ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology - Anatol J Cardiol: 10 (3)
Volume: 10  Issue: 3 - June 2010
EDITORIAL
1.To stay between conscience and AKD, manuscript traffic
Bilgin Timuralp
PMID: 20538551  doi: 10.5152/akd.2010.056  Page 192
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
2.Effects of social inequalities on coronary heart disease risk factors: a population-based, cross-sectional study in İzmir
Hatice Giray Şimşek, Türkan Günay, Reyhan Uçku
PMID: 20538552  doi: 10.5152/akd.2010.057  Pages 193 - 201
Objective: Aim of the study was to determine effects of social inequalities on coronary heart disease risk factors in individuals living in an urban district of İzmir; namely Balçova. Methods: In this cross-sectional study, no sampling was done and it was aimed to reach all residents living in that area aged 30 years and over (n=4409). Dependent variables were smoking, physical inactivity, unhealthy diet, obesity, hypertension, diabetes, dyslipidemia where social inequality was the independent variable. Educational status, income and social class were considered as the components of social inequality. Age, gender, family health histories were the confounding factors. Data were collected at home and in the neighborhood-house. For data analyses Chi-square test, and logistic regression analysis were used. Results: Smoking is higher in men and women in lower socio economic class, where unhealthy diet is higher in self-employed men (OR=9.24, 95% CI=1.14-74.81, p=0.037) and in women who have a lower education (OR=1.53, 95% CI=1.02-2.30, p=0.040), lower income or unemployed (OR=3.43, 95% CI=1.28-9.14, p=0.014). Obesity is more frequent in lower educated women (OR=1.89, 95% CI=1.37-2.59, p<0.001) where decreased high-density lipoprotein cholesterol (HDL-C) is more frequent in men who have lower income (OR=2.21, 95% CI=1.20-4.07, p=0.011). Men who have a lower education (OR=0.61, 95% CI=0.38-0.98, p=0.039) or working as a skilled (OR=0.37, 95% CI=0.16-0.89, p=0.027) or an unskilled worker (OR=0.35, 95% CI=0.15-0.82, p=0.016) tend to have a decreased risk of obesity when working as a skilled worker (OR=0.53, 95% CI=0.29-0.95, p=0.033) decreases elevated low-density lipoprotein cholesterol. Conclusion: Coronary heart disease risk factors are high among participants who are aged 30 years and over. Men are under higher risk than women are. An increase in social inequalities causes decreased HDL-C in men, and increased smoking, unhealthy diet and obesity in women.

3.Relationship between severity of coronary artery disease and apolipoprotein E gene polymorphism
F. Demet Arslan İnce, Ayşenur Atay, Mehmet Köseoğlu, Murat Yeşil, Erdal Deveci
PMID: 20538553  doi: 10.5152/akd.2010.058  Pages 202 - 208
Objective: To explore the possible contribution of the apolipoprotein (apo) E polymorphisms to the extent and severity of coronary artery disease (CAD) related to lipid metabolism. Methods: Overall, 53 Turkish patients, aged 54±11years defined by coronary angiography were included in this cross-sectional study. Reardon’s coronary artery scoring was used. Serum lipids were measured with enzymatic colorimetric methods. Apolipoproteins were measured with nephelometry. Apolipoprotein E gene polymorphisms were determined by the reverse hybridization method. Statistical analyses were performed using one-way ANOVA, Kruskal-Wallis and Chi- square tests. Results: The genotype frequencies were 7.5% for E2/E3, 77.4% for E3/E3 and 15.1% for E3/E4. The E2 allele frequency was slightly lower than E4 allele. There were no significant differences between apo E2/E3, E3/E3 and E3/E4 genotypes for severity scorings (26, 41 and 32 respectively, p=0.30) and extent scorings (3.2, 5.5, 4.5, p=0.17). It was found that the most of patients who had E2/3 and E3/4 alleles had low severity scores. On the other hand, there were no significant score difference for patients who had E3/3 alleles. Lipids were not significantly different among the different genotypes. The E3 allele was associated with high apo B levels compared with E2 and E4 genotypes. It was found that severity and extent of disease were not related with lipid metabolism. Conclusion: We concluded that there were no statistically significant differences between genotypes for extent and severity scorings, but the apo E3 allele is associated with more severe disease than E2 allele. These associations with severity were mediated not only by changes in lipid metabolism but may be also by other mechanisms in CAD patients.

