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Öğe A case of Guillain-Barre syndrome following prosthetic valve endocarditis(Elsevier Ireland Ltd, 2009) Celik, Turgay; Iyisoy, Atila; Celik, Murat; Baysan, Oben; Bek, Semai; Dogru, M. TolgaGuillain-Barre syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy associated with progressive limb weakness and areflexia. Up to now, a few cases of GBS following infective endocarditis (IE), particularly prosthetic valve endocarditis, have been reported. We present a case of a 63-year-old male patient in whom GBS developed following aortic prosthetic valve endocarditis. Although GBS is not frequently encountered in patients with IE, we believe that every clinician should consider the probable GBS in those patients suffering from distal paresthesis, progressive limb weakness and ataxia. (C) 2007 Elsevier Ireland Ltd. All rights reserved.Öğe The changing face of angiographic patterns of restenosis after drug-eluting stent placement: Sirolimus versus paclitaxel-eluting stent(Elsevier Ireland Ltd, 2008) Çelik, Turgay; Iyisoy, Atila; Işık, Ersoy; Dogru, M. Tolga…Öğe Coronary stent strut fracture after drug-eluting stent implantation: A newly recognized complication(Elsevier Ireland Ltd, 2009) Çelik, Turgay; Iyisoy, Atila; Dogru, M. Tolga; Işık, ErsoyStent strut fracture (SSF) after drug-eluting stent (DES) implantation may be an important complication after DES implantation particularly in patients undergoing sirolimus eluting stent implantation. Since SSF is a highly relevant adverse event which can result in in-stent restenosis and thrombosis, we belive that DES with flexible stent platform or biodegradable DES may be needed to prevent this potential catastrophic complication. (C) 2007 Elsevier Ireland Ltd. All rights reserved.Öğe Differences in autonomic activity in individuals with optimal, normal, and high-normal blood pressure levels(Kare Publ, 2010) Dogru, M. Tolga; Simsek, Vedat; Sahin, Omer; Ozer, NurtacObjectives: We investigated differences in autonomic activity in normotensive individuals having optimal, normal and high-normal blood pressure (BP) levels according to the guidelines of the European Society of Hypertension and European Society of Cardiology (ESH/ESC). Study design: The study included 294 normotensive subjects (135 males, 159 females; age range 16 to 75 years) with similar clinical, morphometric, biochemical, electrocardiographic, and echocardiographic features. The subjects were classified into the following BP groups: group 1 (n=113) with optimal BP (<120/80 mmHg); group 2 (n=104) with normal BP (120-129/80-84 mmHg), and group 3 (n=77) with high-normal BP (130-139/85-89 mmHg). All the subjects underwent 24-hour Holter monitoring to obtain heart rate variability (HRV) parameters of 24-hour, daytime, and nighttime periods. Normalized low (LFn) and high (HFn) frequency powers, and logarithmic (Log) values of HRV parameters were also calculated. Results: On 24-hour Holter monitoring, heart rates were similar in three groups. Compared to group 1 and 2, group 3 exhibited significantly higher LF/HF (p<0.001) and LFn (p=0.001) values, and significantly lower HFn (p=0.001), pNN50 (p=0.001), and rMSSD (p=0.005) values. There were no significant differences between the groups with respect to daytime HRV parameters; however, nighttime LF/HF, LFn, and HFn values were significantly different between the groups. Log LF/HF values obtained during the 24-hour and nighttime periods showed significant differences between group 1 and group 3 (for 24 hours, p<0.001; for night, p=0.001) and between group 2 and group 3 (for 24 hours, p<0.001; for night, p=0.009), but group 1 and group 2 did not differ significantly in this respect (p>0.05). Conclusion: These findings suggest that subjects with high-normal BP have increased sympathetic activity and decreased parasympathetic activity, possibly making them more liable to hypertension.