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  1. Ana Sayfa
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Yazar "Ozyurtlu, Ferhat" seçeneğine göre listele

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  • [ X ]
    Öğe
    The association between coronary slow flow and platelet distribution width among patients with stable angina pectoris
    (Termedia Publishing House Ltd, 2014) Ozyurtlu, Ferhat; Yavuz, Veysel; Cetin, Nurullah; Acet, Halit; Ayhan, Erkan; Isik, Turgay
    Introduction: Coronary slow flow (CSF) is an angiographic phenomenon characterised by the delay of distal vessel opacification in the absence of significant stenosis of the epicardial coronary arteries. Some of the factors playing a role in CSF pathophysiology are increased thrombogenic activity and inflammation. Aim: To examine the relationship between platelet distribution width (PDW) and CSF. Material and methods: Taking into consideration the exclusion criteria, 136 patients with CSF and 152 patients with normal coronary angiographies (control group) were included in the study. The association between thrombolysis infarction frame count (TFC) in myocardial and laboratory and other clinical parameters were evaluated. Results: The stated parameters were significantly higher in the group with CSF than in the normal coronary angiography group (control group). The PDW (16.6 +/- 0.7 vs. 16.4 +/- 0.6, p = 0.002), neutrophil lymphocyte ratio (NLR) (3.1 +/- 3.4 vs. 2.4 +/- 1.1, p = 0.027), haemoglobin (Hb) (14.1 +/- 1.3 vs. 14.7 +/- 1.1, p < 0.001), and red cell distribution width (Row) (13.6 +/- 0.7 vs. 14.1 +/- 2.8, p = 0.026) were significantly higher in the CSF group than in the control group. Moreover, our study showed that PDW > 16.15 and Hb > 13.75 were predictors of the presence of CSF with sensitivities of 83% and 73% and specificities of 40% and 42%, respectively. Conclusions: This study has demonstrated that compared to normal coronary flow, PDW, Hb, NLR, and RDW are significantly higher in CSF patients. We believe that further studies are needed to clarify the role of PDW and Hb in patients with CSF.
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    Öğe
    Optimal treatment of unligated side branch of internal mammary artery: Coil, amplatzer vascular plug or graft stent? A case report and literature review
    (Turkish Soc Cardiology, 2015) Ozyurtlu, Ferhat; Acet, Halit; Ozpelit, Mehmet Emre; Pekel, Nihat
    Coronary artery steal syndromes may occur following coronary artery bypass grafting as a result of the presence of large side-branches arising from the internal mammary artery (IMA). Coil embolization, Amplatzer Vascular Plug and graft stents are all used for the treatment of such syndromes. The literature contains limited data on the long-term success of these treatment methods. There is no large series regarding occluded IMA side branches causing coronary steal phenomena, and data on long-term followup of this treatment method is also very limited. This report presented two cases and their treatment, and reviewed the advantages and disadvantages of treatment methods and the factors that affect successful treatment.
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    Öğe
    Ortner's syndrome caused by dissecting aortic aneurysm
    (Turkish Soc Cardiology, 2013) Ozyurtlu, Ferhat; Acet, Halit; Bilik, Mehmet Zihni; Tasal, Abdurrahman
    Ortner's syndrome is type of hoarseness caused by compression on the left laryngeal recurrent nerve as a result of cardiovascular pathology. A wide range of cardiovascular etiologies such as valvular heart disease, thoracic aortic aneurysm and congenital heart disease may result in Ortner's syndrome. We present a case of Ortner's syndrome caused by a large diameter (120 mm) aneurysm, previously unreported in the literature. A male patient aged 71 years was admitted to our clinic because of exertional dyspnea, asthenia and hoarseness. In the indirect laryngoscopic examination, left vocal cord paralysis of the patient was observed and his chest X-ray revealed a mass with a diameter of 120 mm that filled the left upper zone. On the thoracic CT, a dissecting aortic aneurysm 120 mm in diameter was seen on the level of the aortic arch. Surgical treatment was suggested, but the patient refused treatment and died at the 4th month of the follow-up period.