4.The association of beta-fibrinogen 455 G/A gene polymorphism with left atrial thrombus and severe spontaneous echo contrast in atrial fibrillation
Volkan Bozdemir, Önder Kırımlı, Bahri Akdeniz, Ayfer Ülgenalp, Abdurrahman Aslan, Veli Kala, Erdem Özel
PMID: 20538554  doi: 10.5152/akd.2010.059  Pages 209 - 215
Objective: The role of coagulation parameters left atrial thrombus formation in atrial fibrillation has not been investigated before. We aimed to investigate the association between the beta-fibrinogen gene polymorphism or glycoprotein IIIa gene polymorphism and presence of left atrial (LA) thrombus or spontaneous echo contrast (SEC) in patients with atrial fibrillation (AF). Methods: Forty-seven patients with AF, in whom transesophageal echocardiography was performed, were included to this cross-sectional observational study. Patients were divided in two groups; those with LA thrombus (n=24) were assigned to group 1 and those without thrombus-in group 2 (n=23). DNA analysis was conducted to determine gene polymorphism in all patients. Mann-Whitney U test or Chi-square tests were used for statistical analysis Results: There were no significant differences between groups regarding to demographic and clinical characteristics. The frequency of beta-fibrinogen 455 G/A polymorphism was higher (37.5%) in group 1 as compared to group 2 (15.1%) but it did not reach statistical difference (p=0.23). When we added patients with severe SEC in the study group (patients with severe SEC and/or thrombus n=27) the difference (44.40%-10%) reached the statistical difference (p=0.01). Glycoprotein IIIa Pl A1/A2 polymorphism was not different between groups with (p=0.82) or without SEC (p=0.73). Conclusion: In patients with atrial fibrillation, beta-fibrinogen 455 G/A gene polymorphism is associated with the presence of left atrial thrombus and severe SEC. Beta-fibrinogen 455 G/A gene polymorphism may be a promising marker for the prediction of thromboembolism risk in patients with atrial fibrillation.

5.The effect of Turkish bath on QT dispersion
Mustafa Ünübol, Hulki Meltem Sönmez, Zeynep Güneş, Hilmiye Aksu
PMID: 20538555  doi: 10.5152/akd.2010.060  Pages 216 - 219
Objective: It is known that QT intervals might differ from each other on electrocardiogram (ECG). It is also known that diversity of QT interval between derivations is an indicator of heterogeneity of repolarization and it is a leading electrophysiological cause of ventricular arrhythmias and sudden heart death. In this study, we evaluated the effects of the Turkish bath on QT dispersion. Methods: A total of 47 healthy volunteers were enrolled in the prospective study. The 12-lead ECG recordings were taken in all subjects before and after bath and QT dispersions were calculated. Blood pressure and the heart rate of each patient were recorded. QT dispersion was defined as the difference between the maximum and minimum QT intervals occurring in any of the 12 leads. Statistical analysis were performed using Wilcoxon rank test and paired t test. Results: The mean age was 49.47±11.64 years; range was between 23-70 years. The mean temperature of the bath was 39.72±1.75 °C, mean humidity percent was 84.42±4.74%. QTc dispersion were respectively determined as 0.047±0.025 sec and 0.047±0.019 sec (p=0.981) before and after bath. We determined no correlation between duration time at bath and QTc dispersion (r=-0.069 p=0.646). Conclusion: In our study we found no meaningful difference in QTc dispersion in individuals who take bath. Our study is the first study in which we evaluated QTc dispersion in high temperature and humidity environment of the bath and we did not determine any effect on QTc dispersion.

