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

{"title":"Perception of Pain in the Catheter Angiography Laboratory Among Children with Congenital Heart Disease.","authors":"Serdar Kula, Daniiar Amatov, Akif Kavgacı, Fatma Rana Olguntürk, Fatma Sedef Tunaoğlu, Ayşe Deniz Oğuz","doi":"10.5543/tkda.2025.69934","DOIUrl":"https://doi.org/10.5543/tkda.2025.69934","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the level of pain caused by routine procedures during cardiac catheterization and explore ways to enhance patient comfort during the procedure based on the findings.</p><p><strong>Method: </strong>The study involved 24 pediatric patients with congenital heart disease who underwent cardiac catheterization at our center. Pain perception was assessed using skin conductance activity, a non-invasive and sensitive method, at four time points: before the procedure with maternal presence (T0), during local anesthesia following general anesthesia (T1), during femoral vascular intervention (T2), and after the procedure with maternal presence (T3).</p><p><strong>Results: </strong>Significant differences in pain levels were observed at T0, T1, and T2. While no significant correlation was found between midazolam dosage and pain perception, a statistically significant association was identified between ketamine dosage and pain levels at T3, when the mother was present after the cardiac catheterization.</p><p><strong>Conclusion: </strong>Effective sedation planning requires a clear understanding of the degree of pain children experience during procedures. This study showed that, despite the use of local anesthetic and procedural sedation, discomfort may still occur. These findings highlight the need for improved pain management strategies to enhance patient comfort during cardiac catheterization.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"270-274"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210648","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":"Comments on Cardiology.","authors":"Ertan Ural","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"298-299"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210643","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":"Hospitalization Due to Acute Coronary Syndrome and Myocarditis in Patients Under 45 Years Old: A Single-Center Coronary Care Unit Retrospective Analysis of Hospitalizations Before, During, and After the Coronavirus Disease 2019 Pandemic.","authors":"Murat Demirci, Beste Özben, Sıla Yurdabakan, İlknur İrem Aktaş, Ahmet Emre Çetin, Yusuf Erkam Bilgin, Muhammed Şaşmaz, Abdullah Emre Güner, Mustafa Kürşat Tigen","doi":"10.5543/tkda.2025.93630","DOIUrl":"https://doi.org/10.5543/tkda.2025.93630","url":null,"abstract":"<p><strong>Objective: </strong>Whether Coronavirus Disease 2019 (COVID-19) infection and vaccination contribute to the development of acute coronary syndrome (ACS) or myocarditis, particularly in young adults, remains controversial. This study aimed to evaluate the hospitalization rates for ACS and myocarditis in patients under 45 years of age during the pre-pandemic, pandemic, and post-pandemic periods.</p><p><strong>Method: </strong>This retrospective, single-center study included 944 patients under the age of 45 who were admitted to the coronary care unit with a diagnosis of ACS or myocarditis. Patients were categorized into three groups based on admission periods: pre-pandemic (January 2019 to March 31, 2020), pandemic (April 1, 2020 to September 30, 2022), and post-pandemic (October 1, 2022 to December 31, 2023).</p><p><strong>Results: </strong>There were no significant differences in the proportion of patients under 45 years old among total coronary care unit admissions across the three periods (12.9% vs 11.0% vs. 11.8%, respectively; P = 0.134). Similarly, although a slight increase was observed in the proportion of myocarditis cases relative to ACS over time, the difference was not statistically significant (29.9% vs. 70.1%, 32.0% vs. 68.0%, and 34.2% vs. 65.8%, respectively; P = 0.600). The rate of myocarditis was comparable between vaccinated and unvaccinated patients, with no significant differences based on vaccine types.</p><p><strong>Conclusion: </strong>Hospitalization rates for ACS and myocarditis among patients under 45 years of age at our center were similar across the pre-pandemic, pandemic, and post-pandemic periods. These findings support previous studies suggesting no association between COVID-19 infection or vaccination and the occurrence of ACS or myocarditis. However, as a single-center retrospective study, our findings are limited to hospitalized cases and do not provide data on the overall incidence, prevalence, or causal relationships between these conditions and the pandemic.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"254-262"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210645","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 Conduct Research on Artificial Intelligence and Digital Cardiovascular Disease Studies.","authors":"Tarık Kıvrak","doi":"10.5543/tkda.2025.91459","DOIUrl":"https://doi.org/10.5543/tkda.2025.91459","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"225-227"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210646","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":"Tricuspid Valve-in-Valve Procedure: What to Do When the Bioprosthetic Valve Is Not Visible on Fluoroscopy? Challenges and Step-by-Step Description of the Procedure.","authors":"Hüseyin Bozbaş, Mohamed Asfour, Savaş A Çelebi","doi":"10.5543/tkda.2024.06464","DOIUrl":"10.5543/tkda.2024.06464","url":null,"abstract":"<p><p>The main disadvantage of bioprosthetic heart valves is their potential for degeneration in the medium to long term. Due to the high risk associated with reoperation, the percutaneous valve-in-valve (ViV) approach is preferred for patients with