Büşra Kuru Görgülü, İrem Dinçer, Türkan Seda Tan, Emir Baskovski
{"title":"Evaluation Of Left Atrial Function With Two-dimensional Speckle Tracking Echocardiography In Patients Treated With Electrical Cardioversion And Catheter Ablation For Atrial Fibrillation.","authors":"Büşra Kuru Görgülü, İrem Dinçer, Türkan Seda Tan, Emir Baskovski","doi":"10.5543/tkda.2025.89051","DOIUrl":"https://doi.org/10.5543/tkda.2025.89051","url":null,"abstract":"<p><strong>Objective: </strong>The effects of radiofrequency catheter ablation (RFCA) and electrical cardioversion (DCCV) on left atrial (LA) mechanical function and atrial myopathy are not fully understood. In this study, we aimed to compare the changes in myocardial deformation after catheter ablation and electrical cardioversion procedures in patients with atrial fibrillation (AF).</p><p><strong>Method: </strong>In this study, we retrospectively analyzed echocardiographic parameters of left ventricular and left atrial function and strain measurements with two-dimensional speckle tracking echocardiography (STE) before and after the procedure in patients who underwent RFCA or DCCV for atrial fibrillation.</p><p><strong>Results: </strong>LA reservoir strain (LARS) significantly improved after the procedure in the ablation group (Apical four chamber view LARS 15.1+-8.2, 19.6+-7.1 p<0.001, respectively). The Apical four chamber view LARS value also showed a significant improvement after the procedure compared to the pre-procedure in patients who underwent DCCV (Apical four chamber view LARS 12.2+-6.2, 17.3+-8.1 p<0.001, respectively). There was no significant difference in strain change between the groups (p=0.7).</p><p><strong>Conclusion: </strong>In our study, the improvement in the reservoir strain of patients who underwent RFCA was similar to DCCV group. These findings suggest that restoration of sinus rhythm by RFCA, despite the expense of fibrosis in the lesion areas, improves left atrial reservoir function.</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":"144586042","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}
Yi Deng, Yuzhu Wu, Qianmin Ren, Yongchao Zhao, Zaili Lu, Bei Shi, Jianling Chen
{"title":"A Case of Coronary Artery Rupture Caused by Negative Vessel Remodeling.","authors":"Yi Deng, Yuzhu Wu, Qianmin Ren, Yongchao Zhao, Zaili Lu, Bei Shi, Jianling Chen","doi":"10.5543/tkda.2025.93104","DOIUrl":"https://doi.org/10.5543/tkda.2025.93104","url":null,"abstract":"<p><p>A rare but deadly side effect of coronary procedures is coronary artery rupture. The 63-year-old male patient with coronary atherosclerotic heart disease who presented with typical symptoms is the subject of this case report. Acute myocardial infarction was not detected by echocardiography, myocardial damage indicators, or electrocardiograms. Two vessels had lesions found by CAG inspection, necessitating surgery. During the surgery, a coronary artery rupture occurred, and the IVUS test showed that the affected arteries had negative vessel remodeling. In clinical practice, coronary artery rupture is quite uncommon and mostly only occurs in case reports. Early detection and prompt treatment are crucial because there is a dearth of information on how to manage this disorder.</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":"144586035","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":"Diagnosis of Loeffler Endocarditis in a Patient with a Cerebrovascular Event.","authors":"Mert Doğan, Uğur Nadir Karakulak","doi":"10.5543/tkda.2024.69326","DOIUrl":"https://doi.org/10.5543/tkda.2024.69326","url":null,"abstract":"<p><p>Cardiac embolic origin is a significant etiological factor in patients presenting with stroke. Thrombi located in the left ventricle may be precipitated by various underlying causes. This case report examines a thrombus located in the left ventricular apex of an 76-year-old female patient, and presents a comprehensive analysis of the clinical, laboratory, and multimodality imaging techniques. Furthermore, this report also provides a detailed summary of the approach to the diagnosis of Loeffler endocarditis, a rare but important differential diagnosis.