom onset and diagnosis, thereby potentially improving the prognosis of affected patients.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586043","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":"Uninvited Guest in the Left Ventricle: Lipomade.","authors":"Emine Altuntaş, Kadriye Memiç Sancar, Begüm Uygur, İffet Doğan","doi":"10.5543/tkda.2025.35332","DOIUrl":"https://doi.org/10.5543/tkda.2025.35332","url":null,"abstract":"<p><p>Cardiac lipoma is a rare primary tumour of the heart, and as diagnostic and treatment methods have improved, more cases have been reported. This situation suggests that the clinical presentation, previously thought to have classic features, may in fact have atypical manifestations. In this case report is presented a case of a 28-year-old female with progressive exertional dyspnea. Trans thoracic and transesophageal echocardiography showed a huge mass in the left ventricle that originated from posteromedial papillary muscle, had a low-density focus with a clear boundary and regular shape, and had no fortunately significant effect on the valves and hemodynamics. After cardiac magnetic resonans, cardiac lipoma was diagnosed. The lipoma excision surgery was offered to the patient, however the patient refused the operation. The most patients diagnosed with cardiac lipoma in the heart chambers manifest no symptoms. Therefore they are diagnosed accidentally. The utilization of multimodality imaging would facilitate the diagnosis. Echocardiography is a suitable modality for subsequent monitoring.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586049","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":"Paradoxical Cerebral and Coronary Embolism in a Young Patient Due to Right Atrial Appendage Aneurysm: A Case Report.","authors":"Songül Usalp, Safiye Sanem Dereli Bulut, Filiz Çelebi, Emine Altuntaş","doi":"10.5543/tkda.2024.36737","DOIUrl":"https://doi.org/10.5543/tkda.2024.36737","url":null,"abstract":"<p><p>A 32-year-old male patient was admitted to the hospital due to an ischemic stroke. Transesophageal echocardiography demonstrated the presence of an echogenic structure consistent with a thrombus within the aneurysm of the right atrium, along with a foramen ovale (PFO) within the interatrial septum. Cardiac MRI revealed the presence of a right atrial appendage aneurysm (RAAA) with a thrombus. Coronary angiography demonstrated that the circumflex artery was occluded. Concurrently, the antiphospholipid syndrome was identified. Given the presence of a PFO, paradoxical embolism was postulated as the aetiology of both coronary and cerebral artery occlusion. Antithrombotic and anticoagulant medical treatment was initiated, and surgical intervention for RAAA and PFO was advised. However, the patient declined surgical treatment, and thus, his medical management was continued. The patient has been attending regular visits for about two years and is being followed up without any problems.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586045","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":"Reply to Letter to the Editor: Artificial Intelligence in Cardiac Rehabilitation: Evaluating ChatGPT's Knowledge Level and Responses to Clinical Scenarios-Uncorrected Proof.","authors":"Muhammet Geneş","doi":"10.5543/tkda.2025.77137","DOIUrl":"https://doi.org/10.5543/tkda.2025.77137","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593283","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}