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The effect of radiotherapy on cardiac function

Dogan S.M. | Bilici H.M. | Bakkal, Bekir Hakan | Aydin M. | Karabag T. | Sayin M.R. | Aktop Z.

BACKGROUND: Radiation-induced heart disease is a complication that may be encountered after radiotherapy (RT) of tumors in the vicinity of the heart. In this study, we aimed to evaluate the effect of RT on the heart, by comparing conventional and tissue Doppler echocardiography parameters obtained before and after RT. METHODS: Forty patients who had undergone RT for either lung or left breast cancer were included in the study. ECG, conventional, and tissue Doppler echocardiography were performed before and 4-6 weeks after RT. RESULTS: The mean value of the radiation dose applied to all regions ...Daha fazlası

A case of acute myocardial infarction due to the use of cayenne pepper pills

Sayin M.R. | Karabag T. | Dogan S.M. | Akpinar I. | Aydin M.

The use of weight loss pills containing cayenne pepper has ever been increasing. The main component of cayenne pepper pills is capsaicin. There are conficting data about the effects of capsaicin on the cardiovascular system. In this paper, we present the case of a 41 year old male patient with no cardiovascular risk factors who took cayenne pepper pills to lose weight and developed acute myocardial infarction. © Springer-Verlag Wien 2012.

Persistent left superior vena cava, absence of the innominate vein, and upper sinus venosus defect : a rare anomaly detected using bubbles

Akpinar I. | Sayin M.R. | Karabag T. | Dogan S.M. | Sen S.T. | Gudul N.E. | Aydin M.

Superior vena cava anomalies are rare malformations that are typically seen with other congenital cardiac defects. Although a persistent left superior vena cava is the most common anomaly of the systemic venous return in the thorax, its combination with an upper sinus venosus defect and absence of the innominate vein is extremely rare. Here, we report a patient diagnosed with these anomalies based on a bubble study and confirmed with magnetic resonance imaging.

Tirofiban in Takotsubo cardiomyopathy: Atypical broken heart syndrome with extremely fast recovery: A case report

Akpinar I. | Salihoglu Y.S. | Sayin M.R. | Elri T. | Karabag T. | Dogan S.M. | Aydin M.

Takotsubo cardiomyopathy, also known as broken heart syndrome, is similar to acute coronary syndrome. The absence of significant stenosis on coronary angiography and spontaneous improvement of ventricular akinesia are very important features that distinguish this syndrome from acute coronary syndromes. Despite the fact that ST segment elevations are typically encountered, atypical presentation without ECG changes should be kept in mind. We herein report the case of a 61-year-old woman who presented with mid-apical left ventricular akinesia resolving within 24 h. © 2012 Urban & Vogel, Muenchen.

An asymptomatic needle in the left ventricular anterolateral wall: A prison inmate's strange radio antenna

Akpinar I. | Sayin M.R. | Karabag T. | Dogan S.M. | Aydin M.

A foreign body such as a needle in the heart can be life-threatening. While this may occur accidentally, needles may be inserted into the body by psychiatric patients or in cases involving domestic violence. A needle can migrate through the thorax toward the heart. In drug users, needles may also reach the right ventricle via the peripheral veins. Cardiac injury can occur via the esophagus after swallowing a needle. The clinical outcome may vary from an asymptomatic situation to tamponade or shock, depending on how severely the cardiac structures are affected. In injuries involving the thorax, ...Daha fazlası

A rare complication during oxcarbazepine use,complete atrioventricular block: Case report

Karabag T. | Aydin M. | Dogan S.M.

Oxcarbazepine, 10 keto analogue of carbamezepine, is an antiepileptic drug used pri manly for the treatment of focal and generalized tonic clonic seizures in adults and children. Ox carbazepine has been observed to have a positive effect also on psychiatric diseases and trigeminal neuralgia. Oxcarbazepine like most of antiepileptic drugs, inhibits voltage dependent fast sodium channels. During oxcarbazepine treatment, side effects such as hyponatremia, headache, vertigo, somnolence, nausea, double vision, vomiting and ataxia can be seen. However, to date, no specific and!or severe cardiac comp ...Daha fazlası

A case of inadvertent anastomosis of saphenous vein graft to a cardiac vein after coronary bypass surgery

Karabag T. | Dogan S.M. | Sayin M.R. | Akpinar I. | Aydin M.

