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  1. Article ; Online: Point Shear Wave Elastography Detected Liver Stiffness Increased in Pediatric Patient With Thalassemia Major.

    Tuncel, Defne Ay / Pekoz, Burcak Cakir / Koc, Ayse Selcan / Sumbul, Hilmi Erdem

    Ultrasound quarterly

    2024  Volume 40, Issue 1, Page(s) 82–86

    Abstract: Abstract: Transient elastography (TE) and point shear wave elastography (pSWE) are 2 elastographic ultrasound examinations used in liver stiffness (LS) measurement. It was shown that the LS value detected by TE in pediatric β-thalassemia major patients ... ...

    Abstract Abstract: Transient elastography (TE) and point shear wave elastography (pSWE) are 2 elastographic ultrasound examinations used in liver stiffness (LS) measurement. It was shown that the LS value detected by TE in pediatric β-thalassemia major patients has increased, and there was no LS evaluation obtained with pSWE in literature. Thus, in this study, it was aimed to evaluate LS with pSWE examination in children with thalassemia major and to determine LS-related parameters in these patients. Sixty-three schoolchildren with a diagnosis of β-thalassemia major and 21 healthy controls between the ages of 7 and 18 years were included. In addition to routine anamnesis, physical examination, and laboratory examinations, renal and liver ultrasounds were performed. Liver stiffness values were measured by pSWE examination. Serum levels of urea, aspartate-aminotransferase, alanine-aminotransferase, iron, and ferritin were significantly higher in patients, and serum creatinine, iron binding capacity, and hemoglobin levels were found to be significantly lower (P < 0.05 for each). Liver stiffness values were significantly higher in patients compared with healthy controls. In linear regression analysis, serum iron and iron binding capacity values were found to be closely related with LS (P < 0.001 vs. β = 0.482 and P = 0.047 vs. β = 0.237, respectively). Liver stiffness values obtained by pSWE examination increase significantly in patients. According to the results of our study, in addition to the previously known TE method, we think that the LS evaluation obtained by pSWE, a new method that can make more accurate measurements, can be used in the possible early detection of target organ damage in children with thalassemia major.
    MeSH term(s) Humans ; Child ; Adolescent ; Elasticity Imaging Techniques ; beta-Thalassemia/complications ; beta-Thalassemia/diagnostic imaging ; Iron ; Kidney ; Liver/diagnostic imaging
    Chemical Substances Iron (E1UOL152H7)
    Language English
    Publishing date 2024-03-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645107-x
    ISSN 1536-0253 ; 0894-8771
    ISSN (online) 1536-0253
    ISSN 0894-8771
    DOI 10.1097/RUQ.0000000000000675
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    Zs.A 2485: Show issues Location:
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  2. Article ; Online: Age should be considered in cut-off values for increased carotid intima-media thickness.

    Koç, Ayşe Selcan / Sümbül, Hilmi Erdem

    Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir

    2019  Volume 47, Issue 4, Page(s) 301–311

    Abstract: Objective: The current guidelines use a cut-off value of 0.9 mm to define abnormally increased carotid intima-media thickness (C-IMT), regardless of age or gender. This study was conducted to examine the effects of age and gender on C-IMT and cut-off ... ...