bioprosthetic degeneration following tricuspid valve replacement. However, the procedure can be challenging when the implanted bioprosthetic valve is not radio-opaque. We present three cases performed at our hospital, detailing a step-by-step approach and alignment techniques when the valve is not visible on fluoroscopy. All patients were admitted with right heart failure and demonstrated severe dysfunction of their tricuspid bioprosthetic valves. In the first case, the bioprosthetic valve was clearly visible on fluoroscopy, which facilitated the alignment process. In the other two cases, the valves were not visible. Predilation was performed, and the resulting indentation line served as a reference. Echocardiographic (ECHO) imaging, along with right atrial and ventricular angiograms, was used to guide the alignment of the balloon-expandable valve. The ViV procedure was successful in all three cases. The transcatheter ViV approach appears to be an effective treatment option for patients with tricuspid bioprosthetic valve degeneration. In cases where the valve is not radio-opaque, the procedure can be safely performed by using the indentation point from balloon dilatation, right ventricular and atrial angiography, and transthoracic or transesophageal echocardiography to guide valve alignment.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"286-290"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210650","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":"Immediate Pericardial Protamine Administration During Uncontrollable Acute Iatrogenic Hemorrhagic Cardiac Tamponade: A Safety and Feasibility Study.","authors":"Başar Candemir, Büşra Kuru, İbrahim Ersoy, Şeyhmus Atan, Yakup Yunus Yamantürk, İrem Cenan Büyükçakır, Volkan Kozluca, Osman Beton","doi":"10.5543/tkda.2025.67207","DOIUrl":"https://doi.org/10.5543/tkda.2025.67207","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"293-295"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210647","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 Review on the Estimation of Coronary Fractional Flow Reserve Using Artificial Intelligence.","authors":"Mehmet Nazir Kaçar, İlkay Ulusoy, Çağrı Yayla","doi":"10.5543/tkda.2025.41168","DOIUrl":"https://doi.org/10.5543/tkda.2025.41168","url":null,"abstract":"<p><p>Coronary artery disease (CAD) is the leading cause of death worldwide. The most widely used and precise method for diagnosing CAD is invasive coronary angiography (ICA). Fractional flow reserve (FFR) is an index of the functional severity of coronary stenoses that requires additional invasive intervention during ICA. With advancements in artificial intelligence (AI) technology, the estimation of FFR using AI is gaining popularity to meet the need for fast, accurate, and less invasive FFR estimation that can integrate into physicians' workflows. This review presents the current progress in this area by analyzing studies employing various approaches.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"275-280"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210638","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 the Efficacy of the Hemoglobin, Albumin, Lymphocyte, and Platelet Score in Predicting Recurrence of Atrial Fibrillation Following Cryo-Balloon Ablation.","authors":"Koray Kalenderoğlu, Mert Hayıroğlu, Tufan Çınar","doi":"10.5543/tkda.2025.54829","DOIUrl":"https://doi.org/10.5543/tkda.2025.54829","url":null,"abstract":"<p><strong>Objective: </strong>The Hemoglobin, Albumin, Lymphocyte, and Platelet (HALP) score has gained interest as a potential predictive biomarker for various clinical outcomes across multiple diseases. This study aimed to evaluate the efficacy of the HALP score in predicting the recurrence of atrial fibrillation (AF) following cryo-balloon ablation (CBA).</p><p><strong>Method: </strong>A total of 399 patients who underwent CBA for AF were included in the study. Patients were divided into three equal groups based on their HALP scores, and post-procedural AF recurrence was evaluated retrospectively across these groups.</p><p><strong>Results: </strong>After adjusting for confounding independent variables, patients in Tertile 1 had 2.1-fold higher rate of AF recurrence compared to those in Tertile 3, which served as the reference group. Receiver operating characteristic (ROC) curve analysis showed that the HALP score predicted AF recurrence with an area under the curve (AUC) of 0.69, 65% sensitivity, and 65% specificity (hazard ratio [HR]: 0.69, 95% confidence interval [CI]: 0.63-0.74, P < 0.001).</p><p><strong>Conclusion: </strong>This study suggests that the HALP score may serve as an independent predictor of AF recurrence following CBA.</p>","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"263-269"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210640","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 Giant Aneurysm of the Right Coronary Artery.","authors":"Şeyda Dereli, Gönül Zeren, Osman Eren Karpuzoğlu, Mustafa Azmi Sungur, Mehmet Fatih Yılmaz, İlhan İlker Avcı, Barış Şimşek, Fatma Can, Can Yücel Karabay","doi":"10.5543/tkda.2025.63534","DOIUrl":"https://doi.org/10.5543/tkda.2025.63534","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"291-292"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210637","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":"Factors Associated with Aortic Stiffness Index, Aortic Velocity Propagation, and Epicardial Fat Thickness in Pregnancy.","authors":"Cemal Köseoğlu, Can Ramazan Öncel, Ali Çoner","doi":"10.5543/tkda.2025.52289","DOIUrl":"https://doi.org/10.5543/tkda.2025.52289","url":null,"abstract":"","PeriodicalId":94261,"journal":{"name":"Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir","volume":"53 4","pages":"296-297"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210644","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}