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Article ; Online: Prognostic value of serum albumin to creatinine ratio in patients undergoing carotid artery stenting.

Karatas, Mesut / Parsova, Kemal E / Keskin, Muhammed / Ocal, Lutfi / Doğan, Selami / Keles, Nursen

International angiology : a journal of the International Union of Angiology

2024

Abstract: Background: We aimed to investigate the prognostic value of serum albumin-to-creatinine ratio (sACR) in carotid artery stenting (CAS) patients regarding in-hospital and 5-year outcomes.: Methods: This is a retrospective study. Baseline ... ...

Abstract	Background: We aimed to investigate the prognostic value of serum albumin-to-creatinine ratio (sACR) in carotid artery stenting (CAS) patients regarding in-hospital and 5-year outcomes. Methods: This is a retrospective study. Baseline characteristics were compared between patients by admission albumin to creatinine ratio and categorized accordingly: T1, T2 and T3. 609 patients were included in the study. Serum albumin and creatinine levels at hospital admission were used to calculate the sACR. The primary endpoint was all-cause mortality. MACE consisted of stroke, transient ischemic attack (TIA), myocardial infarction (MI) and death. All follow-up data were obtained from electronic medical records or by interview. The study was terminated after 60 months of follow-up. Results: Serum albumin levels were found to be significantly lower in T1, while creatinine was found to be significantly higher in T1. T1 has the lowest sACR while T3 has the highest. In hospital, ipsilateral stroke, major stroke, MI and death were significantly higher in T1. In long-term outcomes, ipsilateral stroke, major stroke, and death were significantly higher in T1. Conclusions: Low sACR values at hospital admission was independently associated with in-hospital and long-term mortality and major stroke in patients underwent CAS.
Language	English
Publishing date	2024-04-04
Publishing country	Italy
Document type	Journal Article
ZDB-ID	604910-2
ISSN	1827-1839 ; 0392-9590
ISSN (online)	1827-1839
ISSN	0392-9590
DOI	10.23736/S0392-9590.24.05112-5
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Article ; Online: Successful management of distal coronary artery perforation with the modified cut balloon technique during percutaneous coronary intervention.

Öcal, Lütfi / Yılmaz, Cemalettin / Uysal, Samet / Cerşit, Sinan / Zehir, Regaip

Anatolian journal of cardiology

2022 Volume 26, Issue 1, Page(s) 66–68

MeSH term(s)	Coronary Angiography ; Coronary Artery Disease ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Heart Injuries ; Humans ; Percutaneous Coronary Intervention ; Treatment Outcome ; Vascular System Injuries
Language	English
Publishing date	2022-02-22
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2278670-3
ISSN	2149-2271 ; 2149-2271
ISSN (online)	2149-2271
ISSN	2149-2271
DOI	10.5152/AnatolJCardiol.2021.202
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Article ; Online: The Impact of Transcatheter or Surgical Defect Closure on Self-Reported Sleep Quality in Adults with Atrial Septal Defect.

Evlice, Mert / Safçı, Sinem Berik / Paçacı, Emre / Ayna, Samet / Cerşit, Sinan / Öcal, Lütfi / Gürsoy, Mustafa Ozan / Yıldırım, Abdullah / Kurt, İbrahim Halil

Brazilian journal of cardiovascular surgery

2024 Volume 39, Issue 3, Page(s) e20230267

Abstract: Objective: Sleep quality in those with cardiovascular disease is significantly lower than in the general population. This study aimed to explore the effect of transcatheter or surgical closure of atrial septal defect (ASD) on sleep quality.: Methods: ...

Abstract	Objective: Sleep quality in those with cardiovascular disease is significantly lower than in the general population. This study aimed to explore the effect of transcatheter or surgical closure of atrial septal defect (ASD) on sleep quality. Methods: One hundred nineteen adult patients with ASD who underwent transcatheter or surgical closure were included in the study. Sleep quality was investigated prospectively just before defect closure and six months after defect closure. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality of these patients. Results: PSQI scores were similar in both groups before the procedure in patients who underwent both transcatheter and surgical closure. The PSQI scores six months after transcatheter closure was significantly improved compared to the PSQI score before transcatheter ASD closure (3.5 ± 2.0 vs. 6.9 ± 3.4, respectively; P<0.001). The PSQI scores six months after surgical ASD closure was significantly improved compared to the PSQI score before surgical closure (4.8 ± 2.1 vs. 7.1 ± 2.0, respectively; P<0.001). Total PSQI scores were also statistically different at six months after transcatheter and surgical closure (3.5 ± 2.0 vs. 4.8 ± 2.1, P=0.014). However, six months after both transcatheter and surgical closure, PSQI scores were significantly decreased in both groups which was more pronounced in patients who underwent transcatheter closure. Conclusion: Transcatheter or surgical closure of the defect may be beneficial in improving the sleep quality of adult patients with ASD. Delayed improvement of sleep quality after surgical closure may be an important advantage for transcatheter closure.
MeSH term(s)	Adult ; Humans ; Treatment Outcome ; Cardiac Catheterization/methods ; Self Report ; Sleep Quality ; Heart Septal Defects, Atrial/complications ; Heart Septal Defects, Atrial/surgery
Language	English
Publishing date	2024-04-05
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2031026-2
ISSN	1678-9741 ; 1678-9741
ISSN (online)	1678-9741
ISSN	1678-9741
DOI	10.21470/1678-9741-2023-0267
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Article ; Online: Epicardial fat tissue may predict new-onset atrial fibrillation in patients with non-ST-segment elevation myocardial infarction.

