Yazar "Kaya, Caglar" seçeneğine göre listele
Listeleniyor 1 - 19 / 19
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Acute myocardial infarction shortly after valve-in-valve transcatheter aortic valve implantation successfully managed with challenging percutaneous coronary intervention(Turkish Soc Cardiology, 2018) Yalta, Kenan; Kaya, Caglar; Aksoy, Yuksel; Yilmaztepe, Mustafa; Kardas, FatihIn recent years, transcatheter aortic valve implantation (TAVI) has been considered a novel option for the management of surgically high-risk patients requiring aortic valve replacement. Presently described is a case of acute coronary syndrome (ACS) managed with a challenging primary percutaneous coronary intervention (PCI) shortly after a valve-in-valve TAVI intervention. This case highlights 2 important issues: PCI may be an option for the management of coronary heart disease in patients after TAVI even in the setting of demanding features associated with coronary osteal engagement, and secondly, TAVI may serve as a potential risk factor for future coronary ischemic syndromes, largely due to its potential adverse effects on coronary flow dynamics, etc. However, the latter notion is quite speculative, and should be tested in further studies.Öğe Earthquakes and Acute Cardiovascular Conditions: A Focus on Takotsubo Syndrome(Galenos Publ House, 2023) Kardas, Fatih; Kaya, Caglar; Yalta, Kenan[Abstract Not Available]Öğe The Effect of Thyroid Stimulating Hormone Level Within the Reference Range on In-Hospital and Short-Term Prognosis in Acute Coronary Syndrome Patients(Mdpi, 2019) Gurdogan, Muhammet; Altay, Servet; Korkmaz, Selcuk; Kaya, Caglar; Zeybey, Utku; Ebik, Mustafa; Demir, MelikBackground and objectives: Despite being within the normal reference range, changes in thyroid stimulating hormone (TSH) levels have negative effects on the cardiovascular system. The majority of patients admitted to hospital with acute coronary syndrome (ACS) are euthyroid. The aim of this study was to investigate the effect of TSH level on the prognosis of in-hospital and follow-up periods of euthyroid ACS patients. Materials and Methods: A total of 629 patients with acute coronary syndrome without thyroid dysfunction were included in the study. TSH levels of patients were 0.3-5.33 uIU/mL. Patients were divided into three TSH tertiles: TSH level between (1) 0.3 uIU/mL and <0.90 uIU/mL (n = 209), (2) 0.90 uIU/mL and <1.60 uIU/mL (n = 210), and (3) 1.60 uIU/mL and 5.33 uIU/mL (n = 210). Demographic, clinical laboratory, and angiographic characteristics were compared between groups in terms of in-hospital and follow-up prognosis. Results: Mean age was 63.42 +/- 12.5, and 73.9% were male. There was significant difference between tertiles in terms of TSH level at admission (p < 0.001), the severity of coronary artery disease (p = 0.024), in-hospital mortality (p < 0.001), in-hospital major hemorrhage (p = 0.005), total adverse clinical event (p = 0.03), follow-up mortality (p = 0.022), and total mortality (p < 0.001). In multivariate logistic regression analysis, the high-normal TSH tertile was found to be cumulative mortality increasing factor (OR = 6.307, 95%; CI: 1.769-22.480; p = 0.005) during the 6-month follow-up period after hospitalization and discharge. Conclusions: High-normal TSH tertile during hospital admission in euthyroid ACS patients is an independent predictor of total mortality during the 6-month follow-up period after hospitalization and discharge.Öğe THE ETIOLOGY AND AGE-RELATED PROPERTIES OF PATIENTS WITH DELIRIUM IN CORONARY INTENSIVE CARE UNIT AND ITS EFFECTS ON INHOSPITAL AND FOLLOW UP PROGNOSIS(Literatura Medica, 2020) Altay, Servet; Gurdogan, Muhammet; Kaya, Caglar; Kardas, Fatih; Zeybey, Utku; Cakir, Burcu; Ebik, MustafaObjective - Delirium is a syndrome frequently encountered in intensive care and associated with a poor prognosis. Intensive care delirium is mostly based on general and palliative intensive care data in the literature. In this study, we aimed to investigate the incidence of delirium in coronary intensive care unit (CICU), related factors, its relationship with inhospital and follow up prognosis, incidence of age-related delirium and its effect on outcomes. Methods - This study was conducted with patients hospitalized in CICU of a tertiary university hospital between 01 August 2017 and 01 August 2018. Files of all patients were examined in details, and demographic, clinic and laboratory parameters were recorded. Patients confirmed with psychiatry consultation were included in the groups of patients who developed delirium. Patients were divided into groups with and without delirium developed, and baseline features, inhospital and follow up prognoses were investigated. In addition, patients were divided into four groups as <65 years old, 65-75 yo, 75-84 yo and> 85 yo, and the incidence of delirium, related factors and prognoses were compared