Yazar "Elbey M.A." seçeneğine göre listele

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    Factors having effect on complication and success rate in central venous catheterization
    (2010) Yavuz C.; Çil H.; Başyi?it I.; Demlrtaş S.; Islamo?lu Y.; Elbey M.A.; Tekbaş G.
    We aimed to investigate impact of insertion site, indication of catheterization and other clinical feature on complications and success rate in our study. 699 patients who underwent central venous catheterization in Cardiology and Cardiovascular Surgery Units between March 2008 To May 2010 were included in our study. Age, sex, insertion site, indication of catheterization, units, complications and level of prosperity-success. 699 patients were included the study which mean age 56.6±19.5. Most commonly used sites were internal juguler vein, the subclavian vein, and the femoral vein (71.5%, 25.7%, 2.8%; respectively). According to indications of catheterization, primary success rates were 93.2%in central venous pressure measurement group, 89.1%in dialysis group, %87.1 in liquid-drug infusion group and 69%in total parenteral nutrition group. The total complication rate, in all patients who underwent catheterization was found 6.15%. The most frequent complication was catheter dysfunction in all patient %2.15, (n=15). In terms of catheterisation endication, the highest complication risk group was detected in total parenteral nutrition group (10.3%), and the lowest risk group was liquid-drug infusion group (4.6%). There was higher complication rate in suclavian vein group than internal juguler vein group. (8.8%and 4.6%, p=0.001). Our study showed that most confidence way in terms of complications and primary success is internal juguler vein. Indications of catheterization also affect the success and complication rates.
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    Prognostic factors and in-hospital outcome of native valve endocarditis in Turkey. A multicenter study
    (Acta Medica Mediterranea, 2014) Ata Akil M.; Acet H.; Elbey M.A.; Aydin M.; Bilik Z.; Yildiz A.; Yuksel M.
    Aim: To investigate the predisposing factors, demographic and clinical characteristics, echocardiographic and prognostic features, and outcomes of patients with native valve infective endocarditis (IE) in Turkey in a multicenter based study. Materials and methods: The study population consisted of 158 consecutive patients with native valve IE (NVE). Data on demographics, medical history, medications, clinical procedures, predisposing factors, clinical examination, microbiology, antibiotic therapy, echocardiography, surgery, complications, and outcome were collected and compared. Results: The mean age of the patients was 47±19 (range 13-87). Seventy seven patients (49%) were female. Of the 158 NVE patients, 49 died during hospitalization. Mortality rate was 31%. Twenty eight patients experienced a stroke. The patients who died during hospitalization were significantly older than the survivors and had higher mean heart rate, white blood cell, C reactive protein, creatinine, poor NYHA functional class, multiple vegetations and large vegetations. Culture-negative endocarditis was seen in 54 cases (34%). Staphylococci were the most common causative organisms (28%). Eighty patients had undergone surgical treatment (51%). Hemoglobin, presence of multiple vegetation, vegetation size (>10 mm), septic shock and poor NYHA class on admission were independent risks for in hospital mortality and stroke. Beside these variables C reactive protein was also an independent risk for in hospital mortality Conclusion: Native valve IE in Turkey was associated with high in-hospital mortality. Rheumatic heart disease continues to be the most common underlying heart condition and echocardiographic findings on admission were the most important independent predictors of mortality or stroke.
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    Relation of interatrial duration and p wave terminal force as a novel indicator of severe mitral regurgitation.
    (2012) Elbey M.A.; Oylumlu M.; Akil A.; Demirtas S.; Ertas F.; Erdogan E.; Tasal A.
    Interatrial duration is defined as prolonged p wave on electrocardiogram. p waves with a negative terminal phase recorded in V1 enclosing an area of one small square on the electrocardiogram is significantly and strongly correlated with interatrial duration. The aim of study was to investigate whether interatrial duration with p terminal force can be used as reflection of echocardiographic severity of mitral regurgitation. Sixty two consecutive patients with mitral regurgitation. were prospectively studied. Age/gender matched 57 subjects who had normal mitral structure and did not have mitral regurgitation. Patients with mitral regurgitation referred to a single cardiac center for echocardiography and who met the entry criteria documented moderate or severe mitral regurgitation with sinus were included. The interatrial duration was defined on the routine 12-lead electrocardiogram (50 mm/s, 10 mm/mV) using the greatest duration of p waves from D2, D3, AVF and V1. There was a positive correlation between interatrial duration (>/= 110 ms) and effective regurgitant orifice (r = 0.3, p < 0.001). However, left atrial diameter and brain natriuretic peptide were significantly higher in cases with mitral regurgitation. There was also strong correlation between interatrial duration (>/= 110 ms) and p terminal force and left atrial diameter. ROC analysis revealed that interatrial duration of > 110 msec. could predict of severe mitral regurgitation with 88% sensitivity and 100% specificity. Severe mitral regurgitation, left atrial diameter was correlated with p terminal force and interatrial duration. Significant interatrial duration (>/= 110 ms) and p terminal force might be considered as novel indicators of severe mitral regurgitation.