ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology - Anatol J Cardiol: 1 (3)
Volume: 1  Issue: 3 - September 2001
EDITORIAL
1.Editorial
Bilgin Timuralp
Pages 136 - 137
Abstract |Full Text PDF

2.In Memory of Professor Inge Edle
Lars Edler
Pages 138 - 139
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
3.Evaluation of Dynamic Left Ventricular Outflow Tract Obstruction by Dobutamine Stress Echocardiography
Mehmet Eren, Aydın Yıldırım, Osman Bolca, Tuna Tezel
PMID: 12101817  Pages 140 - 145
Objective: This study was planned to evaluate the dynamic left ventricular outflow tract (LVOT) obstruction by using dobutamine stress echocardiography (DSE) in patients with asymmetric septal hypertrophy and/or septal bulging, who have no signs of LVOT gradient detected by conventional echocardiography, with symptoms mimicking hypertrophic obstructive cardiomyopathy (HOCM). Methods: In sixty-one consecutive patients referred to our echocardiography laboratory with HOCM pre-diagnosis, exercise dyspnea and limitation of exercise capacity were evaluated. DSE was performed in 31 patients who fulfilled the inclusion criteria. Patients were divided into two groups according to the degree of dynamic gradient increase above baseline values during stress-test (Group 1 <30 mmHg, Group 2 > 30 mmHg). Left ventricular diameters, septum and posterior wall thicknesses, ejection fraction, LVOT and aortic root diameters, presence of septal bulging and systolic anterior motion (SAM) and degree of septal angulation were sought. Results: There were no significant differences between groups by means of LV diameters, septum and posterior wall thicknesses, EF, LVOT and aortic root diameters, presence of septal bulging (p>0.05); whereas there were significant differences in SAM and degree of septal angulation (p<0.05 and p<0.0001, respectively). Systolic anterior motion 5r=0.61, p<0.0001) and degree of septal angulation (r=0.71, p<0.001) correlated significantly with the dynamic gradient increase. Conclusion: Presence of SAM and degree of septal angulation obtained by DSE are reliable parameters to determine dynamic LVOT obstruction in patients who have asymmetric septal hypertrophy and septal bulging with no gradient on LVOT by conventional echocardiography.

EDITORIAL COMMENT
4.Dobutamine Stress Echocardiography and Dynamic Left Ventricular Outflow Tract Gradient
Sanem Nalbantgil
PMID: 12795307  Pages 146 - 147
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
5.uggestion of Infarct-Related Artery by Way of The Initial Electrocardiography in Patients With Acute Inferior Wall Myocardial Infarction
B.Yılmaz Cingözbay, Namık Özmen, Cihan Top, Melih Hulusi Us, Bekir Sıtkı Cebeci, Ergün Demiralp
PMID: 12101829  Pages 148 - 152
Objective: The aim of the study was to determine IRA (infarct-related artery) by analysis of the initial ECG (electrocardiogram) in patients with acute inferior wall myocardial infarction. Methods: Fourty patients (36 male, 4 female) admitted to coronary care unit with the diagnosis of acute inferior wall myocardial infarction were included in the study. The mean age of patients was 62.2 year (29-85 years). The coronary angiography was performed in all patients at the first week of admission. To determine the relationship between IRA and R/S ratio, ST segment depression in lead aVL, statistical analysis was performed. Results: IRA was the right coronary artery (RCA) in 20 cases, circumflex artery (Cx) in 15 cases, RCA+Cx in 5 cases. R/S ratio was bigger than one in patients with Cx lesion and R/S ratio was smaller than one in patients with RCA lesion. The degree of the ST segment depression was equal or smaller than 2 mm in patients with Cx lesion and greater than 2 mm in patients with RCA lesion (p<0.05). There was no correlation between IRA and precordial reciprocal electrocardiographic changes. Diagnosis of right ventricular infarction was established in 75% of patients with RCA lesion, 26% of patients with Cx lesion and 100% of patients with RCA+Cx lesions. Conclusion: We concluded that it was possible to predict IRA after examining the initial ECG changes such as R/S ratio, ST segment depression. This prediction can shorten the time required to perform primary percutaneous transluminal coronary angioplasty. Non-invasive prediction of IRA was useful for suggestion of clinical course in patients with high complication risk, such as patients with RCA lesion