among these groups. Results - A total of 1108 patients (mean age: 64.4 +/- 13.9 years; 66% men) who were followed in the intensive care unit with variable indications were included in the study. Of all patients 11.1% developed delirium in the CICU. Patients who developed delirium were older, comorbidities were more frequent, and these patients showed increased inflammation findings, and significant increase in inhospital mortality compared to those who did not develop delirium (p<0.05). At median 9-month follow up period, rehospitalization, reinfarction, cognitive dysfunction, initiation of psychiatric therapy and mortality were significantly higher in the delirium group (p<0.05). When patients who developed delirium were divided into four groups by age and analyzed, incidence of delirium and mortality rate in delirium group were significantly increased by age (p<0.05). Conclusion - Development of delirium in coronary intensive care unit is associated with increased inhospital and follow up morbidity and mortality. Delirium is more commonly seen in geriatric patients and those with comorbidity, and is associated with a poorer prognosis. High-risk patients should be more carefully monitored for the risk of delirium.Öğe An extreme case of vasospastic angina mimicking acute STEMI: Severe three-vessel disease with critical stenoses(Turkish Soc Cardiology, 2019) Kaya, Caglar; Altay, Servet[Abstract Not Available]Öğe Ictal Asystole in a Patient with Right Temporal Lobe Epilepsy(Taiwan Soc Cardiology, 2022) Kaya, Caglar; Ozkan, Hulya; Yilmaztepe, Mustafa; Aksoy, Yuksel; Baysal-Kirac, Leyla; Gurses, Candan[Abstract Not Available]Öğe Left ventricle pseudoaneurysm detected eight months after myocardial infarction(Turkish Soc Cardiology, 2019) Yilmaztepe, Mustafa Adem; Ozturk, Cihan; Ucar, Fatih Mehmet; Kaya, Caglar; Gurdogan, Muhammet[Abstract Not Available]Öğe Left ventricular aneurysm formation in patients with takotsubo syndrome: A peculiar phenomenon with subtle implications(Polish Cardiac Soc, 2023) Yalta, Kenan; Kaya, Caglar; Yalta, Tulin[Abstract Not Available]Öğe Mobitz type II, 2:1 atrioventricular block mimicking as a convulsive seizure(Turkish Soc Cardiology, 2019) Kaya, Caglar; Zeybey, Utku; Akpinar, Meliha; Taylan, Gokay; Ucar, Fatih Mehmet[Abstract Not Available]Öğe A rare case about pericardium: Left deviated heart and pericardial agenesis(Kare Publ, 2021) Kaya, Caglar; Zeybey, Utku; Altay, Servet; Ustabasioglu, Fethi EmreCongenital absence of the pericardium is not a common condition in daily practice. There are no obvious and clear symptoms. This condition, which is diagnosed incidentally, may cause some complications when not diagnosed. Therefore, imaging techniques, such as echocardiography, are essential. In this article, we present a rare case of pericardial agenesis.Öğe Recurrent Takotsubo Cardiomyopathy: A Puzzle Yet to be Solved(Arquivos Brasileiros Cardiologia, 2020) Yalta, Kenan; Kaya, Caglar[Abstract Not Available]Öğe The Relationship between Diffusion-Weighted Magnetic Resonance Imaging Lesions and 24-Hour Rhythm Holter Findings in Patients with Cryptogenic Stroke(Mdpi, 2019) Gurdogan, Muhammet; Kehaya, Sezgin; Korkmaz, Selcuk; Altay, Servet; Ozkan, Ugur; Kaya, CaglarBackground and objectives: Cranial magnetic resonance imaging findings of patients considered to be cryptogenic stroke may be useful in determining the clinical and prognostic significance of arrhythmias, such as atrial premature beats and atrial run attacks, that are frequently encountered in rhythm Holter analysis. This study was conducted to investigate the relationship between short atrial runs and frequent premature atrial contractions detected in Holter monitors and infarct distributions in cranial magnetic resonance imaging of patients diagnosed with cryptogenic stroke. Materials and Methods: We enrolled the patients with acute ischemic stroke whose etiology were undetermined. We divided the patients in two groups according to diffusion-weighted magnetic resonance imaging as single or multiple vascular territory acute infarcts. The demographic, clinical, laboratory, echocardiographic, and rhythm Holter analyses were compared. Results: The study investigated 106 patients diagnosed with cryptogenic stroke. Acute cerebral infarctions were detected in 31% of the investigated patients in multiple territories and in 69% in a single territory. In multivariate logistic regression analysis, the total premature atrial contraction count (OR = 1.002, 95% CI: 1.001-1.004, p = 0.001) and short atrial run count (OR = 1.086, 95% CI: 1.021-1.155, p = 0.008) were found as independent variables that could distinguish between infarctions in a single or in multiple vascular territories. Conclusions: Rhythm Holter monitoring of patients with infarcts detected in multiple vascular territories showed significantly higher premature atrial contractions and short atrial run attacks. More effort should be devoted to the identification of cardioembolic etiology in cryptogenic stroke patients with concurrent acute infarcts in the multiple vascular territories of the brain.