Ertürk, Emre
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emre.erturk2@medicalpark.com.tr
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09.02. Internal Sciences
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29
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| Journal | Count |
|---|---|
| Cardiovascular surgery and interventions | 1 |
| European Heart Journal-Case Reports | 1 |
| Kardiologiya | 1 |
| Kardıologıya | 1 |
| Turkish Studies (Elektronik) | 1 |
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Article Citation - WoS: 1Case Report-Right Atrial Mass: a Very Rare Presentation of Endometrial Cancer Metastasis(Oxford Univ Press, 2023) Ertürk, Emre; Söyler, Onur; Pehlivan, Fatma Seher; Arslan, ÇagatayBackground We report a case of a 47-year-old woman with right atrial metastasis of endometrioid adenocarcinoma, which is an uncommon clinical presentation for patients with endometrial cancer (EC). The principal aim of this case is to demonstrate the possibility of distant metastasis, something rarely encountered among this group of patients.Case summary Our patient, diagnosed with EC and receiving chemotherapy and radiotherapy after surgery, was found to have enhanced 18-fluorodeoxyglucose uptake inside the right atrium on the repeat positron emission tomography-computed tomography scan at the ninth month after initial diagnosis. Following trans-oesophageal echocardiography, cardiac magnetic resonance imaging showed a hyper-vascular mass with right atrial lateral wall involvement likely to be malignant in nature. A right atrial tumour was successfully removed by cardiovascular surgeons, and a pericardial patch was placed at the site of the excised atrium. The pathological examination showed EC metastasis. Following surgery, systemic treatment was planned for recurrent EC. The patient had an uneventful recovery after the surgery.Discussion Endometrial cancer is the most common gynaecologic malignancy and the fourth most common cancer in women. The lymphatic pathway is the main metastatic behaviour of EC; however, haematogenous metastases are not uncommon, especially in patients with higher stages of the disease. Our patient did not show any signs and symptoms of cardiac involvement. Nevertheless, clinicians should be alert for symptoms of cardiac involvement like new-onset murmur, embolism, or dyspnoea. Having known the behavioural pattern of the primary tumour, timely utilization of diagnostic imaging methods in accordance with clinical suspicions in patients with rapidly growing tumours can be lifesaving.Article Short-Term and Long-Term Results of Percutaneous Coronary Interventions Performed in a Hospital Without a Cardiac Surgery Department for High and Low Risk Lesions(Limited Liability Company KlinMed Consulting, 2022) Boyraz, B.; Aggul, B.; Ertürk, Emre; Ibisoglu, E.; Aslan, B.Aim Widespread utilization of technology has led to the construction of a growing number of facilities with coronary angiography units and percutaneous coronary intervention (PCI) capability. Some of these centers do not have cardiovascular surgery (CVS) on site. Studies regarding the efficacy and safety of PCIs performed at these hospitals have been conducted. However, to date, high-risk procedures in this context have not been evaluated. The present study compares the outcomes of PCI procedures performed on high- and low-risk lesions groups in a center without CVS back-up. Material and methods A total of 999 patients treated with PCI with diagnoses other than ST elevation myocardial infarction were included in this study. Patients with SYNTAX scores 22 or higher, bifurcation lesions, chronic total occlusions, left main coronary artery lesions and saphenous graft lesions were classified as a high-risk group. In contrast, patients with SYNTAX scores lower than 22 were included in the low-risk