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Hypertrophic cardiomyopathy with midventricular obstruction in association with ostium secundum-type atrial septal defect

Aydin M. | Dogan S.M. | Gürsürer M. | Onuk T. | Dursun A. | Cam F.

Article | 2005 | European Journal of General Medicine2 ( 3 ) , pp.129 - 131

This paper reports a 74 year-old-man with a hypertrophic cardiomyopathy associated with mid-ventricular obstruction and a secundum type atrial septal defect. He had been suffering from shortness of breath and occasional attacks of dizziness. Doppler echocardiography revealed the gradient in the mid-left ventricular area. A transesophageal echocardiogram confirmed the findings of transthoracic study and an ostium secundum-type atrial septal defect was documented. The present case represents a rare combination of hypertrophic cardiomyopathy associated with midventricular obstruction, and an ostium secundum type atrial septal defect in . . . an elderly man Daha fazlası Daha az

The Value of P wave dispersion in predicting reperfusion and infarct related artery patency in acute anterior myocardial infarction

Karabag T. | Dogan S.M. | Aydin M. | Sayin M.R. | Buyukuysal C. | Gudul N.E. | Demirtas A.O.

Article | 2012 | Clinical and Investigative Medicine35 ( 1 ) , pp.129 - 131

Purpose: the aim of this study is to investigate whether P wave dispersion (PWD), measured before, during and after fibrinolytic therapy (FT,) is able to predict successful reperfusion and infarct related artery (IRA) patency in patients with acute anterior MI who received FT. Methods: Sixty-eight patients who presented with acute anterior MI were enrolled in the study. An electrocardiogram was performed before and at 30, 60, 90 and 120 minutes after the start of FT. PWD was defined as the difference between maximum and minimum P wave duration on standard 12-lead surface electrocardiogram. A multivariate logistic regression model wa . . .s used to assess whether PWD was predictor of IRA patency and STsegment resolution (STR) on electrocardiogram. Results: PWD 120 was significantly lower in patients with STR on electrocardiogram (38 patients) compared with those without STR (30 patients) (44.8±11.5 vs. 52.9±10.3 ms; p<0.001). PWD 120 was found to be significantly lower in patients with patent IRA (31 patients) compared to those with occluded IRA (37 patients) (42.3±9.7 vs. 53.5±10.6 ms; p<0.001). Logistic regression analysis revealed that PWD120 significantly predicted STR and IRA patency. A ?51.6 ms PWD 120 can predict an occluded IRA with a 87% sensitivity, ?51 ms PWD 120 can predict no reperfusion with a 74% sensitivity. Conclusion: PWD values, which were higher than 51 ms and 51.6 ms in patients who received fibrinolytic therapy, can serve as a marker of failed reperfusion and occluded IRA. PWD values, in combination with other reperfusion parameters, can contribute to the identification of rescue PCI candidates. © 2012 CIM Daha fazlası Daha az

Left main coronary artery atresia and concomitant intercoronary communication

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

Article | 2013 | Herz38 ( 7 ) , pp.798 - 800

[No abstract available]

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

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

Article | 2013 | Turkiye Klinikleri Cardiovascular Sciences25 ( 1 ) , pp.26 - 28

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 complications of oxcarbazepine have been rep . . .orted. In this paper, we present a case of complete atrioventricular block that was considered to be caused by oxcarbazepine and that improved after cessation of the drug in a 67 year old female patient with no underlying cardiac etiology. Copyright © 2013 by Türkiye Klinik leri Daha fazlası Daha az

Myocardial functional and textural findings of the right ventricle and their association with cellular adhesion molecules in Behcet's disease

Yildirim, N. | Tekin, N. S. | Dogan, S. M. | Tekin, I. O. | Aydin, M. | Dursun, A. | Gursurer, M.

Conference Object | 2007 | ATHEROSCLEROSIS SUPPLEMENTS8 ( 1 ) , pp.109 - 110

76th Congress of the European-Atherosclerosis-Society -- JUN 10-13, 2007 -- Helsinki, FINLAND WOS: 000247869100438

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.

Article | 2013 | HERZ38 ( 1 ) , pp.89 - 92

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.