Öğe The Relationship Between Premature Coronary Atherosclerosis and Helicobacter pylori Infection(Erciyes Univ Sch Medicine, 2023) Taylan, Gokay; Demir, Melik; Kaya, Caglar; Kurt, Idris; Yalta, KenanObjective: Helicobacter pylori infection (HPI) might potentially lead to chronic infection and cancer development in the gastric mucosa. However, previous studies have shown that coronary artery disease might also be associated with this infection. On the other hand, this causal association has not been previously documented in the context of premature coronary atherosclerosis (PCA). In our study, we aimed to investigate the potential relationship between HPI and PCA. Materials and Methods: All consecutive patients (<= 40 years of age) (between the years 2009 and 2018) undergoing coronary angiography and gastroduodenoscopy were included in the study (n=199). Patients were divided into two groups (PCA and control). The statistically considered significant p value is <0.05. Results: One hundred ninety nine patients included those with PCA [n=61 (30%)] (51% male, average age 35 years old). HPI was detected in 70% of patients with PCA (n: 43). Statistically significant independent relationship between HPI and PCA was observed in the logistics regression analysis (p<0.001). Conclusion: HPI may be an independent risk factor for PCA.Öğe Risk of premature coronary atherosclerosis in patients with nonalcoholic fatty liver disease(Assoc Medica Brasileira, 2022) Taylan, Gokay; Ebik, Mustafa; Solak, Serdar; Kaya, Caglar; Yalta, KenanOBJECTIVE: In the current literature, there are few studies investigating the relationship between premature coronary atherosclerosis and nonalcoholic fatty liver disease. We aimed to evaluate the relationship between nonalcoholic fatty liver disease and premature coronary atherosclerosis. METHODS: In this cross-sectional study, female patients aged <55 years and male patients aged <50 years were enrolled. Both male and female patients underwent coronary angiography and abdomen ultrasonography between 2014 and 2019. A stepwise binary logistic regression analysis was carried out to evaluate the independent variables related to premature coronary atherosclerosis and nonalcoholic fatty liver disease. A p-value<0.05 was considered statistically significant. RESULTS: nonalcoholic fatty liver disease was present in 44% of patients (n=377). Notably, 62% of the patients were female and the mean age was 44.5 (39-49) years. In a multivariate analysis, nonalcoholic fatty liver disease was shown to be an independent risk factor of premature coronary atherosclerosis (OR 1.438; 95%CI, 1.050-1.969; p=0.024). CONCLUSIONS: The presence of nonalcoholic fatty liver disease is an important independent risk factor for the development of premature coronary atherosclerosis.Öğe Serum copeptin: a potential guide to clinical decision-making for congenital shunt closure(Bmj Publishing Group, 2019) Yalta, Kenan; Gurdogan, Muhammet; Kaya, Caglar; Zeybey, Utku[Abstract Not Available]Öğe Should Bioprosthetic Valves be Implanted in Patients with Aortic Stenosis having a Low Surgical Risk? A Perspective with Pros and Cons(Galenos Publ House, 2024) Ozkan, Ugur; Gurdogan, Muhammet; Kaya, Caglar; Ari, Hasan[Abstract Not Available]Öğe Simple Techniques That Can Facilitate Radial Artery Access(Sage Publications Inc, 2019) Yilmaztepe, Mustafa; Kaya, Caglar; Gurdogan, Muhammet; Taylan, Gokay[Abstract Not Available]Öğe Takotsubo Cardiomyopathy in Paraplegic Patient in Intensive Care Unit: A Case Report(Galenos Yayincilik, 2019) Demir, Emir Tunc; Arslan, Ismail; Kaya, Caglar; Inal, Mehmet Turan; Altay, Servet; Memis, DilekTakotsubo cardiomyopathy (TC) is a disease mimicking Acute Coronary syndrome with electrocardiographic changes as well as temporary, reversible regional wall motion defect in the apical and middle segments of the left ventricle. It may be associated with emotional and physical stress caused by serious medical discomfort or surgical stress. Although it is more common in postmenopausal women, it is thought that stress-induced catecholamine discharge causes TC. Intensive care patients are at high risk for emotional and physical stress due to various factors such as multisystem diseases and problems due to prolonged hospitalization. In this case report, we aimed to present the characteristics of TC following long-term intensive care follow-up of our patient who was paraplegic due to cervical trauma and conscious, and to discuss the differential diagnosis and evaluate the literature.Öğe Unexpected pacemaker complication: all implanted leads on the left heart(Turkish Soc Cardiology, 2019) Kaya, Caglar; Cakir, Burcu; Ucar, Fatih Mehmet; Yilmaztepe, Mustafa Adem[Abstract Not Available]
