ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology - Anatol J Cardiol: 22 (1)
Volume: 22  Issue: 1 - July 2019
1.Important news about salt consumption from Prof. Messerli
Çetin Erol
PMID: 31264663  doi: 10.14744/AnatolJCardiol.2019.7  Page 1
Abstract |Full Text PDF

2.How much salt is too much salt?
Franz H. Messerli, Alexandra Neagoe, Belinda Nazan Walpoth
PMID: 31264656  doi: 10.14744/AnatolJCardiol.2019.37657  Pages 2 - 4
Abstract |Full Text PDF

3.Is trans-radial approach related to an increased risk of radiation exposure in patients who underwent diagnostic coronary angiography or percutaneous coronary intervention? (The SAKARYA study)
Çağın Mustafa Üreyen, Kahraman Coşansu, Mustafa Gökhan Vural, Sait Emir Şahin, Ibrahim Kocayigit, Mustafa Türker Pabuccu, Muhammed Necati Murat Aksoy, Mustafa Tarık Ağaç, Ersan Tatlı, Hüseyin Gündüz, Ramazan Akdemir
PMID: 31264653  doi: 10.14744/AnatolJCardiol.2019.06013  Pages 5 - 12
Objective: It is still debatable whether diagnostic coronary angiography (CA) or percutaneous coronary interventions (PCIs) increase radiation exposure when performed via radial approach as compared to femoral approach. This question was investigated in this study by comparison of dose-area product (DAP), reference air kerma (RAK), and fluoroscopy time (FT) among radial and femoral approaches.
Methods: All coronary procedures between November 2015 and November 2017 were assessed; and 4215 coronary procedures were enrolled in the study. Patients with bifurcation, chronic total occlusion, cardiogenic shock, or prior coronary artery bypass surgery were excluded. These 4215 procedures were evaluated for three different categories: diagnostic CA (Group I), PCI in patients with stable angina (Group II), and PCI in patients with ACS (Group III).
Results: Age was significantly higher in the femoral arm of all groups. Among patients in the radial arm of Groups I and II, males were over-represented. Therefore, a multiple linear regression analysis with stepwise method was performed. After adjusting these clinical confounders, there was no significant difference with regard to DAP, RAK, and FT between femoral and radial access in Group I. In contrast, PCI via radial access was significantly associated with increased DAP, RAK, and FT in Groups II and III.
Conclusion: In spite of an increased experience with trans-radial approach, PCI of coronary lesions via radial route was associated with a relatively small but significant radiation exposure in our study. Compared to femoral access, diagnostic CA via radial access was not related to an increased radiation exposure.

4.Accuracy of three-dimensional systolic dyssynchrony and sphericity indexes for identifying early left ventricular remodeling after acute myocardial infarction
Arnas Karuzas, Egle Rumbinaite, Dovydas Verikas, Tomas Ptasinskas, Gintare Muckiene, Egle Kazakauskaite, Vytautas Zabiela, Renaldas Jurkevicius, Jolanta Justina Vaskelyte, Remigijus Zaliunas, Diana Zaliaduonyte-Peksiene
PMID: 31264652  doi: 10.14744/AnatolJCardiol.2019.02844  Pages 13 - 20
Objective: Left ventricle (LV) geometry and dyssynchrony are associated with LV remodeling after acute myocardial infarction (AMI). The aim of this prospective study was to assess the diagnostic value of new three-dimensional echocardiography (3DE) parameters [sphericity (SI) and systolic dyssynchrony indexes (SDI)] for the prediction of LV remodeling after AMI and to compare them with two-dimensional echocardiography (2DE) parameters.
Methods: 2DE and 3DE were performed in 75 patients with AMI within 3 days from the onset of MI and 6 months later. LV remodeling was defined as a ≥15% increase in the LV end-diastolic volume (EDV) at follow-up. 3D SI was calculated by dividing EDV by the volume of a sphere whose diameter was derived from the major end-diastolic LV long axis. SDI was considered as a standard deviation of the time from cardiac cycle onset to minimum systolic volume in 16 LV segments.
Results: LV remodeling was identified in 34 (45%) patients using the 2DE method and in 22 (29%) patients using the 3DE method. Evaluated 3DE parameters, such as EDV [area under the receiver operating characteristic (ROC) curve (AUC) 0.742, sensitivity 71%, specificity 79%], end-systolic volume (AUC 0.729, sensitivity 69%, specificity 78%), SDI (AUC 0.777, sensitivity 73%, specificity 77%), and SI, had significant prognostic value for LV remodeling. According to the AUC, the highest predictive value had 3D SI (AUC 0.957, sensitivity 90%, specificity 91%).
Conclusion: 3DE parameters, especially 3D SI and SDI, play important roles in the prediction of LV remodeling after AMI and can be used in clinical practice.