Iatrogenic anastomosis of saphenous vein graft to cardiac vein after coronary bypass surgery is very rare condition. In this report, a patient presented with recurrent angina late following coronary artery bypass surgery. Investigation revealed an anastomosis between saphenous vein graft and great cardiac vein.

Atypical type of dual left anterior descending coronary artery

Sayin M.R. | Akpinar I. | Karabag T. | Dogan S.M. | Aydin M.

Dual left anterior descending coronary artery (LAD) is a rare coronary anomaly and is divided into six subgroups in the literature according to the origin and course of the short and long branches of the anomalous artery. We present two distinct cases of dual LAD which are distinguished by two branches of equal length from their counterparts in the literature. Learning objective: In our cases a novel dual LAD variant is presented with two main branches of equal length and reaches the cardiac apex. Cardiologists and cardiovascular surgeons should be aware of these variants to avoid misinterpret ...Daha fazlası

Extreme QT Interval Prolongation Caused by Mad Honey Consumption

Sayin M.R. | Dogan S.M. | Aydin M. | Karabag T.

An unusual type of food poisoning, mad honey poisoning, is a well-known phenomenon in the Black Sea region of Turkey. Mad honey poisoning can result in severe cardiac complications including sinus bradycardia, nodal rhythm, various degrees of atrioventricular blocks, and even asystole. However, no cases of long QT interval have been reported so far. This paper reports the first case of extremely long QT interval to be associated with mad honey consumption. © 2011 Canadian Cardiovascular Society.

Pigtail catheter fracture and embolization into the abdominal aorta: An extremely rare angiographic complication

Akpinar I. | Dogan S.M. | Karabag T. | Sayin M.R. | Kucuk E. | Buyukates M. | Turan S.A.

Coronary angiography is a widely used diagnostic method for coronary artery disease. In clinical practice, although complications of the procedure often involve the vascular access point, there is no previous report of the fracture and embolization of the distal tip of a pigtail catheter. Herein, we present the case of a 51-year-old woman whose left ventriculography was interrupted by fracture of the curved tip of a pigtail catheter, which remained at the renal artery level in the abdominal aorta. © 2012 Italian Federation of Cardiology.

Evaluation of atrial electromechanical delay and left atrial mechanical function in patients with obstructive sleep apnea Cardiac involvement in patients with OSA

Karabag T. | Aydin M. | Altin R. | Dogan S.M. | Cil C. | Buyukuysal C. | Sayin M.R.

Objective The aim of this study was to evaluate atrial electromechanical delay measured by tissue Doppler imaging and left atrial mechanical function in patients with obstructive sleep apnea (OSA). Materials and methods Fourty-seven moderate-tosevere OSA patients who were newly diagnosed by poly-somnography (Apnea-hypopnea index ≥15 events/h, 32 males, mean age 49.4±11.5) and 30 patients who had no OSA in polysomnography (Apnea-hypopnea index<5 events/h, 21 males, mean age 45.4±9.1) were included in the study. Using tissue Doppler, diastolic functions, atrial electromechanical coupling w ...Daha fazlası

Assessment of left atrial mechanical functions in thyroid dysfunction

Karabag T. | Dogan S.M. | Bayraktaroglu T. | Sayin M.R. | Buyukuysal C. | Akpinar I. | Aydin M.

INTRODUCTION: Thyroid hormone deficiency can lead to the impairment of cardiac function. OBJECTIVES: The aim of the study was to determine the left atrial (LA) mechanical function in patients with subclinical hypothyroidism (SHT) and overt hypothyroidism (OHT) and investigate associations of LA mechanical function with diastolic function. PATIENTS AND METHODS: Twenty-six patients with newly diagnosed SHT (mean age, 42.2 ±12.5 years), 21 patients with OHT (40.2 ±8.5 years) and 28 healthy volunteers (42.4 ±11.2 years) were enrolled in this study. Patients were evaluated by standard M-mode echoca ...Daha fazlası

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