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

{"title":"Left Bundle Branch Area Pacing in a Patient with Ventricular Septal Defect.","authors":"Serkan Çay, Özcan Özeke, Fırat Özcan, Meryem Kara, Elif Hande Özcan Çetin, Ahmet Korkmaz, Serkan Topaloğlu","doi":"10.5543/tkda.2024.40558","DOIUrl":"https://doi.org/10.5543/tkda.2024.40558","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 1","pages":"77-79"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967641","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 Novel Electrocardiographic Marker for Predicting Total Mortality in Ischemic Stroke: Frontal QRS-T Angle.","authors":"Songül Usalp, Bayram Bağırtan","doi":"10.5543/tkda.2024.71138","DOIUrl":"10.5543/tkda.2024.71138","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between mortality and the frontal QRS-T angle (FQRS-TA), obtained by calculating the absolute difference between the QRS and T waves electrocardiographically (ECG), in patients diagnosed with ischemic stroke (IS).</p><p><strong>Methods: </strong>This research is a retrospective and cross-sectional study. The diagnosis of IS was confirmed through brain imaging and physical examination. Patients with sinus rhythm were included in the study. The FQRS-TA was measured by calculating the absolute difference between the QRS-axis and the T-axis, as automatically measured on the ECG. Patients were divided into two groups: those who died within five years and those who survived, and the groups were compared.</p><p><strong>Results: </strong>A total of 322 patients with IS were included in the study, of whom 290 survived, and 32 died. Age, creatinine level, PR interval, QRS duration, corrected QT (cQT) value, and FQRS-TA value were found to be higher in the deceased group. Cox regression analyses were performed to examine the association between predictors of stroke-related mortality. Age [hazard ratio (HR): 1.091, 95% (1.045-1.140), P < 0.001], high-density lipoprotein (HDL) [HR: 0.914, 95% (0.875-0.955), P < 0.001], and FQRS-TA [odds ratio (OR): 1.011, 95% (1.003-1.019), P = 0.007] were associated with mortality. A FQRS-TA of 68 degrees or higher was associated with cumulative mortality in the Kaplan-Meier survival analysis (log rank [Mantel-Cox] test: P = 0.001).</p><p><strong>Conclusion: </strong>In this study, increased FQRS-TA was found to be associated with mortality in patients with IS. ECG parameters are simple and time-efficient measurements that can provide important prognostic information. To the best of our knowledge, this research is the first study to examine the relationship between FQRS-TA and mortality in patients with IS.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967687","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":"Remote Follow-Up/Monitoring of Cardiac Implantable Electronic Devices.","authors":"Serkan Çay, Duygu Koçyiğit Burunkaya, Serdar Bozyel","doi":"10.5543/tkda.2024.34561","DOIUrl":"10.5543/tkda.2024.34561","url":null,"abstract":"<p><p>Cardiac implantable electronic device (CIED) implantation is a diagnostic and therapeutic method that is being employed on a growing number of patients globally. These devices require long-term follow-up and monitoring, and after implantation, regular follow-ups are conducted at specific intervals. These follow-ups provide crucial information about both the device and the patient, aiding in diagnosis and guiding treatment. These monitoring procedures, which are usually performed in a clinical setting, place a substantial burden on the healthcare system and its personnel. Remote follow-up and monitoring, as discussed in this article, has the potential to replace many in-clinic follow-up/monitoring procedures, meeting the device and patient monitoring needs without compromising safety. Thus, it can alleviate the burden on the healthcare system and its personnel in a cost-effective manner. This article aims to provide a comprehensive exploration of remote follow-up and monitoring for CIEDs.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 1","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967645","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":"Associations Between Upper Extremity Function, Activities of Daily Living, and Functional Capacity in Patients with Heart Failure with Reduced Ejection Fraction.","authors":"Aylin Tanrıverdi Eyolcu, Buse Özcan Kahraman, Ebru Özpelit, Serap Acar, Bihter Şentürk, İsmail Özsoy, Bahri Akdeniz, Mehmet Birhan Yılmaz, Sema Savcı","doi":"10.5543/tkda.2024.79916","DOIUrl":"10.5543/tkda.2024.79916","url":null,"abstract":"<p><strong>Objective: </strong>Limited information is available regarding the associations between upper extremity function, activities of daily living (ADLs), and functional capacity in patients with heart failure with reduced ejection fraction (HFrEF). This study aimed to investigate the associations between upper extremity function, ADLs, and functional capacity in patients with HFrEF.