6.The relation of intima-media thickness with endothelial function and left ventricular mass index
Hasan Korkmaz, Mehmet Akbulut, Yılmaz Özbay, Mustafa Koç
PMID: 20538556  doi: 10.5152/akd.2010.061  Pages 220 - 225
Objective: We aimed to investigate the relation of brachial artery intima-media thickness (IMT) with endothelial function and left ventricular mass (LVM). Methods: Fifty four stage I-II hypertensive patients according to JNC VII who were not taking any medication and 27 age and sex-matched healthy controls were included to this cross-sectional observational study. IMT was measured by the same radiologist who was unaware of the patient’s clinical status by using high resolution ultrasound machine. Endothelial function was evaluated by flow mediated dilation (endothelium-dependent vasodilatation, FMD). LVM was calculated by using Devereux method. LVM index (LVMI) was obtained by dividing LVM to body surface area. Mann-Whitney U test was used to compare continuous variables, qualitative variables were compared by Chi-square test and the relations of parameters were evaluated by multiple linear regression analysis. Results: Both groups (hypertensive and control) were similar with respect to age, sex, left ventricular ejection fraction. IMT was significantly higher in hypertensive group (0.43±0.09 vs 0.33±0.06 mm; p<0.001). FMD values were also significantly different between hypertensive and control groups (4±4% vs 13±12%; p<0.001). LVMI was significantly different between hypertensive and control groups LVMI (124 ± 5 vs 99±6 gr/m2, p=0.002). The correlation between IMT and FMD (r=0.260; p=0.026) and IMT and LVMI (r =0.348; p=0.004) were statistically significant. A correlation was found between IMT and LVMI independently of other variables (beta=105; p=0.004) when LVMI was accepted as dependent variable in multivariate linear regression analysis (R2=0.570, p<0.001). According to this finding, the 105 units increase in LVMI occurs when IMT increases by 1 mm. Conclusion: Brachial artery IMT is related to endothelial function and LVM. According to these data, any negative changes of the IMT may reflect the similar negative changes in other parameters.

7.Cardiac valve evaluation and adipokine levels in obese women treated with sibutramine
Sefa Saraç, Fulden Saraç
PMID: 20538557  doi: 10.5152/akd.2010.062  Pages 226 - 232
Objective: The aims of present study were 1) to evaluate cardiac valve characteristics, 2) to determine the plasma concentrations of fibrinogen, high sensitivity C-reactive protein (hsCRP), adiponectin, and tumor necrosis factor-α (TNF-α) in the obese women before and after 19 months sibutramine treatment in the obese women. Methods: Sixty obese women were enrolled in this prospective, randomized study. Thirty women received 10 mg once daily dose of sibutramine for 19 months. The rest of the obese women received 15 mg once daily dose of sibutramine for 19 months. All patients were evaluated with echocardiography. Plasma levels of adiponectin and TNF-α were measured by enzyme-linked immunosorbent assay (ELISA) and hsCRP by immunoturbimetric assay. Student paired and unpaired t tests were used to compare the 10 mg or 15 mg dose sibutramine effects either in groups or between the groups. Results: There were no signs of significant regurgitation or thickening of the mitral and aortic valves on echocardiographic evaluation performed after 19 months of treatment. Parameters of systolic function after 10 or 15 mg treatment were not different from pretreatment characteristics. Minimal tricuspid regurgitation was found in one (1/27) patient treated with 10 mg sibutramine after 19 months. Among obese patients treated with 15 mg sibutramine one patient (1/28) had minimal mitral valve regurgitation and 2 patients (2/28) had minimal aortic insufficiency. Stage II diastolic dysfunction in the 15 obese treated with 15 mg regressed to stage I diastolic dysfunction (50%). Stage II diastolic dysfunction in the 10 obese treated with 10 mg regressed to stage I diastolic dysfunction (33.3%). Mean levels of TNF-α(p=0.04), fibrinogen (p=0.03) and hsCRP (p=0.04)i decreased and adiponectin (p=0.03) levels increased in the obese treated with 10 mg sibutramine. Likewise, in the patients treated with 15 mg sibutramine, mean levels of TNF-α(p=0.01), fibrinogen (p= 0.02), and hsCRP (p= 0.04) decreased and adiponectin (p= 0.02) levels increased. Conclusion: Nineteen months of sibutramine treatment does not affect heart valve and systolic functions, however, diastolic dysfunction severity reduced with sibutramine treatment. Also In addition, mean levels of adiponectin, TNF- α, fibrinogen and hs- CRP change with 19 months sibutramine treatment.