EDITORIAL COMMENT
6.Prediction of Infarct-Related Artery in Patients With Acute Inferior Myocardial Infarction and ST Segment Elevation
Ahmet Bilge Kaya, Ercüment Yılmaz
PMID: 12795309  Pages 153 - 155
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
7.Coronary Bypass Surgery in Octogenarians
Harun Arbatlı, Ergun Demirsoy, Selim Tansal, Naci Yağan, Faruk Tükenmez, Deniz Şener, Bingür Sönmez
PMID: 12101819  Pages 156 - 163
Objective: The age of the patients referred for coronary bypass surgery is getting older progressively. Early and late postoperative outcome of actogenarians were evaluated and compared with younger age group in this study. Methods: Records of 55 patients aged 80 years or older (mean age 82.7±2.8) among 3834 patients, who had coronary bypass graft procedure, operated between 1995 and 2001 were reviewed retrospectively. Results: There were 39 men (70.9%) and 16 women (29.1%). Three patients had aortic valve replacement, 1 had left ventricular aneurysm repair, 1 hadf carotid endarterectomy additionally. Atrial fibrillation (21.8%), renal dysfunction (16.4%), and prolonged ventilation (10.9%) were the prominent complications. The hospital mortality rate was 7.27% (4 patients). kaplan Meier Survival Analysis estimated that at the end of 5 years 83.1±5.2% of patients were still alive. Conclusion: Coronary bypass operations can be performed in octogenarians with slightly increased but acceptable hospital mortality and longer hosptal stay. Early invervention and individual modifications in cardiopulmonary bypass techniques may improve the results in this patients population.

EDITORIAL COMMENT
8.Coronary Bypass Surgery in Octogenarians
Metin Demircin, İlhan Paşoğlu
PMID: 12795310  Pages 164 - 165
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
9.Main Problems of Modern Medicine in Diagnostics and Learning: Ways of Optimal Solution
Leonid B. Naumov
PMID: 12101820  Pages 166 - 178
Objective: 1. Selecting the key problems in medicine - I. Diagnostic problems, II. Didactic and training problems of medical education, III. Economical problems, IV. Communications technologies problems, V. Psychological problems, VI. Social problems, VII. Strategic problems. 2. Outline ways to optimal solution of these problems. Methods: Innovative intellectual approach to medical diagnostic decision-making has been sugges-ted. Knowledge levels and didactic systems, its limitations have been described. The methodologies and computerized technologies are tools to overcome the obstacles. Results: Series of didactic experiments were carried out with the purpose to evaluate comparatively conventional and offered innovative methods of diagnostics and professional training shows significant advantages of the innovations. Conclusion: The above mentioned problems can be solved successfully by computerized diagnostics based on algorithmical evidence-based approach to disease recognizing, and mass professional education mainly based on eLearning.

10.The Effects of the Short-Term Regular Exercise-Diet Programme on Lipid Profile in Sedentary Subjects
Sevgi Yalın, Hasan Gök, Raziye Toksöz
PMID: 12101821  Pages 179 - 188
Objective: Regular aerobic exercise leads to changesi n plasma lipids, lipoprotein and apoprotein levels. The aim of this study was to examine the training effects of the intervention program consisted of regular exercise and low fat diet on plasma lipid profile. Methods: The effects of the four weeks intervention programme which consisted of walking and dietary restriction on lipid profile in sedantary subjects were investigated. Subjects, who had dyslipidemia or obesity, were instructed to walk (consecutive 60 minutes, one times daily) and to consume no more than 20% total fat and 300 mg/d of cholesterol for four weeks. At the end of fourth week, 41 subjects who had implemented exercise-diet programme, were assigned to study (intervention) group; 21 subjects who had remained sedentary, nondieting,y were included into the control group. Total-C, triglycerides, LDL-C, HDL-C, Lp (a), apo A1 and apo B100 were measured in fasting blood samples before and after 4 weeks of intervention programme. Results: At the end of four weeks, subjects in the exercise-diet group, as compared with the control group, showed a significant reduction n body weight (respectively 1.67±2.36 kg versus -0.21±1.36 kg, p=0.001), total cholesterol (35±37 mg/dl vs - 20±25 mg/dl, p<0.001), triglycerides (30±68 mg/dl vs - 10±52 mg/dl, p=0.024) and LDL-C (29±41 mg/dl vs -18±25 mg/dl, p<0.001) levels. However, at the end of programme, in the exercise-det group, as compared with the control group, the changes in HDL-C (respectively - 0.85±7.30 mg/dl vs 1.05±5.64 mg/dl, p=0.302), Lp (a) (1.59±3.06 mg/dl vs -0.09±3.96 mg/dl, p=0.069), apo A1 (0.61±22.69 mg/dl vs - 0.66±17.27 mg/dl, p=0.822) and apo B100 (5.41±19.33 mg/dl vs - 4.00±20.51 mg/dl, p=0.080) were not significant. Conclusion: The data of this study demonstrate that the four weeks programme based on regular daily aerobic exercise and low fat diet is capable of decreasing total cholesterol, triglycerides and LDL-C levels and that this short-term invervention is insufficent in increasing HDL-C, in decreasing Lp (a) and improving apoprotein levels.

