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ATAŞ, HALİL

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HALİL

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2015 - 201942020 - 20221
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Author: TİGEN, MUSTAFA KÜRŞAT × Has files: true ×

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Now showing 1 - 5 of 5
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    PublicationOpen Access
    Short and Long Term Mortality Predictors in Octogenarians with Acute Coronary Syndromes
    (2018-06-30) ÖZBEN SADIÇ, BESTE; Atas, Halil; Tigen, Kursat; Ozben, Beste; Kartal, Fatih; Gurel, Emre; Atas, Dilek B; Sari, İbrahim; Basaran, Yelda
    Purpose: Octogenarians with acute coronary syndromes have higher mortality and morbidity due to higher prevalence of comorbidities and frailty. The aim of this study was to explore the predictors of short and long term mortality in octogenarians with ACS. Methods: Ninety-eight consecutive octogenarians presenting with acute coronary syndrome (mean age:84±3 years, 56 male) were included. All patients underwent coronary angiography and were given optimal medical treatment. The primary end point was cardiovascular mortality in hospital and at one year. Results: Fifteen patients died during hospitalization and 20 patients died after discharge within the first year. ST-segment-elevation myocardial infarction and hypotension were significantly more prevalent in the in-hospital mortality group while atrial fibrillation and hyponatremia were more prevalent in the long-term mortality group. All deceased patients had significantly lower left ventricular ejection fraction and glomerular filtration rate. Cox analysis revealed ST-segment-elevation myocardial infarction, hypotension and left ventricular ejection fraction as independent predictors of in-hospital mortality while hyponatremia, atrial fibrillation and renal dysfunction as independent predictors of long term mortality. Conclusion: It would be reasonable to pay further attention to octogenarians with acute coronary syndrome if they are presenting with ST-segment-elevation myocardial infarction, and have hypotension, impaired left ventricular function, hyponatremia, atrial fibrillation or renal dysfunction, which are associated with increased mortality.
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    PublicationOpen Access
    The impact of right ventricular function assessed by 2-dimensional speckle tracking echocardiography on early mortality in patients with inferior myocardial infarction
    (WILEY, 2018-03) ÇİNÇİN, AHMET ALTUĞ; Kanar, Batur G.; Tigen, Mustafa K.; Sunbul, Murat; Cincin, Altug; Atas, Halil; Kepez, Alper; Ozben, Beste
    BackgroundRight ventricular (RV) involvement in inferior myocardial infarction (MI) increases in-hospital morbidity and mortality. HypothesisRV systolic dysfunction assessed by 2-dimensional speckle tracking echocardiography (STE) might be a predictor of early mortality in patients with acute inferior MI. MethodsEighty-one consecutive patients with acute inferior MI (mean age, 60.812.7years; 18 females) were included. RV myocardial involvement was defined as an elevation >1mm in V-1 or V4R within 12hours of symptom onset. RV function was assessed by STE. Patients were followed for 30days for all-cause mortality. ResultsThirty-eight patients had RV myocardial involvement, and they had significantly lower tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (RVS), and left ventricular (LV) and RV global longitudinal strain (GLS). Nine patients (11%) died within 30days. The mean age of mortality group was higher with more female frequency. They had significantly higher pro-BNP, hs-troponin T, and creatinine levels, but lower hemoglobin levels. TIMI 3 flow was significantly less achieved in mortality group. RV myocardial involvement was more frequent in the mortality group, and they had significantly lower TAPSE, RVS, and LV and RV GLS. Multivariate analysis revealed that age and RV GLS were independent predictors of early mortality. RV GLS -14% predicted early mortality in patients with acute inferior MI with a sensitivity of 88.9% and a specificity of 62.5% (AUC: 0.817, P =0.002). ConclusionsRV GLS may be useful in predicting early mortality in patients with acute inferior MI.
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    PublicationOpen Access
    A Case of Decompensated Heart Failure Due to Prosthetic Valve Dysfunction: Quick Diagnosis with Fluoroscopy
    (AVES, 2015-07-23) ÇİNÇİN, AHMET ALTUĞ; Cincin, Ahmet Altug; Ozben, Beste; Atas, Halil; Tigen, Kursat
    Introduction: Patients with decompensated heart failure due to prosthetic heart valves consists of a challenging group in emergency clinics for both diagnosis and treatment. Despite the important role in diagnosis, transthoracic echocardiography (TTE) remains unsatisfactory in many cases. Case Report: A 65-year-old female patient with decompensated heart failure and a history of valve replacement surgery 6 years ago for both mitral and aortic valves was admitted. The diagnosis of prosthetic valve dysfunction was successfully fixed using fluoroscopy, despite the fact that initial TTE was not adequate enough to assess valve function. Conclusion: In cases that TTE is not accessible or inadequate enough to assess valve function, fluoroscopy is a practical and quick method to rule out prosthetic valve dysfunction.
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    PublicationOpen Access
    Percutaneous and surgical removal of two cases of embolized totally implantable venous access devices that were implanted a long time ago
    (2015-03-06) ÇİNÇİN, AHMET ALTUĞ; Atas, Halil; Sari, Ibrahim; Cincin, Altug; Tigen, Kursat
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    PublicationOpen Access
    Intra-aortic balloon occlusion for refractory cardiac arrest in a patient with anterior myocardial infarction
    (2022-12-01) YILDIRIM, ÇAĞAN; UYSALER, EREN; NİZAM, AHMET CEM; ATAŞ, HALİL; TİGEN, MUSTAFA KÜRŞAT; MUTLU, BÜLENT; Aslanger E., Akaslan D., Yıldırım Ç., Uysaler E., Nizam A. C., Jafarov E., ATAŞ H., TİGEN M. K., MUTLU B.
    Despite recent advances in its management, the outcome of cardiac arrest is often poor despite appropriate cardiopulmonary resuscitation. The arteriovenous perfusion gradient achieved dur ing cardiopulmonary resuscitation is associated with the successful return of spontaneous cir culation. Continuous balloon occlusion of the descending aorta is an experimental method that can occlude the \"unnecessary\" part of the circulation, thus diverting generated pressure and blood flow to the heart and brain. In this study, we present a case report of a patient unre sponsive to standard cardiopulmonary resuscitation, in whom constant intra-aortic balloon occlusion achieved a return of spontaneous circulation and successful survival.