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Öğe Fragmented QRS is associated with frequency of premature ventricular contractions in patients without overt cardiac disease(Turkish Soc Cardiology, 2015) Temiz, Ahmet; Gazi, Emine; Altun, Burak; Güngör, Ömer; Barutçu, Ahmet; Bekler, Adem; Tan, Yusuf Ziya; Çölkesen, Yücel; Yener, Ali Ümit; Saçar, MustafaObjective: In this study, we aimed to demonstrate whether the presence of fragmented QRS (fQRS) is associated with the frequency of premature ventricular contractions (PVCs). Methods: We retrospectively analyzed 282 cases by 24-hour Holter monitorings (HMs) between August 2012 and February 2013. Firstly, the patients were divided into 2 groups with respect to presence of fQRS and then divided into 3 groups with respect to frequency of PVCs as Group 1: seldom PVC (<120 PVCs/day), Group 2: moderate-frequency PVC (120-720 PVCs/day), and Group 3: frequent PVC (>720 PVCs/day). We investigated the predictors of frequent PVCs by using multinomial logistic regression analysis. Results: Ninety-eight patients had fQRS. There was no difference between the 2 groups with respect to body mass index, gender, hypertension, and diabetes mellitus. Patients with fQRS were older (54.9 +/- 15.6 vs. 47.0 +/- 16.3, p<0.001) and had more family history of coronary artery disease (25% vs. 13%, p=0.012). Patients with fQRS was more likely to be on aspirin therapy (28.6% vs. 10.4%, p<0.001) and have a larger left atrium diameter (33.5 +/- 5.7 vs. 30.4 +/- 5.8, p=0.001). Presence of fQRS was significantly associated with the frequency of PVCs (for frequent PVC 27.7% vs. 7.6%, p<0.001; for moderate-frequency PVC 18.4% vs. 11.4%, p=0.012); 26.2% of Group 1 (n=202) had fQRS, 46.2% of Group 2 (n=39) had fQRS, and 65.9% of Group 3 (n=41) had fQRS. In the multinomial regression analysis, only age (odds ratio: 4.24, 95% confidence interval 2.08-8.64, p=0.001) and fQRS (odds ratio: 2.11, 95% confidence interval 1.00-4.45, p=0.05) were predictors of frequent PVCs. Conclusion: This study demonstrated that the presence of fQRS is associated with frequent PVCs in patients without overt structural heart disease.Öğe İntrakoroner yoğun trombüsü olan akut ST yükselmesiz miyokard İnfarktüsü geçiren genç olguda, invaziv girişime alternatif olarak başarılı tirofiban uygulaması(Çanakkale Onsekiz Mart Üniversitesi, 2014) Bekler, Adem; Barutçu, Ahmet; Temiz, Ahmet; Altun, Burak; Gazi, Emine; Güngör, ÖmerTipik göğüs ağrısı şikayetiyle başvuran 32 yaşındaki erkek hasta, kardiak enzimlerin yüksek olması üzerine ST elavasyonu olmayan miyokard infarktüsü tanısıyla koroner yoğun bakım ünitesine yatırıldı. Yapılan koroner anjiografide LAD'de yoğun trombüslü lezyon saptandı. Hastanın ağrısının ve EKG'de dinamik değişiklik olmaması üzerine invaziv girişim düşünülmedi. Asetilsalisilik asit, klopidogrel, heparin ve tirofiban içeren yoğun antiagregan tedaviye başlandı. 48 saat sonra yapılan kontrol anjiografide LAD'deki trombüsün tamamen eridiği izlendi.Öğe Normotansif Erken Dönem Romatoid Artrit Hastalarında Arteryel Sertlik Bozulmamıştır(Çanakkale Onsekiz Mart Üniversitesi, 2013-01) Temiz, Ahmet; Güngör, Ömer; Devrimsel, Gül; Uğurlu, Yavuz; Çetin, Mustafa; Erdoğan, Turan; Çiçek, Yüksel; Şatıroğlu, Ömer; Bostan, Mehmet; Altun, Burak; Gazi, Emine[No Abstract Available]