    Title translation Artmış karotis intima-media kalınlığı için sınır değerleri belirlemede yaş göz önünde bulundurulmalıdır.
    Abstract Objective: The current guidelines use a cut-off value of 0.9 mm to define abnormally increased carotid intima-media thickness (C-IMT), regardless of age or gender. This study was conducted to examine the effects of age and gender on C-IMT and cut-off values for C-IMT in different age groups.
    Methods: A total of 644 patients with a recorded C-IMT measurement, at least 1 cardiovascular risk factor, and aged between 20 and 90 years were included in the study. Common and internal C-IMT (CC-IMT and IC-IMT) measurements were obtained using carotid ultrasonography (USG). The patients were divided into 5 groups based on age: Group I (20-40 years), Group II (41-50 years), Group III (51-60 years), Group IV (61-70 years), and Group V (>70 years).
    Results: The CC-IMT and IC-IMT values were significantly greater as the age of the group increased. Group I to Group V had a median CC-IMT value of 0.70 mm, 0.70 mm, 0.75 mm, 0.75 mm, and 0.85 mm, respectively. The median IC-IMT value for each group was 0.60 mm, 0.65 mm, 0.70 mm, 0.70 mm, and 0.80 mm, respectively. The median CC-IMT value was 50 μm greater than the median IC-IMT value in all groups. Only the CC-IMT value was significantly different in males (0.80+-0.20 mm vs. 0.76+-0.19 mm; p=0.020). Age, hypertension (HT), smoking, hyperlipidemia, systolic-diastolic blood pressure, and body mass index measures were associated with increased C-IMT. Regression analysis revealed that increased C-IMT was independently associated with age and HT presence. Each decade of life and the presence of HT revealed an incidence of increased C-IMT by 44% and 53%, respectively.
    Conclusion: C-IMT significantly increased with age. New, age-appropriate cut-off values are needed for C-IMT assessment. In addition, it was observed that the CC-IMT value was approximately 50 μm greater than the IC-IMT measurement in all age groups. CC-IMT measurements should be included in USG reports.
    MeSH term(s) Adult ; Age Factors ; Aged ; Aged, 80 and over ; Aging/pathology ; Carotid Intima-Media Thickness/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Regression Analysis ; Retrospective Studies ; Sex Factors ; Young Adult
    Language English
    Publishing date 2019-07-12
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 1215217-1
    ISSN 1308-4488 ; 1016-5169
    ISSN (online) 1308-4488
    ISSN 1016-5169
    DOI 10.5543/tkda.2018.94770
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    Zs.A 4156: Show issues Location:
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  3. Article ; Online: Prediabetes Is Associated With Increased Liver Stiffness Identified by Noninvasive Liver Fibrosis Assessment: ElastPQ Ultrasound Shear Wave Elastography Study.

    Koc, Ayse Selcan / Sumbul, Hilmi Erdem

    Ultrasound quarterly

    2019  Volume 35, Issue 4, Page(s) 330–338

    Abstract: Patients with type 2 diabetes mellitus (DM) have been shown to have increased liver fibrosis (LF) as determined by liver elastography. However, the data on LF incidence in patients with prediabetes are scarce. This study was undertaken to determine the ... ...

    Abstract Patients with type 2 diabetes mellitus (DM) have been shown to have increased liver fibrosis (LF) as determined by liver elastography. However, the data on LF incidence in patients with prediabetes are scarce. This study was undertaken to determine the incidence of LF and associated parameters in prediabetic patients. Three study groups with equal number of participants defined on the basis of glucose metabolism status were included the following: normal glucose metabolism (NGM), prediabetes, and newly diagnosed type 2 DM (55 patients in each group). Liver stiffness measurements were carried out using liver elastography point quantification, and 7 kPa or greater was considered to denote the presence of LF. Patients were subdivided into 2 groups as those with or without LF. Of the NGM, prediabetes, and type 2 DM subjects involved in the study 3.6%, 27%, and 38% were found to have LF (P < 0.001), respectively. Glycated hemoglobin (HbA1c), triglycerides, and alkaline phosphatase levels independently correlated with liver stiffness measurements (P < 0.05, for each). In addition, presence of mild or moderate-severe liver steatosis, hypertension, waist circumference, and HbA1c were independent predictors of the LF status. Presence of mild or moderate-severe liver steatosis, hypertension, waist circumference (each 1-cm increment), and HbA1c (each 1% increment) were associated with a 2.78-fold, 7.16-fold, 68%, and 36.7% increased likelihood of LF, respectively. As compared with subjects with NGM, patients with impaired glucose metabolism were more likely to have LF. As in patients with type 2 DM, a significant proportion of patients with prediabetes (27%) have LF, which is closely or independently associated with markers of metabolic syndrome.
    MeSH term(s) Blood Glucose/metabolism ; Cross-Sectional Studies ; Elasticity ; Female ; Glycated Hemoglobin A/metabolism ; Humans ; Liver/diagnostic imaging ; Liver/physiopathology ; Liver Cirrhosis/complications ; Liver Cirrhosis/diagnosis ; Liver Cirrhosis/physiopathology ; Male ; Middle Aged ; Prediabetic State/blood ; Prediabetic State/complications ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography/methods
    Chemical Substances Blood Glucose ; Glycated Hemoglobin A
    Language English
    Publishing date 2019-02-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645107-x
    ISSN 1536-0253 ; 0894-8771
    ISSN (online) 1536-0253
    ISSN 0894-8771
    DOI 10.1097/RUQ.0000000000000419
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  4. Article ; Online: Reduced CTRP3 Levels in Patients with Stable Coronary Artery Disease and Related with the Presence of Paroxysmal Atrial Fibrillation.

