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    Association of socioeconomic status with myocardial infarction and complications of the myocardial infarction
    (Logos Medical Publishing, 2011) Yildirim A.; Tanriverdi M.H.; Atilgan Z.A.; Tekbaş E.; Şar F.
    Aim: To determine the association socioeconomic status with myocardial infarction and complications of the myocardial infarction. Material and Method: We studied 67 patients (40 men and 27 women) who were admitted to Internal Medicine Clinic of Haseki Education and Research Hospital in between June 2007 and July 2008. Results: Of the patients, 40 (59,7%) were men and 27 patients (40,3%) were women. The average age of the patients was 58,6±9,77 years, ranging between 30 and 85. It was found that there was a statistically significant difference between patients' health insurance types (p=0,001). The rate of smoking men was higher than smoking women. So, smoking according to gender was also found statistically significant (p<0.05). Hypertension was seen in men more than women which was statistically significant according to sex (p=0,005). There was no association between complications seen after myocardial infarction and patient's health insurance types (p>0,05). Conclusion: It was found that there was a statistically significant difference between patients social security institute (p=0,001). Between gender and smoking rates are seen as statistically significant difference (p<0,05). Higher rate of smoking of men than women were found. The incidence of hypertension was found statistically significant relationship between gender (p=0,005). The incidence is significantly higher in male patients. Of the patients developed myocardial infarction complications as Yeşil Kart rate of 32.6%, SSK 54,3%, Emekli Sandi{dotless}?i{dotless} 6,5%, Bag-Kur 4,3%, without social security 2,2%. It was found that there was a statistically significant difference between the social security institute and complications after myocardial infarction. Conclusion: We conclude that low socioeconomic status (low income) and working in a stresful job may be precipitating factors in the occurance of MI and MI complications.
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    Asymptomatic and isolated accessory mitral valve tissue in adult population: three case reports and review of the literature.
    (2012) Cil H.; Atilgan Z.A.; Islamoglu Y.; Yavuz C.; Tekbas E.O.
    Accessory mitral valve tissue is a rare congenital cardiac anomaly and commonly it may cause left ventricular outflow tract obstruction (LVOTO). This anomaly occurs as a part of other congenital cardiac anomalies. However, it may be seen isolated. Structures in LVOT such as tumor, vegetation, cysts may have attention for differential diagnosis. The number of cases is increasing with the routinely using of two-dimensional echocardiography. Accessory mitral valve tissue is detected first early in children with symptoms of LVOT and is very rarely diagnosed in adults. One third of cases may asymptomatic, but commonly significant left ventricular outflow tract gradient can be detected in these cases, especially adult period. Optimal treatment of this anomaly is surgery if there is a significant LVOTO. In this report, we presented the three asymptomatic adult cases with accessory mitral valve tissue, without increased gradient in LVOT. Surgical excision was recommended to the first case in another hospital with diagnosis of cardiac cyst. Two cases are presented.
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    A Rare Hydatid Cyst Involvement: Bilateral Pulmonary Artery (Case Report)
    (2010) Abakay A.; Gümüş H.; Tanrikulu A.C.; Atilgan Z.A.; Avci A.
    Hydatid cyst is a parasitic disease that may involve many organs. Hydatid cyst with pulmonary artery involvement is a very rarely encountered form. It was aimed to present a rare bilateral pulmonary artery involvement determined in a 61-year-old male case with hydatid cyst. In our case, the lesions were determined in many segments of bilateral lungs, right atrium lateral wall of the heart and in many branches of bilateral pulmonary artery. Pathological evaluation of the patient underwent surgery for the cardiac mass revealed hyda-tid cyst. The patient, who refused the proposal of surgery for the lesions in lungs and pulmonary artery, was given medical drug therapy. We think that it may be helpful to include hyda-tid cyst in prediagnosis list for the patient applied to a doctor with multiple cystic or nodular images.