</p><p><strong>Methods: </strong>This cross-sectional study included 31 patients with HFrEF. Demographic, anthropometric, and clinical data were recorded. Upper extremity function and ADLs were evaluated using the 6-Minute Pegboard and Ring Test (6PBRT) and the Glittre Activities of Daily Living Test (TGlittre), respectively. The 6-Minute Walk Test (6MWT) was administered to measure functional capacity. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), peripheral oxygen saturation (SpO2), dyspnea, and fatigue were assessed at the beginning and end of each test.</p><p><strong>Results: </strong>The 6PBRT was significantly correlated with TGlittre (rho = -0.718, P < 0.001) and 6-minute walk distance (6MWD) (r = 0.546, P = 0.001). A significant correlation was also found between TGlittre and 6MWD (rho = -0.810, P < 0.001). Changes in HR, SBP, and dyspnea were significantly different across the 6PBRT, TGlittre, and 6MWT (P < 0.05).</p><p><strong>Conclusion: </strong>This study indicates that upper extremity function is associated with ADLs and functional capacity in patients with HFrEF. The 6PBRT requires lower cardiopulmonary demand than TGlittre and 6MWT in this patient population.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967637","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":"Assessment of Family Physicians' Knowledge and Attitudes Toward Atrial Fibrillation and Oral Anticoagulants in Türkiye: What Do the Survey Results Reveal?","authors":"İmran Ceren, Celal Kuş, Fadime Bozduman Habip, Büşra Karabekiroğlu, Kübra Erdoğan, Demet Menekşe Gerede Uludağ","doi":"10.5543/tkda.2024.38242","DOIUrl":"10.5543/tkda.2024.38242","url":null,"abstract":"<p><strong>Objective: </strong>Atrial fibrillation (AF) is a common arrhythmia associated with a five-fold increased risk of stroke. Family physicians (FPs) serve as the primary contact point for patients seeking healthcare. While many surveys have assessed FPs' knowledge on AF across various countries, no such study has been conducted in Türkiye. This study aimed to evaluate the level of knowledge and approach to AF of FPs in Türkiye.</p><p><strong>Methods: </strong>An online survey consisting of 38 multiple-choice questions was administered to 326 consenting physicians. The survey addressed demographic characteristics, AF diagnosis, risk factors, treatment approaches, counseling, consultation options, and levels of anxiety related to AF. Descriptive characteristics of the responses were analyzed.</p><p><strong>Results: </strong>A total of 235 (72.1%) FPs demonstrated moderate or lower level of knowledge. A significant weak negative correlation was found between age and total knowledge score (rho = 0.123, P < 0.026), and a significant difference was identified between working status and knowledge score (P < 0.001). Only 7.1% of FPs reported having access to cardiologists when they needed consultation. Additionally, 81.9% tended to refer patients to a cardiologist for periprocedural management, and 85.9% for cases of minor bleeding. Of the respondents, 86.5% expressed that training on AF and oral anticoagulants (OACs) is absolutely necessary.</p><p><strong>Conclusion: </strong>Major gaps in FPs' knowledge and skills regarding AF and anticoagulants were identified. Knowledge levels among FPs can be improved through training sessions, web-based applications, and conferences. FPs can be encouraged and supported to play an active role in AF management, which may enhance patient outcomes, reduce costs for the healthcare system, and share the workload of cardiologists.