8.Speckle tracking based myocardial velocities: our experience with novel software
Oben Baysan, Mesut Akyol, Barış Bugan, Mehmet Yokuşoğlu, Yalçın Gökoğlan, Celal Genç
PMID: 20538558  doi: 10.5152/akd.2010.063  Pages 233 - 238
Objective: Speckle tracking is a new imaging modality capable of providing information about myocardial motion in all three directions: longitudinal, circumferential and radial. There are many software packages with their unique tracking algorithms and user interfaces in the market. We aimed to evaluate the feasibility of QLAB software in clinical practice and speckle based myocardial velocities in healthy subjects. Methods: Thirty-two subjects were enrolled in the study. Images from apical four-chamber, apical two-chamber, parasternal short-axis (mitral valve-apical levels) views were acquired and analyzed offline with QLAB. We measured speed and velocity data in longitudinal, circumferential and radial directions. Time percent of these events were also calculated. In the final data analysis 825 of 832 segments (99.2%) were included. Mann Whitney U, Student’s t and Kendall’s tau-b coefficient tests were used for statistical analysis. Results: We determined that circumferential speed was significantly higher (p<0.001) than radial velocity in both parasternal short-axis views. Likewise, longitudinal speed was higher (p<0.001) than radial velocity in apical views. Notwithstanding the speed and velocity data, time percent of radial velocity were significantly lower (p<0.001 for all) than their longitudinal or circumferential counterparts. We also notified that apex was the segment reaching its maximum speed at earliest time. QLAB measurement time was relatively long (8.1±1.7 min) and intraobserver agreement was lost in 3% of the segments. Conclusion: In addition to these findings, we consider QLAB software package for speckle tracking needs some improvements to shorten measurement time and decrease user intervention.

9.Mean systolic annular velocity and strain score index: new and non-invasive parameters for the evaluation of acute myocardial infarction patients
Ergün Barış, Necla Özer, Hakan Aksoy, Onur Sinan Deveci, Erol Tülümen, Sercan Okutucu, Hikmet Yorgun, Enver Atalar, Serdar Aksöyek, Ferhan Özmen, Kenan Övünç, Hilmi Özkutlu, Sırrı Kes
PMID: 20538559  doi: 10.5152/akd.2010.064  Pages 239 - 246
Objective: To evaluate the diagnostic value of mean annular velocity (MAV) and strain score index (SSI) for determination of the left ventricular systolic dysfunction in patients with first acute myocardial infarction (AMI). Methods: Seventy-one patients (55 male, mean age: 59±12 years) with first acute ST-elevation myocardial infarction and 30 healthy subjects were included in this cross-sectional and observational study. Echocardiography with tissue Doppler and strain analysis was performed during initial hospital admission. Peak systolic myocardial velocities were recorded from 4 different sites on the mitral annulus. A MAV value was calculated and the peak systolic strain values of 12 segments were measured and a mean SSI was calculated. ROC curve analysis was used in order to determine cut-off values for MAV and SSI. Results: The patients with AMI had a significantly reduced MAV compared with healthy subjects (5.52±1.78 cm/s vs 9.80±1.13 cm/s, p<0.001). In ROC analysis, a cut-off value of 8.41 cm/s (AUC 0.915, 95%CI 0.887-0.952, p<0.001) for MAV differentiated AMI patients from controls with 97.2% sensitivity and 93.3% specificity. The patients with AMI have also decreased SSI (11.23±2.83 vs 19.11±2.05, p<0.001). A cut-off value of 15.35% differentiated AMI patients from controls with 94.4% sensitivity and 100% specificity (ROC AUC 0.945, 95%CI 0.901-0.972, p<0.001). There was a good correlation between left ventricular EF and MAV (r=0.73, p<0.001) and SSI (r=0.66, p<0.001). Conclusion: The patients with first myocardial infarction have decreased mean systolic annular velocity and mean systolic strain score index.

