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Anatol J Cardiol: 7 (3)
Volume: 7  Issue: 3 - September 2007
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EDITORIAL
1.On SCI adventure, restructuring of AKD and sleeping snake’s tail
Bilgin Timuralp
Page 249
Abstract | Full Text PDF

INVITED EDITORIAL
2.Eulogy for Professor Dr. Remzi Özcan
Yılmaz Nişancı
Pages 250 - 252
Abstract | Full Text PDF

ORIGINAL INVESTIGATION
3.Cardiac ruptures following myocardial infarction in medicolegal cases
Elif Ülker Akyıldız, Safa Çelik, Gökhan Ersoy
PMID: 17785211  Pages 253 - 256
Objective: Characteristics of legal autopsy cases with cardiac rupture following myocardial infarction are investigated in this retrospective observational study and the results are compared with a control group consisting of acute myocardial infarction cases without rupture. Methods: Legal autopsy reports of 50 cases with heart tamponade resulting from heart muscle rupture following myocardial infarction, autopsied at the Morgue Department of the Council of Forensic Medicine between the years 1998-2005 were retrospectively reviewed. Findings were compared to control group consisting of 30 myocardial infarction cases without rupture. Results: The rupture was located in the left ventricle in 48 of 50 cases. At microscopic examination, infarction date was consistent with first three days, 4-7 days and 1-2 weeks for 30, 12 and 8 cases, respectively. The average volume of fluid leading to tamponade was 467 ml in males and 352.3 ml in females. There were no statistical differences between rupture and control groups for existence of hypertrophy and scar tissue in myocardium and advanced atheromatous lesions in coronaries (p>0.05). Considering the manner of death of the cases died due to heart wall rupture and tamponade formation, 28 of the cases were found dead at home, 6 died suddenly by falling to the ground at home or on the street, and 5 were delivered dead to the hospital. Conclusion: The rupture was located in the left ventricle in almost all cases. Ruptures in the left ventricle were found most frequently in the anterior wall. There was no relationship between development of rupture and existence of hypertrophy and scar tissue in myocardium, and advanced atheromatous lesions in coronaries.

4.Angiotensinogen M235T polymorphism and left ventricular indices in treated hypertensive patients with normal coronary arteries
Ayhan Olcay, Yılmaz Nişancı, C. Gökhan Ekmekçi, Uğur Özbek, Murat Sezer, Berrin Umman, Zehra Buğra
PMID: 17785212  Pages 257 - 261
Objective: Hypertension and left ventricular hypertrophy (LVH) are important causes of morbidity and mortality in the population. Angiotensinogen (AGT) M235T polymorphism has been associated with LVH, left ventricular dimensions, coronary artery disease and antihypertensive drug response in previous studies. We examined relationship between AGT M235T polymorphism and echocardiographic left ventricular indices in a Turkish population of treated hypertensive patients with normal coronary arteries. Methods: In this cross-sectional study a Turkish population of 92 hypertensive patients treated in our outpatient clinic were enrolled. All patients had normal coronary angiographic examinations. Genotypes for AGT M235T were determined from peripheral leukocytes. Left ventricular dimensions, mass and function indices, after adjustment for clinical covariates were analyzed by multiple regression analysis according to genotypes. Results: Genotype frequencies for AGT M235T were MM-24.7%, MT-52.8% and TT-22.5%. Left ventricular end systolic (LVES) dimensions for AGT M235T MM, MT, TT genotypes were 17.9±4.2 mm, 19.4±6.2 mm, and 16.4±2.9 mm, respectively (p=0.08). Angiotensinogen M235T TT genotype showed a trend towards a lower LVES dimension but results were not statistically significant. Left ventricular ejection fractions for AGT M235T MM, MT, TT subgroups were 61.3±15.0%, 59.4±14.0%, and 67.8±8.5%, respectively (p=0.07). Angiotensinogen M235T TT genotype showed a tendency towards lower left ventricular mass index but results were not statistically significant. None of the AGT M235T genotypes predicted left ventricular dilatation, mass or function in treated hypertensive patients with normal coronary arteries. Conclusion: Angiotensinogen M235T polymorphism was not useful to predict left ventricular mass, function, hypertrophy or dilatation in a small population of treated Turkish hypertensive patients with normal coronary arteries.