group. Coronary lesions were classified as Type-A, B, and C. The 30-day major adverse cardiac events (MACE) and 1-year target vessel revascularization (TVR) rates were compared. Results There was no significant difference between the groups in terms of the rates of MACE (2 (0.9%) vs 5 (0.6%); p=0.64) and TVR (9 (4.2%) vs 25 (3.2%); p=0.52). Analysis regarding the lesion type also revealed no significant difference between the MACE and TVR rates (p=0.56 and p=0.43, respectively). Conclusions The findings in this study demonstrated that, similar to low-risk procedures, complex and high-risk coronary interventions can safely and effectively be conducted in hospitals without a CVS unit. © 2022 Limited Liability Company KlinMed Consulting. All rights reserved.Article SHORT- AND LONG-TERM OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTIONS OF HIGH-RISK VS. LOW-RISK LESIONS PERFORMED AT A HOSPITAL WITHOUT AN ON-SITE CARDIAC SURGERY UNIT(Russian Heart Failure Soc, 2021) Boyraz, Bedrettin; Aggul, Burcu; Erturk, Emre; Ibisoglu, Ersin; Aslan, BurhanAim Widespread utilization of technology has led to the construction of a growing number of facilities with coronary angiography units and percutaneous coronary intervention (PCI) capability. Some of these centers do not have cardiovascular surgery (CVS) on site. Studies regarding the efficacy and safety of PCIs performed at these hospitals have been conducted. However, to date, high-risk procedures in this context have not been evaluated. The present study compares the outcomes of PCI procedures performed on high- and low-risk lesions groups in a center without CVS back-up. Material and methods A total of 999 patients treated with PCI with diagnoses other than ST elevation myocardial infarction were included in this study. Patients with SYNTAX scores 22 or higher, bifurcation lesions, chronic total occlusions, left main coronary artery lesions and saphenous graft lesions were classified as a highrisk group. In contrast, patients with SYNTAX scores lower than 22 were included in the low-risk group. Coronary lesions were classified as Type-A, B, and C. The 30-day major adverse cardiac events (MACE) and 1-year target vessel revascularization (TVR) rates were compared. Results There was no significant difference between the groups in terms of the rates of MACE (2 (0.9 %) vs 5 (0.6%); p=0.64) and TVR (9 (4.2 %) vs 25 (3.2 %); p=0.52). Analysis regarding the lesion type also revealed no significant difference between the MACE and TVR rates (p=0.56 and p=0.43, respectively). Conclusions The findings in this study demonstrated that, similar to low-risk procedures, complex and high-risk coronary interventions can safely and effectively be conducted in hospitals without a CVS unit.Article Covıd-19 Pandemi Sürecinde Sağlık Çalışanlarında Maske Kullanımının Etkilerinindeğerlendirilmesi(2020) Ertürk, Emre; Biçen, Ahmet ÇağdaşBu çalışmanın amacı COVID-19 pandemisi sürecinde farklı maske tiplerinin ve bunların kullanım güçlüklerinin incelenmesidir. Çalışma etik kurul onayı sonrası düzenlendi. İzmir Ekonomi ÜniversitesiMedical Park Hastanesi’nde çalışan, sekreter, hemşire ve doktorlardan oluşan, yaş ortalaması 29,5 olan 78kadın, 34 erkek toplam 112 gönüllü çalışmaya dâhil edildi. Gönüllüler cerrahi tıbbi maske ve FFP2 maskekullananlar olarak iki gruba ayrıldı. 