10.Assessment of longitudinal left ventricular systolic function by different echocardiographic modalities in patients with newly diagnosed mild-to-moderate hypertension
Dursun Atılgan, Ahmet Kaya Bilge, İmran Onur, Burak Pamukçu, Mustafa Özcan, Kamil Adalet
PMID: 20538560  doi: 10.5152/akd.2010.065  Pages 247 - 252
Objective: Standard echocardiographic methods reflect chamber dynamics and do not provide a direct measure of myocardial fiber shortening. Therefore we evaluated longitudinal left ventricular myocardial function by tissue Doppler echocardiography; strain (S), strain rate (SR), tissue Doppler velocity (TDV) in newly diagnosed mild to moderate hypertensive patients. Methods: Our cross-sectional and observational study population consisted of 57 patients and 48 normotensive control subjects. Patients with obesity, diabetes mellitus, regional wall motion abnormality, secondary hypertension and a history or clinical evidence of cardiovascular disease, arrhythmias or conduction abnormalities were excluded from the study. Ejection fraction, endocardial fractional shortening (eFS), meridional end-systolic stress (mESS), stress-adjusted eFS (observed /predicted eFS) were measured by M-mode echocardiography. Relationship between the left ventricular mass index and mESS was assessed by Pearson’s linear regression model. Results: Hypertensive patients had significantly decreased longitudinal myocardial function compared to control subjects determined by septal (-1.25±0.30 vs. -1.02±0.33, p<0.001) and lateral (-1.20±0.28 vs. 1.02±0.41, p<0.01) SR (1/s) measurements. However, there was no significant correlation between the mESS and strain-strain rate measurements in both normal and hypertensive subjects. Conclusions: Early impairment in longitudinal left ventricular systolic function can be expected despite normal endocardial left ventricular function indicated by M-mode echocardiography in patients with newly diagnosed and never treated mild to moderate hypertension.

11.Relationship between no-reflow phenomenon and serotonin levels in patients with acute ST-elevation myocardial infarction who underwent primary percutaneous intervention
Ramazan Topsakal, Mehmet G. Kaya, Ekrem Karakaya, Özgür Günebakmaz, Ali Doğan, M. Tuğrul İnanç, Bahadır Şarlı, İbrahim Özdoğru, Ali Ergin
PMID: 20538561  doi: 10.5152/akd.2010.066  Pages 253 - 259
Objective: Our aim was to investigate the effects of serotonin, which is a severe vasoconstrictor agent, on the occurrence of no-reflow phenomenon. Methods: In this cross-sectional controlled study, 40 patients, admitted to our clinic with chest pain in the first 12 hours and underwent primary percutaneous coronary intervention because of acute myocardial infarction were enrolled. Patients with TIMI 0 grade basal flow and normal post-procedure flow were included in group 1 and patients with flow grade TIMI ≤were enrolled in group 2. To measure the serotonin levels, blood samples were collected from the coronary ostium before the procedure. Results: In group 1, there were 25 patients (20 males, 5 females) and the mean age was 58±11 years; in group 2 there were 15 patients (13 males, 2 females) and the mean age was 62±8 years. The mean serotonin level in platelet in group 1 was 476±208 ng/109 platelet and in group 2-542±273 ng/109 platelet. The difference was not statistically significant (p=0.39). When we compared the serum serotonin levels, it was 41.4±40.8 ng/ml for group 1, but 66.7±45.7 ng/ml for group 2. Although the serum serotonin levels were higher in group 2, the difference was not statistically significant (p=0.07). Conclusion: There was no effect of serotonin level in the development of no-reflow, in patients to whom primary coronary percutaneous intervention was applied.