5.B-type natriuretic peptide level in the diagnosis of asymptomatic diastolic dysfunction
Ilgın Karaca, Erden Gülcü, Mustafa Ferzeyn Yavuzkır, Necati Dağlı, Erdoğan İlkay, Yılmaz Özbay, Ahmet Işık, Nadi Arslan
PMID: 17785213  Pages 262 - 267
Objective: Brain natriuretic peptide (BNP) reflects the left ventricular pressure and volume overload. It is known that it increases in systolic dysfunction proportionally with left ventricular pressure increase. The BNP levels are well correlated with NYHA classification and prognosis. Our aim was to evaluate the predictive value of BNP in patients with diastolic dysfunction but normal systolic dysfunction demonstrated by echocardiography. Methods: Fifty patients (mean age: 48.5±6.75 years; 29 males, 21 females) were included in this cross-sectional, case-controlled study. Systolic dysfunction was the exclusion criterion. The following parameters were used to evaluate diastolic function: isovolumetric relaxation time, transmitral early to late filling flow velocities (E/A) ratio, deceleration time E, pulmonary vein Doppler findings and color mitral flow propagation velocity. Diastolic dysfunction was determined in 30 hypertensive patients (Group 1), whereas 20 patients who had normal diastolic flow patterns on echocardiography (Group 2). Blood samples were taken for serum BNP level measurements. Results: The BNP levels were 12.0±4.97 pg/ml in individuals with normal filling pattern and 66.17±17.56 pg/ml in individuals with abnormal filling patterns (p<0.001). The accuracy of BNP in detection of diastolic dysfunction was assessed with receiver-operating characteristic (ROC) analysis. The area under the ROC curve for BNP test accuracy in detection any abnormal diastolic dysfunction was 0.969 (95% CI, 0.909 to 1.029; p<0.001). A BNP value of 37.0 pg/ml had sensitivity of 80%, specificity of 100%, a positive predictive value of 100%, a negative predictive value of 23% and accuracy of 88% in identifying asymptomatic prolonged relaxation pattern. We found a strong correlation between left ventricular mass index and plasma BNP levels (r=0.62, p<0.05). Conclusion: Estimation of BNP values could be accepted as a fast and reliable blood test in the diagnosis of asymptomatic diastolic dysfunction.

EDITORIAL COMMENT
6.Is BNP testing useful for detecting diastolic dysfunction?
Yoshitaka Iwanaga
PMID: 17785214  Pages 268 - 269
Abstract | Full Text PDF

ORIGINAL INVESTIGATION
7.The relationship between iron stores and corrected QT dispersion in patients undergoing hemodialysis
Erkan Dervişoğlu, Ahmet Yılmaz, Erce Sevin, Betül Kalender
PMID: 17785215  Pages 270 - 274
Objective: Cardiac arrhythmias commonly occur in hemodialysis patients. QT dispersion (QTd=QTmax-QTmin) reflects heterogeneity of cardiac repolarization, and increased QTd is known to predispose the heart to ventricular arrhythmias and sudden cardiac death. The aim of our study was to assess the association of iron stores, reflected by transferrin saturation (TSAT) and ferritin, with the dispersion of corrected QT intervals (QTc) in patients undergoing hemodialysis. Methods: This cross-sectional, case-controlled study included 40 patients (23 men and 17 women) with renal failure undergoing hemodialysis (Patient group) and 27 subjects (10 men and 17 women) with normal renal function (Control group). In all patients and control subjects, QT intervals were measured on electrocardiogram, and QTc intervals and QTc dispersion were calculated. Electrolyte, hemoglobin and serum TSAT and ferritin levels were also determined. Results: Hemodialysis patients had significantly greater QTc dispersion compared to that of control subjects (61.7±23.0 msec vs. 46.0±15.7 msec; p=0.001). Though serum iron levels were significantly associated with greater QTc dispersion (r=0.324, p=0.042), other electrolyte levels, duration of dialysis, TSAT and serum ferritin levels were not. Conclusion: Although hemodialysis patients have greater QTc dispersion than control subjects, their levels of iron stores as reflected by TSAT and ferritin levels, does not correlate with the degree of QT dispersion.