First septal artery originating from the left main coronary artery: A rare anomaly

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

Note | 2013 | Herz38 ( 4 ) , pp.391 - 392

[No abstract available]

Guttate psoriasis-like lesions following BCG vaccination

Koca, Rafet | Altinyazar, H. Cevet | Numanoğlu, Gamze | Ünalacak, Murat

Article | 2004 | Journal of Tropical Pediatrics50 ( 3 ) , pp.178 - 179

A 7-year-old boy presented to our clinic with a 1-week history of guttate psoriasis-like lesions after BCG vaccination. Although the patient did not have any history of psoriasis, his father and uncle had a history of psoriasis vulgaris. He was treated successfully with topical corticosteroid. Complete healing was seen after 3 weeks and the patient was still in remission 4 months after the cessation of the therapy. We proposed that patients who have psoriasis or predisposition to psoriasis must be carefully followed after BCG vaccination. © Oxford University Press 2004; all rights reserved.

The increase in P-wave dispersion is associated with the duration of disease in patients with Behçet's disease

Dogan S.M. | Aydin M. | Gursurer M. | Yildirim N. | Tekin N. | Altinyazar C. | Onuk T.

Article | 2008 | International Journal of Cardiology124 ( 3 ) , pp.407 - 410

Aim: P-wave dispersion (PD) has been reported to be associated with inhomogeneous and discontinuous propagation of sinus impulses. Behçet's disease (BD) is a chronic multi-system disease presenting with recurrent oral and genital ulceration, and relapsing uveitis. Left ventricular diastolic dysfunction, ventricular arrhythmia and sudden cardiac death have been documented in Behçet's disease. The aim of this study was to evaluate myocardial involvement noninvasively in patients with BD by measuring PD. Methods: Study population included 29 patients with BD (group I), (16 males, mean age: 60.4 ± 10.1 years), and 45 normal (group II), . . .(23 males, mean age: 61.2 ± 12.0 years). The maximum and minimum P-wave duration (Pmax and Pmin) and PD were measured from the 12-lead surface electrocardiogram. Echocardiographic examination was also performed. Results: There was no statistically significant difference between two groups in respect to age, gender, hypertension, diabetes mellitus, hyperlipidemia and cigarette smoking (p > 0.05). Pmax and PD of patients with BD were found to be significantly higher than those of control subjects (116.2 ± 14.0 ms vs. 102.0 ± 16.5 and 49.3 ± 12.7 ms vs. 29.3 ± 8.5 ms, respectively p < 0.0001). Moreover, we found a significant positive correlation between PD with BD duration (r = 0.78, p < 0.0001). Conclusion: Pmax and PD are found to be greater in patients with BD than in controls and are related with the duration of the disease. © 2007 Elsevier Ireland Ltd. All rights reserved Daha fazlası Daha az

Evaluation of P wave and corrected QT dispersion in subarachnoid haemorrhage

Hanci V. | Gül S. | Dogan S.M. | Turan I.O. | Kalayci M. | Açikgöz B.

Article | 2010 | Anaesthesia and Intensive Care38 ( 1 ) , pp.128 - 132

The aim of our study was to investigate P wave dispersion (Pwd), QT, corrected QT (QTc), QT dispersion (QTd) and corrected QT dispersion (QTcd) intervals in subarachnoid haemorrhage. Thirty-five subarachnoid haemorrhage patients (Group S) and 35 neurologically normal patients (Group C) were included in this retrospective study. The standard 12 derivations of the electrocardiograms of all patients were analysed and Pwd, QT and QTd intervals were measured. QTc and QTcd intervals were determined with the Bazett formula. There was no significant difference between the study groups according to demographic characteristics, hypertension a . . .nd diabetes mellutus incidences (P >0.05). The Pwd, QT, QTc, QTd and QTcd durations of Group S were significantly longer than those of Group C (P Daha fazlası Daha az

Right ventricular thrombus with Behçet's syndrome successful treatment with warfarin and immunosuppressive agents

Dogan S.M. | Birdane A. | Korkmaz C. | Ata N. | Timuralp B.

Article | 2007 | Texas Heart Institute Journal34 ( 3 ) , pp.360 - 362

Behçet's syndrome is a chronic multisystem disease that presents with recurrent oral and genital ulceration and recurrent uveitis. Cardiac involvement is an extremely rare manifestation of this disorder. A 33-year-old man with Behçet's syndrome was admitted to our department with a history of cough, fever, chest pain, hemoptysis, and weight loss. Transthoracic and transesophageal echocardiography revealed a right ventricular thrombus. After 1 month of treatment with warfarin, cyclophosphamide, and corticosteroid, the intracardiac thrombus resolved. © 2007 by the Texas Heart® Institute.

Atypical type of dual left anterior descending coronary artery

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

Article | 2013 | Journal of Cardiology Cases8 ( 1 ) , pp.360 - 362

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 misinterpretation of coronary angiography and intrao . . .perative complications. © 2013 Japanese College of Cardiology Daha fazlası Daha az

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