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 1","pages":"44-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967689","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":"Development of In-Hospital and Discharge Protocols for Optimal Lipid-Lowering Strategies in Patients with Acute Coronary Syndrome in Türkiye: Expert Guidance.","authors":"Öner Özdoğan, Meral Kayıkçıoğlu, Barış Güngör, Ceyhun Ceyhan, Özcan Başaran, Mithat Selvi, Lale Tokgözoğlu","doi":"10.5543/tkda.2024.68708","DOIUrl":"https://doi.org/10.5543/tkda.2024.68708","url":null,"abstract":"<p><p>Although guidelines strongly recommend low levels of low-density lipoprotein cholesterol (LDL-C) in patients with acute coronary syndrome (ACS), these goals are not achieved in many patients. We present expert recommendations for the in-hospital and post-discharge management of lipid-lowering therapy in ACS patients in Türkiye. A group of expert cardiologists comprising members of the Turkish Society of Cardiology and leading lipidologists who have all worked in national cardiology lipid working groups for at least 4 years, considered the optimal approach to lipid management in ACS patients in Türkiye, taking into account Turkish healthcare infrastructure and issues from real-world practice. Novel standardized algorithms covering the first year after an ACS event were developed. The main elements of the proposed approach are summarized. The in-hospital strategy includes lipid profile assessments and commencement of statin therapy, including appropriate measures for patients with possible familial hypercholesterolemia or with a history of recurrent cardiovascular events. The role of a specially-trained nurse, use of a patient follow-up card, and the provision of patient information and referrals to affiliated healthcare professionals, are covered. The post-discharge strategy covers follow-up visits to monitor the patient's progress and recommends timepoints at which modifications to treatment (based on LDL-C levels) should be made. A country-specific approach to lipid management in ACS patients in Türkiye is proposed. Further work is needed to determine the best way to implement the strategy, and to validate the recommendations and their application in daily practice.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"52 8","pages":"590-599"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776145","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":"Electromechanical Association Artifact on Electrocardiogram (ECG) Mimics Acute ST-Elevation Myocardial Infarction.","authors":"Abdullah Kaplan, Ömer Kıraslan","doi":"10.5543/tkda.2023.07741","DOIUrl":"https://doi.org/10.5543/tkda.2023.07741","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"52 8","pages":"615-616"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776149","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":"Junctional Ectopic Tachycardia After Congenital Heart Surgery: Incidence, Risk Factors, and Outcomes.","authors":"Emine Hekim Yılmaz, Nurgül Yurtseven, Oktay Korun, Murat Çiçek, Hüseyin Karadağ, Murat Sürücü, İbrahim Halil Demir, Numan Ali Aydemir, Ahmet Çelebi","doi":"10.5543/tkda.2024.77449","DOIUrl":"https://doi.org/10.5543/tkda.2024.77449","url":null,"abstract":"<p><strong>Objective: </strong>Postoperative junctional ectopic tachycardia (JET) is usually a self-limiting condition; however, when combined with atrioventricular dissociation and postoperative ventricular dysfunction, it may increase morbidity and mortality. This study aimed to determine the overall incidence of JET following congenital heart surgery, to identify patient and procedure-related risk factors, and to evaluate the clinical impact of JET on outcomes.</p><p><strong>Methods: </strong>The records of 2,814 patients who underwent cardiac surgery over a five-year period were reviewed retrospectively to identify those with JET. For each patient diagnosed with JET, two controls who underwent surgery during the same period were selected to compare possible risk factors and outcomes.</p><p><strong>Results: </strong>The incidence of JET following congenital heart surgery was 2.66% in this large cohort. Univariate analyses revealed statistically significant associations between JET and factors such as young age, small body weight, high vasoactive inotropic score, operations involving the ventricular septum, surgical complexity score, increased cardiopulmonary bypass time, delayed sternal closure, extracorporeal membrane oxygenation (ECMO) requirement, and increased risk of postoperative JET. In multivariate analysis only the association between surgeries involving the ventricular septum, ECMO requirement, and increased risk of JET persisted. Compared to controls, patients with JET experienced prolonged intubation times, longer stays in the intensive care unit and hospital, more frequent unplanned re-interventions, and higher mortality rates.