8.Relationship between the elastic properties of aorta and QT dispersion in newly diagnosed arterial adult hypertensives
Mustafa Gür, Remzi Yılmaz, Recep Demirbağ, Ali Yıldız, Selahattin Akyol, Mustafa Polat, M. Memduh Baş
PMID: 17785216  Pages 275 - 280
Objective: Afterload is increased in hypertensive patients and increased afterload associated with both ventricular repolarization inhomogeneity and impaired elastic properties of aorta. Thus, we investigated whether QT dispersion (QTd), which is a reflection of ventricular repolarization inhomogeneity, is related to aortic elastic properties in patients with hypertension. Methods: Overall 113 patients with newly diagnosed hypertension and 25 normal control subjects were included in this cross-sectional case-controlled study. Aortic strain (AS) and aortic distensibility (AD) were calculated echocardiographically from the derived ascending aorta diameters. Electrocardiograms were recorded in all subjects, and QTd and corrected QTd (cQTd) were then calculated. Results: Patients as compared with control subjects had lower mean AS and AD (p<0.001, for both). The QT interval maximum and corrected QT interval maximum durations, QTd and cQTd were increased in patients compared with control subjects. Multiple linear regression analysis showed that corrected QTd was independently related to age, left ventricular mass index (LVMI), AS and AD (b=0.204, p=0.030, b=0.219, p=0.026, b=-0.238, p=0.021 and b=-0.208, p=0.032 respectively) in hypertensive patients. The QTd was independently related to AS (p=0.043) and AD (p=0.037), as well as age (p=0.003) and LVMI (p=0.008). Conclusion: The QTd and cQTd were increased in hypertensives. Aortic elastic properties may play a role in increased dispersion of QT and cQT intervals.

9.Arterial distensibility in Wegener’s granulomatosis: a carotid - femoral pulse wave velocity study
Mustafa Yıldız, Mehmet Soy, Turhan Kürüm, Banu Şahin Yıldız
PMID: 17785217  Pages 281 - 285
Objective: The purpose of this study was to test the hypothesis; that chronic inflammation may impair vascular function and lead to an increase of arterial pulse wave velocity (PWV) in patients with Wegener’s granulomatosis (WG). Methods: We recruited 5 patients with WG and 5 healthy age and sex matched controls in this cross-sectional case-controlled study. Aortic PWV was determined by using an automatic device (Complior Colson, France), which allowed on-line pulse wave recording and automatic calculation of PWV. Results: The carotid-femoral (aortic) PWV was increased in patients with WG as compared with control group (p=0.04). Although we found positive correlation between PWV and heart rate (r=0.75, p=0.01), we did not find any significant correlation between PWV and anthropometric and other hemodynamic parameters (p>0.05). In addition, we found positive correlation between PWV and erythrocyte sedimentation rate in patients with WG (r=0.90, p=0.03). Conclusion: Pulse wave velocity is increased and arterial distensibility decreased in patients with WG. Measurements of carotid-femoral (aortic) PWV may provide an easy and noninvasive technique to identify patients at increased risk of arterial disease.

EDITORIAL COMMENT
10.Carotid-femoral pulse wave velocity in patients with Wegener’s granulomatosis
Selma Arzu Vardar
PMID: 17785218  Page 286
Abstract | Full Text PDF

ORIGINAL INVESTIGATION
11.Angiographic extent of coronary artery stenosis in patients with high and intermediate likelihood of unstable angina according to likelihood classification of American Heart Association
Ersin Aksay, Özgür Karcıoğlu, Sedat Yanturalı, Önder Kırımlı
PMID: 17785219  Pages 287 - 291
Objective: In accordance with the AHA/ACC clinical practice guideline, the likelihood of acute ischemia caused by coronary artery disease (CAD) is to be determined as high, intermediate, or low for all patients presenting with chest discomfort. This study was conducted to estimate extent of significant CAD in patients with high and intermediate likelihood of unstable angina (UA) according to “AHA likelihood classification” Methods: Overall, 133 consecutive patients presented with symptoms or signs suggestive of UA, which was classified as of high or intermediate likelihood in Emergency Department (ED), and undergoing coronary angiography (CAG) within one week were enrolled into the study. The characteristics of the patients in either subgroup were compared in terms of the findings of the CAG. Results: In patients with high likelihood of UA (n=89), CAG revealed that 62 had significant CAD, 7 - moderate CAD, 20 - mild CAD or normal coronary angiogram. In patients with intermediate likelihood of UA (n=19), CAG revealed that 2 patients had significant CAD, and 17 - mild CAD or normal coronary angiogram. The rate of significant CAD was significantly higher in patients with high likelihood (p<0.001, LR 23.97, 95% CI 4.21-90.43). The sensitivity and specificity of having at least one of high likelihood features for detecting significant CAD were found to be 96.8% and 38.6% respectively. Conclusion: We suggest that the likelihood classification is useful for the triage of the UA patients in the ED. When supported with further studies, utilization of this classification will yield a high diagnostic accuracy in predicting or ruling out severe CAD in patients presenting with chest pain.

