Objective We aimed to determine the relationship between LMR and MHR and in-hospital and long-term mortality in patients with ACS. Methods We retrospectively collected patients with ACS undergoing coronary angiography between January 2012 and December 2013. Results In total, 825 patients with a mean age of 62.4 ± 12.9 years (71.3% male) were enrolled in the study. Patients were divided into three tertiles based on MHR levels and LMR levels. In-hospital mortality of the patients was significantly higher amongst patients in the upper MHR tertile when compared with the lower and middle MHR tertile groups [30 (10.9%) vs 8 (2.9%) and 14 (5.1%); P < .001, P = .009, respectively]. Five-year mortality of the patients was significantly higher amongst patients in the upper MHR tertile when compared with the lower and middle MHR tertile groups [84 (30.5%) vs 48 (17.5%) and 57 (20.7%); P < .001, P = .005, respectively]. In-hospital mortality of the patients was significantly higher amongst patients in the lower LMR tertile when compared with the upper and middle LMR tertile groups [25 (9.1%) vs 10 (3.6%) and 17 (6.2%); P = .007, P = .130, respectively]. Five -year mortality of the patients was significantly higher amongst patients in the lower LMR tertile when compared with the upper and middle LMR tertile groups [77 (28.0%) vs 47 (17.1%) and 65 (23.6%); P = .001, P = .142, respectively]. Conclusion We have shown that high MHR and low LMR were significant and independent predictors of in-hospital and long-term mortality in patients with ACS.
Mitral valve prolapsus (MVP) is common heart valve disease which is often accepted as benign. Rarely arrhythmias, mitral insufficiency and infective endocarditis can be seen in this disease. Much more rarely, MVP can lead to sudden cardiac death. We want to report and discuss that successful resuscitation of sudden cardiac death of a young male patient who had MVP. After then implantable cardiac defibrillator (ICD) was implanted to him with documented ICD defibrillation of 17 times for ventricular tachycardia/fibrillation. There was no reason for malignant arrhythmia as the cause of ICD discharge other then MVP. As a rare cause of sudden cardiac death, we aimed to discuss MVP and review sudden death risk factors in this entity.
Spontaneous coronary artery dissection is rare cause of acute coronary syndrome. It is diagnosed by coronary angiography which shows dissection flap and false lumen. Patients might be presented different clinical conditions from asymptomatic to sudden cardiac death. A 52 year-old man with acute coronary syndrome was performed coronary angiography, his sircumflex artery had spontaneous dissection. Due to unrelieved symptomes with medical treatment, percutanous coronary stenting was succesfully performed to sircumflex artery of the patient. If there are suitable vessel and experienced physican, percutanous coronary intervention can be performed to the patients with spontaneous coronary artery dissection
Miyokardiyal köprülenmede, miyokart içinde seyreden bir koroner arter segmentine bası nedeniyle sistolik kan akımı engellenmektedir. Koroner anjiyografide tespit edilen bu durum genellikle benign kabul edilir. Üç aydır efor anjinası olan 52 yaşındaki erkek hastanın koroner anjiyografisinde kritik olmayan plak ve uzun segment miyokardiyal köprülenme tespit edildi. Sunacağımız yazıda, kritik olmayan plak birlikteliğindeki miyokardiyal köprülenmenin stabil anjina nedeni olduğu olguyu paylaşarak, miyokardiyal köprülenmeli hastalara yaklaşımı gözden geçirmeyi amaçladık.
We describe a case of an early pacemaker pocket infection in a male patient within one year of insertion of a subcutaneous dual chamber rate-adaptive pacemaker and complaining of only pruritus during infection.We also summarize other complications related to the generator that must be considered in the differential diagnosis of pocket infections.Pruritus in patients with cardiac implantable electronic devices should be taken seriously and these patients should be closely monitored for serious complications.
Microorganisms and valve tissue/ Demonstration of Chlamydophila pneumoniae, Mycoplasma pneumoniae, Cytomegalovirus, and Epstein-Barr virus in atherosclerotic coronary arteries, nonrheumatic calcific aortic and rheumatic stenotic mitral valves by polymerase chain reaction Mikroorganizmalar ve kapak dokusu /
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