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Volume : 23 Issue : 4
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Anatol J Cardiol: 23 (4)
Volume: 23  Issue: 4 - April 2020
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EDITORIAL
1.Bariatric surgery, cryoablation, and much more
Çetin Erol
PMID: 32235141  doi: 10.14744/AnatolJCardiol.2020.4  Page 195
Abstract | Full Text PDF

INVITED REVIEW
2.Important tips reflected in our daily practice from the American College of Cardiology Electrophysiology Council report on premature ventricular contractions
Erdi Babayiğit, Taner Ulus, Bülent Görenek
PMID: 32235139  doi: 10.14744/AnatolJCardiol.2020.91572  Pages 196 - 203
Premature ventricular contractions (PVCs) is one of the most common situations in the current cardiology practice. Although PVCs are generally benign in people without any structural heart disease, they may be associated with left ventricular dysfunction, cardiomyopathy, and, rarely, sudden death. Recently, there has been a considerable research in the pathophysiology of PVC, several clinical presentations in different situations, new proposals of successful diagnostic methods, and treatment modalities. Finally, the American College of Cardiology Electrophysiology Council has published a special report that deals with all the aspects of PVC. We reviewed the important points from this report that can be reflected in our daily practice.

REVIEW
3.Heart failure and cardiac imaging: Choosing wisely in the era of multimodality imaging
Frank Flachskampf, Tomasz Baron
PMID: 32235137  doi: 10.14744/AnatolJCardiol.2020.66745  Pages 204 - 208
Abstract | Full Text PDF

ORIGINAL INVESTIGATION
4.Angiotensin (1–7) and Apelin co-therapy: New strategy for heart failure treatment of rats
Ava Soltani Hekmat, Kazem Javanmardi, Alireza Tavassoli, Yousof Gholampour
PMID: 32235135  doi: 10.14744/AnatolJCardiol.2019.40072  Pages 209 - 217
Objective: Isoproterenol (ISO)-induced heart failure is a standardized model for the study of beneficial effects of various drugs. Both apelin and angiotensin 1-7 have a cardiac protective effect. We assumed that co-therapy with apelin and angiotensin 1-7 (Ang (1-7)) may have synergistic cardioprotective effects against isoproterenol-induced heart failure.
Methods
The animals were randomly assigned to one of eight groups of seven animals in each group as follows: (1) control I (saline; IP injection) (1) control II (saline; via mini-osmotic pump) (3) ISO (5 mg/ kg; IP), (4) Apelin (20μg/ kg; IP), (5) Ang (1-7) (30 μg/kg/day; via mini-osmotic pump), (6) Apelin+ISO, (7) Ang (1-7)+ISO, (8) Apelin+Ang (1-7)+ISO.
Rat myocardial injury was induced by intraperitoneal injection of 5mg/kg of ISO for ten days. Apelin and Ang (1-7) were administered 30 minutes before ISO injection.
Results: A decrease in systolic blood pressure (SBP; p<0.001), diastolic blood pressure (DBP; p<0.05), left ventricular systolic pressure (LVSP; p<0.001), left ventricular contractility (dP / dt max; p<0.001), relaxation (dP / dt min; p<0.001) and an increase in left ventricular end-diastolic pressure (LVEDP; p<0.001) were observed in ISO-treated rats. Plasma LDH and myocardial and plasma MDA were higher in the ISO heart than in controls (P<0.001). Histopathological examination of cardiac tissue showed myocardial fibrosis and leukocyte infiltration in ISO-treated rats as compared to control.
Co- therapy with apelin and Ang (1-7) was more effective than either agent used alone in restoring these parameters to that of control rats.
Conclusion: The results of this study showed that the combination of apelin and ang (1-7) had a more cardioprotective effect than either used alone against ISO-induced heart failure, and co-therapy may be a useful treatment option for myocardial injuries and heart failure.

