ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology - Anatol J Cardiol: 26 (7)
Volume: 26  Issue: 7 - July 2022
FRONT MATTER
1.Front matter

Pages I - IX

EDITORIAL
2.Tricuspid Valve Replacement, Mitral Commissurotomy and After Study
Çetin Erol
doi: 10.5152/AnatolJCardiol.2022.7  Page 504
Abstract |Full Text PDF

META ANALYSIS
3.Transcatheter Tricuspid Valve Replacement for Tricuspid Regurgitation: A Systematic Review and Meta-analysis
Barış Buğan, Elif Ijlal Çekirdekçi, Lütfi Çağatay Onar, Cem Barçın
doi: 10.5152/AnatolJCardiol.2022.1440  Pages 505 - 519
Background: The present data aim to evaluate the feasibility of the orthotopic trans- catheter tricuspid valve replacement devices, echocardiographic, functional improve- ments, and mortality rates following replacement in patients with significant tricuspid valve regurgitation.

Methods: We systematically searched for the studies evaluating the efficacy and safety of transcatheter tricuspid valve replacement for significant tricuspid valve regurgitation. The efficacy and safety outcomes were the improvements in New York Heart Association functional class, 6-minute walking distance, all-cause death, and periprocedural andlong-term complications. In addition, a random-effect meta-analysis was performed comparing outcomes before and after transcatheter tricuspid valve replacement.

Results: Nine studies with 321 patients were included. The mean age was 75.8 years, and the mean European System for Cardiac Operative Risk Evaluation II score was 8.2% (95% CI: 6.1 to 10.3). Severe, massive, and torrential tricuspid valve regurgitation was diagnosed in 95% of patients (95% CI: 89% to 98%), and 83% (95% CI: 73% to 90%) of patients were in New York Heart Association functional class III or IV. At a weighted mean follow-up of 122 days, New York Heart Association functional class (risk ratio = 0.20; 95% CI: 0.11 to 0.35; P <.001) and 6-minute walking distance (mean difference = 91.1 m; 95% CI: 37.3 to 144.9 m; P <.001) significantly improved, and similarly, the prevalence of severe or greater tri- cuspid valve regurgitation was significantly reduced after transcatheter tricuspid valve replacement (baseline risk ratio = 0.19; 95% CI: 0.10 to 0.36; P <.001). In total, 28 patients (10%; 95% CI: 6% to 17%) had died. Pooled analyses demonstrated non-significant differ- ences in hospital and 30-day mortality and >30-day mortality than predicted operative mortality (risk ratio = 1.03; 95% CI: 0.41 to 2.59; P =.95, risk ratio = 1.39; 95% CI: 0.69 to 2.81; P =.35, respectively).

Conclusion: Transcatheter tricuspid valve replacement could be an emerging treatment option for patients with severe tricuspid regurgitation who are not eligible for transcath-eter repair or surgical replacement because of high surgical risk and poor prognosis.

SCIENTIFIC LETTER
4.Cordova Formula for Low-Density Lipoprotein- Cholesterol Estimation: Not Only the Simplest of All But Also Superior to Other Formulae at a Higher Range of Triglyceride
Sojit Tomo, Shrimanjunath Sankanagoudar, Praveen Sharma
doi: 10.5152/AnatolJCardiol.2022.1356  Pages 520 - 524
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
5.Evaluation of Myocardial Strain by 2-Dimensional Speckle Tracking Echocardiography in Patients with Facioscapulohumeral Muscular Dystrophy
Ferhat Işık, Abdurrahman Akyüz, Murat Çap, Askeri Türken, Süleyman Varsak, Erkan Baysal
doi: 10.5152/AnatolJCardiol.2022.907  Pages 525 - 531
Background: Facioscapulohumeral muscular dystrophy is one of the most common congenital muscle disorders. Whether facioscapulohumeral muscular dystrophy causes cardiac involvement is still controversial. Although electrocardiography and conventional echocardiography studies have been performed, there is no data on strain echocardiography in facioscapulohumeral muscular dystrophy. Our study aims to compare the myocardial strain parameters by 2-dimensional speckle tracking echocardiography in patients with facioscapulohumeral muscular dystrophy and the normal group.