1. gruba cerrahi tıbbi maske kullanan 81 gönüllü, 2. gruba FFP2 maskekullanan 31 gönüllü dahil edildi. Gönüllülerin, maske kullanımı esnasında 60. dakika ve 180. dakikada nefesdarlığı, görme sıkıntısı, kulak ağrısı, baş ağrısı, yüzde rahatsızlık hissi, anksiyete şikâyetlerinin gelişipgelişmediği sorgulandı. Ayrıca 60. ve 180. dakikalarda pulse oksimetre cihazı ile gönüllülerin oksijensatürasyonları ve kalp atım sayılarındaki değişiklik ölçüldü ve başlangıç değerleriyle kıyaslandı. Şikâyetlerin;alerji, sigara kullanımı ve gözlük kullanımı ile değişkenlik gösterip göstermediği değerlendirildi. Verilerinanalizinde SPSS 17 paket program kullanıldı. Mevcut verilerin dağılımı Kruskal Wallis ve Shapiro Wilk testleriile incelendi. Verilerin normal dağılım paterninde olduğu saptandı ve ortalama±standart sapma olarak, gruplararasında başlangıç, 60 ve 180. dakika satürasyon ve nabız değerleri açısından fark olup olmadığı Student-t testiile karşılaştırıldı. p<0.05 istatistiksel olarak anlamlı kabul edildi. Nefes darlığı, anksiyete, yüzde rahatsızlıkhissi, baş ağrısı, kulakta ağrı ve görme sıkıntısı açısından grupların kendi içinde ve gruplar arasında fark olupolmadığı Ki-Kare testi ile değerlendirildi. Her iki grupta da başlangıç ile 60. Dakika(p<0.001) ve 180 dakika(p<0.001), oksijen satürasyonları açısından istatistiksel anlamlı fark bulunmuştur. Yine başlangıç nabızdeğerleri ile 60.dakika (p<0.001) ve 180. dakika nabız değerleri açısından (p<0.001) istatistiksel anlamlı farkbulunmuştur. 180. dakika satürasyon değeri arasındaki fark ile maske türü, alerji varlığı, gözlük kullanımı,sigara kullanımı, yaş ve cinsiyet arasında istatistiksel anlamlı ilişki saptanmamıştır. FFP2 tipi maskenin cerrahimaske kullanımıyla kıyaslandığında, daha fazla şikâyete yol açtığı saptanmıştır. Sonuç olarak FFP2 tipimaskenin kullanımda tolerasyonunun daha zor olduğu görülmüştür. Her iki maske tipinde de 180 dakikakullanım sonunda oksijen satürasyonu ve kalp atım hızında düşüş görülmesine rağmen, bu değerler fizyolojiksınırlarda kalmıştır. COVID-19 pandemisi sürecinde, sağlık çalışanları ve toplumdaki kişilerin kendilerininkorunması için önemli bir bariyer olan maske kullanımının sağlık üzerine olumsuz etkisi saptanmamıştır.Article The Influence of Left Ventricular Pacing Polarity on Ventricular Repolarization Parameters in Cardiac Resynchronization Therapy and Its Clinical Reflections on Ventricular Tachyarrhythmias(2021) Abusharekh, Mohammed; Alak, Çetin; Durukan, Ahmet Barış; Yılmaz, Akar; Ertürk, Emre; Özcan, Emin EvrenObjectives: This study aims to investigate the effects of the left ventricular (LV) pacing polarities on ventricular repolarization patterns and to examine novel parameters taking depolarization into account. Patients and methods: This prospective study included a total of 54 patients (39 males, 15 females; mean age: 65.2±11.6 years; range, 40 to 89 years) with successful cardiac resynchronization therapy using quadripolar LV leads between January 2014 and February 2017. The patients were divided into two groups as the true bipolar group (n=25) and the unipolar/extended bipolar group (n=29). Ventricular repolarization parameters and novel markers, i.e., TpTe/QRS, Tpec/QRS, TpTe/(QRS ¥ QTc) and Tpec/(QRS ¥ QTc), were measured before implantation within 48 h following the procedure and at six months. Evaluation of ventricular tachyarrhythmias was performed using device records during follow-up. Results: The median follow-up was 17.7 (range, 12.6 to 31.2) months. The mean ejection fraction was 23.3±5.5% in the bipolar group and 23.62±6.24% in the unipolar/extended bipolar group. Bipolar LV pacing was associated with higher Tpec/QTc values (acute, bipolar vs. unipolar, +0.011 vs. -0.0008, p=0.019; long-term, bipolar vs. unipolar, +0.005 vs. - 0.015, p=0.005, respectively). There was no significant difference between the groups in terms of other repolarization parameters. Bipolar pacing was associated with significantly higher novel markers values and more frequent sustained and non-sustained ventricular tachyarrhythmias. Conclusion: The LV pacing polarity significantly affects Tpec/QTc, but not the other ventricular repolarization parameters. Novel arrhythmia predictors, i.e., TpTe/QRS, Tpec/QRS, TpTe/(QRS x QTc), and Tpec/(QRS x QTc), are more influenced in bipolar pacing associated with more frequent ventricular tachyarrhythmias.