12.Transvenous cardiac pacing in children: problems and complications during follow-up
Alpay Çeliker, Osman Başpınar, Tevfik Karagöz
PMID: 17785220  Pages 292 - 297
Objective: Transvenous permanent cardiac pacing (TPCP) has become a frequently used therapeutic modality in children. The purpose of this study was to evaluate the outcome of pediatric TPCP regarding problems and complications. Methods: Records of 155 patients (mean age 9.2±4.7 years) who underwent implantation of TPCP between 1993 and 2003 were reviewed retrospectively. Indications for pacing included atrioventricular block in 76% and sinus node dysfunction in 22% patients. In 92 patients, bradyarrhythmia was secondary to cardiac surgery. Percutaneous subclavian puncture was used for lead implantation in 96% of patients. Pacemakers were placed to the right side of the chest in 84% and in the subpectoral area in 68%. Pacing modes were VVIR in 72%, VDD in 13%, AAIR in 8%, and DDD in 7% of patients at the initial implantation time. Of all electrodes, 95% had steroid elution and 53% had an active fixation mechanism. Mean follow-up period was 37±28 (1-120) months. Results: Forty-five (29%) patients had 21 minor and 45 major complications. Forty-four of 76 revisions were due to lead problems and battery extraction. Most of the lead problems were dislodgment and stretching (n=14). Kaplan Meier analysis of lead survival did not show any difference between lead types. During the follow-up, there were three sudden unexpected deaths. Conclusions: In children, TPCP can be used safely and effectively. Although, complications are possible and sometimes lead or generator revision may be necessary, long-term outcome is favorable.

REVIEW
13.Patient education and exercise in cardiac rehabilitation
Mehmet Uzun
PMID: 17785221  Pages 298 - 304
Cardiac rehabilitation includes all the activities implemented for the cardiac patient to gain his/her condition prior to the disease. World Health Organization accepted that cardiac rehabilitation is one of the main components of management of cardiac patients. Although activities of cardiac rehabilitation have begun in 1970s in our country, its level is lower than it should have to be especially with regards to patient education. Cardiac rehabilitation has ten main components, including patient assessment, nutritional counseling, lipid management, hypertension management, smoking cessation, weight management, diabetes management, psychosocial management, physical activity counseling, and exercise training. For all of these components, patient education is essential. In patient education, the fact that patient is adult, learning needs, learning type, readiness to learn and stage of behavioral change should be taken into consideration. As one of the most important factors affecting the quality of life, exercise is thought to be very important in all cardiac rehabilitation programs. In exercise prescription, the type, intensity, rate of progression of the intensity and duration of the exercise should be planned according the patient. In this article, patient education and exercise in the context of cardiac rehabilitation are covered.

14.Cardiovascular side effects of newer antidepressants
Antony Fernandez, Suji E. Bang, Komandur Srivathsan, W. Victor R. Vieweg
PMID: 17785222  Pages 305 - 309
We review the cardiovascular effects of newer antidepressants. Although further studies are warranted, the safety of the selective serotonin reuptake inhibitors and the serotonin norepinephrine reuptake inhibitors on patients with comorbid cardiac conditions is impressive. Newer antidepressants should be considered as first-line agents for the treatment of depression in patients with and without cardiovascular disease.

MISCELLANEOUS
15.Echocardiographic assessment of left ventricular diastolic function
Bahar Pirat, William A. Zoghbi
PMID: 17785223  Pages 310 - 315
Assessment of diastolic function and left ventricular filling pressures in the setting of both normal and reduced systolic function is of major importance particularly in patients with dyspnea. Since multiple echocardiography parameters are used to assess diastolic function each with some limitations, a comprehensive approach should be applied. Transmitral Doppler flow should be evaluated in combination with newer, less load dependent Doppler techniques. Tissue Doppler imaging provides accurate, well validated data regarding diastolic properties and filling pressures of the left ventricle. Tissue Doppler imaging should be the part of a routine echocardiography study due to its ease of use and high reproducibility. Pulmonary vein Doppler and flow propagation velocity should be incorporated into the evaluation when needed.