    Yildirim, Arafat / Kucukosmanoglu, Mehmet / Sumbul, Hilmi Erdem / Koc, Mevlut

    Arquivos brasileiros de cardiologia

    2022  Volume 118, Issue 1, Page(s) 52–58

    Abstract: Background: Serum Complement C1q/tumor necrosis factor-related protein-3 (CTRP3) levels and the relationship with atrial fibrillation (AF) in stable coronary artery disease (CAD) are not clearly known.: Objective: The aim of this study was to ... ...

    Title translation Níveis Reduzidos de CTRP3 em Pacientes com Doença Arterial Coronariana Estável Relacionados à Presença de Fibrilação Atrial Paroxística.
    Abstract Background: Serum Complement C1q/tumor necrosis factor-related protein-3 (CTRP3) levels and the relationship with atrial fibrillation (AF) in stable coronary artery disease (CAD) are not clearly known.
    Objective: The aim of this study was to investigate the change in serum CTRP3 levels and its relationship with paroxysmal AF in stable CAD.
    Method: The study included 252 patients with CAD and 50 age-sex matched healthy control subjects. Serum CTRP3 levels were measured in addition to routine anamnesis, physical examination, laboratory and echocardiography examinations. The patients were divided into groups with and without CAD and CAD patients with and without paroxysmal AF. Statistical significance was accepted as p<0.05.
    Results: Serum CTRP3 levels were found to be significantly lower in patients with CAD than in the control group (p<0.001). AF was detected in 38 patients (15.08%) in the CAD group. The frequency of hypertension and female gender, hs-CRP, blood urea nitrogen, creatinine levels and left atrial end-diastolic (LAd) diameter were higher (p<0.05 for each one), and CTRP3 levels were lower in patients with AF (p <0.001). In the logistic regression analysis, serum CTRP3 levels and LAd diameters were independently determined the patients with AF (p<0.01 for each one). In this analysis, we found that every 1 ng/mL reduction in CTRP3 levels increased the risk of AF by 10.7%. In the ROC analysis of CTRP3 values for detecting patients with AF, the area under the ROC curve for CTRP3 was 0.971 (0.951-991) and was statistically significant (p<0.001). When the CTRP3 cut-off value was taken as 300 ng/mL, it was found to predict the presence of AF with 87.9% sensitivity and 86.8% specificity.
    Conclusion: Serum CTRP3 levels were significantly reduced in patients with stable CAD and decreased CTRP3 levels were closely related to the presence of paroxysmal AF in these patients.
    MeSH term(s) Atrial Fibrillation ; Coronary Artery Disease/diagnostic imaging ; Echocardiography ; Female ; Heart Atria ; Humans ; ROC Curve
    Language Portuguese
    Publishing date 2022-02-21
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 730261-7
    ISSN 1678-4170 ; 0066-782X
    ISSN (online) 1678-4170
    ISSN 0066-782X
    DOI 10.36660/abc.20200669
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  5. Article: Tinnitus Frequency is Higher in Patients with Chronic Heart Failure with Reduced Ejection Fraction and is Closely Related to NT-proBNP Level.

    Erdoğmuş Küçükcan, Nagehan / Koca, Hasan / Sümbül, Hilmi Erdem

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2021  Volume 74, Issue 2, Page(s) 166–171

    Abstract: There is not enough information about tinnitus and related parameters in patients with heart failure with reduced ejection fraction (HFrEF). In our study, we aimed to investigate the frequency of tinnitus in HFrEF patients and the clinical parameters ... ...

    Abstract There is not enough information about tinnitus and related parameters in patients with heart failure with reduced ejection fraction (HFrEF). In our study, we aimed to investigate the frequency of tinnitus in HFrEF patients and the clinical parameters associated with this condition. This study included 100 patients with HFrEF and whose medical treatment was arranged according to their disease stage, and 100 control patients without HFrEF with similar age, gender and cardiovascular risk factors. Routine history, physical examinations, echocardiography and laboratory examinations were performed. In addition, a detailed ear examination and tinnitus evaluation were performed in all patients. First of all, the frequency of tinnitus in patients with and without HFrEF was determined. Afterwards, all individuals included in the study were divided into two groups as individuals with and without tinnitus. It was determined that the frequency of tinnitus was higher in patients with HFrEF compared to individuals without HFrEF. (25% and 13%,
    Language English
    Publishing date 2021-05-27
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-021-02649-y
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  6. Article: Transient ischemic liver injury and respiratory failure in a COVID-19-positive patient after multiple bee stings.

