Person: OTÇU TEMUR, HAFİZE
Development of Antiarrhythmic Therapy-Resistant Ventricular Tachycardia, Ventricular Fibrillation, and Premature Ventricular Contractions in a 15-Year-Old Patient
2020-09-01T00:00:00Z, Yozgat, Can Yilmaz, YEŞİLBAŞ, Osman, İŞCAN, AKIN, YURTSEVER, İsmail, OTÇU TEMUR, Hafize, BAYRAMOVA, NİGAR, ERGÜN, GÖKÇE, TEKİN, NUR, YOZGAT, Yılmaz, YEŞİLBAŞ, OSMAN, İŞCAN, AKIN, YURTSEVER, İSMAİL, OTÇU TEMUR, HAFİZE, BAYRAMOVA, NİGAR, ERGÜN, GÖKÇE, TEKİN, NUR, YOZGAT, YILMAZ
Sudden cardiac arrest (SCA) is the sudden cessation of regular cardiac activity so that the victim becomes unresponsive, with no signs of circulation and no normal breathing. Asystole, ventricular tachycardia (VT), ventricular fibrillation (VF), and pulseless electrical activity are the underlying rhythm disturbances in the pediatric age group. If appropriate interventions (cardiopulmonary resuscitation-CPR and/or defibrillation or cardioversion) are not performed rapidly, this condition progresses to sudden death. There have not been many reported cases of the approach and treatment of cardiac arrhythmias after SCA. Herein, we would like to report a case of a 15-year-old female patient with dilated cardiomyopathy (DCM) who was admitted to our clinic a year ago, and while her left ventricular systolic functions were improved, SCA suddenly occurred. Since the SCA event occurred in another city, intravenous treatment of amiodarone was done immediately and was switch to continuous infusion dose of amiodarone until the patient arrived at our institution-s pediatric intensive care unit (PICU) 3hours later. During the patient-s 20-day PICU hospitalization, she developed pulseless VT and VF from time to time. The patient-s pulseless VT and VF attacks were brought under control by the use of a defibrillator and added antiarrhythmic drugs (amiodarone, flecainide, esmolol, and propafenone). Intriguingly, therapy-resistance bigeminy with premature ventricular contractions (PVCs) continued despite all these treatments. The patient did not have adequate blood pressure measured by invasive arterial blood pressure monitoring while having bigeminy PVCs. The intermittent bigeminy PVCs ameliorated rapidly after intermittent boluses of lidocaine. In the end, multiple antiarrhythmic therapies and intermittent bolus lidocaine doses were enough to bring her cardiac arrhythmias after SCA under control. This case illustrates that malign PVC-s should be taken very seriously, since they may predispose to the development of VT or VF. Also, this case highlights the importance of close vigilance of arterial pressure tracings of patients with bigeminy PVCs which develop after SCA and should not be accepted as normal.
kısa dönem azitromisin profilaksisi alan kronik akciğer hastalıklı çocuk hastalarda qtc süresinde uzama
2018-04-11T00:00:00Z, Yozgat, Yılmaz, Çakır, Erkan, Otçu Temur, Hafize, Yakut, Kahraman, Yazan, Hakan, Erenberk, Ufuk, Uzuner, Selçuk, YOZGAT, YILMAZ, ÇAKIR, ERKAN, OTÇU TEMUR, HAFİZE, YAKUT, KAHRAMAN, YAZAN, HAKAN, ERENBERK, UFUK, UZUNER, SELÇUK
Importance of pre-treatment Fractional Anisotropy value in predicting volumetric response in patients with meningioma treated with Gamma Knife Radiosurgery
2021-09-01T00:00:00Z, Çeşme, Dilek Hacer, Alkan, Alpay, Sarı, Lutfullah, Çelik Yabul, Fatma, Otçu Temur, Hafize, Aykan, Mahmut Esat, Seyithanaoglu, Mehmet Hakan, Hatiboğlu, Mustafa Aziz, ÇELİK YABUL, FATMA, OTÇU TEMUR, HAFİZE, HATİBOĞLU, MUSTAFA AZİZ
Hydrocephalus due to Galen vein aneurysm associated with arteriovenous malformation in an adult patient
2016-01-01, ATASOY, BAHAR, SHARIFOV, RASUL, OTÇU, HAFİZE, ALKAN, ALPAY, ATASOY, BAHAR, SHARIFOV, RASUL, OTÇU TEMUR, HAFİZE, ALKAN, ALPAY
hafif kistik fibrozisli çocuk hastalarda sağ kalp fonksiyonlarının değerlendirilmesi
2018-04-12T00:00:00Z, Gulieva, Aynur, Yozgat, Yılmaz, Çakır, Erkan, Otçu Temur, Hafize, Erenberk, Ufuk, Uzuner, Selçuk, Al Shadfan, Lina Muhammed, Yakut, Kahraman, YOZGAT, YILMAZ, ÇAKIR, ERKAN, OTÇU TEMUR, HAFİZE, ERENBERK, UFUK, UZUNER, SELÇUK, YAKUT, KAHRAMAN
Sudden Cardiac Arrest and Malignant Ventricular Tachycardia in an 8-Year-Old Pediatric Patient Who Has Hemolytic Uremic Syndrome Associated with Shiga Toxin-Producing Escherichia coli
2020-12-01T00:00:00Z, YEŞİLBAŞ, Osman, Yozgat, Can Yilmaz, AKINCI, NURVER, TALEBAZADEH, FARAZ, JAFAROV, UZEYİR, GÜNEY, ABDURRAHMAN ZARİF, OTÇU TEMUR, Hafize, YOZGAT, YILMAZ, YEŞİLBAŞ, OSMAN, AKINCI, NURVER, TALEBAZADEH, FARAZ, JAFAROV, UZEYİR, GÜNEY, ABDURRAHMAN ZARİF, OTÇU TEMUR, HAFİZE, YOZGAT, YILMAZ
Gastrointestinal, neurological, pancreatic, hepatic, and cardiac dysfunction are extrarenal manifestations of hemolytic uremic syndrome associated with Shiga toxinproducing Escherichia coli (STEC-HUS). The most frequent cause of death for STECHUS is related to the central nervous system and cardiovascular system. Cardiac-origin deaths are predominantly related to thrombotic microangiopathy-induced ischemia and the immediate development of circulatory collapse. STEC-HUS cardiac related deaths in children are rare with only sporadic cases reported. In our literature search, we did not come across any pediatric case report about STEC-HUS causing sudden cardiac arrest and malignant ventricular tachycardia (VT). Herein, we report the case of an 8-year-old female child with a typical clinical manifestation of STEC-HUS. On the seventh day of pediatric intensive care unit admission, the patient had a sudden cardiac arrest, requiring resuscitation for 10minutes. The patient had return of spontaneous circulation with severe monomorphic pulsed malignant VT. Intravenous treatment with lidocaine, amiodarone and magnesium sulfate were promptly initiated, and we administered multiple synchronized cardioversions, but VT persisted. Furthermore, we were not able to ameliorate her refractory circulation insufficiency by advanced cardiopulmonary resuscitation. Thus, inevitably, the patient lost her life. This case illustrates the need for aggressive management and the dilemma that pediatric critical care specialists, cardiologists, and nephrologists have to face when dealing with STECHUS that is worsened by a sudden cardiac arrest accompanied with VT.