EDITORIAL COMMENT
12.Serotonin: another player in the complex pathogenesis of no-reflow phenomenon
Giampaolo Niccoli, Cristina Spaziani
PMID: 20538562  doi: 10.5152/akd.2010.067  Pages 260 - 262
Abstract |Full Text PDF

ORIGINAL INVESTIGATION
13.The results of fetal echocardiography in a tertiary center and comparison of low- and high-risk pregnancies for fetal congenital heart defects
Süheyla Özkutlu, Tülay Akça, Gülden Kafalı, Sinan Beksaç
PMID: 20538563  doi: 10.5152/akd.2010.068  Pages 262 - 269
Objective: Fetal echocardiography (FE) is considered for fetal, maternal or hereditary reasons in pregnants with suspect of intrauterine heart disease (IUHD). However, in few studies it was reported that most of the fetuses with IUHD are in the low-risk group (suspicion of IUHD during 2nd trimester ultrasound, lack of good vision of the heart, self-referral). Our aim is to examine retrospectively the reasons for referral of pregnants, the results of FE, distribution of pregnants having fetuses with IUHD according to low- and high- risk factors and to evaluate reliability of FE. Methods: Our study group consisted of 1395 fetuses and 1370 pregnants underwent FE between 1999 and 2006. These cases included self-referred women and the pregnants having previous child or family history of cardiac anomaly or referred by obstetricians. The prevalence of IUHDs in low- and high- risk pregnancies was compared by Chi-Square test. Results: The low risk group included 453 patients and the remaining 917 women were in the high- risk group. Intrauterine heart diseases were detected in 152 (10.9%) of 1395 fetuses. The prevalence of IUHDs was 19% in the low- risk group and 7% in the high-risk group. Of the152 fetuses 56.6% were in the low-risk group and 43.4% were in the high- risk group. The sensitivity of FE for diagnose of IUHDs was 97%, the specificity was 100%. Conclusion: Fetal echocardiography is highly reliable method for diagnosing of IUHDs. The most IUHDs occur in the low- risk group.

REVIEW
14.Disease of the Sultans: metabolic syndrome in Ottoman dynasty
Selçuk Dağdelen, Tomris Erbaş
PMID: 20538564  doi: 10.5152/akd.2010.069  Pages 270 - 273
Metabolic syndrome is generally considered as a complication of modernity. Here we searched for the presence of metabolic syndrome components among the Ottoman emperors who lived between 1258 and 1926. Collections of historical archives, which were published as books specifically about morbidity and mortality of Ottoman emperors were reviewed to diagnose metabolic syndrome according to modified criteria by American College of Endocrinology and American Association of Clinical Endocrinologists. Nineteen of 36 dynasty members (53%) had fatal or non-fatal cardiovascular events. Twenty-nine of the dynasty (81%) members were either depicted as truncal obese or reported to have obesity. Thirteen emperors (36%) satisfied diagnostic criteria for metabolic syndrome, retrospectively. Overall, 42% of non-commanding emperors, but 26% of commanding-emperors (who were assumed to be athletically grown and physically more active) were found to have metabolic syndrome (p=0.553). We suggest firstly here that sedentary palace lifestyle exacerbated metabolic syndrome in Ottoman dynasty especially in elderly members, thereafter complicated by cardiovascular events, even in pre-modern era.

15.Cardiovascular consequences of sleep apnea: III-Impact of continuous positive airway pressure treatment
Yelda Turgut Çelen, Yüksel Peker
PMID: 20538565  doi: 10.5152/akd.2010.070  Pages 274 - 280
Obstructive sleep apnea (OSA) is a common condition in patients with cardiovascular diseases (CVD). The first line treatment of OSA is continuous positive airway pressure (CPAP), which reduces daytime sleepiness and improves quality of life in sleep-clinic based populations. However, in the cardiac populations, the majority of OSA subjects do not report daytime sleepiness. To date, there is not enough evidence to draw the conclusion that all CVD patients should be investigated for OSA and subsequently be treated with CPAP. The current article focuses on the available research evidence addressing the impact of CPAP on the cardiovascular consequences of OSA in both clinic- and population-based cohorts.