REVIEW
11.Coronary Angiography as a Prognostic Tool
Ubeydullah Deligönül
PMID: 12101822  Pages 189 - 196
Abstract |Full Text PDF

12.Myocardial Protection During off-pump Coronary Artery Bypass Surgery
Hakan Poyrazoğlu, Anıl Z. Apaydın, Tanzer Çalkavur, Halil Uç
PMID: 12101823  Pages 197 - 201
Myocardial protection during off-pump coronary artery bypass surgery (OPCAB) is a multifactorial problem and choice of graft sequence, maintenance of stable systemic hemodynamics are of central importance. New devices for atraumatic stabilization of the heart and visulization of coronary anastomoses allow grafting of all coronary arteries without cordiopulmonary bypass. Perfusion-assisted direct coronary artery bypass (PADCAB) techniques, in which coronary perfusion is independent of systemic arterial pressure, can eliminate unstable hemodynamic and improve myocardial protection during complex, multivessel OPCAB.

MISCELLANEOUS
13.Echocardiographic Evaluation of Mitral Insufficiency
Cahide Soydaş Çınar
PMID: 12101824  Pages 202 - 205
Abstract |Full Text PDF

14.Role of Echocardiography in Mitral Valve Prolapse: From Clinical Diagnosis to Treatment
Haşim Mutlu
PMID: 12101825  Pages 206 - 209
Abstract |Full Text PDF

CASE REPORT
15.Pseudoaneurysm Following High Lateral Myocardial Infarction: A Case Report
Murat Çaylı, Mehmet Kanadaşı, Cem Kayhan, Mesut Demir, Ayhan Usal
PMID: 12101826  Pages 210 - 212
Male patient with a history of high lateral myocardial infarction experienced 45 days before admission was accepted to our clinic with the initial diagnosis of congestive heart failure. Physical examination revealed 2-3°/6 systolic murmur in the mesocardiac region. Telecardiography revealed a mass of 12x6 cms in the left hilus. Pseudoaneurysm was diagnosed by transthoracic echocardiography and followed by left ventriculography. The symptoms of heart failure disappeared after successful surgical repair.

16.Treatment of No-Reflow Phenomenon with Intracoronary Verapamil After Primary Stent Deployment During Myocardial Infarction
İbrahim Demir, Hüseyin Yılmaz, Aytül Belgi Yıldırım
PMID: 12101827  Pages 213 - 216
Abstract |Full Text PDF

MISCELLANEOUS
17.Aspirin in Primary Prevention of Coronary Artery Disease; Who Benefits From it? - European Cardiologist
JC Kaski
Pages 217 - 218
Abstract |Full Text PDF

MISCELLANEOUS
18.Antiplatelet Drugs for the Secondary Prevention of Coronary Heart Disease: Are They Without Problems? - European Cardiologist

Pages 219 - 221
Abstract |Full Text PDF

LETTER TO THE EDITOR
19.The Relation of Coronary Artery Disease with Doppler Flow Velocity and Resistance Index in Cases Without Significant Carotid Arteries Stenosis
Suna Kıraç
PMID: 12101828  Pages 222 - 223
Abstract |Full Text PDF

20.Suggestion of Infarct-Related Artery by way of the Initial Electrocardiography in Patients with Acute Inferior Wall Myocardial Infarction
Mustafa Özbaran
PMID: 12101829  Pages 224 - 225
Abstract |Full Text PDF

E-PAGE ORIGINAL IMAGES
21.Transcatheter Defect Closure in Patent After Cerebrovascular Attack due to Patent Foramen Ovale
Mehmet Melek
PMID: 12101830  Pages 226 - 227
Abstract |Full Text PDF

22.Self Portrait of Patient with Severe Cardiac Pain Awaiting Surgery / Wrestler Karaahmet

PMID: 11410551  Page 228
Abstract |Full Text PDF

23.Escape Dreams and Mitral Doppler Flow Propagation Velocity

Page 229
Abstract |Full Text PDF



Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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