5.Ross operation early and mid-term results in children and young adults
Oktay Korun, Arif Selcuk, Okan Yurdakök, Hüsnü Fırat Altın, Murat Cicek, Yiğit Kılıç, Sefika Turkan Kudsioglu, Mustafa Orhan Bulut, Numan Ali Aydemir, Ahmet Sasmazel
PMID: 31264658  doi: 10.14744/AnatolJCardiol.2019.45751  Pages 21 - 25
Objective: The Ross procedure has been cited as the procedure of choice for young patients requiring aortic valve replacement. However, potential for reintervention requirement in both left and right ventricular outflow tracts can be a source of concern. The aim of the present study was to describe our experience with this procedure.
Methods: A retrospective chart review of all the patients who underwent the Ross procedure in a single institution was performed. National death registry records were used for late mortality.
Results: Eighteen Ross procedures between May 2003 and May 2018 were performed. The median age of the cohort was 15 [interquartile range (IQR): 12-18] years. The pulmonic conduit was a homograft in 11 patients, Labcor in 5 patients, Contegra in 1 patient, and Medtronic Freestyle Valve in 1 patient. There were three early deaths. The median follow-up of 15 hospital survivors was 11 (IQR: 3–14) years. Any late mortality was not observed. In the two surviving patients with infective endocarditis, there was no recurrent infective endocarditis. Freedom from reintervention was 80% at 8 years and onward. Any risk factors associated with reintervention could not be identified. However, freedom from autograft dilatation at 10 years was 45%.
Conclusion: Autograft failure is a potential problem in the long-term follow-up of Ross patients. Freedom from reintervention was satisfactory, and the type of pulmonic conduit did not affect the mid-term outcomes. In patients with infective endocarditis, the Ross procedure has a low recurrence rate, but it might have an increased risk of mortality.

6.Timing and magnitude of regional right ventricular function and their relationship with early hospital mortality in patients with acute pulmonary embolism
Batur Gönenç Kanar, Anıl Şahin, Gökhan Göl, Erhan Oğur, Murat Kavas, Halil Atas, Bülent Mutlu
PMID: 31264657  doi: 10.14744/AnatolJCardiol.2019.38906  Pages 26 - 32
Objective: Right ventricular (RV) dysfunction in acute pulmonary embolism (APE) has been associated with increased mortality and morbidity. The aim of the present study was to assess the timing and magnitude of regional RV functions using speckle-tracking echocardiography (STE) and their relationship to early hospital mortality in patients with APE.
Methods: One hundred forty-two patients were prospectively studied at the onset of an acute episode and after a median follow-up period of 30 days. Their clinical and laboratory characteristics were recorded. For all patients, conventional two-dimensional echocardiography and STE were performed within 24 h after the diagnosis of APE.
Results: Twenty-eight (19.7%) patients died during the hospitalization follow-up. Patients who died during hospitalization were older and had higher high sensitivity cardiac troponin T levels, and a higher percentage of patients had simplified Pulmonary Embolism Severity Indexes. In STE analyses, they had lower RV free wall peak longitudinal systolic strain (PLSS) and higher RV peak systolic strain dispersion indexes. The time to PLSS difference between RV free wall and LV lateral was longer in patients who died during hospitalization than in those who survived, and this was an independent predictor of early hospital mortality with 85.7% sensitivity and 75.0% specificity in patients with APE.
Conclusion: APE was associated with RV electromechanical delay and dispersion. Electromechanical delay index might be useful to predict early hospital mortality in patients with APE.