SCIENTIFIC LETTER
16.The conviction of patients and hospital attendants on tissue and organ transplantation
İlker Alat, Mehmet Beşir Akpınar, Mücahit Eğri, Nihat Aydın, İ. Koray Aydemir, Mustafa Aldemir, Tamer Eroğlu, Bülent Özgür, Fulya Erbaş, Vedat Nisanoğlu
PMID: 17785224  Pages 316 - 317
Abstract | Full Text PDF

17.An algorithm for the differential diagnosis of physiologic and pathologic hypertrophy
Erdem Kaşıkçıoğlu
PMID: 17785225  Pages 318 - 319
Abstract | Full Text PDF

CASE REPORT
18.Spontaneous coronary artery dissection
Özlem Özcan, Nermin Bayar, Alper Canbay, Aksuyek Savaş Çelebi, Erdem Diker, Sinan Aydoğdu
PMID: 17785226  Pages 320 - 322
Abstract | Full Text PDF

19.A rare cause of myocardial infarction: acute carbon monoxide poisoning
Ercan Varol, Mehmet Özaydın, Süleyman Murat Aslan, Abdullah Doğan, Ahmet Altınbaş
PMID: 17785227  Pages 322 - 323
Abstract | Full Text PDF

20.Beta-blocker treatment in an adolescent with amitriptyline intoxication
Tamer Baysal, Bülent Oran, Mustafa Doğan, Derya Çimen, Şefika Elmas, Sevim Karaaslan
PMID: 17785228  Pages 324 - 325
Abstract | Full Text PDF

21.Infective endarteritis in a 2-month-old infant associated with silent patent ductus arteriosus
Ahmet Çelebi, Abdullah Erdem, Haluk Çokuğraş, Gülay Ahunbay
PMID: 17785229  Pages 325 - 327
Abstract | Full Text PDF

22.Surgical removal of a migrated guidewire: a safe method
Hakan Aydın, Bülent Koçer, Demet Albayrak, Koray Dural
PMID: 17785230  Pages 327 - 328
Abstract | Full Text PDF

23.Amplatzer device embolization: hazards of multiple attempts at catheter retrieval
Ergin Koçyıldırım, Mazyar Kanani, Philipp Bonhoeffer, Martin J. Elliott
PMID: 17785231  Pages 329 - 330
Abstract | Full Text PDF

LETTER TO THE EDITOR
24.Total variation of LDL-cholesterol and apolipoprotein B/ Serum apolipoprotein B is superior to LDL-cholesterol level in predicting incident coronary disease among Turks
Abdurrahman Coşkun
PMID: 17785232  Pages 331 - 332
Abstract | Full Text PDF

25.The anomalous origin of the left coronary artery from the right aortic sinus of Valsalva
Remzi Yılmaz
PMID: 17785233  Pages 332 - 333
Abstract | Full Text PDF

26.Determination of TIMI frame counts and slow coronary flow/ Relationship between the slow coronary flow and carotid artery intima-media thickness
İbrahim Başarıcı
PMID: 17785234  Pages 333 - 334
Abstract | Full Text PDF

27.Giant pulmonary artery aneurysm due to undiagnosed atrial septal defect associated with pulmonary hypertension
Hakan Vural, Tamer Türk, Yusuf Ata, Ahmet Özyazıcıoğlu
PMID: 17785236  Page 335
Abstract | Full Text PDF

28.Ross operation for teenagers: correct indication determines the long-term outcome/ Early double valve re-replacement after Ross operation
Shahzad G. Raja
PMID: 17785235  Pages 335 - 336
Abstract | Full Text PDF

29.Carotid artery stenting: from a glance of a surgeon / Early and late outcomes of carotid artery stenting
Şenol Yavuz
PMID: 17785237  Pages 336 - 337
Abstract | Full Text PDF

30.Effect of female gender on the outcome of coronary artery bypass surgery for left main coronary artery disease
Nehir Sucu
PMID: 17785238  Pages 337 - 338
Abstract | Full Text PDF

31.High blood glucose concerns heart specialist very./ Coronary atherosclerosis distribution and the effect of blood glucose level on operative mortality/morbidity in diabetic patients undergoing coronary artery bypass grafting surgery
Osman Akdemir
PMID: 17785239  Pages 338 - 340
Abstract | Full Text PDF

32.Syncopal episodes due to inappropriate peripheral vascular response in patients with hypertrophic cardiomyopathy
Yüksel Çavuşoğlu, Murat Taraktaş
PMID: 17785240  Pages 340 - 342
Abstract | Full Text PDF

33.Heart failure: erythropoietin in treatment of anemia
Mutlu Büyüklü
PMID: 17785241  Pages 342 - 343
Abstract | Full Text PDF

34.Overlooked complications of allergic reactions: allergic angina and allergic myocardial infarction
Mustafa Aparcı, Ejder Kardeşoğlu, Namık Özmen, Fethi Kılıçaslan, Bekir Sıtkı Cebeci
PMID: 17804336  Page 343
Abstract | Full Text PDF