Eren, Hayati / Omar, Muhammed Bahadır / Öcal, Lütfi

Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir

2021 Volume 49, Issue 6, Page(s) 430–438

Abstract: Objective: In recent years, epicardial fat tissue (EFT) has been found to be strongly associated with the development of atrial fibrillation (AF). It was also reported to be a predictor of cardiac arrhythmias in different clinical situations. However, ... ...

Abstract	Objective: In recent years, epicardial fat tissue (EFT) has been found to be strongly associated with the development of atrial fibrillation (AF). It was also reported to be a predictor of cardiac arrhythmias in different clinical situations. However, in the current literature, the role of EFT thickness in the development of AF in patients with non-ST-segment elevation myocardial infarction (NSTEMI) has not been studied. In this study, we aimed to investigate the relationship between EFT thickness and the development of new-onset AF in patients with NSTEMI during in-hospital follow-up. Methods: We enrolled 493 consecutive patients who were diagnosed NSTEMI in this study. During in-hospital follow-up, 68 patients developed AF, and the remaining 425 patients were determined as the control group. The thrombolysis in myocardial infarction (TIMI) risk score for NSTEMI was calculated. All clinical, echocardiographic, and laboratory parameters were compared between the 2 groups. Results: EFT thickness was higher in the AF group than in the controls (p<0.001). The TIMI risk scores were higher in the AF group (p<0.001). Logistic regression analysis demonstrated that EFT was an independent determinant for the development of AF (odds ratio 3.521, 95% confidence interval 1.616-6.314, p<0.001). Conclusion: Incident AF was observed more frequently in patients with NSTEMI and higher EFT thickness. EFT was an important determinant of AF in patients with NSTEMI.
MeSH term(s)	Adipose Tissue/diagnostic imaging ; Area Under Curve ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/physiopathology ; Cross-Sectional Studies ; Echocardiography ; Female ; Humans ; Male ; Middle Aged ; Non-ST Elevated Myocardial Infarction ; Pericardium/diagnostic imaging ; Retrospective Studies ; Risk Factors ; Sensitivity and Specificity
Language	English
Publishing date	2021-09-27
Publishing country	Turkey
Document type	Evaluation Study ; Journal Article
ZDB-ID	1215217-1
ISSN	1308-4488 ; 1016-5169
ISSN (online)	1308-4488
ISSN	1016-5169
DOI	10.5543/tkda.2021.50759
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Zs.A 4156: Show issues

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Article ; Online: Assessment of papillary muscle free strain in hypertrophic cardiomyopathy and hypertension-induced left ventricular hypertrophy.

Yildiz, Cennet / Koyuncu, Atilla / Ocal, Lutfi / Gursoy, Mustafa Ozan / Oflar, Ersan / Kahveci, Gokhan

Cardiovascular journal of Africa

2023 Volume 34, Issue 3, Page(s) 169–174

Abstract: Objectives: We aimed to evaluate and compare papillary muscle free strain in hypertrophic cardiomyopathy (HCMP) and hypertensive (HT) patients.: Methods: Global longitudinal strain (GLS), and longitudinal myocardial strain of the anterolateral (ALPM) ...