7.Anthropometric indices predicting incident hypertension in an Iranian population: The Isfahan cohort study
Masoumeh Sadeghi, Mohammad Talaei, Mojgan Gharipour, Shahram Oveisgharan, Pouya Nezafati, Minoo Dianatkhah, Nizal Sarrafzadegan
PMID: 31264654  doi: 10.14744/AnatolJCardiol.2019.10594  Pages 33 - 43
Objective: The aim of the present study was to assess different obesity indices, as well as their best cut-off point, to predict the occurrence of hypertension (HTN) in an Iranian population.
Methods: In a population-based study, subjects aged 35 years and older were followed for 7 years. Blood pressure was measured at baseline and after the follow-up. Anthropometry indices included body mass index (BMI), body adiposity index (BAI), the waist-to-height ratio (WHtR), the waist-to-hip ratio (WHpR), and waist and hip circumferences (WC and HC). Logistic regression was employed to calculate the odds ratio (OR) and 95% confidence intervals (CI) per standard deviation (SD) increment. The operating characteristic analysis was used to derive the best cut-off value for each index.
Results: Among original 6504 participants, 2450 subjects who had no cardiovascular diseases (CVD) and HTN at baseline were revisited, and 542 (22.1%) new cases of HTN were detected. There were minimal differences between most indices in the adjusted models; however, the best HTN predictors were BMI (OR per SD 1.32; 95% CI 1.12–1.56) and almost equally WC (1.35; 1.13–1.60) in men and WC (1.20; 1.04–1.39) in women. As a binary predictor, BMI with a cut-off point of 24.9 kg/m2 in men (1.91; 1.40–2.62) and WC with a cut-off point of 98 cm in women (1.57; 1.17–2.10) were the best in adjusted models. WC, WHpR, and WHtR were significantly associated with an increased risk of HTN only in participants whose weight was normal (BMI, 18.5–24.9 kg/m2).
Conclusion: Therefore, BMI in men and WC in women were the best predictors of HTN, both as continuous and binary factors at their appropriate cut-off points.

8.Papaverine use for radial artery sheath entrapment
Alessandro Sciahbasi, Andrea Cuono, Alberto Marrangoni, Stefano Rigattieri
PMID: 31264661  doi: 10.14744/AnatolJCardiol.2019.71597  Pages 44 - 45
Abstract |Full Text PDF

9.Temporary left ventricular assist device for complete recovery from reversible acute heart failure due to tumor necrosis factor-α inhibitor
Marie-Camille Soucy-Giguere, Éric Charbonneau, Alexandre Cinq Mars, Michelle Dubois, Mario Sénéchal
PMID: 31264660  doi: 10.14744/AnatolJCardiol.2019.67124  Pages 46 - 48
Abstract |Full Text PDF

10.A rare complication of posterior myocardial infarction: Anterolateral papillary muscle rupture
Ahmet Karaduman, İsmail Balaban, Berhan Keskin, Çetin Geçmen, Gökhan Kahveci
PMID: 31264655  doi: 10.14744/AnatolJCardiol.2019.26512  Pages 48 - 50
Abstract |Full Text PDF | Video

11.Left ventricular myxoma: Hard to see, hard to hunt
Bárbara Segura, Gregorio Laguna, Kenia Álvarez, Gemma Pastor, Yolanda Carrascal
PMID: 31264662  doi: 10.14744/AnatolJCardiol.2019.78068  Page E1
Abstract |Full Text PDF

12.Cardiac metastasis mimicking acute STelevation myocardial infarction
Muhammed Said Beşler, Uğur Canpolat
PMID: 31264659  doi: 10.14744/AnatolJCardiol.2019.62292  Pages E1 - E2
Abstract |Full Text PDF | Video

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