Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir最新文献_第6页

Association Between Right Ventricular Echocardiographic Parameters and HFA-PEFF Score in Heart Failure with Preserved Ejection Fraction. 保留射血分数的心力衰竭患者右心室超声心动图参数与HFA-PEFF评分的关系。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2025.25905

Hacı Ali Kürklü, Türkan Seda Tan, Nil Özyüncü, Kerim Esenboğa, İrem Dinçer

{"title":"Association Between Right Ventricular Echocardiographic Parameters and HFA-PEFF Score in Heart Failure with Preserved Ejection Fraction.","authors":"Hacı Ali Kürklü, Türkan Seda Tan, Nil Özyüncü, Kerim Esenboğa, İrem Dinçer","doi":"10.5543/tkda.2025.25905","DOIUrl":"https://doi.org/10.5543/tkda.2025.25905","url":null,"abstract":"Objective: Heart failure with preserved ejection fraction (HFpEF) is a leading clinical syndrome, accounting for more than 50% of hospitalizations due to heart failure. The HFA-PEFF algorithm, used for the diagnosis of HFpEF, also has prognostic value. The primary purpose of this work was to explore the relationship between the HFA-PEFF score and right ventricular (RV) echocardiographic parameters.Methods: 127 patients diagnosed with HFpEF between January 2021 and November 2024, with adequate transthoracic echocardiography (TTE) images, were retrospectively evaluated. Patients were categorized into three prognostic risk groups based on their HFA-PEFF scores: low (0-2), intermediate (3-4) and high (5-6). RV function was assessed using Tricuspid annular plane systolic excursion (TAPSE), tricuspid annular S' velocity and RV free wall longitudinal strain (RVFW GLS). The relationship between the HFA-PEFF score and RV parameters was evaluated using One-way ANOVA and Spearman correlation analysis.Results: Patients with high HFA-PEFF scores showed significant deterioration in TAPSE and RV GLS values. A moderate negative correlation was observed between HFA-PEFF score and RVFW GLS (r = 0.50, P < 0.001), while a mild negative correlation was found with TAPSE (r = -0.35, P < 0.001).Conclusion: In HFpEF patients with poor prognosis as identified by the HFA-PEFF score, there was a marked deterioration in RV parameters, particularly RVFW 2D GLS and TAPSE. These findings suggest that incorporating RV parameters into HFpEF diagnostic and prognostic algorithms might provide additional clinical value.","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":"144586038","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

Entrapment of a Multipolar Mapping Catheter in a Mitral Valve Prosthesis-Uncorrected Proof. 在二尖瓣假体中夹持多极定位导管-未校正证明。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2025.22678

Serkan Çay, Meryem Kara, Sona Huseyinova, İlke Erbay, Özcan Özeke, Elif Hande Özcan Çetin, Ahmet Korkmaz, Fırat Özcan, Serkan Topaloğlu

引用次数: 0

The Dilemma of Edoxaban Interruption and Heparin Bridging Before Upgrading to Cardiac Resynchronization Therapy in an Older Patient with Atrial Fibrillation, Chronic Kidney Disease, and Mitral Bioprosthesis. 老年心房颤动、慢性肾病和二尖瓣生物假体患者在升级到心脏再同步化治疗前，edo沙班中断和肝素桥接的困境

