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Öğe Complete resolution of the left ventricular pedunculated thrombus with tirofiban infusion in a patient with severe left ventricular dysfunction(Medcom Ltd, 2013) Cil, H.; Yavuz, C.; Atilgan, Z. A.; Gunduz, E.; Soydinc, S.A 28-year-old man was admitted with symptoms of heart failure. Echocardiography revealed severe left ventricular dysfunction, apical aneurysm, and a 40 x 11 mm sized mobile thrombus attached to apical septum with a narrow stalk. The patient had anterior myocardial infarction two years ago. Heparin infusion was started at 1000 IU/hour for 48 hours. There was no detected change on the size of the thrombus. Surgery recommended to the patient was refused by him because of the procedural risks. Tirofiban infusion was started. Repeat echocardiography showed significant reduction in thrombus size after 24 hours, and complete resolution of the thrombus after 48 hours. To our knowledge, this is the first case with left ventricular mobile thrombus treated successfully with tirofiban infusion. (Hong Kong j.emerg.med. 2013;20:305-308)Öğe Effect of hypoglycemic drugs on aspirin resistance in patients with diabetes mellitus(Verduci Publisher, 2012) Ariturk, Z.; Islamoglu, Y.; Gunduz, E.; Yavuz, C.; Cil, H.; Tekbas, E.; Soydinc, S.Background: Aspirin reduces the odds of an arterial thrombotic event in high-risk patients. However, 10%-20% of patients with an arterial thrombotic event who are treated with aspirin have a recurrent arterial thrombotic event during long-term followup. Aspirin resistance has been described in some patient populations such as those with an acute coronary syndrome, ischemic stroke, percutaneous coronary intervention with drug-eluting stent, stent re-stenosis, and diabetes mellitus (DM). The aim of this study was to assess aspirin resistance and to compare it to the use of oral anti-diabetic drugs and insulin in patients with diabetes. Methods and Results: Platelet aggregation was measured after aspirin treatment in 101 diabetic patients undergoing percutaneous coronary intervention. Two patient populations were included in the investigation: use of insulin (group 1) and use of oral anti-diabetic agents (OAD) (group 2) in diabetic patients. Platelet aggregation was determined using a multichannel Multiplate analyzer. Among group 1 patients, 4.7% were aspirin non-responders and among group 2 patients, 8.6% were aspirin non-responders. Statistical differences were not found between the groups (p = 0.359). Conclusions: This study demonstrated that there was no significant difference in aspirin resistance between type 2 diabetes mellitus patients on insulin treatment and type 2 diabetes mellitus patients on OAD treatment.Öğe The effect of the glucose-insulin-potassium solution on the p-wave dispersion of the heart failure patients(Wiley-Blackwell, 2013) Ercan, S.; Oylumlu, M.; Oylumlu, M.; Soydinc, S.; Davutoglu, V.[Abstract Not Available]Öğe Implantable cardioverter defibrillator pocket infection caused by Klebsiella pneumonia(Makerere Univ, Fac Med, 2012) Ertas, F.; Acet, H.; Kaya, H.; Kayan, F.; Soydinc, S.Like any other foreign bodies, implanted cardiac devices can become infected. Staphylococcus aureus and coagulase-negative Staphilococci are the most common causes of infections of pacemaker and defibrillator systems. In this case an implantable cardioverter defibrillator pocket infection caused by an extremely rare microorganism, Klebsiella pneumonia, is presented.Öğe Increased epicardial fat thickness is related with body mass index in women with polycystic ovary syndrome(Verduci Publisher, 2013) Soydinc, E.; Soydinc, S.; Ariturk, Z.; Tekbas, E.; Cakici, M.; Islamoglu, Y.; Ercan, S.AIM: We aimed to investigate the relationship between PCOS and epicardial fat thickness with transthoracic echocardiography. PATIENTS AND METHODS: PCOS patients were divided into two groups according to the lean or obesity status: PCOS patients with lean 34 subjects (BMI: 23.3+/-2.8; mean age: 25.5+/-4), PCOS patients with obese16 subjects (BMI: 32.3+/-7.6; mean age: 27.2+/-3.7) were compared with control healthy lean subjects (BMI: 23.5+/-1.7; mean age: 25.9+/-2.2). RESULTS: There was increased epicardial thickness in obese PCOS subjects compared to lean PCOS subjects (6.3+/-0.9 mm, 4.7+/-0.5, respectively, p < 0.001). However, epicardial fat thickness between lean PCOS subjects and lean healthy control groups were not significantly varied (4.7+/-0.5 mm, 4.5+/-0.5, respectively, p = 0.6). There was increased epicardial thickness in obese PCOS subjects compared to lean healthy control subjects (6.3+/-0.9 mm, 4.5+/-0.5, respectively, p < 0.001). This sudy showed for the first time that increased epicardial fat thickness measured using transthoracic echocardiography is associated with increased BMI in PCOS subjects. CONCLUSIONS: Epicardial fat thickness between lean PCOS subjects and lean healty control group were similar which indicate the importance of obesity in PCOS subjects.Öğe STENT FRACTURE(Elsevier Ireland Ltd, 2011) Ariturk, Z.; Tekbas, E.; Islamoglu, Y.; Soydinc, S.; Davutoglu, V.; Cil, H.; Elbey, M. A.[Abstract Not Available]Öğe AN UNUSUAL PRESENTATION OF HYPERTHYROIDISM: ATRIOVENTRICULAR COMPLETE HEART BLOCK(Editura Acad Romane, 2011) Ariturk, Z.; Islamoglu, Y.; Tekbas, E.; Cil, H.; Soydinc, S.; Yazici, M.Complete heart block associated with hyperthyroidism is infrequent, and the diagnosis of hyperthyroidism is usually not considered in the absence of tachycardia. A 55-year-old woman was admitted to our emergency clinic with dizziness and syncope attack. Her electrocardiogram showed complete heart block. Hyperthyroidism had been diagnosed. and she had been treated with propylthiouracil as an anti-thyroid treatment 3 years ago, although she had not taken this drug during the last 2 months. Her thyroid Junction tests showed hyperthyroidism. Antithyroid treatment was started again. Her rhythm returned from complete atrioventricular block to normal sinus rhythm on the seventh day of hospitalization.