5.Effect of bariatric surgery on flow-mediated dilation and carotid intima-media thickness in patients with morbid obesity: 1-year follow-up study
Ali Elitok, Samim Emet, Farrukh Bayramov, Ekrem Karaayvaz, Fulya Türker, Umut Barbaros, Mustafa Özcan
PMID: 32235138  doi: 10.14744/AnatolJCardiol.2019.85249  Pages 218 - 222
Objective: Obesity is associated with increased cardiovascular (CV) mortality and morbidity. Bariatric surgery (BS) is currently an established therapeutic approach for severely obese patients. Carotid intima-media thickness (CIMT) and brachial artery flow-mediated dilation (FMD) provide important prognostic information beyond traditional CV risk factors. This study aimed to examine the effect of bariatric surgery-induced weight loss on CIMT and brachial artery FMD in morbidly obese patients.
Methods: A total of 23 morbidly obese patients (40.4±5.6 years, 13 females) were examined before and after BS for 1 year with 3-month periods. CIMT, FMD, body composition, and metabolic parameters were determined.
Results: All the patients exhibited significant weight loss following BS (p<0.001). Carotid intima-media thickness reduction was not significant from baseline to 6 months (p=0.069), but at 9 months (p=0.004), it became significant. Similarly, the difference between the preoperative and 6-month FMD assessments was not significant (p=0.057), but at 9 months (p<0.001), it became significant.
Conclusion: Our study reveals that weight loss following BS causes improvements in CV risk factors, which is evident after 9 months of surgery.

6.Determination of the effects of cryoablation for atrial fibrillation on esophageal functions
Muhammet Buğra Karaaslan, Ali Deniz, Ismail Cem Eray, Sedef Kuran, Sevinc Puren Yucel, Ozsun Serkan Sonmez, Aziz Inan Çelik, Onur Sinan Deveci, Mesut Demir, Mehmet Kanadası, Ayhan Usal
PMID: 32235129  doi: 10.14744/AnatolJCardiol.2019.01651  Pages 223 - 227
Objective: Periesophageal vagal plexus injury is a complication of cryoablation for atrial fibrillation (AF). The aim of this study is to investigate the effect of cryoablation on esophageal functions and to determine the relationship between esophageal temperature and esophageal motility.
Methods: Twenty patients with symptomatic paroxysmal AF who underwent cryoablation were included in this study. The lowest cryoballoon temperature for each pulmonary vein (PV) was recorded. Esophageal temperature was measured using an esophageal probe during each cryoapplication. Esophageal manometry was performed before the procedure and one day after the procedure for each patient in order to assess the esophageal functions.
Results: During the procedure, the highest esophageal temperature change was found in the left-side PVs in 13 patients (65%) and in the right-side PVs in seven patients (35%). No correlation was found between the lowest cryoballoon temperature and esophageal temperature change (r=0.22, p=0.05). It was detected that the lower esophageal sphincter pressure and esophageal contraction amplitude pressure decreased after the procedure (before: 19.7±9.3 mm Hg, after: 14.3±4.9 mm Hg, p=0.001; before: 84.5±28.3 mm Hg, after: 72.7±34.3 mm Hg, p=0.005, respectively). Five patients (25%) developed gastrointestinal symptoms after the procedure.
Conclusion: During cryoablation, esophageal temperature measurement can be performed to reduce the probability of esophageal injury. Cryoablation affects esophageal motility, and esophageal manometry can be performed to detect esophageal motility impairments in patients with gastrointestinal symptoms.

