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Öğe Effect of nutritional status on mortality in patients undergoing coronary artery bypass grafting [Meeting Abstract](Oxford Univ Press, 2018) Keskin, M.; Ipek, G.; Aldag, M.; Altay, S.; Hayiroglu, M. I.; Borklu, E. B.; Inan, D.[Abstract Not Available]Öğe Gender Differences and Demographics and Type of Cardiac Device over a 10-Year Period(Medknow Publications & Media Pvt Ltd, 2018) Aktoz, M.; Ucar, M. F.; Yilmaztepe, M. A.; Taylan, G.; Altay, S.Aims: This study aims to review the influence of gender-specific differences and patient demographics on cardiac device and pacing mode selection over a 10-year period. Methods: We retrospectively reviewed patients who underwent first implantation of the cardiac device between January 1, 2006 and June 31, 2016. Results: During the study period, 704 patients underwent first cardiac device implantation. Number of patients undergoing pacemaker was 452 and number of patients undergoing implantable cardioverter defibrillator/cardiac resynchronization therapy and defibrillator (ICD/CRT-D) was 252. Patients undergoing pacemaker were 49.9% female with mean age 72.36+11.1. The most common indication was atrioventricular block (AVB) (84%) in both genders. The most frequently used pacing modes were VVI (70.8%), but over a 10-year period pacemaker selection shifted from VVI to DDD pacemakers. Patients undergoing ICD/CRT-D were 19.7% female with mean age 62.5+10.8. The most common indications for ICD/CRT-D was ischemic cardiomyopathy (ICMP) (55.0%). The rate of male patients was higher in patients who have received device therapy for dilated cardiomyopathy (DCMP) or ICMP, whereas the rate of female patients was higher in hypertrophic cardiomyopathy (HCMP) patients. The most common used implanted system was VVI-ICD (60.6%). Conclusions: The present study demonstrated that there was no significant difference between female and male patients in pacing mode selection, mostly VVI pacing mode was chosen; however, over a 10-year period pacemaker selection shifted from VVI to DDD pacemakers. Female patients had less ICD/CRT-D implantation than male patients.Öğe A novel and useful predictive indicator of prognosis in ST segment elevation myocardial infarction; prognostic nutritional index(Oxford Univ Press, 2017) Keskin, M.; Hayiroglu, M. I.; Keskin, T.; Kaya, A.; Tatlisu, M. A.; Altay, S.; Uzun, A. O.[Abstract Not Available]Öğe A novel and useful predictive indicator of prognosis in ST-segment elevation myocardial infarction, the prognostic nutritional index(Elsevier Sci Ltd, 2017) Keskin, M.; Hayiroglu, M. I.; Keskin, T.; Kaya, A.; Tatlisu, M. A.; Altay, S.; Uzun, A. O.Background and aim: The prognostic impact of poor nutritional status and cardiac cachexia in myocardial infarction is not clearly understood. Recent studies have implied a prognostic value of the prognostic nutritional index (PNI) in colorectal surgeries and postoperative septic complications. The present study aimed to evaluate the prognostic value of PNI in ST-segment elevation myocardial infarction (STEMI) patients. Methods and results: We evaluated the in-hospital and long-term (3 years) prognostic impact of PNI on 1823 patients with STEMI undergoing primary percutaneous coronary intervention. Patients with lower PNI had significantly higher in-hospital and long-term mortality and major adverse cardiac events. After adjustment for all confounders, the in-hospital mortality rates were 7.9 times higher at the lower PNI level (95% CI: 5.0-15.8) than those at the higher PNI level. The long-term mortality rates were also 6.4 times higher at the lower PNI level (95% CI: 4.4-12.4) than those at the higher PNI level. Conclusion: The present study demonstrated that the PNI, calculated based on the serum albumin level and lymphocyte count, is an independent prognostic factor for mortality in patients with STEMI. (C) 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.