SCIENTIFIC LETTER
16.Percutaneous transluminal angioplasty in pediatric patients with Takayasu arteritis: comparison of initial and long- term results of interventions on aorta and non-aortic vessels
Furuzan Numan, Aylin Hasanefendioğlu Bayrak, Murat Cantaşdemir, Harun Özer, Fatih Gülşen
PMID: 20538566  doi: 10.5152/akd.2010.071  Pages 281 - 284
Abstract |Full Text PDF

CASE REPORT
17.Acute myocardial infarction in a young pregnant woman
Murat Başkurt, Turhan Özkan, Alev Arat Özkan, Tevfik Gürmen
PMID: 20538567  doi: 10.5152/akd.2010.072  Pages 285 - 286
Abstract |Full Text PDF

18.Hepatopulmonary syndrome associated with Budd-Chiari syndrome
F. Ayşenur Paç, Deniz N. Çağdaş, Meral Akdoğan, Neslihan İnci Zengin, Nurgül Şaşmaz
PMID: 20538568  doi: 10.5152/akd.2010.073  Pages 286 - 288
Abstract |Full Text PDF

19.Late onset LIMA first branch steal syndrome after coronary artery bypass surgery

PMID: 20538569  doi: 10.5152/akd.2010.074  Pages 288 - 290
Abstract |Full Text PDF

LETTER TO THE EDITOR
20.Nonfatal aplastic anemia associated with clopidogrel
Ömer Uz, Ejder Kardeşoğlu, Mustafa Aparcı, Ömer Yiğiner
PMID: 20538571  doi: 10.5152/akd.2010.075  Page 291
Abstract |Full Text PDF

21.Further expanding possibilities of successful stem cell transplantation in coronary artery disease/An alternative approach of stem cell delivery to myocardium: combined usage of antegrade coronary arterial infusion and retrograde venous obstruction
Fuat Büyükbayrak, Oğuzhan Karatepe, Mete Alp, Armen Yuri Gasparyan
PMID: 20538572  doi: 10.5152/akd.2010.077  Pages 292 - 293
Abstract |Full Text PDF

22.Japanese type cardiomyopathy associated with preexcitation / Japanese type cardiomyopathy without deep negative T waves and with findings of preexcitation on ECG
Okan Erdoğan
PMID: 20538574  doi: 10.5152/akd.2010.078  Page 294
Abstract |Full Text PDF

23.The beneficial effects of allopurinol in cardiology practice: decrease in uric acid and vascular oxidative stress/ The effects of lowering uric acid levels using allopurinol on markers of metabolic syndrome in end-stage renal disease patients: a pi
Ömer Yiğiner, Fatih Özçelik, Mustafa Aparcı, Zafer Işılak, Ömer Uz
PMID: 20538573  doi: 10.5152/akd.2010.079  Pages 294 - 295
Abstract |Full Text PDF

E-PAGE ORIGINAL IMAGES
24.Mitral regurgitation due to a hydatid cyst located in the left ventricular papillary muscle
Özgül Uçar, Hülya Çiçekçioğlu, Bora Demirçelik, Sinan Aydoğdu
PMID: 20538547  doi: 10.5152/akd.2010.080  Page E10
Abstract |Full Text PDF

25.Renovascular hypertension in a child with Marfan syndrome
Mahmut Çivilibal, Salim Çalışkan, Furuzan Numan, Safa Barış, Durmuş Doğan, Özgür Kasapçopur, Lale Sever, Murat Cantaşdemir, Nil Arısoy
PMID: 20538548  doi: 10.5152/akd.2010.082  Page E11
Abstract |Full Text PDF

26.Anomalous origin of the right coronary artery from the pulmonary artery in an asymptomatic child
Abdullah Erdem, Zübeyir Kılıç, Ali Rıza Karaci, Celal Akdeniz, Ahmet Çelebi
PMID: 20538550  doi: 10.5152/akd.2010.083  Page E12
Abstract |Full Text PDF

27.Pseudoaneurysm of ascending aorta: a rare complication of mediastinitis following coronary artery bypass surgery
Niyazi Görmüş, Hasan Hüseyin Telli, Tahir Yüksek
PMID: 20538549  doi: 10.5152/akd.2010.084  Page E13
Abstract |Full Text PDF



Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 The Anatolian Journal of Cardiology



Kare Publishing is a subsidiary of Kare Media.