    Yesiloglu, Onder / Sonmez, Ahmet / Avci, Begum Seyda / Sumbul, Hilmi Erdem / Avci, Akkan

    Turkish journal of emergency medicine

    2023  Volume 23, Issue 1, Page(s) 57–60

    Abstract: We present a patient with multiple bee stings who developed lung and liver injuries and subsequently tested positive for coronavirus disease 2019 (COVID-19). A 65-year-old male patient presented to the emergency department after being stung by more than ... ...

    Abstract We present a patient with multiple bee stings who developed lung and liver injuries and subsequently tested positive for coronavirus disease 2019 (COVID-19). A 65-year-old male patient presented to the emergency department after being stung by more than 100 honeybees. His physical examination revealed pustular lesions distributed across his chest, arms, back, legs, and head, marking the sting zones. While the patient had no history of liver disease, initial laboratory test results showed elevated liver enzyme levels. A chest computer tomography scan was ordered, revealing bilateral ground-glass opacities suggesting COVID-19. His condition worsened over the course of the following day, and when he was admitted to the intensive care unit (ICU), his SpO
    Language English
    Publishing date 2023-01-02
    Publishing country India
    Document type Case Reports
    ISSN 2452-2473
    ISSN 2452-2473
    DOI 10.4103/2452-2473.366488
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  7. Article ; Online: Abiraterone Acetate-Associated Acute Pancreatitis: A Case Report.

    Buyuksimsek, Mahmut / Ogul, Ali / Yetisir, Abdullah Evren / Koseci, Tolga / Sumbul, Hilmi Erdem

    American journal of therapeutics

    2023  Volume 30, Issue 3, Page(s) e296–e298

    MeSH term(s) Humans ; Male ; Abiraterone Acetate/adverse effects ; Acute Disease ; Pancreatitis/chemically induced ; Pancreatitis/diagnosis ; Prostatic Neoplasms, Castration-Resistant/drug therapy ; Antineoplastic Combined Chemotherapy Protocols
    Chemical Substances Abiraterone Acetate (EM5OCB9YJ6)
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1280786-2
    ISSN 1536-3686 ; 1075-2765
    ISSN (online) 1536-3686
    ISSN 1075-2765
    DOI 10.1097/MJT.0000000000001381
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    Zs.A 4351: Show issues Location:
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  8. Article ; Online: The relationship between morning blood pressure surge and serum IGF-1 level in acromegaly patients with hypertension.

    Arici, Fatih Necip / Gulumsek, Erdinc / Ozturk, Huseyin Ali / Avci, Begum Seyda / Sumbul, Hilmi Erdem

    Irish journal of medical science

    2023  Volume 193, Issue 1, Page(s) 233–240

    Abstract: Objective: High levels of insulin-like growth factor 1 (IGF-1) in patients with acromegaly cause structural and functional changes specific to the disease. These changes lead to mortality if the disease is not treated. Circadian blood pressure (BP) ... ...

    Abstract Objective: High levels of insulin-like growth factor 1 (IGF-1) in patients with acromegaly cause structural and functional changes specific to the disease. These changes lead to mortality if the disease is not treated. Circadian blood pressure (BP) rhythm as measured by 24-h ambulatory blood pressure monitoring (ABPM) can change with a decrease in BP during sleep and a sudden increase in wakefulness.
    Aim: We aim to evaluate the relationship between changes in BP and IGF-1 levels in patients with acromegaly.
    Methods: Patients who were diagnosed with acromegaly and the patient group with hypertension were included. Serum biochemistry parameters, serum IGF-1 level and ABPM follow-ups were compared in these patients.
    Results: In our study, 30 patients with acromegaly and 30 patients with hypertension without acromegaly were included. Thirty of the patients were male and 30 were female. There was a statistically significant difference between the groups in terms of IGF-1(p = < 0.001) and GH(p = 0.004). There was no significant difference between patients' office systolic/diastolic BP measurements, day/night, systolic/diastolic BP measurements and all systolic/diastolic BP measurements in ambulatory blood pressure follow-ups. There was a significant difference in morning blood pressure surge(p = < 0.001). A statistically significant difference was found between the acromegaly patient groups with MBPS below and above 25 mmHg in terms of IGF-1 (p = 0.025) and platelet levels (p = 0.004).
    Conclusion: As a result, cardiovascular disease risks can be predicted in patients with high serum IGF-1 levels by planning ambulatory blood pressure in the early period.
    MeSH term(s) Humans ; Male ; Female ; Blood Pressure/physiology ; Acromegaly/metabolism ; Blood Pressure Monitoring, Ambulatory ; Insulin-Like Growth Factor I/metabolism ; Hypertension ; Circadian Rhythm
    Chemical Substances Insulin-Like Growth Factor I (67763-96-6)
    Language English
    Publishing date 2023-07-27
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 390895-1
    ISSN 1863-4362 ; 0021-1265
    ISSN (online) 1863-4362
    ISSN 0021-1265
    DOI 10.1007/s11845-023-03478-4
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  9. Article ; Online: The Abdominal Aortic Intima-Media Thickness Increases in Patients with Primary Hyperparathyroidism.