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2024.86907

Mert Doğan, Uğur Canpolat

{"title":"The Dilemma of Edoxaban Interruption and Heparin Bridging Before Upgrading to Cardiac Resynchronization Therapy in an Older Patient with Atrial Fibrillation, Chronic Kidney Disease, and Mitral Bioprosthesis.","authors":"Mert Doğan, Uğur Canpolat","doi":"10.5543/tkda.2024.86907","DOIUrl":"https://doi.org/10.5543/tkda.2024.86907","url":null,"abstract":"The peri-procedural management of novel oral anticoagulants (NOAC) should be individualized based on the patient (age, body weight, renal function, medications, previous thromboembolic/bleeding event, presence of prosthetic valve) and procedural (bleeding risk) characteristics. Less invasive procedures carry a relatively low bleeding risk and may be performed under minimally- or uninterrupted NOAC therapy. However, upgrading from implantable cardioverter defibrillator (ICD) to cardiac resynchronization therapy (CRT) is more complex than the initial implantation procedure. Thus, the timing of the last NOAC intake before an elective procedure requires judgment based on the individual benefit/risk ratio. Herein, we presented the management of an elderly patient with atrial fibrillation, grade IIIb chronic renal disease, low body weight, and bioprosthetic mitral valve who underwent upgrading from ICD to CRT-D procedure, experienced a bioprosthetic valve thrombosis 24 hours after an interruption of edoxaban therapy without heparin bridging, and successfully treated with ultraslow tPA therapy.","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":"144661500","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

Left Anterior Descending Artery to Right Coronary Artery Bifurcation Stenting with Culotte Technique in Acute Inferior Myocardial Infarction. 左前降支至右冠状动脉分叉支架术治疗急性下壁心肌梗死。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2024.77257

Murat Akçay, Ahmet Çınar, Aydın Can Ulusoy, Fatma Rumeysa Karaçeşme, Metin Çoksevim

引用次数: 0

The HALP Score's Prognostic Value for the Elderly (≥75 years) Patients Following Percutaneous Coronary Intervention for Acute Myocardial Infarction. HALP评分对老年（≥75岁）急性心肌梗死经皮冠状动脉介入治疗患者的预后价值

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2025.45606

Cemalettin Yılmaz, İsmail Üngan, Enes Arslan, Emrah Çitil, Ömer Uluuysal, Muhammet Mücahit Tiryaki, Doğan Şen, Ahmet Karaduman, Regayip Zehir

{"title":"The HALP Score's Prognostic Value for the Elderly (≥75 years) Patients Following Percutaneous Coronary Intervention for Acute Myocardial Infarction.","authors":"Cemalettin Yılmaz, İsmail Üngan, Enes Arslan, Emrah Çitil, Ömer Uluuysal, Muhammet Mücahit Tiryaki, Doğan Şen, Ahmet Karaduman, Regayip Zehir","doi":"10.5543/tkda.2025.45606","DOIUrl":"https://doi.org/10.5543/tkda.2025.45606","url":null,"abstract":"Objective: Despite the fact that percutaneous coronary intervention (PCI) lowers mortality following acute myocardial infarction (AMI), older patients (≥75 years) are still at high risk of mortality. The purpose of this study was to evaluate the prognostic significance of the HALP score, which reflects the inflammatory and nutritional status, in this population.Method: We retrospectively included 128 elderly patients who had PCI at our institution between 2019 and 2022. The primary endpoint of the study was long-term all-cause mortality. The study population was categorized into two distinct groups based on survival status: survivors and non-survivors. A multivariable Cox regression analysis was conducted to identify independent predictors of long-term all-cause mortality.Results: The median follow-up time was 49.9 (35.6-62.74) months. In multivariable analysis, the HALP score and CRP independently predicted all-cause mortality at long-term follow-up (hazard ratio (HR): 0.96, 95% confidence interval (CI): 0.94-0.99, p=0.003; HR: 1.04, 95% CI: 1.01-1.07, p=0.020; respectively). Receiver operating characteristic curve analysis identified 26.252 as the optimal HALP score cut-off for predicting mortality (area under the curve (AUC): 0.764; 95% CI: 0.672-0.855; p< 0.001), with 73% sensitivity and 70.3% specificity. The HALP score demonstrated a higher AUC value, indicating better discriminative power compared to its individual components. In Kaplan-Meier analysis, patients with HALP score< 26.252 had a greater follow-up death (log rank p< 0.0001).Conclusion: The HALP score is an independent predictor of long-term all-cause death in older AMI patients following PCI.","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":"144586047","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