</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":"144586041","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":"Pulmonary Arterial Hypertension After Repair of Classical Tetralogy of Fallot.","authors":"Gurajala Venkatesh, Harikrishnan Kurup, Karthik Raghuram, Deepa Sasikumar, Kavassery Mahadevan Krishnamoothy, Arun Gopalakrishnan","doi":"10.5543/tkda.2024.08698","DOIUrl":"10.5543/tkda.2024.08698","url":null,"abstract":"<p><p>Tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease, is classically associated with decreased pulmonary blood flow. Classical TOF is characterized by antegrade pulmonary blood flow and right ventricular outflow tract obstruction at varying levels. In the modern era, most children with TOF undergo definitive intracardiac repair during infancy, and pulmonary artery hypertension (PAH) is virtually unheard of in postoperative TOF in the absence of major aortopulmonary collaterals. We report the circumstances in which PAH can occur after definitive repair of classical TOF in the modern era.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 5","pages":"358-361"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562518","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}
Belma Kalaycı, Ezgi Polat Ocaklı, Nur Aydınbelge Dizdar, Esin Kurtuluş Öztürk, Taha Bahsi, Özlem Özmen
{"title":"Spontaneous Partial Rupture of the Long Proximal Biceps Tendon in a Patient with Variant Transthyretin Amyloid Cardiomyopathy Due to a Heterozygous c148G>A p.Val50Leu Mutation.","authors":"Belma Kalaycı, Ezgi Polat Ocaklı, Nur Aydınbelge Dizdar, Esin Kurtuluş Öztürk, Taha Bahsi, Özlem Özmen","doi":"10.5543/tkda.2024.71970","DOIUrl":"10.5543/tkda.2024.71970","url":null,"abstract":"<p><p>Variant transthyretin amyloid cardiomyopathy (ATTRv-CM) is a rare disease caused by a genetic mutation in the ATTR gene. Due to the pathogenic mutation, transthyretin tetramers lose their structural stability and misfold, leading to the accumulation of amyloid fibrils in various tissues, particularly in the heart. The clinical progression of ATTRv-CM varies depending on the specific mutation. Data on ATTR gene mutations in Türkiye are limited. This paper presents a case of spontaneous biceps tendon rupture, identified prior to diagnosis, in a patient with ATTRv-CM carrying a heterozygous c148G>A pVal50Leu mutation.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 5","pages":"362-366"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562521","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}
Ayşe Filiz Yetimakman, Gökçen Özçifçi, Merve Havan, Mehmet Çeleğen, Nagehan Aslan, Murat Kangın, Mehmet Boşnak, Tanıl Kendirli, Ayşe Berna Anıl
{"title":"The Questionnaire of Current Situation in Pediatric Cardiac Intensive Care in Türkiye.","authors":"Ayşe Filiz Yetimakman, Gökçen Özçifçi, Merve Havan, Mehmet Çeleğen, Nagehan Aslan, Murat Kangın, Mehmet Boşnak, Tanıl Kendirli, Ayşe Berna Anıl","doi":"10.5543/tkda.2025.35063","DOIUrl":"https://doi.org/10.5543/tkda.2025.35063","url":null,"abstract":"<p><strong>Objective: </strong>To enhance the results in pediatric cardiac intensive care patients, it is essential to determine the personnel, organisation and equipment status that require improvement. This study aimed to evaluate the current status in the units where pediatric cardiac intensive care patients are admitted, in Türkiye.</p><p><strong>Method: </strong>The study was carried out by means of an online questionnaire form delivered to the chief physicians of intensive care units. The number of patients admitted in the intensive care unit, scope of the surgeries, the number and specialities of physicians and staff who are involved, their roles in patient care, as well as the use of monitorisation methods were defined. Descriptive statistics were applied to the results.</p><p><strong>Results: </strong>The intensive care units are most commonly found in educational institutions and there is a high rate of subspecialty training clinics. The majority of the units are medical and surgical mixed units (76%) and pediatric-only (96%). Pediatric intensive care specialists are most often asserted as the primary responsible physician (48%). The average number of surgeries and annual number of admitted patients are variable among the institutions. Interventional procedures are performed (92%) and cardiac mechanical support systems are used (84%) in the vast majority of the institutions.