Browsing by Author "Güneş, Y."

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Clinical and Laboratory Features of Patients With Pericardial Effusion
(2010) Gümrükçüoǧlu, H.A.; Akyol, A.; Tuncer, M.; Güneş, Y.; Beǧenik, H.; Akdaǧ, S.; Aǧirbaşli, M.
Objectives: We reviewed patients who were diagnosed to have pericardial effusion (PE) over a four-year period to determine the causes of PE, clinical and laboratory features, and treatment modalities. Study design: Medical records of 136 patients (81 women, 55 men; mean age 55.8±18.7 years; range 8 to 90 years) admitted to our department with PE from August 2005 to August 2009 were reviewed. The diagnosis of PE was made by transthoracic echocardiography. Medical history, physical examination, electrocardiography, echocardiography, and laboratory findings and treatment methods were recorded. Results: The most frequent complaint was dyspnea (86.8%) and the most common physical examination finding was jugular venous distension (47.1%). The most common electrocardiographic and echocardiographic findings were tachycardia (47.8%) and mild PE (<1 cm) (63.2%), respectively. Chronic renal failure and malignant diseases were the primary causes of PE (25% and 22.8% respectively), followed by idiopathic cases (14%). Pericardial tamponade was detected in 34 patients (25%), of which the majority had malignant diseases (53%). Thirty-eight patients (27.9%) underwent interventional treatment (pericardiocentesis in 27, surgical drainage in 11), while 98 patients (72.1%) were followed-up with medical treatment. Mortality occurred in three patients with pericardial tamponade. Conclusion: The most common causes of PE in our cases were chronic renal failure and malignancies. The incidence of malignant PE is on the incline owing to increased life expectancy. Echocardiography is the primary imaging modality for the evaluation of PE.
Interrupted Aortic Arch in an Old Woman With Aortic Stenosis
(2010) Gümrükcüoǧlu, H.A.; Şimşek, H.; Şahin, M.; Tuncer, M.; Güneş, Y.; Güntekin, U.
Interrupted aortic arch (IAA) is a rare and usually lethal congenital malformation. Without previous surgical intervention to reach adult age is very rare in patients with complete IAA. The present report describes a 70-year-old hyptertensive women who was incidentally diagnosed to have IAA and aortic stenosis. Aortography showed a complete IAA below the origin of left subclavian artery and gadolinium contrast-enhanced magnetic resonance angiogram (1.5 T scanners) clearly reaffirmed a complete interruption of the arcus aorta, with markedly developed collateral circulation.
P Wave Dispersion in Covid-19
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Tuncer, M.; Öztürk, F.; Çoldur, R.; Karaduman, M.; Güneş, Y.
The effects of COVID-19 on the heart are still not fully known. In this study, we investigated how COVID-19 affects the P interval. Electrocardiographies (ECG) of 30 COVID-19 patients and the control group consisting of 23 healthy volunteers were examined and dispersion (Pd) of the P wave was calculated. Compared to control group mean Pd ( 40,1±6,6 vs. 49,6±11,5, p=0,006) values were significantly higher in Covid19 patients. Increased Pd was observed as an indication that COVID-19 affects the atriums. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
A Pregnant Developed Cardiac Arrest Due To Anaphylaxis
(TIP ARASTIRMALARI DERNEGI, 2010) Göktaş, U.; Kati, I.; Tekin, M.; Güneş, Y.
We present a pregnant developed cardiac arrest due to a severe anaphylactic reaction to i.v. sulbactam-ampicillin, who had no history of allergy to penicillin and cephalosporin. Ampicillin is one of the most common drugs to elicit a rash, with an overall incidence of 3% to 8%. Five to ten percent of people on ampicillin develop eruptions between the 5th and 14th day following initiation of therapy. The incidence of immediate hypersensitivity reaction or anaphylactic reaction to cephalosporin antibiotics has been estimated at 0.02% and most of these patients have a history of allergy to penicillin and/or adverse reactions to cephalosporins. We present a case of immediate systemic reaction to sulbactam-ampicillin in a pregnant women whom exposed to intravenous sulbactam-ampicillin several times in past. The patient manifested a severe reaction which included anaphylactic shock, requiring orotracheal intubation and epinephrine. In this case, we emphasized the importance of early, fast, effective,and proper cardiac resusitation for anaphylaxis which may improve the prognosis.