Browsing by Author "Akil, Mehmet Ata"

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The Effects of Nebivolol on Qt Duration and Dispersion in Patients With Coronary Slow Flow
(Elsevier Science inc, 2013) Sahin, Musa; Simsek, Hakki; Akyol, Aytac; Akdag, Serkan; Akil, Mehmet Ata; Aksoy, Hakan; Gumrukcuoglu, Hasan Ali
Frequency of Pulmonary Hypertension in Patients With Copd Due To Biomass Smoke and Tobacco Smoke
(Ivyspring int Publ, 2012) Sertogullarindan, Bunyamin; Gumrukcuoglu, Hasan Ali; Sezgi, Cengizhan; Akil, Mehmet Ata
Objectives; Pulmonary hypertension (PH) is a common and well established complication of chronic obstructive pulmonary disease (COPD). Its presence is associated with decreased survival. This study was designed to investigate the PH frequency and its relations in hospitalized tobacco and biomass related COPD patients. Methods and Results; The study was a retrospective review of inpatients with COPD defined as a history of tobacco or biomass smoking, Pulmonary function tests (PFT) within stable status, an echocardiogram within stable status. PH was defined as systolic pulmonary artery pressure (sPAP) > 35 mmHg. Of the 694 individuals, 600 had suitable aspects for inclusion of study. All Females were biomass exposer and males were tobacco smoker. The Prevalence of PH was found more frequent in females than males. It was more prominent in moderate level COPD cases (56,2% and 37,5%, P<0,002). Both groups had airflow limitation, hypercapnia and hypoxemia, but no differences were found in terms of PaCO2 and PaO2. However, FEVI % was lower in males than females (p<0,005). On the other hand, FVC % was lower in the females compared with the males (p < 0.02). When analyzing the influence of PFT and demographic parameters on PH in separate COPD level groups, the results a bit varied among the groups. Conclusion; Our study demonstrated that PH frequency is higher in female COPD cases due to biomass smoke than in male COPD cases due to tobacco smoke. The influence of FVC % on the risk of a person having PH increased with increasing COPD level.
Peripartum Cardiomyopathy in Turkey: Experience of Three Tertiary Centres
(Taylor & Francis inc, 2016) Akil, Mehmet Ata; Bilik, Mehmet Zihni; Yildiz, Abdulkadir; Acet, Halit; Ertas, Faruk; Simsek, Hakki; Alan, Sait
We conducted this study to determine demographic details, and clinical presentations in patients with peripartum cardiomyopathy (PPCMP) of Turkish origin. The study population consisted of 58 patients with PPCMP treated at 3 major hospitals in Turkey, retrospectively. In this study, demographic details and initial echocardiographic data were recorded and long-term clinical status was evaluated. The mean age for the patient cohort was 31.47 +/- 6.31 years. Thirty-eight patients (73.1%) were multigravida and seven patients had multifetal pregnancy (13.7%). The mean follow-up left ventricular (LV) ejection fraction increased from 31 +/- 7 to 38 +/- 19. A minority of patients were defined as improvers according to our pre-specified criteria. The average survival period after diagnosis of PPCMP was 20.66 +/- 14.44 months. Initial values for LV end-diastolic diameter and urea were higher in the deceased patients compared with the surviving patients, respectively. Twenty-eight (48%) patients with PPCMP showed improvement in the follow-up period. Of the 58 PPCMP patients, 9 (15%) died during a mean follow-up of 32 +/- 22 months.
Pulmonary Hypertension Frequency in Patients With Chronic Obstructive Pulmonary Disease Exposed To Biomass or Tobacco Smoke
(European Respiratory Soc Journals Ltd, 2012) Sertogullarindan, Bunyamin; Gumrukcuoglu, Hasan Ali; Sezgi, Cengizhan; Akil, Mehmet Ata
Transient Cortical Blindness Can Also Be Seen in the Absence of Contrast Enhancement at Computed Tomography Scan After Coronary Angiography
(Professional Medical Publications, 2012) Tuncer, Mustafa; Celik, Murat; Milanlioglu, Aysel; Akil, Mehmet Ata
Transient cortical blindness after coronary angiography or angioplasty is a rare complication. Patients with aortocoronary bypass grafts such as internal mammary artery have a seperate risk factor probably because of the direct contrast injection to the vertebral artery during the catheterisation of the internal mammary artery ostium. In most cases, computed tomography scan revealed typical, symmetrical contrast enhancement in both occipital lobes Nevertheless, transient cortical blindness can be seen after coronary angiography without contrast enhancement at computed tomography scan.