    Sumbul, Hilmi Erdem / Koc, Ayse Selcan

    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association

    2018  Volume 127, Issue 6, Page(s) 387–395

    Abstract: Background: We aimed to determine whether there is an increase in aortic intima-media thickness values measured from the abdominal aorta in addition to the traditional carotid intima-media thickness in patients with primary hyperparathyroidism and to ... ...

    Abstract Background: We aimed to determine whether there is an increase in aortic intima-media thickness values measured from the abdominal aorta in addition to the traditional carotid intima-media thickness in patients with primary hyperparathyroidism and to determine the parameters closely related to aortic intima-media thickness.
    Methods: This perspective study included 65 primary hyperparathyroidism patients and 30 healthy-controls. Routine laboratory tests for the diagnosis of hyperparathyroidism and vascular ultrasound examinations were performed. Common carotid, internal carotid, and abdominal aortic intima media thickness were measured. The participants of the study was divided into 3 groups as the control (Group-I), the medical treatment (Group-II) due to primary hyperparathyroidism, and the planned surgery (group-III).
    Results: Aortic intima-media thickness, serum urea, creatinine, glucose, uric acid, hs-CRP, parathyroid hormone, calcium and urine calcium levels increased significantly from Group-I to Group-III and T-scores and serum phosphorus in levels decreased significantly. Carotid intima-media thicknesses were not significantly different between the groups. Serum and urinary calcium levels were independently associated with aortic intima-media thickness. Aortic intima-media thickness, serum phosphorus, parathyroid hormone, T-scores, serum and urinary calcium levels are independent indicators for Group-III. When the cut-off value of aortic intima-media thickness was taken as 1.5 mm, 80.6% sensitivity and 89.1% specificity were determined for patients who would go to surgery.
    Conclusion: Serum and urine calcium levels were independently associated with aortic intima-media thickness. Aortic intima-media thickness is more useful than carotid intima-media thickness in showing vascular organ involvement in patients with primary hyperparathyroidism.
    MeSH term(s) Adult ; Aged ; Aorta, Abdominal/diagnostic imaging ; Blood Glucose/metabolism ; Calcium/blood ; Calcium/urine ; Female ; Humans ; Hyperparathyroidism, Primary/blood ; Hyperparathyroidism, Primary/diagnostic imaging ; Hyperparathyroidism, Primary/urine ; Male ; Middle Aged ; Parathyroid Hormone/blood ; Tunica Media/diagnostic imaging ; Ultrasonography ; Urea/blood ; Uric Acid/blood
    Chemical Substances Blood Glucose ; Parathyroid Hormone ; Uric Acid (268B43MJ25) ; Urea (8W8T17847W) ; Calcium (SY7Q814VUP)
    Language English
    Publishing date 2018-08-14
    Publishing country Germany
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1225416-2
    ISSN 1439-3646 ; 0947-7349
    ISSN (online) 1439-3646
    ISSN 0947-7349
    DOI 10.1055/a-0664-7820
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  10. Article ; Online: Correction: The Abdominal Aortic Intima-Media Thickness Increases in Patients with Primary Hyperparathyroidism.

    Sumbul, Hilmi Erdem / Koc, Ayse Selcan

    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association

    2018  Volume 130, Issue 6, Page(s) e6

    Language English
    Publishing date 2018-08-22
    Publishing country Germany
    Document type Journal Article ; Published Erratum
    ZDB-ID 1225416-2
    ISSN 1439-3646 ; 0947-7349
    ISSN (online) 1439-3646
    ISSN 0947-7349
    DOI 10.1055/a-0697-6549
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