First Case of Endoscopic Resection for Left Atrial Appendage Aneurysm with Suspected Viral Myocarditis: A Multimodal Approach-Uncorrected Proof. 第一例疑似病毒性心肌炎的左心房附件动脉瘤内镜切除：一种多模式入路-未经纠正的证明。

IF 0.6

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2025.88335

Raheleh Kaviani, Seyed Shahin Eftekhari, Hamidreza Pouraliakbar, Saeid Hosseini, Hossein Nokhbezaeim, Haniyeh Faraji Azad, Ermia Tabandeh, Seyyed Mojtaba Hashemizadeh, Zahra Emkanjoo

{"title":"First Case of Endoscopic Resection for Left Atrial Appendage Aneurysm with Suspected Viral Myocarditis: A Multimodal Approach-Uncorrected Proof.","authors":"Raheleh Kaviani, Seyed Shahin Eftekhari, Hamidreza Pouraliakbar, Saeid Hosseini, Hossein Nokhbezaeim, Haniyeh Faraji Azad, Ermia Tabandeh, Seyyed Mojtaba Hashemizadeh, Zahra Emkanjoo","doi":"10.5543/tkda.2025.88335","DOIUrl":"https://doi.org/10.5543/tkda.2025.88335","url":null,"abstract":"Left atrial appendage aneurysm (LAAA) is a rare cardiovascular anomaly, with fewer than 200 documented cases. It is often associated with severe complications, such as arrhythmias and thromboembolic events. Recent evidence suggests that viral infections, particularly viral myocarditis, might be an underlying cause of LAAA. We report the case of a 36-year-old woman with a history of asthma who presented with palpitations and atrial tachyarrhythmia two months after a severe upper respiratory infection. Transthoracic echocardiography revealed a large aneurysmal left atrial appendage (LAA) measuring 5.6 × 3.5 cm and a reduced left ventricular ejection fraction of 50%. Cardiac computed tomography confirmed the LAAA and revealed abnormal flow dynamics. Late gadolinium enhancement showed mid-subepicardial hyperenhancement in the posterolateral segments of the left ventricular wall, consistent with a previous myocarditis. The patient underwent a novel, minimally invasive endoscopic thoracoscopic resection of the aneurysm, guided by transesophageal echocardiography. No thrombus was present. The procedure was successfully completed with the aid of cardiopulmonary bypass. This case highlights a potential association between viral myocarditis and LAAA, while also acknowledging the possibility of a congenital and incidentally discovered aneurysm. It underscores the critical role of multimodal imaging in accurate diagnosis and management. The successful minimally invasive surgical resection and subsequent restoration of cardiac function demonstrate the effectiveness of this approach, offering a promising outlook for patients with LAAA. Clinicians should consider viral infections as potential contributors to LAAA development and advocate for early diagnosis and intervention to improve clinical outcomes.","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755473","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

Evaluation Of Left Atrial Function With Two-dimensional Speckle Tracking Echocardiography In Patients Treated With Electrical Cardioversion And Catheter Ablation For Atrial Fibrillation. 二维斑点跟踪超声心动图评价电转复和导管消融治疗心房颤动患者的左房功能。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2025.89051

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":"Objective: 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).Method: 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.Results: 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).Conclusion: 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.","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}

引用次数: 0

A Case of Coronary Artery Rupture Caused by Negative Vessel Remodeling. 负性血管重构致冠状动脉破裂1例。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2025.93104

Yi Deng, Yuzhu Wu, Qianmin Ren, Yongchao Zhao, Zaili Lu, Bei Shi, Jianling Chen

引用次数: 0

Diagnosis of Loeffler Endocarditis in a Patient with a Cerebrovascular Event. 脑血管事件并发吕弗勒心内膜炎的诊断。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-07 DOI: 10.5543/tkda.2024.69326

Mert Doğan, Uğur Nadir Karakulak

引用次数: 0

Comparative Evaluation of Chatbot Responses on Coronary Artery Disease. 聊天机器人对冠心病反应的比较评价。

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir Pub Date : 2025-07-01 DOI: 10.5543/tkda.2025.66811

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0