Person: TAŞLIDERE, BAHADIR
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Publication Open Access Evaluation of MINOCA syndrome and HEART score in patients presenting to the emergency department with panic attack and chest pain complaints(2022-04-01T00:00:00Z) TAŞLIDERE, BAHADIR; ATSIZ, AHMET; TAŞLIDERE, BAHADIR; ATSIZ, AHMETBackground Patients presenting with chest pain may or may not be experiencing a panic attack. Is chest pain caused by a panic attack or myocardial infarction with non-obstructive coronary arteries (MINOCA) syndrome? Aim In this study, we evaluated both MINOCA syndrome and HEART score in patients who presented to the emergency department with panic attacks and chest pain. Method Patients who applied to the emergency department with panic disorder and chest pain complaints were included. Patients who met the MINOCA diagnostic criteria were identified. The study was completed with 143 eligible patients out of a total of 217 patients evaluated. The patients were divided into two groups. The first group was those whose symptoms and test results were consistent with MINOCA. The second group was composed of those whose chest pain was considered non-specific. The HEART score of all patients was calculated. The demographic characteristics, symptoms, and HEART scores were compared between the groups. Results Of the 143 patients evaluated in the study, 62 (43.3%) were male and 81 (56.7%) were female. While the mean HEART score was 4.7 +/- 1.5 in the MINOCA group, it was 2.0 +/- 1.0 in the non-cardiac group, a statistically significant difference. Conclusion Clinicians should pay attention to the patient-s age, gender, number of attacks per week, HEART score, and which symptoms (palpitations, shortness of breath, and fear of death) are present in patients who meet the panic attack diagnostic criteria. Clinicians should be alert to the MINOCA syndrome in panic attack patients.Publication Open Access Comparison of Glasgow Blatchford and New Risk Scores to Predict Outcomes in Patients with Acute Upper GI Bleeding(2023-01-01) TAŞLIDERE B.; BİBERCİ KESKİN E.; ÖZDEMİR S.; Atsız A.; SÖNMEZ E.; TAŞLIDERE, BAHADIR; BİBERCİ KESKİN, ELMAS; SÖNMEZ, ERTANObjective: Upper gastrointestinal (GI) bleeding constitutes a significant number of admissions to the emergency department, and it has high rates of morbidity and mortality. In this study, the contribution of new scores, such as The International Bleeding Risk Score (ABC score) and the Horibe GI bleeding prediction score (HARBINGER), to clinical practice was investigated. Using scores that are easy to calculate and memorable when used in the emergency department enables a more efficient use of medical resources. In addition, it may contribute to solving the problems regarding determining the need for intensive care in patients with upper GI bleeding. Methods: This study was conducted retrospectively on patients over the age of 18 who were admitted to the emergency department between September 1, 2018 and August 31, 2019. The HARBINGER and ABC scores and the Glasgow Blatchford score (GBS) were calculated for each patient. Following that, the need for intensive care, mortality, re-bleeding rate, and transfusion need were compared. Results: This study included 184 patients. When predicting the need for intensive care, the ABC score had a higher AUC value than the GBS and HARBINGER score, even when there was a low cut-off value (cut-off value >4). (AUC =0.944, specificity =0.74, sensitivity =0.83). Conclusion: This study found that the ABC score could be used to predict the need for intensive care in upper GI bleeding, and that it outperformed other scores. Additionally, we concluded that the HARBINGER score, which had a “shock index” among its parameters, was not effective in predicting in-hospital adverse eventsPublication Open Access Melkersson-Rosenthal syndrome induced by COVID-19: A case report(2020-01-01T00:00:00Z) TAŞLIDERE, BAHADIR; MEHMETAJ, LILJANA; ÖZCAN, AYŞE BÜŞRA; GÜLEN, BEDİA; TAŞLIDERE, NAZAN; TAŞLIDERE, BAHADIR; MEHMETAJ, LILJANA; ÖZCAN, AYŞE