</p><p><strong>Conclusion: </strong>There is great heterogeneity in patient volumes, personnel status and organisation styles of the units in which pediatric cardiac intensive care patients are admitted. In the future, all these types of patients should be cared for in pediatric-only units and physicians specialized in Pediatric Intensive Care should be present in the teams caring for these patients.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 5","pages":"336-341"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562523","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}
Füsun Afşar, Ece Alagöz, Asibe Özkan, Özlem Köksal, Mehmet Şeker, Ahmet İlker Tekeşin, Habip Yılmaz, Alun C Jackson, Michael Le Grande
{"title":"Turkish Version of the Cardiac Distress Inventory and Cardiac Distress Inventory Short Form: A Validity and Reliability Study.","authors":"Füsun Afşar, Ece Alagöz, Asibe Özkan, Özlem Köksal, Mehmet Şeker, Ahmet İlker Tekeşin, Habip Yılmaz, Alun C Jackson, Michael Le Grande","doi":"10.5543/tkda.2025.94460","DOIUrl":"https://doi.org/10.5543/tkda.2025.94460","url":null,"abstract":"<p><strong>Objective: </strong>Increased negative moods such as anxiety, depression and fear of recurrence of cardiac events after a cardiac event, make it difficult to comply with lifestyle recommendations and drug therapy. Conducting screenings for cardiac distress and ensuring appropriate referrals are made constitute a crucial aspect of maintaining a healthy lifestyle post-illness. The Cardiac Distress Inventory has made it possible to assess cardiac patients psychologically and emotionally. The objective of this study was to provide a validity and reliability assessment of the original form Cardiac Distress Inventory (CDI) and short form (CDI-SF), in Turkish.</p><p><strong>Method: </strong>The inventory was administered face to face to a total of 417 participants (336 CDI/81 CDI-SF) who were hospitalized with the diagnosis of acute coronary syndrome and volunteered to participate in the study. Validity data was assessed using Exploratory Factor Analysis (EFA), Rasch, Confirmatory Factor Analysis (CFA), reliability by McDonald's Omega (ω), Pearson correlation coefficient and discriminability by Receiver operating characteristic (ROC) analysis.</p><p><strong>Results: </strong>The two CDI were a high level of reliability. The factor structure and factor loadings of the CDI were not compatible with the original. The goodness of fit estimated by validity (CFA-EFA) was also not confirmed. The values of RMSEA, χ2/df and CFI indices suggest that it is not suitable for Türkiye. However, in the cross-cultural adaptation, validity and reliability study of the CDI-SF, it was concluded that the construct validity and internal consistency were high and could be used as a unidimensional scale. The inventory will be made freely available to clinicians and researchers.</p><p><strong>Conclusion: </strong>CDI-SF provides a specific, pragmatic and reliable measurement of cardiac distress, adapted to common heart diseases. It serves as an effective screening tool in cardiac clinical management by demonstrating strong psychometric properties.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 5","pages":"342-349"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562524","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}
Serdar Kula, Öznur Leman Boyunağa, Sertaç Bekir Cömert, Ege Kula
{"title":"A Rare Aortic Arch Anomaly in the Light of A New Nomenclature.","authors":"Serdar Kula, Öznur Leman Boyunağa, Sertaç Bekir Cömert, Ege Kula","doi":"10.5543/tkda.2025.22544","DOIUrl":"https://doi.org/10.5543/tkda.2025.22544","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 5","pages":"369"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562458","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}