Methods: This prospective single-center study included 35 patients with facioscapulohumeral muscular dystrophy and 54 control patients. Demographic, clinical, and laboratory parameters of both groups were compared. In addition to conventional echocardiography images, myocardial strain parameters were performed using 2-dimensional speckle tracking echocardiography.

Results: The median age of the study population was 25 (19-35 IQR) and 51 (57.3%) of them were male. Left ventricle-global circumferential strain was significantly lower in the facioscapulohumeral muscular dystrophy group than in the normal group [−20.3 (−22.0; −19.0) vs. −21.6 (−22.5; −20.0), P =.020]. Two-dimensional speckle tracking echocardiography findings except left ventricle-global circumferential strain [for left ventricle-global longitudinal strain P =.259, for left ventricle-global radial strain P =.338, for right ventricle-global circumferential strain P=.250, and for right ventricle-free wall longitudinal strain P =.288] were similar in both groups.

Conclusions: As a result of our study, there was no significant difference between 2-dimensional speckle tracking echocardiography parameters other than the left ventricle-global circumferential strain between facioscapulohumeral muscular dystrophy and normal groups.

6.Structural Changesofthe Right Fibrous Trigone as a Risk Factor for Conduction Disturbance After Transcatheter Aortic Valve Implantation
Serkan Aslan, Aysel Türkvatan, Çağdaş Topel, Ahmet Güner, Ali Rıza Demir, Serkan Kahraman, Ömer Çelik, Mehmet Ertürk
doi: 10.5152/AnatolJCardiol.2022.987  Pages 532 - 542
Background: The right fibrous trigone, which the His bundle penetrates, is part of the subaortic area adjacent to the membranous septum. Structural alterations of the right fibrous trigone may cause conduction disturbance as a result of compression in this area after transcatheter aortic valve implantation. This study analyzed the hypothesis of whether imaging parameters of the RFT could predict the risk of conduction disturbance after transcatheter aortic valve implantation.

Methods: We retrospectively examined 209 patients who underwent transfemoral transcatheter aortic valve implantationat a tertiary cardiac center. The different valve models were divided into 2 groups: self-expanding valve and balloon-expandable valve. Using pre-procedure computed tomography, we evaluated for the alterations of the right fibrous trigone.

Results: New conduction disturbance was seen in 75 of 209 (35.8%) patients. Receiver operating characteristics plots displayed a right fibrous trigone density of −6 Hounsfieldunit for SEV and −16 Hounsfield unit for balloon-expandable valve as the optimal cut- off points for prediction conduction disturbance. In multiple regression analyses, the high density of RFT emerged as an independent predictor of conduction disturbance in both the self-expanding valve (odds ratio: 1.01, 95% CI: 1.01 to 1.02, P = 0.035) and bal- loon-expandable valve (odds ratio: 1.01, 95% CI: 1.01 to 1.03, P = 0.017) groups. A shorter membranous septum length and a greater implantation depth were also found to be significantly associated with a higher incidence of conduction disturbance in both trans- catheter aortic valve implantation groups.

Conclusion: High density of right fibrous trigone is independently associated with con- duction disturbance after transcatheter aortic valve implantation, and its pre-proce- dure computed tomography evaluation can help predict the new-onset of conduction disturbance.

7.The Relationship Between Sexual Activity and Heart Rate Variability in Menopausal Women
Hatice Tolunay, Erkan Yıldırım, Yalçın Gökoğlan, Barış Buğan, Ayşe Saatçi Yaşar, Murat Çelik, Uygar Cağdaş Yüksel, Hasan Kutsi Kabul, Cem Barçın
doi: 10.5152/AnatolJCardiol.2022.1180  Pages 543 - 551
Background: Menopause is an important life stage for women, which can bring along sex- ual and cardiac problems. Increased heart rate variability is an indicator of parasympa- thetic activity and is associated with mental and physical health and life expectancy. This study aimed to evaluate the effect of sexual activity (only penile–vaginal intercourse but not masturbation or non-coital sex with a partner) on heart rate variability in healthy menopausal women.