</p><p><strong>Conclusion: </strong>Junctional ectopic tachycardia can lead to serious hemodynamic consequences in patients following congenital heart surgery and is associated with poorer clinical outcomes. Both patient and procedure-related factors contribute to the overall risk of developing JET. Identifying associations and predictors of JET can help improve patient outcomes.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"52 8","pages":"567-573"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776157","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":"Assessment of Non-Vitamin K Antagonist Oral Anticoagulant Dosing Patterns in Turkish Patients with Non-Valvular Atrial Fibrillation: A Multicenter, Cross-Sectional Study with Insights from the ASPECT-NOAC Study.","authors":"Özer Badak, Demet Özkaramanlı Gür, Çağlar Kaya, Tugay Önal, Onur Saydam, İbrahim Faruk Aktürk, Servet Altay, Ahmet Altuğ Çinçin, Refik Emre Altekin, Göksel Çağırcı, Kadriye Kılıçkesmez, Veli Polat, Dursun Aras","doi":"10.5543/tkda.2024.47718","DOIUrl":"10.5543/tkda.2024.47718","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to assess the real-world label adherence of non-vitamin K antagonist oral anticoagulant (NOAC) dosing patterns, including apixaban, edoxaban, and rivaroxaban, in Turkish patients with atrial fibrillation.</p><p><strong>Methods: </strong>This was an observational, prospective, cross-sectional, multicenter study. Patients with atrial fibrillation (AF) who were prescribed NOACs within the last 4 months were recruited from 34 cardiology clinics in Türkiye. Baseline data were initially collected, and patient awareness was evaluated at 3-4 weeks.</p><p><strong>Results: </strong>A total of 903 patients were enrolled in the study. The mean age was 72.84 ± 10.17 years. We found that 140 (15.5%), 721 (79.8%), and 42 patients (4.7%) were prescribed off-label low, on-label, and off-label high dosing, respectively. The age of the patients in the on-label group was significantly lower than that of those in the off-label low and off-label high groups (both P < 0.001). Female patients were more frequently observed in the off-label high group (P = 0.019). The body mass index values of the patients in the off-label high-dose group were significantly lower than those in the other groups (P < 0.001). The perception of income levels also revealed significant differences between the groups (P = 0.010). Furthermore, the HAS-BLED scores (the Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile International Normalized Ratio, Elderly, Drugs/Alcohol Concomitantly) were significantly lower in the on-label group than in the other groups (P < 0.001). Similarly, the CHA2DS2-VASc [the Congestive Heart Failure, Hypertension, Age ≥75 (Doubled), Diabetes, Stroke (Doubled), Vascular Disease, Age 65-74, and Sex Category (Female)] scores were significantly lower in the on-label group than in the off-label group (P < 0.001).</p><p><strong>Conclusion: </strong>The clinical impact off-label NOAC prescriptions may vary. Therefore, raising clinician awareness about proper NOAC dosing could aid in improve the outcomes.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"52 8","pages":"574-580"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776126","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":"Invasive Management of Iatrogenic Left Internal Mammary Artery-Great Cardiac Vein Anastomosis: A Case Report.","authors":"Reşit Yiğit Yılancıoglu, Oğuzhan Ekrem Turan, Hatice Özdamar, Hüseyin Dursun, Emin Evren Özcan, Dayimi Kaya","doi":"10.5543/tkda.2023.30810","DOIUrl":"10.5543/tkda.2023.30810","url":null,"abstract":"<p><p>Coronary artery bypass graft (CABG) surgery is one of the main treatment procedures for revascularization. Diagnosing postoperative complications can be difficult. One rare complication is the iatrogenic connection of the graft to the venous system, causing distal ischemia due to an arteriovenous shunt. This condition may lead to heart failure and fatal arrhythmias. Anti-arrhythmic drug-resistant ventricular arrhythmias, which can occur immediately after coronary artery bypass surgery, are sometimes related to the procedure itself. We describe the invasive management of an iatrogenic anastomosis between the left internal mammary artery (LIMA) and the great cardiac vein (GCV), which led to life-threatening ventricular arrhythmias.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"52 8","pages":"600-605"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776154","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}