35.Incomplete Kawasaki disease: a pediatric diagnostic conflict
Ümit Çelik, Emre Alhan, Filiz Arabacı
PMID: 17785242  Pages 343 - 344
Abstract | Full Text PDF

36.Transposition of the great arteries in a newborn whose mother was treated with carbamazepine during pregnancy
Emine Dibek Mısırlıoğlu, Didem Aliefendioğlu, Mehmet Tolga Doğru, Cihat Şanlı, Ayla Oktay
PMID: 17785243  Pages 344 - 345
Abstract | Full Text PDF

37.Correctable causes of left ventricular outflow tract obstruction may not be absolute contraindications for arterial switch operation
Ali Can Hatemi, Aybala Tongut, Mete Gürsoy, Gürkan Çetin, Funda Öztunç
PMID: 17785244  Pages 345 - 346
Abstract | Full Text PDF

38.Surgical approach to the cases of coarctation in combination with aortic pathologies
B. Kaan İnan, Tünay Kurtoğlu, Murat Uğur, Melih Hulusi Us, Ahmet Turan Yılmaz
PMID: 17785245  Pages 346 - 347
Abstract | Full Text PDF

E-PAGE ORIGINAL IMAGES
39.Scanning electron microscopy findings of microembolic debris material on distal protection device in a patient underwent carotid stenting
Erhan Akpınar, Barış Türkbey, Barbaros E. Çil, İlkan Tatar, Hamdi H. Çelik, Saruhan Çekirge
PMID: 17785246  Pages 348 - 349
Abstract | Full Text PDF

40.A case of multiple ascending aorta and aortic arch thrombi causing simultaneous cerebral and peripheral embolism
Gökhan Önem, Bilgin Emrecan, Ali Vefa Özcan, Mustafa Saçar, Ahmet Baki Yağcı
PMID: 17785247  Pages 349 - 350
Abstract | Full Text PDF

41.Thrombosed giant right coronary artery aneurysm
Hüseyin Çelebi, Cihan Duran, Alp Burak Çatakoğlu, Murat Gülbaran, Cemşid Demiroğlu, Vedat Aytekin
PMID: 17785248  Pages 350 - 351
Abstract | Full Text PDF

42.Multiple and bilateral coronary fistulas resulting in myocardial ischemia due to significant stealing of coronary artery blood flow
Mutlu Vural, Özcan Rüzgar, Bayram Bağırtan, Öcal Karabay
PMID: 17785249  Pages 351 - 352
Abstract | Full Text PDF

43.Renal artery fenestration in a hypertensive adult patient
Mehmet Güngör Kaya, Adnan Abacı, Ülgen Merdanoğlu, Rıdvan Yalçın, Atiye Çengel
PMID: 17785251  Page 352
Abstract | Full Text PDF

44.Hypertrophic cardiomyopathy with systolic anterior motion of the posterior mitral leaflet
Georgios K. Efthimiadis, Haralambos I. Karvounis
PMID: 17785252  Pages 353 - 354
Abstract | Full Text PDF

45.Unusual late cardiac complication of left pneumonectomy: left atrial compression
Umuttan Doğan, Özcan Özeke, Faysal Duksal, Murat Ünlü
PMID: 17785253  Page 354
Abstract | Full Text PDF

46.Left atrial ball-shaped thrombus mimicking myxoma detected by transthoracic echocardiography
M. Murat Tümüklü, Erdeşir Naseri, Köksal Ceyhan, Altay Elalmış
PMID: 17785255  Page 355
Abstract | Full Text PDF

47.Giant left atrium
Ataç Çelik, Mehmet Melek, Alaettin Avsar
PMID: 17785256  Page 356
Abstract | Full Text PDF

48.A huge right atrium in a patient with ankle edem
Ali Serdar Fak, Nurdan Papila, Azra Tanrıkulu, Beste Özben Sağdıç, Ahmet Oktay
PMID: 17785257  Page 357
Abstract | Full Text PDF

MISCELLANEOUS
49.Notes from 34th International Congress on Electrocardiology
Bülent Görenek
Pages 358 - 359
Abstract | Full Text PDF

50.The Scientific Summer School in Turkey 2007 İstanbul - Silivri, June 30 - July 5, 2007
Ljuba Bacharova
Pages 360 - 362
Abstract | Full Text PDF

51.Cases presented at COPE meeting

Page 363
Abstract | Full Text PDF



 
 
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