Methods: We evaluated 130 menopausal patients aged 45-60 years, without chronic dis- ease. The average weekly sexual activity numbers remembered in the last 1 year were questioned. The patients were divided into 2 groups according to the presence of sexual activity. The sexually active group was divided into subgroups as 1 per week and 2 or more per week. Menopause Rating Scale was applied for menopausal symptoms. Heart rate variability was analyzed from the 24-hour electrocardiography Holter recording.

Results: Heart rate variability parameters were higher in the sexually active group than in the sexually inactive group (mean of the standard deviations of all the NN intervals for each 5 min segment of a 24-hour heart rate variability recording: P =.004; root mean square of differences between adjacent normal RR intervals, expressed in ms: P=.001; number of NN intervals exceeding 50 milliseconds: P =.011; percentage of adjacent RR intervals with a difference of duration >50 ms: P =.009; low frequency: P =.011; high fre- quency: P=.008, low frequency/high frequency: P=.018). When assessed by multiple linear regression analysis by adjusting for age, body mass index, and menopause dura- tion, the variables mean of the standard deviations of all the NN intervals for each 5 min segment of a 24-hour heart rate variability recording, root mean square of differences between adjacent normal RR intervals, expressed in ms, and low frequency were inde- pendently associated with the number of sexual activities per week (B = 2.89 ± 1.02, 95% CI = 0.866-4.91, P =.005; B = 4.57 ± 1.83, 95% CI = 0.94-8.2, P =.014; and B = 1174.9 ± 592.2, 95% CI = 2.9-2346.9, P =.049, respectively).

Conclusion: In healthy menopausal women, continued sexual activity with penile–vagi- nal intercourse is associated with better health outcomes on cardiac autonomic function through higher heart rate variability, an index of parasympathetic activity.

8.Maternal and Fetal Outcomes Following Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Critical Mitral Stenosis: An Experience of a Tertiary Care Center from Northern India
Rajesh Vijayvergiya, Vanita Suri, Pooja Sikka, Ganesh Kasinadhuni, Ankush Gupta, Navjyot Kaur, Sujata Siwatch, Neelam Aggarwal, Seema Chopra
doi: 10.5152/AnatolJCardiol.2022.1644  Pages 552 - 558
Background: Rheumatic mitral stenosis is the common valvular heart disease seen during pregnancy. Percutaneous transvenous mitral commissurotomy is an effective, safe, and recommended treatment for critical mitral stenosis during pregnancy. We hereby report the maternal and fetal outcomes of pregnant women subjected to percutaneous trans- venous mitral commissurotomy at our institute.

Methods: Seventy consecutive pregnant women with critical mitral stenosis, who under- went PTMC during the last 10 years, were retrospectively analyzed. All patients had a detailed clinical and obstetric evaluation and were optimally managed with drugs, before the intervention. A comprehensive pre- and post-percutaneous transvenous mitral commissurotomy transthoracic echocardiographic evaluation was performed. Detailed obstetric and fetal outcomes were noted at the time of delivery. Six weeks of post-partum follow-up was noted in all patients.

Results: The mean gestational age at the time of percutaneous transvenous mitral com- missurotomy was 29.5 ± 6.68 weeks. Percutaneous transvenous mitral commissurotomy was successful in 97% of patients. Post-percutaneous transvenous mitral commissurot- omy New York Heart Association functional class, mitral valve area, trans-mitral pres-sure gradient, and left atrial pressure had a significant improvement (P <.001). The mean gestational age at the time of delivery was 36.92 ± 3.02 weeks. The mean birth weight of live newborn was 2.29 ± 0.55 kg. The fetal complications include growth restriction in 62.85%, preterm delivery in 34.37%, and low birth weight in 67.21%. A delayed percutane- ous transvenous mitral commissurotomy at about 30 weeks of gestation did not affect the maternal and fetal outcomes.