Development of Myocardial Infarction in a 12-Year-Old Female after the Use of Inhaled Salbutamol
2020-12-01T00:00:00Z, Yozgat, Can Yilmaz, UZUNER, SELÇUK, OTÇU TEMUR, Hafize, ERGÖR, Serap Nur, GULİYEVA, AYNUR, Tahaoglu, Irmak, Coban, Senay, YOZGAT, YILMAZ, UZUNER, SELÇUK, OTÇU TEMUR, HAFİZE, ERGÖR, SERAP NUR, GULİYEVA, AYNUR, YOZGAT, YILMAZ
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) accounts for 0.023% of all cases reported in pediatric patients. According to literature, only a handful of ALCAPA patients are able to reach adulthood. Clinical manifestations of ALCAPA range from fatigue during exercise to sudden death in adulthood. Herein, we described a 12-year-old symptomatic patient with ALCAPA who had severe chest pain after using salbutamol treatment for presumed asthma. ALCAPA is one of the curable versions of myocardial ischemia and infarction in childhood. Due to clinical findings in conjunction with electrocardiogram and echocardiography, a computed tomography scan with coronary angiography was performed and the diagnosis of ALCAPA was confirmed. We presented this case because ALCAPA-related myocardial ischemia and infarction in children are rare with only sporadic cases reported. This case illustrated the need for close monitoring and surgery as the best treatment for ALCAPA associated with myocardial infarction.
Esansiyel Tremor Hastalarında Artmış Yorgunluğun Beyin Yapısal Korelasyonları: Bir Diffuzyon Tensor Görüntüleme Çalışması
2019-03-10T00:00:00Z, ÜSTÜN, İSMET, ŞENGÜL, YILDIZHAN, OTCU, HAFİZE, ALKAN, ALPAY, OTÇU TEMUR, HAFİZE, ALKAN, ALPAY
Comparison of MRI Features of Invasive Pleomorphic and Classical Lobular Carcinoma: Differentiation Is Possible?
2022-01-01T00:00:00Z, YILMAZ, TEMEL FATİH, OTÇU TEMUR, HAFİZE, SARI, LÜTFULLAH, GÜCİN, ZÜHAL, GÜLTEKİN, MEHMET ALİ, ÇELİK YABUL, FATMA, TOPRAK, HÜSEYİN, YILDIZ, ŞEYMA, YILMAZ, TEMEL FATİH, OTÇU TEMUR, HAFİZE, SARI, LÜTFULLAH, GÜCİN, ZÜHAL, GÜLTEKİN, MEHMET ALİ, ÇELİK YABUL, FATMA, TOPRAK, HÜSEYİN, YILDIZ, ŞEYMA
To evaluate breast MRI and DWI and demographic features of pleomorphic invasive lobular carcinoma (pILC) and classic invasive lobular carcinoma (cILC). Invasive lobular (ILC) is the second most common breast malignancy after invasive ductal carcinoma (IDC) and constitutes the 8-14% of all invasive breast cancers. ILC morphologically can be classified into the classic, alveolar, solid, tubulolobular, and pleomorphic subtypes according to WHO. This study was performed retrospectively. The MRI and demographic features of 18 patients with 23 pILC were compared with those 22 consecutive patients with 27 cILC. There was no significant difference in demographic features of patients, MR appearance, kinetics, and ADC values between two groups. pILC, an aggressive subtype of ILC, cannot be differentiated from cILC with breast MRI.
Esansiyel Tremor Hastalarında Kognitif Bozulmanın Düzeyiyle Beyin Mikroyapısal Değişikliklerinin Diffuzyon Tensor Manyetik Rezonans Görüntüleme ile Değerlendirilmesi ve Korelasyonlarının Saptanması
2018-12-06T00:00:00Z, ŞENGÜL, YILDIZHAN, OTÇU TEMUR, HAFİZE, ÇORAKÇI, ZEYNEP, ŞENGÜL, YILDIZHAN, OTÇU TEMUR, HAFİZE, ÇORAKÇI, ZEYNEP
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