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Preventive efficacy of propafenone in paroxysmal
atrioventricular tachycardias
Koshumbaeva K.M, Makhanov D.I, Kim
Z.G, Atarbayeva V.Sh, Kurmanbekova G. Zh.
The efficacy
and tolerance of propafenone during of the long-term therapy in patients
with various forms of paroxysmal atrioventricular (a-v) tachycardias had
been studied by authors.
It was
revealed that propafenone is high-effective for prevention of paroxysms of
atrioventricular (a-v) reciprocal nodal tachycardia and a-v tachycardia in
Wolf-Parkinson-White (WPW) syndrome. The side effects, required the
preparate revocation, are observed in 12,7% cases.
The
effect of the use of nebivolol and ascorbic acid on radial
artery vasodilatation and endothelial vasomotor function in
patients awaiting coronary bypass who are older than 50 years
Ulaş M.M, Cırcı R, Cırcı
P, Türkvatan A, Lafçı G, Gedik S, Korkmaz K, Bardakçı H, Çağlı
K, Paç M.
In this study we aimed
to measure the vasodilating effects of ascorbic acid and
nebivolol on radial artery in patients awaiting coronary
artery bypass grafting.
Total 30 smoker and hypertansive patients older than 50
years old were examined in this study. All the patients had
coronary artery disease and were waiting for coronary bypass
surgery. These patients were divided to two groups randomly.
In the study group we gave oral nebivolol (5 mg/daily) to
the patients for one week, but control group didn't take any
drug at this time. We measured the flow and dilatation of
radial artery with Doppler ultrasonography and recorded.
After a week, we gave oral single dose ascorbic acid (2 gr)
to two groups and we measured dilatation response again. We
measured lumen diameter, lumen area, flow rate and flow
volume of radial artery with Doppler ultrasonography.
All the measurements evaluated. The difference of flow
volume was 91.66 (54%) in study group, but 77.08 (41%) in
control group. So this was found statistically important
(p<0.05). The other measurements were not statistically
important.
Oral ascorbic acid and nebivolol therapy improve endothelial
vasomotor dysfunction and these drugs can be used for this
aim in the patients awaiting coronary bypass surgery.
High
density lipoprotein cholesterol and cigarette smoking on the
young Turkish men population
Kılıç H, Atalar E, Can M.
Cigarette
smoking (CS) is the major cardiovascular risk factor that decreases high
density lipoprotein cholesterol (HDL-C) levels. HDL-C levels of Turkish
adults are significantly lower than the adults in western countries. All
adults older than 20 years should be screened through measurement of fasting
total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), HDL
cholesterol and triglycerides levels (TG). The purpose of this study was to
screen HDL-C level in young Turkish men and examine the relationship between
CS and HDL -C levels in a land of low HDL-C. Total 685 militiary recruits
attended the study. All of them were 20 years old. Four hundred andone of
the total 685 (%58.5) military recruits were currently smoking. The smokers
had significantly lower mean HDL-C (38.6± 6.85 mg/dl vs 41.4± 6.57 mg/dl, p<
0.01) and TC (133.2±22.87 mg/dl vs 139.1±23.00 mg/dl, p<0.01) levels. The
amount of cigarette smoking, duration of cigarette smoking were negatively
correlated with HDL-C (-0.228 and -0.189, p<0.01).
In conclusion, Turkish young men population have low levels of HDL-C.
Smoking, also contributes to the these low levels of HDL-C. The amount of CS
and the duration of CS are also important factors for low HDL-C but the
amount of CS influences the HDL-C concentrations more significantly. The
lower mean TC level found in smokers could be due to the relatively low HDL-C
levels.
Key Words:
High density lipoprotein cholesterol, Cigarette smoking, Lipoprotein
The remote results of
catheter radiofrequency ablation (RFA) of atrioventricular
junction in patients with paroxysmal atrial fibrillation
refractored to drug therapy had been studied by authors.
It was shown that positive results of RFA are general state
improvement (due to disappearance of palpitation),
significant reduction the events of ambulance call, the
stoppage of antiarrhythmic drug receiving. The significant
changes of the hemodynamics state (functional class of the
heart failure and angina pectoris) and requirement in
cardiac drugs (except antiarrhythmic drug) are not occurred.
It is revealed, that 8,9% of patients with artificial
complete a-v blockade of heart are absolutely depended from
pacemaker.
The knowledge about
anatomical details of the aortic valve and root is very
important for aortic valve surgery. Valve repair techniques
are applicable for bicuspid and tricuspid leaflets with
proplasus or aortic root aneurysms. It is known that
mechanic valve replacement is not perfect choice.
Sinotubular junction diameter is the most important
measurement for the proper size selection of stentless
valves. Although, biologic valves have advantages that are
lower thromboembolism and anticoagulation related hemorrhage
rates, their durability in time is not good when compared to
mechanical valves.
improvement
In transcatheter cardIovascular treatment
Çaylı M.
To day the most important
reason of mortality and morbidity is cardiovascular disease.
The increasing of avarage ages in population, unhealty
nutrition, sedantory life and smoking has increased the
incidance of cardiovascular di-sease. For this reason, to
decrease cardiovascular mortality new diagnostic and
therapeutic techniques being researched. The improvement in
imaging technology and new interventional therapies are
considered to decrease the mortality in cardiovascular.
MyocardIal IschemIa due to a coronary to pulmonary artery
fIstula: Percutaneous occlusIon by coIl
Yıldız A, Biçeroğlu S,
Çelik S, Karaca M, Gürbüz A, Akıllı A.
Coronary
artery fistulas (CAF) are rare congenital anomalies. CAF can
cause an important coronary morbi- dity and mortality
leading to angina, syncope, congestive heart failure,
myocardial infarction and sudden death. We describe one case
of myocardial ischemia due to a coronary-pulmonary fistula,
which treated with coil embolization.
A rare varIant of anomalous pulmonary
venous connectIon In a baby wIth complex congenItal cardIac
defects
Uçar H.İ, Tok M, Onuk B,
Alehan D, Yorgancıoğlu A.C.
Cardiac catheterization is not only a diagnostic tool but
also a means of treatment of cardiac diseases. Catheter-induced
aortic dissection is a very rare but serious complication
of diagnostic cardiac angiography. A 70-year-old man was
admitted to the hospital with chest pain. Conventional
angiography showed coronary artery disease with right arcus
aorta, aberrant left subclavian artery and origin anomaly of
four major supraaortic vessels, which were leaving the arcus
separately and also aberrant left subclavian artery and
dissection of thoracic aorta beginning from origin of the
aberrant left subclavian artery. Iatrogenic dissection of
arcus aorta was treated with an endovascular stent graft
were placed in the thoracic aorta. After endovascular stent
graft off-pump coronary artery by-pass grafting was
performed.