Abstract	Objectives: We aimed to evaluate and compare papillary muscle free strain in hypertrophic cardiomyopathy (HCMP) and hypertensive (HT) patients. Methods: Global longitudinal strain (GLS), and longitudinal myocardial strain of the anterolateral (ALPM) and posteromedial papillary muscles (PMPM) were obtained in 46 HCMP and 50 HT patients. Results: Interventricular septum (IVS)/posterior wall (PW) thickness ratio, left ventricular mass index (LVMI), left atrial anteroposterior diameter (LAAP) and mitral E/E' were found to be increased in patients with HCMP compared to HT patients. Left ventricular cavity dimensions were smaller in HCMP patients. GLS of HCMP and HT patients were - 14.52 ± 3.01 and -16.85 ± 1.36%, respectively ( Conclusions: Besides other echocardiographic variables, which were investigated in earlier studies, papillary muscle free strain also could be used in HCMP to distinguish HCMP- from HT-associated hypertrophy.
MeSH term(s)	Humans ; Hypertrophy, Left Ventricular/diagnostic imaging ; Hypertrophy, Left Ventricular/etiology ; Papillary Muscles/diagnostic imaging ; Myocardial Contraction/physiology ; Cardiomyopathy, Hypertrophic/complications ; Cardiomyopathy, Hypertrophic/diagnostic imaging ; Hypertension/complications ; Hypertension/diagnosis ; Ventricular Function, Left/physiology
Language	English
Publishing date	2023-02-27
Publishing country	South Africa
Document type	Journal Article
ZDB-ID	2383233-2
ISSN	1680-0745 ; 1996-3467 ; 1015-9657 ; 1995-1892
ISSN (online)	1680-0745 ; 1996-3467
ISSN	1015-9657 ; 1995-1892
DOI	10.5830/CVJA-2022-070
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Zs.A 4813: Show issues

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Article: Retrospective Analysis of Left Ventricular Thrombus Among Heart Failure Patients with Reduced Ejection Fraction at a Single Tertiary Care Hospital in Somalia.

Abdi, Ishak Ahmed / Karataş, Mesut / Öcal, Lütfi / Elmi Abdi, Ahmed / Farah Yusuf Mohamud, Mohamed

Open access emergency medicine : OAEM

2022 Volume 14, Page(s) 591–597

Abstract: Introduction: Left ventricular thrombus (LVT) is a common complication in patients with systolic heart failure and can cause thromboembolic consequences including stroke. In order to determine the characteristics of LV thrombus among heart failure ... ...

Abstract	Introduction: Left ventricular thrombus (LVT) is a common complication in patients with systolic heart failure and can cause thromboembolic consequences including stroke. In order to determine the characteristics of LV thrombus among heart failure patients with reduced ejection fraction (HFrEF), the present study was undertaken. Methods and materials: This was retrospective cross-sectional study conducted from referral tertiary hospital in a year period. A total of 810 transthoracic echocardiograms were carried out in our center from January 2021 to December 2021. Forty participants had met the inclusion criteria of the study. Results: About 75% of the population was male and the mean age at diagnosis was 51 years (SD: 15). Ischemic cardiomyopathy and dilated cardiomyopathy (DCMP) found to be the most underlying cause of LVT represented (57.5% and 42.5% respectively). Hypertension, hypothyroidism, and atrial fibrillation were found to be the commonest associated risk factors of LVT, 45%, 12.5%, and 30% respectively. Simpson's Biplane's approach yielded a mean LVEF of 25.25 ± 6.97. 60% of the patients had a LVEF of ≤25%. The mean LV end-diastolic and end-systolic diameters were 59.2 ± 9.4 mm and 51 ± 8.3mm respectively. Warfarin was administered to 19 (47.5), Rivaroxaban to 8 (20), and Dabigatran to 10 (25). The most prevalent anticoagulant among the individuals in our study was warfarin. A stroke complication was found in 8 patients (20%), two of them were hemorrhagic stroke and they were on dabigatran. A Peripheral Arterial Disease (PAD) affected 6 of the patients (15%). One of those with PAD had also ischemic stroke. Conclusion: This study determines that Ischemic and Dilated cardiomyopathy were the most common cause of left ventricular thrombosis among HFrEF patients in Somalia.
Language	English
Publishing date	2022-11-01
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2520704-0
ISSN	1179-1500
ISSN	1179-1500
DOI	10.2147/OAEM.S384109
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Article: A 28-year-old male with spontaneous coronary artery dissection complicated by apical thrombus and acute ischemic stroke: An interesting case.

Ahmed, Said Abdirahman / Karataş, Mesut / Öcal, Lütfi / Mohamud, Mohamed Abdullahi / Abdi, Ishak Ahmed / Hassan, Mohamed Omar

Radiology case reports

2022 Volume 18, Issue 1, Page(s) 246–249

Abstract: Spontaneous coronary artery dissection is described as the intramural bleeding that separates the layers of an epicardial coronary artery wall, either with or without an intimal tear. Atherosclerosis, iatrogenic damage, or trauma are not linked to this ... ...