BÜŞRA; GÜLEN, BEDİA; TAŞLIDERE, NAZANMelkersson-Rosenthal syndrome is a rare condition characterized by a triad of orofacial edema, facial paralysis, and fissured tongue. Histopathological examination of the disease has demonstrated areas of inflammation involving mast cells. Activated mast cells also play a part in the pathogenesis of COVID-19 infection, as they release cytokines in the lungs. We present a case of a female patient presenting with edema. We present a case of a female patient presenting with edema. Her examination revealed edema in the right lower lip, right facial paralysis, and fissured tongue. COVID-19 may be associated with which was not previously included in the etiology of the disease.Publication Open Access Role of endothelial nitric oxide synthases system on acute appendicitis(2016-07-01) TASLIDERE, BAHADIR; ŞENER, Elif Funda; Taslidere, ELİF; GUNAY, Nahide Ekici; BOL, Oguzhan; BULBUL, Emre; Aktas, Ramazan Sami; GÜNAY, Nurullah; TAŞLIDERE, BAHADIR; TAŞLIDERE, ELİFBACKGROUND: Obstruction and inflammation of the appendix lumen is the leading physiopathological process during acute appendicitis (AA). Although the relationship between inflammation and endothelial nitric oxide synthases (eNOS) has been well described, no recent data describing the relationship between inflammation during AA and polymorphism of the eNOS gene has been reported. Given the limited data available, we believed that defining the relationship between AA and eNOS would be a beneficial contribution. METHODS: A total of 201 patients admitted to the emergency department with AA and 201 healthy volunteers selected from among the relatives of patients were included. Polymorphism of the eNOS was assessed. RESULTS: Intron 4a/4a was positive in 119 participants, genotype G894T GT was positive in 71 patients with AA, and 786-1 was positive in 71 patients with AA. These results suggest that no statistically significant correlation exists between genotypes of AA patients and control subjects regarding 4a/b, G894-GT, and 786-1 eNOS polymorphisms. CONCLUSION: Though the present results suggest that no statistically significant correlation exists between AA and eNOS gene polymorphism, to claim otherwise is also impractical. We believe that the present results will lay the groundwork for future, larger studies.Publication Open Access Expanding the discussion on fibrinolytic contraindications(2021-08-01T00:00:00Z) Sönmez, Ertan; Özdemir, Serdar; Taşlıdere, Bahadır; Özcan, Ayşe Büşra; SÖNMEZ, ERTAN; TAŞLIDERE, BAHADIR; ÖZCAN, AYŞE BÜŞRAPublication Open Access A new method of pulse control in cardiopulmonary resuscitation; Continuous femoral pulse check.(2024-03-31) Sonmez E.; Taslidere B.; Ozkan A.; TAŞLIDERE, BAHADIRObjectives: The reliability of manual pulse checks has been questioned but is still recommended in cardiopulmonary resuscitation (CPR) guidelines. The aim is to compare the 10-s carotid pulse check (CPC) between heart massage cycles with the continuous femoral pulse check (CoFe PuC) in CPR, and to propose a better location to shorten the interruption times for pulse check. Methods: A prospective study was conducted on 117 Non-traumatic CPR patients between January 2020 and January 2022. A total of 702 dependent pulse measurements were executed, where carotid and femoral pulses were simultaneously assessed. Cardiac ultrasound, end-tidal CO2, saturation, respiration, and blood pressure were employed for pulse validation. Results: The decision time for determining the presence of a pulse in the last cycle of CPR was 3.03 ± 1.26 s for CoFe PuC, significantly shorter than the 10.31 ± 5.24 s for CPC. CoFe PuC predicted the absence of pulse with 74% sensitivity and 88% specificity, while CPC predicted the absence of pulse with 91% sensitivity and 61% specificity. Conclusion: CoFe PuC provides much earlier and more effective information about the pulse than CPC. This shortens the interruption times in CPR. CoFe PuC should be recommended as a new and useful method in CPR guidelines.