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Isolated interrupted aortic arch, a rare cause of hypertension in adults

Yildirim N. | Dogan S.M. | Aydin M. | Hekimoglu K. | Gungorduk A.

Article | 2008 | International Journal of Cardiology127 ( 2 )

Interrupted aortic arch (IAA) is a rare and usually lethal congenital malformation. Patients with complete IAA very rarely do reach adult age without previous surgical intervention. The present report describes a 26-year-old asymptomatic isolated IAA case with hypertension that was incidentally diagnosed. IAA just distal to the left subclavian artery and a markedly developed collateral circulation was demonstrated by cardiac catheterization and thoracic 3D magnetic resonance angiography. This case report was also interesting that only mild arterial hypertension of the upper extremities was incidentally found in the patient. © 2007 E . . .lsevier Ireland Ltd. All rights reserved Daha fazlası Daha az

Assessment of P-wave duration and dispersion in patients with isolated coronary artery ectasia

Dogan S.M. | Yildirim N. | Aydin M. | Gursurer M. | Cam F. | Celik O.

Article | 2008 | International Journal of Cardiology125 ( 3 ) , pp.404 - 406

Introduction: Coronary artery ectasia (CAE) is defined as localized or diffuse dilatation of the epicardial coronary arteries. We sought to determine whether isolated CAE may alter P-wave duration and dispersion (PD). Methods: The study population consisted of 26 patients (mean age: 61.6 ± 11.0 years) with isolated CAE (group 1) and sex- and age-matched 26 control subjects (group 2). Both groups underwent a standard 12-lead surface electrocardiogram recorded at 50 mm/s. Maximal (Pmax) and minimal P-wave durations (Pmin) are measured. PD was defined as the difference between Pmax and Pmin. Results: In group 1, Pmax (114.2 ± 10.4 ms v . . .s 104.8 ± 10.6 ms, p < 0.002) and PD (34.0 ± 12.7 ms vs 24 ± 10.6, p < 0.004) were significantly higher than those of group 2. Moreover a significant correlation was found between Pmax and PD with ectatic segment number (r = 0.625, r = 0.626, respectively; p = <0.001); and Pmax and PD with ectatic vessel number (r = 0.698, r = 0.704 respectively; p = <0.0001). Conclusion: Isolated CAE and the degree of the ectasia were found to be associated with prolonged Pmax and PD. © 2007 Elsevier Ireland Ltd. All rights reserved Daha fazlası Daha az

Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of Valsalva

Dogan S.M. | Gursurer M. | Aydin M. | Gocer H. | Cabuk M. | Dursun A.

Article | 2006 | International Journal of Cardiology112 ( 3 ) , pp.404 - 406

We present the case of a patient in anomalous origin of the left anterior descending coronary artery that caused myocardial ischemia and led to positive myocardial scintigraphic results. Coronary angiography showed that the left anterior descending coronary artery arose from the right coronary ostium-an anomaly that has been associated with chest discomfort-without atherosclerotic lesions. Left circumflex artery and the diagonal branches were arising from the left main coronary artery and the whole coronary tree were free of atherosclerosis. © 2006 Elsevier Ireland Ltd. All rights reserved.

Erratum: Letter to the Editor: Isolated interrupted aortic arch, a rare cause of hypertension in adults (International Journal of Cardiology (2008) 127 (e52-e53))

Yildirim N. | Dogan S.M. | Aydin M. | Hekimoglu K. | Gungorduk A.

Erratum | 2010 | International Journal of Cardiology138 ( 3 ) , pp.404 - 406

[No abstract available]

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


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