Ahmet Sonel

Permanent Pacemaker Implantation in a Pregnant Woman with the Guidance of ECG and Two-Dimensional Echocardiography

A 30‐year‐old pregnant woman was admitted to the Cardiology Research Center with syncope, dizziness, and fatigue on exertion. On ECG complete atrioventricular block was diagnosed. Permanent pacemaker implantation was performed with the guidance of ECG and two‐dimensional echocardiography and without the use of fluoroscopy.

Acute Myocardial Infarction and Normal Coronary Arteries in a Pregnant Woman

As it is a rare case, we report a 37-year-old woman who had transmural myocardial infarction in her last trimester. Coronary arteriography done 15 days after her normal delivery showed normal coronary arteries and left ventriculography showed an apical aneurysm. The proposed cause appears to be coronary spasm.

Right ventricular cardiomyopathy similar to Uhl's anomaly with atrial flutter and complete AV block.

We report an adult patient with right ventricular cardiomyopathy similar to Uhls anomaly. In this patient an interesting manifestation is a transient atrial flutter with complete A-V block. Right ventricular cardiomyopathy (arrhythmogenic right ventricular dysplasia) is considered a cause of life-threatening arrhythmia. The right ventricular musculature is partially or totally absent and is replaced by fatty and fibrous tissue. Patients may present with ventricular arrhythmias, right heart failure or asymptomatic cardiomegaly. Only a few cases with atrioventricular conduction disturbance have been reported in the literature by now. We report such a case.

Anomalous origin of the right coronary artery from the left sinus of Valsalva: echocardiographic diagnosis--a case report.

Anomalous origin of the right coronary artery from the left sinus of Valsalva is a rare congenital abnormality diagnosed by coronary angiography. This is the first report of an echocardiographic diagnosis of a patient with this anomaly, as far as is known.

Analysis of calcium, zinc, magnesium, iron and copper content in myocardium and stenotic mitral valves

Rheumatic endocarditis produces the verrucous valvulitis of acute rheumatic fever, which leads to serious permanent cardiac lesions. While the initial insult to the mitral valve is rheumatic, subsequent changes may be nonspecific. They can result from trauma to the valve caused by altered flow patterns due to the initial deformity or other reasons not yet known. In this respect, changes in the metabolism of some elements including calcium, zinc, magnesium, iron and copper may have unestablished functions in the disease process. This work intends to evaluate that hypothesis. Although calcium has many vital functions in the body, experimental1,2 and clinical3 studies have shown that high intracellular calcium levels can cause damage to muscle. Several studies have emphasized the significant role of hypercalcemia in cardiac valvular4,5 and mitral anular6–8 calcification. To our knowledge, no investigation between quantitative calcium levels of heart valve and heart muscle and valve calcification has been reported. We performed such a study to establish possible correlations between the calcification process and quantitative calcium levels of heart valve and heart muscle.