Conclusion: Percutaneous transvenous mitral commissurotomy is safe and efficacious in managing pregnant women with critical mitral stenosis. There was a significant improve- ment in clinical symptoms and echocardiographic parameters following percutaneous transvenous mitral commissurotomy.

9.Comparison of Sequential POT-Side-POT and Kissing Balloon Techniquesin Patientswith Coronary Bifurcation Lesions Treatedwith Single-Stent Strategy; Which One is Simple and Safe? Propensity Score Analysis
Gökhan Çetinkal, Betül Balaban Koçaş, Kudret Keskin, Hakan Kilci, Özgür Selim Ser, Kadriye Kılıçkesmez
doi: 10.5152/AnatolJCardiol.2022.1136  Pages 559 - 566
Background: It is unknown whether the novel POT-side-POT technique is more useful than the commonly preferred kissing balloon inflation in patients with non-complex coro- nary bifurcation lesions treated with a single-stent strategy. The aim of this study was to compare the efficacy of POT-side-POT and kissing balloon inflation techniques in one- stent strategy for non-complex coronary bifurcation lesions.

Methods: In this study, 283 patients were retrospectively analyzed (POT-side-POT group, n = 149; KBI group, n = 134). Primary endpoints of the study were defined as follows: in- hospital and 30-day mortality, contrast-induced acute kidney injury, stent thrombosis, side branch dissection, and need for side-branch stenting. Characteristics of patients at baseline were balanced by using propensity score inverse probability weighting.

Results: Procedure time (minute, 30.6 ± 8.5 vs. 34.3 ± 11.6; P =.003) and contrast volume (milliliter, 153.7 ± 42.4 vs. 171.1 ± 58.2; P =.004) were significantly lower in POT-side-POT group. Besides, side branch residual stenosis and number of patients with >50% side branch residual stenosis remained significantly higher in POT-side-POT group both in general and true bifurcation subgroup analysis (20.3 ± 19.8% vs. 16.5 ± 16.4%, P=.022; 11.9% vs. 5.7%, P =.013 and 24.1 ± 23.2% vs. 18.8 ± 18.7%, P =.033; 17.6% vs. 6.6%, P =.005; respectively). Combined clinical adverse outcomes were similar between groups. Side branch dissection (10.2% vs. 20.1%, P =.001) and need for side branch stenting (12.6% vs. 19%, P=.040) reached statistically significance in kissing balloon inflation group after adjustment.

Conclusion: POT-side-POT may be a simple and safe technique with a shorter procedure time and lower incidence of adverse clinical events in non-complex coronary bifurcationlesions treated with single-stent strategy.

10.Oral Anticoagulant Use and Long-Term Follow-Up Results in Patients with Non-valvular Atrial Fibrillation in Turkey AFTER-2 Study
Tuncay Güzel, Adem Aktan, Raif Kılıç, Bayram Arslan, Baran Arık, Merve Yentür, Halil Yıldız, Lokman Argun, Kamran İldırımlı, Bünyamin Yıldırım, Muhammed Demir, Mehmet Özbek, Faruk Ertaş
doi: 10.5152/AnatolJCardiol.2022.1597  Pages 567 - 576
Background: The aim of this study was to investigate the frequency of oral anticoagulant drugs and time in therapeutic range in patients receiving warfarin in addition to the epi-demiological trial of non-valvular atrial fibrillation previously conducted in Turkey (The Atrial Fibrillation: Epidemiological Registry trial). Furthermore, the prevalence of major adverse events and mortality rates of the patients were evaluated during the long-term follow-up period.

Methods: We created a national data registry for non-valvular atrial fibrillation patients, reflecting all geographic regions by population density. In that context, the study included all consecutive atrial fibrillation patients older than 18 years of age who were admitted to the cardiology outpatient clinic except for patients those with prosthetic heart valvesand rheumatic mitral valve stenosis.

