Veysel Tosun

Red cell distribution width and neutrophil-to-lymphocyte ratio predict left ventricular dysfunction in acute anterior ST-segment elevation myocardial infarction

Objectives Red cell distribution width (RDW) and neutrophil-to-lymphocyte ratio (NLR) are the two markers used to determine risk of mortality and adverse cardiovascular outcomes in patients with acute myocardial infarction. The relationship between RDW, NLR, and left ventricular (LV) systolic functions has not been reported. In this report, we aimed to investigate the relationship between RDW, NLR, and LV systolic function in anterior ST-segment elevation myocardial infarction (STEMI) patients who underwent primary percutaneous coronary intervention (PCI). Methods RDW and NLR were measured on admission in 106 STEMI patients treated with primary PCI. Patients were divided into two groups according to left ventricular ejection fraction (LVEF), as Group I (systolic dysfunction, LVEF <50%) and Group II (preserved global left ventricle systolic function, LVEF ⩾50%). The first group included 47 patients and the second group included 59 patients. Results Mean RDW and NLR were significantly higher in Group I compared to Group II [13.7 ± 0.9% vs. 13.4 ± 0.7%, p = 0.03 and 5.86 (range, 0.66–40.50) vs. 2.75 (range, 0.51–39.39), p = 0.013, respectively]. Conclusion Increased RDW and NLR on admission, in anterior STEMI patients treated with primary PCI are associated with LV systolic dysfunction.

Rupture of sinus of valsalva aneurysm into left atrium in a patient who is a candidate for hepatic transplantation

Sinus of valsalva aneurysm (SVA) is a rare cardiac disease. The most common complication of SVA is rupture into the right atrium or right ventricle. Rupture into the left chambers is very rare. Patients with ruptured SVA are likely to die of heart failure or endocarditis. We present a 29-year-old man who was hospitalized for hepatic transplantation with rupture of SVA. Transthoracic echocardiography and transesophageal echocardiography showed rupture of a noncoronary SVA into the left atrium. Mitral valve infective endocarditis developed and surgery was planned for the patient, but the patient died due to multiple organ dysfunction syndrome.

Assessment of left atrial function using speckle tracking echocardiography in ankylosing spondylitis: a case-control study

The aim of this study is to assess the left atrium (LA) deformation parameters by using 2D speckle tracking echocardiography (2D-STE) in ankylosing spondylitis (AS) patients and to evaluate the relationship between these parameters and AS clinical indexes. 30 patients with AS (22 males, 8 females) and 30 healthy individuals (19 males, 11 females) were enrolled in this study. Transthoracic echocardiography was performed to both groups. Besides the conventional echocardiographic parameters, the LA strain parameters; including systolic-reservoir (LA S-S), early diastolic-conduit (LA S-E), late diastolic-contraction (LA S-A) were measured. No significant difference was found between two groups in terms of conventional echocardiographic parameters except mean deceleration time (DT). Mean DT was prolonged in the AS patients compare with the control group (173.5 ± 22.5 vs. 155.3 ± 36.7, p = 0.025). In the AS patients, LA S-S (48.3 ± 9.4 vs. 56.9 ± 10.1, p = 0.001), LA S-E (26.4 ± 6.4 vs. 31.6 ± 7.3, p = 0.005) and LA S-A (21.9 ± 4.7 vs. 25.4 ± 5.7, p = 0.013) values were statistically lower than the control group. Also a negative correlation was observed between the Bath Ankylosing Spondylitis Metrology Index (BASMI) and LA S-S (r = − 0.509, p = 0.004), LA S-E (r = − 0.501, p = 0.005). Our study demonstrated that 2D-STE is a useful method to determine the left atrial involvement in AS patients without the clinical evident of cardiovascular disease.

Evaluation of atrial electromechanical functions in dipper and nondipper hypertension patients using left atrial strain P-wave dispersion and P terminal force

Nondippers are known to carry a high risk of cardiovascular morbidity and mortality. The aim of this study was to investigate the effects of dipper and nondipper status of hypertension on left atrial (LA) systolic and diastolic functions using two‐dimensional speckle tracking echocardiography (2D‐STE), P‐wave dispersion (PWD), and P terminal force (PTF) in hypertensive patients.

Akut inferior miyokard infarktüsü ile prezente olan tip A aortik diseksiyon

Aort diseksiyonu, aortun media ve intima tabakasinin birbirinden ayrildigi, hizli tani ve tedavi gerektiren, olumcul seyreden bir kardiyovaskuler acildir. Acil serviste gogus agrisi nedeniyle cekilen elektrokardiyografilerde akut miyokard infarktusu bulgulari saptanabilir. Hizli tani ve akut miyokard infarktusunden ayirici tanisi icin transtorasik ekokardiyografi ve multidedektorlu bilgisayarli tomografinin onemi buyuktur. Biz bu yazimizda acil servise gogus agrisi sikayeti ile basvuran, elektrokardiyografide akut inferior miyokard infarktusu bulgulari olan ancak transtorasik ekokardiyografi ile aort diseksiyonundan suphelendigimiz, multidedektorlu bilgisayarli tomografi ile de tanisini kesinlestirdigimiz 83 yasinda bir kadin hastayi sunduk.

Sirolimus salınımlı stent implantasyonundan çok uzun süre sonra gelişen koroner arter anevrizması

Ilac salinimli stentler (ISS), yakin donemde cerrahi girisim planli ya da ikili antiplatelet tedaviyi uzun donem kullanamayacak olan ve kanama riski yuksek hastalar haricinde ciplak stentlere ustundur. ISS kullanimi, dusuk restenoz oranlari nedeniyle giderek artmaktadir. Ancak ISS kullaniminda gecikmis endotelizasyon nedeniyle ozellikle erken donemde koroner arter anevrizmasi (KAA) gelisimine karsi dikkatli olunmasi gerektigi bildirilmektedir. Bu yazida ISS uygulanmasindan cok uzun sure sonra KAA gelisen bir olgu sunulmustur.