Abstract	Spontaneous coronary artery dissection is described as the intramural bleeding that separates the layers of an epicardial coronary artery wall, either with or without an intimal tear. Atherosclerosis, iatrogenic damage, or trauma are not linked to this syndrome. Here we present a 28-year-old male with 1 month history stroke but no any chronic disease as well family history of heart disease who presented with 2 days' duration of typical cardiac chest pain. Based on an emergency electrocardiogram that showed biphasic T-wave inversion with ST-elevation myocardial infarction, the patient was taken to the a catheterization laboratory(cath-lab), with the result of spontaneous coronary artery dissection of the left anterior dissenting artery with thrombolysis in myocardial infarction flow grade 0 and normal of other vessels. Then we successfully did angioplasty, and the patient was discharged with aspirin 100 mg 1 × 1, clopidogrel 75 mg 1 × 1, and rivaroxaban 20 mg 1 × 1.
Language	English
Publishing date	2022-11-02
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2022.10.001
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Article: Pattern of rheumatic heart disease among patients attending at a tertiary care hospital in Somalia: first report from Somalia.

Ahmed Abdi, Ishak / Karataş, Mesut / Öcal, Lütfi / Abdirahman Ahmed, Said / Sheikh Hassan, Mohamed / Atilla, Koyuncu / Farah Yusuf Mohomud, Mohamed

American journal of cardiovascular disease

2023 Volume 13, Issue 5, Page(s) 345–353

Abstract: Rheumatic heart disease (RHD) is the leading cause of valvular heart disease in underdeveloped nations. It remains a significant public health issue in Sub-Saharan African countries. This study aimed to determine the pattern, severity, and complications ... ...

Abstract	Rheumatic heart disease (RHD) is the leading cause of valvular heart disease in underdeveloped nations. It remains a significant public health issue in Sub-Saharan African countries. This study aimed to determine the pattern, severity, and complications of RHD in Somalia. This was a retrospective cross-sectional study of all patients diagnosed with rheumatic heart disease. A total of 8526 echocardiographic examinations were done in our center over a two-year study period from January 2020 to December 2021. Patients with congenital cardiac disease, post-operative cases, myxomatous and old age degenerative disease were all excluded. Of 433 patients, 286 (66.1%) were female, and the mean age was 46.5 ± 20.3. The isolated mitral valve (MV) affected 222 (51.3%). Dual involvement of mitral and aortic valve (AV) was present in 190 (44%). Overall isolated or combined valve involvement, mitral regurgitation (MR) was the most common valve lesion 345 (79.7%), followed by mitral stenosis (MS) 160 (37%). According to the severity of lesions, severe MR was 230 (53.1%) patients, followed by severe MS (n=129, 29.8%). The most common complication of RHD depicted in our study were secondary pulmonary hypertension and enlarged left atrium, 23.8% (n=103) and 19.6% (n=85), respectively. In conclusion, in our study majority of RHD patients were females. Both isolated and in combination, MV was the most commonly affected, and mitral regurgitation was the most common valvular lesion. In our study high percentage of patients already had complications at the time of diagnosis.
Language	English
Publishing date	2023-10-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2616844-3
ISSN	2160-200X
ISSN	2160-200X
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Article ; Online: Does papillary muscle free strain has predictive value in risk stratification of patients with hypertrophic cardiomyopathy?

Koyuncu, Atilla / Yildiz, Cennet / Ocal, Lutfu / Kalkan, Sedat / Kılıçgedik, Alev / Gürsoy, Mustafa Ozan / Oflar, Ersan / Kahveci, Gökhan

PloS one

2023 Volume 18, Issue 2, Page(s) e0282054

Abstract: Background: Papillary muscle free strain has not been evaluated previously in hypertrophic cardiomyopathy (HCMP) patients. Our aim was to evaluate free papillary muscle free strain in HCMP patients and to find whether it has a value for prediction of ... ...