7.The relationship between serum asymmetric dimethylarginine levels and radial artery spasm
Ibrahim Kocayigit, Mehmet Akif Cakar, Behlül Kahyaoğlu, Muhammed Necati Murat Aksoy, Ersan Tatli, Ramazan Akdemir
PMID: 32235140  doi: 10.14744/AnatolJCardiol.2020.93213  Pages 228 - 232
Objective: The use of the radial approach in coronary angiography or percutaneous coronary intervention has increased owing to its advantages over the femoral approach such as rapid patient mobilization and improved patient comfort. However, radial artery spasm (RAS) that occurs during the procedure is a crucial factor in transradial approach failure and access site switch. Asymmetric dimethylarginine (ADMA) is a naturally occurring, modified amino acid that inhibits nitric oxide (NO) production. High ADMA levels may reduce arterial elasticity especially in small arteries like the radial artery. This study aimed to evaluate the relationship between ADMA levels and RAS in radial artery access.
Methods: This study included 155 patients (89 males and 66 females) who underwent transradial coronary angiography between January 2016 and June 2016. The ADMA level in the plasma was determined using a quantitative sandwich enzyme immunoassay technique.
Results: RAS was observed in 16 of the 155 patients (10.1%). The RAS was found to be more frequent in female patients (17.9% for women vs. 4.4% for men, p=0.019). The plasma concentration of ADMA in the RAS group was significantly higher than that in the control group [22.1 ng/mL (12.1–37.8) vs. 9.2 ng/mL (5.9–14.8), p<0.001]. Moreover, the plasma concentration of ADMA was significantly higher in patients with RAS among female patients [20.4 ng/mL (12.1–44.9) vs. 9.9 ng/mL (6.2–16.6); p=0.002] and among male patients [25.2 ng/mL (13.7–35.4) vs. 8.2 ng/mL (5.9–12.8); p=0.007]. Binary logistic regression analysis of all patients showed that ADMA concentration was the only predictor for RAS (odds ratio=1.142; 95% confidence interval=1.061–1.228; p<0.001).
Conclusion: It was found that the ADMA concentration of the patients in the RAS group was elevated compared to that of controls. The findings indicated that elevated ADMA concentrations could predict RAS that may occur.

CASE REPORT
8.Intercaval bundle connecting posterosuperior right atrium to right superior pulmonary vein detected during catheter ablation for atrial fibrillation
Emir Baskovski, Basar Candemir, Kerim Esenboga, Ali Timucin Altin, Durmus Eralp Tutar
PMID: 32235133  doi: 10.14744/AnatolJCardiol.2019.06709  Pages 233 - 235
Abstract | Full Text PDF

9.Giant cell arteritis presenting with pericardial effusion, hoarseness, and amaurosis
Blanka Morvai-Illés, Gergely Ágoston, Ágnes Séllei, László Kovács, Albert Varga
PMID: 32235128  doi: 10.14744/AnatolJCardiol.2019.00502  Pages 235 - 237
Abstract | Full Text PDF | Video

10.Happy heart syndrome mimicking acute pulmonary embolism and acute coronary syndrome
Ömer Doğan Alataş, Murat Biteker
PMID: 32235131  doi: 10.14744/AnatolJCardiol.2019.04052  Pages 237 - 239
Abstract | Full Text PDF | Video

LETTER TO THE EDITOR
11.Implantable cardioverter defibrillator therapy for secondary prevention in spontaneous coronary artery dissection: to place or not to place? This is the matter
Riccardo Scagliola, Claudio Brunelli, Manrico Balbi
PMID: 32235136  doi: 10.14744/AnatolJCardiol.2020.57870  Page 240
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12.Author`s Reply
Murat Çimci, Marco Roffi
PMID: 32235142  Pages 240 - 241
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13.Alternative treatment methods for spontaneous coronary artery dissection
Aykun Hakgör, Seda Tanyeri, Berhan Keskin, Fatih Yılmaz, Ali Karagöz
PMID: 32235134  doi: 10.14744/AnatolJCardiol.2020.24702  Pages 241 - 242
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14.Author`s Reply
Murat Çimci, Marco Roffi
PMID: 32235143  Page 242
Abstract | Full Text PDF

E-PAGE ORIGINAL IMAGES
15.Anomalous origin of the right coronary artery from the pulmonary artery and simultaneous coronary-bronchial artery fistula
Furkan Ufuk, Oğuz Kılıç, Ismail Dogu Kılıç
PMID: 32235130  doi: 10.14744/AnatolJCardiol.2019.02589  Pages E10 - E11
Abstract | Full Text PDF

16.Hypertrophied crista terminalis–The great masquerader and savior
A Shaheer Ahmed, Ram Manohar Talupula
PMID: 32235132  doi: 10.14744/AnatolJCardiol.2019.05752  Pages E11 - E12
Abstract | Full Text PDF



 
 
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