Results: This study included 2592 patients from 35 different centers. The mean age was 68.7 ± 11.1 years, and 55.5% of the patients were female. The most common comorbid diseases were chronic kidney disease (69%) and hypertension (65.5%). The time in ther- apeutic range rate in the general population was 40%, and the mortality rate at 5-year follow-up was 29.4%.

Conclusion: The Atrial Fibrillation: Epidemiological Registry 2 study showed higher use of anticoagulant in non-valvular atrial fibrillation patients than in previous national stud-ies. Furthermore, this study demonstrated that most of the non-valvular atrial fibrilla- tion patients are in the high-risk group and the time in therapeutic range rates are still low in Turkey. As a result, this is a significant reason for switching from warfarin to non-K vitamin-dependent new oral anticoagulant treatments.

CASE REPORT
11.Recurrent Pulmonary Embolism Associated with a New Mutation Site of SLC44A2: A Case Report
Feng Yang, Quan-fang Chen
doi: 10.5152/AnatolJCardiol.2022.1585  Pages 577 - 579
Abstract |Full Text PDF

12.Acute Myocardial Infarction in a 9-Year-Old Boy Due to Multisystem Inflammatory Syndrome
Derya Duman, Gökhan Altunbaş, Derya Karpuz, Osman Başpınar
doi: 10.5152/AnatolJCardiol.2022.1491  Pages 580 - 583
Abstract |Full Text PDF

13.Two Case Reports of Progressive Pulmonary Hypertension with Type-1 Gaucher Disease: Efficient PAH-Specific Therapy and 1-Year Follow-Up
Burcu Yağmur, Sanem Nalbantgil, Meral Kayıkçıoğlu
doi: 10.5152/AnatolJCardiol.2022.1254  Pages 584 - 588
Abstract |Full Text PDF

LETTER TO THE EDITOR
14.Management of Coronary Ostial Stenosis with Drug Coated Balloons: Technicaland Clinical Aspects
Kenan Yalta, Gökay Taylan, Murat Gök, Tülin Yalta
doi: 10.5152/AnatolJCardiol.2022.1841  Pages 589 - 590
Abstract |Full Text PDF

LETTER TO THE EDITOR REPLY
15.Reply to Letter to the Editor: “Management of Coronary Ostial Stenosis with Drug Coated Balloons: Technicaland Clinical Aspects”
Emrah Erdoğan, Zheng Li, Yong-xiang Zhu, Vincenzo Tufaro, Si-li Feng, Qian Li, Li Liang, Shang Chang, Ling-tong Bu, Bing Liu, Qi-hua Zhou, Nathan A. L. Yap, Christos V. Bourantas, Yao-jun Zhang
doi: 10.5152/AnatolJCardiol.2022.1843  Pages 591 - 592
Abstract |Full Text PDF

LETTER TO THE EDITOR
16.The Predictors of Asymptomatic Cerebral Embolism After Carotid Artery Stenting
Ahmet Güner, Ömer Çelik, Fatih Uzun, Ahmet Arif Yalçın, Mehmet Ertürk
doi: 10.5152/AnatolJCardiol.2022.1952  Pages 593 - 594
Abstract |Full Text PDF

LETTER TO THE EDITOR REPLY
17.Reply to Letter to the Editor: “The Predictors of Asymptomatic Cerebral Embolism After Carotid Artery Stenting”
Erkan Köklü
doi: 10.5152/AnatolJCardiol.2022.1953  Pages 595 - 596
Abstract |Full Text PDF

E-PAGE ORIGINAL IMAGES
18.Visualization of Double Atrial Septum with Persistent Interatrial Space by Three- Dimensional Transesophageal Echocardiography
Lang Gao, Lin He, Lingyun Fang, Mingxing Xie, Yixia Lin, He Li, Yuman Li
doi: 10.5152/AnatolJCardiol.2022.1845  Pages E10 - E11
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

Quick Search



Copyright © 2023 The Anatolian Journal of Cardiology



Kare Publishing is a subsidiary of Kare Media.