Abstract	Background: Papillary muscle free strain has not been evaluated previously in hypertrophic cardiomyopathy (HCMP) patients. Our aim was to evaluate free papillary muscle free strain in HCMP patients and to find whether it has a value for prediction of sudden cardiac death (SCD) risk score. Methods: Transthoracic echocardiography with tissue Doppler imaging, 2-D speckle tracking imaging (STI) of 55 HCMP patients and 45 controls were performed. HCMP patients were further divided into two groups according to their SCD risk score. Patients with risk score of less than 6 points constituted low/intermediate risk group, whereas patients with risk score of greater or equal to 6 points constituted high risk group. Results: Interventricular septum, posterior wall, and left ventricular mass index were significantly higher, whereas mitral E/A ratio was significantly lower in HCMP patients compared to controls. Longitudinal apical 4C, 2C, 3C, global longitudinal LV strain, anterolateral papillary muscle (ALPM), posteromedial papillary muscle (PMPM) free strain were significantly reduced in HCMP group compared to control group. Global longitudinal strain and ALPM free strain were significantly lower in patients with high SCD risk score (-14.6 (-17.4 - -13.1) vs -11.6 (-13.2 - -10.1), p = 0.001 and -17.1 (-20.3 - -14.0) vs -9.2 (-12.6 - -7.5), p<0.001, respectively. Global longitudinal strain and ALPM free strain were statistically significantly correlated with SCD risk score (r = 0.480, p<0.001 and r = 0.462, p<0.001, respectively). Global longitudinal strain value of -12.60% had a sensitivity of 73.3% and specificity of 82.5% for predicting high SCD risk score (AUC: 0.787, 95% CI: 00.643-0.930, p = 0.001). ALPM free strain value of -12.95% had 66.7% sensitivity and 77.5% specificity for predicting high SCD risk score (AUC: 0.766, 95% CI: 0.626-0.905, p = 0.003). Conclusion: Papillary muscle free strain was reduced in HCMP patients. It might be used in risk stratification of these patients.
MeSH term(s)	Humans ; Echocardiography/methods ; Cardiomyopathy, Hypertrophic ; Papillary Muscles ; Risk Factors ; Death, Sudden, Cardiac ; Risk Assessment
Language	English
Publishing date	2023-02-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0282054
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Article ; Online: The relationship between echocardiographic parameters and albumin bilirubin (ALBI) score in patients with isolated secundum type atrial septal defect.

Evlice, Mert / Bedir, Ömer / Coşkun, Mükremin / Paçacı, Emre / Cerşit, Sinan / Öcal, Lütfi / Gürsoy, Mustafa Ozan / Şen, Ömer / Kurt, İbrahim Halil

Echocardiography (Mount Kisco, N.Y.)

2023 Volume 40, Issue 4, Page(s) 350–358

Abstract: Background: It has been shown that the increase in volume and pressure in the right heart chambers increases liver stiffness. The Albumin-Bilirubin (ALBI) score is a useful and easy-to-use score for objectively assessing liver function. There is no ... ...

Abstract	Background: It has been shown that the increase in volume and pressure in the right heart chambers increases liver stiffness. The Albumin-Bilirubin (ALBI) score is a useful and easy-to-use score for objectively assessing liver function. There is no information in the literature about changes in ALBI score in patients with atrial septal defect (ASD). The aim of our study is to investigate the changes in ALBI score and its clinical impact in patients with ASD. Methods: Of the 206 analyzed patients, 77 were excluded. The remaining 129 patients with secundum type ASD with left to right shunt were divided into three groups; Group I (16 patients with Qp/Qs < 1.5 and defect diameter < 10 mm), Group II (52 patients with Qp/Qs > 1.5 and defect diameter 10-20 mm) and Group III (61 patients with Qp/Qs > 1.5 and defect diameter > 20 mm). The ALBI score was calculated based on serum albumin and total bilirubin levels using the following formula: ALBI = (log10 bilirubin [umol/L] * .66) + (albumin [g/L] * -.085). Results: ALBI scores as well as total bilirubin levels, transaminases, and functional-structural heart abnormalities (increase in RA and RV dimensions, sPAP, ASD size and decrease in LVEF and TAPSE) showed a significant increasing trend from Group I to Group III (p < .001 for all comparisons). The mean ALBI scores for Group I, Group II, and Group III were -3.71 ± .37, -3.51 ± .25, and -3.27 ± .34, respectively. In multivariate linear regression analysis, ASD size, sPAP, RV-RA diameter were found to be significantly associated with increased ALBI score. Conclusion: The ALBI score offers a simple, evidence-based, objective, and discriminatory method of assessing liver function in patients with ASD. ASD size, sPAP, RV and RA diameters were significantly associated with ALBI score.
MeSH term(s)	Humans ; Bilirubin ; Echocardiography ; Heart Septal Defects, Atrial/diagnosis ; Heart Septal Defects, Atrial/diagnostic imaging ; Albumins
Chemical Substances	Bilirubin (RFM9X3LJ49) ; Albumins
Language	English
Publishing date	2023-03-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	843645-9
ISSN	1540-8175 ; 0742-2822
ISSN (online)	1540-8175
ISSN	0742-2822
DOI	10.1111/echo.15556
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