Öğe Effects of statin treatment on serum sex steroids levels and autonomic and erectile function(Elsevier Science Inc, 2008) Dogru, M. Tolga; Basar, M. Murad; Simsek, Ali; Yuvanc, Ercan; Guneri, Mahmut; Ebinc, Haksun; Batislam, ErtanOBJECTIVES To investigate the effect of statin treatment on serum sex steroid levels, heart rate variability, erectile function, and libido in patients with hyperlipidemia. METHODS A total of 74 patients (mean age 44.7 +/- 7.1 years) with hyperlipidemia were enrolled into this study. After a cardiac examination, the serum lipid levels were measured, and the 24-hour Holter monitoring, heart rate variability, and autonomic test results were also evaluated. Erectile function was assessed using the International Index of Erectile Function (IIEF) questionnaire. Later, atorvastatin 40 mg/day was initiated in all patients and used for the subsequent 12 months. All diagnostic tests (cardiac, biochemical, and autonomic and the IIEF questionnaire) were performed again at 6 and 12 months of follow-Lip. RESULTS A statistically significant decrease was found in the serum lipid levels at 6 months (P<0.05). In contrast, the average IIEF scores (24.7 +/- 6.4 at baseline) had increased to 25.0 +/- 4.9 and 26.1 +/- 5.9 at 6 and 12 months of follow-up, respectively. Although the parasympathetic activities increased and sympathetic activities decreased with atorvastatin treatment, these changes were not statistically significant (P>0.05). In paired comparison, significant differences were found among the IIEF scores of the three periods (P = 0.013). The difference was more evident after 6 months of treatment (IIEF1vs2 = 0.475; IIEF1vs3 = 0.027; IIEF2vs3 = 0.012). CONCLUSIONS Although improvement in the lipid profile occurred early during the statin treatment, restoration of erectile function appeared later, which Could be attributed to the restoration of endothelial functions by lowered serum lipid levels.Öğe Impact of metabolic syndrome on left ventricular mass: Is the same in all ethnic groups and in men and women?(Elsevier Ireland Ltd, 2009) Çelik, Turgay; Iyisoy, Atila; Dogru, M. Tolga; Işık, Ersoy…Öğe Statin use in chronic heart failure: Waiting for the results of large prospective outcome trials(Elsevier Ireland Ltd, 2009) Çelik, Turgay; İyisoy, Atila; Dogru, M. Tolga; Işık, Ersoy…Öğe The relationship between serum sex steroid levels and heart rate variability parameters in males and the effect of age(Aves, 2010) Dogru, M. Tolga; Basar, M. Murad; Yuvanc, Ercan; Simsek, Vedat; Sahin, OmerObjectives: We evaluated the relationships between sex steroid levels and heart rate variability (HRV) parameters. Study design: The study included 114 male subjects (mean age 46.6 +/- 11.3 years) presenting to our department for cardiologic evaluation. Hormonal analysis included serum levels of luteinizing hormone, prolactin, total testosterone (TT), free testosterone, estradiol (E2), and dehydroepiandrosterone sulfate (DHEA-S). Parameters of HRV were derived from 24-hour Holter monitoring. The associations between serum sex steroid levels and HRV parameters were investigated in three age groups (20-39 years; 40-59 years; >60 years). Results: All the participants had normal biochemical results. The three age groups were similar in terms of anthropometric measurements. Among sex steroids analyzed, only serum DHEA-S level was significantly different among the groups (p=0.026), showing a decreasing trend with age. In the evaluation of HRV, all parasympathetic activities decreased (for HFn, pNN50, and rMSDD: p=0.001, p=0.000, and p=0.000, respectively), while only LF/HF among sympathetic activities increased (p=0.000) with age. Partial correlation analysis with control of age and waist circumference showed that TT and DHEA-S were positively correlated with HFn (parasympathetic parameter), and were in negative correlation with LF/HF24 hours and global sympathetic index (GSI) (sympathetic parameters). Serum E2 level was negatively correlated with the parasympathetic parameter of rMSSD, and positively correlated with LF/HF24 hours and GSI. Among serum sex steroids, DHEA-S was the most correlated parameter with autonomic functions. Conclusion: Our results showed positive correlations between androgens and parasympathetic activity and between estradiol and sympathetic activity in men, independent from anthropometric factors.Öğe Transposition of the great arteries in a newborn whose mother was treated with carbamazepine during pregnancy(Turkish Soc Cardiology, 2007) Misirlioglu, Emine Dibek; Aliefendioglu, Didem; Dogru, M. Tolga; Sanli, Cihat; Oktay, Ayla…Öğe Uncomplicated retainment of metal coronary bulldog clips recognized five years after coronary artery bypass graft surgery(Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2011) Tulmac, Murat; Ozer, Nurtac; Ebinc, Haksun; Simsek, Vedat; Dogru, M. TolgaWe report a patient with retained metal coronary bulldog clips in the mediastinum during coronary artery bypass surgery which was recognized during coronary angiography following the diagnosis of unstable angina pectoris after an uncomplicated period of five years. This case suggests that conservative management of patients with postoperatively recognized retained foreign material should be kept in mind as an alternative to reoperation.
