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Yıldırım, Turkey

Kalayci B.,Halil Sivgin Cubuk Devlet Hastanesi | Kalayci S.,Kardiyoloji Klinigi
Turkiye Klinikleri Cardiovascular Sciences | Year: 2014

Blunt chest trauma may cause of various cardiac problems including mechanical injury and/or dysrhythmia. It may result a wide spectrum of cardiac injury and clinical presentation. It may be completely silent or may result in sudden cardiac death. Definition of myocardial injury after blunt chest trauma is difficult. Because an accepted diagnostic algorithm has not established yet. Dysrhythmias after blunt trauma may be atrial or ventricular origin. These dysrhythmias are usually temporary but may be persistent if permanent histological tissue damage occures. Sometimes it may occur only in the form of the conduction disorders such as bundle branch blocks and conduction delay. The most commonly affected part of the heart is right ventricle due to its retrosternal localization. However multiple heart chambers may be affected as well. Commotio cordis is a rare clinical condition that develops after blunt chest trauma and usually is seen after sport activities. It may be described as a phenomen that result in cardiac arrest and death as a result low-energy blunt chest trauma in patients without structural cardiac defect. Also injury of ventricular and atrial septum and walls, valves, coronary and great vessels should be noted. Electrocardiographic and echocardiographic examinations are of great importance as well assessment of the patient's clinical condition. In this article we are reviewing dysrhthmias after blunt chest trauma. Furthermore we are presenting a case of fifteen year old boy developing transient right bundle branch block after blunt trauma to the front of the chest during a fight from the emergency department. Copyright © 2014 by Türkiye Klinikleri. Source

Onat A.,Istanbul University | Cakir H.,Kardiyoloji Klinigi | Karadeniz Y.,Hastaliklari Klinigi | Donmez I.,Kardiyoloji Anabilim Dali | And 3 more authors.
Turk Kardiyoloji Dernegi Arsivi | Year: 2014

Objectives: To analyze (1) the sex-specific and age-brack- Et defined all-cause and coronary mortality in the 23-years' follow-up of the Turkish Adult Risk Factor Study, and (2) to determine the nation-wide prevalence of Type-2 diabetes and its recent trend. Study design: Information on the mode of death was obtained from first-degree relatives and/or health personnel of local heath office. Information collected in survivors was based on history, physical examination of the cardiovascular system and Minnesota coding of resting electrocardiograms. Diabetes was defined by criteria of the American Diabetes Association without the use of glycated hemoglobin. Results: Of the 1370 participants to be surveyed, 768 were examined, in 452 subjects information was gathered, and 29 men, 18 women were ascertained to have died. Cumulative assessment of the entire cohort in the age bracket 45-74 years disclosed coronary mortality to be 7.5/1000 person- years in men and 3.74 in women, persisting to be high among the European countries. The recent decline observed in overall mortality seemed to halt as well. Of greatest concern was the finding in the past 12 years that the rate of rise in the age-controlled prevalence of Type-2 diabetes was as high as 5% annually. Conclusion: Overall and coronary mortality in Turkish adults continue to be high, while an elicited annual increase of 5% in the age-controlled prevalence of diabetes is virtually alarming and requires new public health policies. © 2014 Turkish Society of Cardiology. Source

Ucar O.,Kardiyoloji Klinigi
Turkiye Klinikleri Cardiovascular Sciences | Year: 2012

Mitral L-wave is recorded at the mitral valve by M-mode echocardiography or pulsed wave Doppler during mid-diastole. It is believed to be the consequence of fluctuations in diastolic left atrial and left ventricular pressure gradients in the setting of reduced left ventricular active diastolic relaxation and increased left ventricular stiffness. The equivalent of this wave on tissue Doppler is the L' wave. This wave, which is an indicator of pseudonormal diastolic flow, has prognostic value. It suggests increased likelihood of future hospitalization for heart failure in patients with left ventricular systolic dysfunction or hypertrophy. In this report we aimed to present a hypertensive case with left ventricular hypertrophy and mitral L-wave and we discussed this important but usually ignored echocardiographic finding accordingly. Copyright © 2012 by Türkiye Klinikleri. Source

Eris C.,Kalp ve Damar Cerrahisi Klinigi | Ari H.,Kardiyoloji Klinigi | Erdolu B.,Kalp ve Damar Cerrahisi Klinigi | Yavuz S.,Kalp ve Damar Cerrahisi Klinigi | Ozyazicioglu A.,Kalp ve Damar Cerrahisi Klinigi
Marmara Medical Journal | Year: 2014

Double-chambered right ventricle is a congenital cardiac anomaly in which the right ventricle is divided into two portions by anomalous muscle bundles. We discuss a patient aged 46 who had a double-chambered right ventricle, with coronary artery stenosis and a bicuspid valve. Our patient underwent successful surgical resection of the obstruction by a right ventriculotomy and the infundibular stenosis was expanded with a Gore-tex patch. Also, a left internal mammary artery-left anterior descending coronary artery anostomosis was performed for the left anterior descending stenosis. Although, double-chambered right ventricles are extremely rare in adults, the example of double-chambered right ventricle with coronary artery stenosis which we diagnosed and operated on was the third case reported according to our review of the literature. © 2014, Marmara University. All rights reserved. Source

Asker M.,Kardiyoloji Klinigi | Asker S.,Gogus Hastaliklari Klinigi | Timucin O.B.,Goz Hastaliklari Bolumu | Gur A.K.,Kalp Damar Cerrahisi Klinigi | Karapinar H.,Cumhuriyet University
Turkiye Klinikleri Cardiovascular Sciences | Year: 2013

Carney complex is an autosomal dominantly inherited disease complex including myxomas, pigmented skin lesions and endocrine neoplasias. It was first defined by J. Aidan Carney in 1985. Myxomas can be observed in the heart, skin and breast. Familial myxomas were seen at younger ages than sporadic forms. The most common endocrine gland manifestations acromegaly, thyroid and testicular tumors, and adrenocorticotropic hormone-independent Cushing's syndrome. A cardiac myxoma requires surgical removal. In this study, we present a case of left atrial myx-oma with Carney syndrome who was early diagnosed and successfully treated with surgery. Copyright © 2013 by Türkiye Klinikleri. Source

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