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    Öğe
    A Rare Coronary Anomaly: Atypical Double Right Coronary Artery With an Acute Inferior Myocardial Infarction
    (Korean Soc Cardiology, 2012) Acet, Halit; Ozyurtlu, Ferhat; Bilik, Mehmet Zihni; Ertas, Faruk
    Coronary artery anomalies are uncommon and often asymptomatic. A double right coronary artery (RCA) is an extremely rare coronary artery anomaly, and only a few cases of double RCA have been reported. We report on an atherosclerotic double RCA that appeared after primary percutaneous intervention in a patient with an acute inferior myocardial infarction. This is the second case in the literature in which coronary arteries can be accepted as a double RCA, which were hidden by a total atherosclerotic occlusion in the proximal part of the RCA.
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    Öğe
    Relationship Between Hematologic Indices and Global Registry of Acute Coronary Events Risk Score in Patients With ST-Segment Elevation Myocardial Infarction
    (Sage Publications Inc, 2016) Acet, Halit; Ertas, Faruk; Akil, Mehmet Ata; Ozyurtlu, Ferhat; Polat, Nihat; Bilik, Mehmet Zihni; Aydin, Mesut
    The aim of this study was to evaluate the relationship between hematologic indices and the Global Registry of Acute Coronary Events (GRACE) score in patients with ST-segment elevation myocardial infarction (STEMI). A total of 800 patients who consecutively and retrospectively presented with STEMI within 12 hours of symptom onset. After accounting for exclusion criteria, a total of 379 patients remained in the study. We enrolled 379 patients with STEMI (mean age 61.7 +/- 13.6 years; men 73%). Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), red cell distribution width (RDW), and monocyte count were associated with increased worse GRACE risk score (P = .008, P = .012, P = .005, P = .022, respectively). In multivariate linear regression analysis, NLR, PLR, RDW, and monocyte count were found to be independent predictors of GRACE risk score. We demonstrate for the first time that PLR, RDW, and monocyte were associated with the GRACE score in patients with STEMI.
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    Öğe
    The relationship between neutrophil to lymphocyte ratio, platelet to lymphocyte ratio and thrombolysis in myocardial infarction risk score in patients with ST elevation acute myocardial infarction before primary coronary intervention
    (Termedia Publishing House Ltd, 2015) Acet, Halit; Ertas, Faruk; Bilik, Mehmet Zihni; Akil, Mehmet Ata; Ozyurtlu, Ferhat; Aydin, Mesut; Oylumlu, Mustafa
    Introduction: The thrombolysis in myocardial infarction (TIMI) risk score is calculated as the sum of independent predictors of mortality and ischemic events in ST elevation acute myocardial infarction (STEMI). Several studies show that the neutrophil to lymphocyte ratio (NLR) is a prognostic inflammatory marker. In preliminary studies, platelet to lymphocyte ratio (PLR) has been proposed as a pro-thrombotic marker. The relationship between NLR, PLR and TIMI risk score for STEMI has never been studied. Aim: To evaluate the association between TIMI-STEMI risk score and NLR, PLR and other biochemical indices in STEMI. Material and methods: In this retrospective study, we evaluated 390 patients who presented with STEMI within 12 h of symptom onset. Patients were grouped according to low and high TIMI risk scores. Results: We enrolled 390 patients (mean age 61.9 +/- 13.6 years; 73% were men). The NLR, platelet distribution width (PDW) and uric acid level (UA) were significantly associated with a high TIMI-STEMI risk score (p = 0.016, p = 0.008, p = 0.030, respectively), but PLR was not associated with a high TIMI-STEMI risk score. Left ventricular ejection fraction was an independent predictor of TIMI-STEMI risk score. A cut-off point of TIMI-STEMI score of > 4 predicted in-hospital mortality (sensitivity 75%, specificity 70%, p <0.001). We found that NLR, PDW, and UA level were associated with TIMI-STEMI risk score. Conclusions: Neutrophil to lymphocyte ratio, PDW and UA level are convenient, inexpensive and reproducible biomarkers for STEMI prognosis before primary angioplasty when these indicators are combined with the TIMI-STEMI risk score. We believe that these significant findings can guide further clinical practice.
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    Öğe
    Unreported Coronary Artery Anomaly: Association of Right Coronary Artery and Circumflex Coronary Artery with Single Ostium Originate from High Left Anterior Aorta
    (Korean Soc Cardiology, 2012) Ozyurtlu, Ferhat; Acet, Halit; Bilik, Mehmet Zihni; Ertas, Faruk
    [Abstract Not Available]

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