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Now showing 1 - 7 of 7
  • PublicationMetadata only
    Multiple Anterior Mitral Valve Perforation After Deep Transfemoral Aortic Valve Implantation
    Transcatheter aortic valve implantation (TAVI) is an alternative for high-risk aortic valve replacement. There are limited data related to the late complications of TAVI. Deep aortic prosthetic valve implantation can cause direct erosive perforation of anterior mitral leaflet or erosive endothelial lesion which predisposes the tissue to infective endocarditis. Our report emphasizes anterior mitral leaflet perforation after TAVI, which may be seen especially in patients exposed to sepsis.
  • PublicationMetadata only
    (2011-03-01T00:00:00Z) Demirsoy, E.; Sirin, G.; Fotbolcu, HAKAN; Ozden, K.; Ergenoglu, M. U.; Yerebakan, H.; Ozker, E.; FOTBOLCU, HAKAN
  • PublicationOpen Access
    Effect of insomnia and excessive daytime sleepiness on cardiac functions in older adults.
    (2023-07-06) Fotbolcu H.; Soysal P.; FOTBOLCU, HAKAN; SOYSAL, PINAR
    Background: We investigated the potential harmful effect in older adults of insomnia and excessive daytime sleepiness (EDS) on myocardial functions and electrophysiologic changes of the heart in terms of heart rate and QT intervals corrected for heart rate (QTc). Methods: The study included 32 insomnia patients and 30 control subjects. An Insomnia Severity Index score of ≥15 indicated insomnia, while a score of <8 was accepted as the control group. The Epworth Sleepiness Scale was used to assess EDS, with a score of ≥11/24 points indicating EDS. Diastolic and systolic functions were evaluated in each patient by transthoracic two-dimensional, conventional and tissue Doppler echocardiography. Heart rate and QTc were calculated for electrophysiologic changes. Results: The mean age was 73.2 ± 7.9 years, with 59.7% being female. Biventricular systolic and diastolic functions were impaired in the insomnia patients. The E' value for diastolic function was lower in the patients with insomnia than the controls (5.99 ± 1.59 vs. 6.88 ± 0.97, P = 0.053). Furthermore, values for the systolic function parameters Lateral-S (7.41 ± 1.92 vs. 9.37 ± 1.83, P < 0.001), Septal-S (6.69 ± 1.40 vs. 8.10 ± 1.30, P = 0.001), and Tricuspid-S (12.25 ± 2.00 vs. 14.37 ± 3.13, P = 0.004) were lower for insomnia patients than for controls. In the case of EDS coexistence, the heart rate and QTc values were higher than the controls (76.47 ± 7.18 vs. 71.03 ± 10.95, P = 0.001, and 413.72 ± 28.24 vs. 394.67 ± 24.47, P = 0.015, respectively). Conclusion: Insomnia is associated with impaired systolic-diastolic functions, independent of EDS. The co-existence of insomnia and EDS may lead to electrophysiological changes in older adults, including increased heart rate and longer QTc.
  • PublicationMetadata only
    Our experience with complete revascularization on beating heart in patients with acute coronary syndrome
    (2016-10-01T00:00:00Z) Kaya, Erhan; Isik, Omer; Fotbolcu, HAKAN; Yakut, Cevat; FOTBOLCU, HAKAN
    Background: In this study, we present our results with complete revascularization in patients with acute coronary syndrome undergoing coronary artery bypass grafting on beating heart.
  • PublicationMetadata only
    Periferik Vasküler Girişimler
    (2021-05-01T00:00:00Z) Fotbolcu, Hakan; FOTBOLCU, HAKAN
  • PublicationMetadata only
    Reversible myocardial stunning due to carbon monoxide exposure
    (2011-03-01T00:00:00Z) FOTBOLCU, HAKAN; Incedere, O.; Bakal, R. B.; Tanalp, A. C.; Astarcioglu, M. A.; Dindar, I.; FOTBOLCU, HAKAN
    We report on a 37-year-old patient who suffered from myocardial stunning after exposure to carbon monoxide, despite having normal coronary arteries. As myocardial ischaemia may be asymptomatic in these patients, close monitoring with serial electrocardiography and of serum cardiac enzymes and troponins is recommended.
  • PublicationMetadata only
    Relation of the severity of contrast induced nephropathy to SYNTAX score and long term prognosis in patients treated with primary percutaneous coronary intervention
    (2013-08-01T00:00:00Z) Oduncu, V.; Erkol, A.; Karabay, C. Y.; Akgun, T.; Sengul, C.; Fotbolcu, HAKAN; Ozveren, O.; Pala, S.; Bitigen, A.; Kirma, C.; FOTBOLCU, HAKAN