Enver Erbilen - Academia.edu (original) (raw)

Papers by Enver Erbilen

The New Zealand medical journal, 2004

Discussion BMD is a congenital muscle disease caused by mutations in the dystrophin gene. Dystrop... more Discussion BMD is a congenital muscle disease caused by mutations in the dystrophin gene. Dystrophin gene-related diseases comprises two other entities, Duchenne muscular dystrophy (DMD) and X-linked dilative cardiomyopathy. 1 Although all the three so-called ...

Archives of the Turkish Society of Cardiology, 2004

Archives of the Turkish Society of Cardiology, 2007

Türk Kardiyoloji Derne¤i, ‹stanbul Üniversitesi Cerrahpafla T›p Fakültesi Kardiyoloji Anabilim Da... more Türk Kardiyoloji Derne¤i, ‹stanbul Üniversitesi Cerrahpafla T›p Fakültesi Kardiyoloji Anabilim Dal›, ‹stanbul; Düzce Üniversitesi T›p Fakültesi Kardiyoloji Anabilim Dal›, Düzce; Dr. Siyami Ersek Gö¤üs Kalp ve Damar Cerrahisi E¤itim ve Araflt›rma Hastanesi Kardiyoloji Klini¤i, ‹stanbul; Kartal Kofluyolu Yüksek ‹htisas E¤itim ve Araflt›rma Hastanesi Kardiyoloji Klini¤i, ‹stanbul; Gaziantep Üniversitesi T›p Fakültesi Kardiyoloji Anabilim Dal›, Gaziantep; Yüzüncü Y›l Üniversitesi T›p Fakültesi Kardiyoloji Anabilim Dal›, Van

Amaç: Bu çal›flman›n amac› cerrahi destek olmayan bir merkezde yap›lan primer anjiyoplasti ifllem... more Amaç: Bu çal›flman›n amac› cerrahi destek olmayan bir merkezde yap›lan primer anjiyoplasti iflleminin güvenilirlik ve etkinli¤ini araflt›rmak ve sonuçlar› literatürle k›yaslamakt›r. Materyal ve Metod: Merkezimizde Ocak 2001 fiubat 2003 aras› yap›lan 78 primer anjiyoplasti vakas›n›n demografik, klinik verileri ile erken ve geç sonuçlar› retrospektif olarak de¤erlendirildi. Anjiyoplasti güvenilirli¤ini de¤erlendirmek için hastane-içi olaylar (ölüm, akut miyokard infarktüsü, inme) dikkate al›nd›. Rezidüel stenoz %50'nin alt›nda ise ve TIMI III ak›m sa¤lanm›fl ise anjiyoplasti sonuçlar› baflar›l› kabul edildi. Bulgular: Alet baflar›s› %92.3, anjiyografik baflar› oran› %88.8, hastane içi ölüm oran› %4.1 idi. Ölen üç hastan›n hepsi kardiyojenik flok tablosunda hastaneye kabul edilmiflti. Bu hastalar›n biri ifllem s›ras›nda, ikisi hastane yat›fl› s›ras›nda kaybedildi. Alt› ayl›k takip boyunca bir hastada ani ölüm, di¤er bir hastada akut miyokard infarktüsü gözlendi. ‹nme geçiren veya c...

Summary Background: Adverse respiratory reactions have been reported with intravascular radiograp... more Summary Background: Adverse respiratory reactions have been reported with intravascular radiographic contrast media. The aim of the present study was to assess the effects of iohexol on pulmonary functions in patients undergoing diagnostic coronary angiography. Methods: Thirty patients diagnosed as coronary artery disease undergoing diagnostic coronary angiography were enrolled in the study. Subjects with chronic obstructive pulmonary disease, asthma, allergic bronchitis, myocardial infarction and documented systolic dysfunction by transthoracic echocardiography were excluded. The respiratory functions of the patients before and immediately after the coronary angiography were measured and arterial blood gas analyses were performed. The subjects were divided into two groups according to results of angiography as having coronary artery disease (Group 1) and without significant coronary artery disease (Group 2). The angiography procedures were performed by a single, experienced angiogr...

Bu yazýda sað koroner sinüsten sað koroner arter ile ayný ostiumdan çýkan, yüksek yerleþimli ve i... more Bu yazýda sað koroner sinüsten sað koroner arter ile ayný ostiumdan çýkan, yüksek yerleþimli ve iyi geliþmiþ bir sað ventriküler koroner arter anomalisi bulunan 50 yaþýnda bir bayan hasta sunulmaktadýr. Koroner arter anomalileri tüm koroner anjiyografi olgularýnda kabaca %0.64-1.2 sýklýkta görülür. Koroner arter anomalisi bulunan olgularýn koroner anjiyografi ve/veya kalp cerrahisi uygulanacak hastalarda gösterilmesi önemlidir. Anahtar kelimeler: Koroner arter, aberran, sað venriküler arter, koroner anomalisi

A 54-year-old male was admitted to the emergency department with progressive dyspnea and chest pa... more A 54-year-old male was admitted to the emergency department with progressive dyspnea and chest paint during exercise. Congenital corrected transposition of the great arteries was detected on echocardiography. Coronary angiography revealed myocardial bridging on the obtuse marginal branch of the left circumflex coronary artery. Being a rare complex cardiac anomaly we discussed the congenitally corrected transposition of the great arteries (CCTGA) in association with myocardial bridging. D 2004 Elsevier Ireland Ltd. All rights reserved.

Electronic Journal of General Medicine

Aim: The aim of the Melen Study was to investigate the cardiovascular risk profile of Turkish adu... more Aim: The aim of the Melen Study was to investigate the cardiovascular risk profile of Turkish adults by utilizing newest techniques. Besides prevalence and types of endemic goiter will be established which was an important health problem in the Black sea region Method: The study was conducted on 2230 participants (1427 women, 803 men with a mean age of 49). The participants underwent a Doppler Ultrasound examination of carotid intima media thickness, echocardiographic examination, ECG recording, bioempedance meter analysis of body composition, pulmonary function test and various biochemical analysis. Result: Twenty nine percent of the population had hypertension, 12% had diabetes mellitus and 17% were smokers. Thyroid ultrasonography revealed that 29% of the cohort had goiter. Echocardiographic measurements showed that 39% of the participants had diastolic dysfunction. Comparison of males with females showed that men had significantly higher visceral fat, triglyceride, hemoglobin and CIMT whereas women had higher mean diastolic blood pressure, HDL and total cholesterol. Conclusion: According to the histories of patients, hypertension, diabetes mellitus and smoking were very frequent among Turkish adults. Among the objectively measured variables, diastolic dysfunction, visceral adiposity and goiter were strikingly high.

Turkiye Klinikleri Journal of Cardiology, 2004

Neuro Endocrinology Letters, 2007

Isolated ACTH deficiency is an uncommon cause of secondary adrenocortical insufficiency and accom... more Isolated ACTH deficiency is an uncommon cause of secondary adrenocortical insufficiency and accompaniment with primary empty sella has been reported in several cases. We present a case of isolated ACTH deficiency associated with empty sella. A sixty-two year old woman was admitted to our endocrine clinic with complaints of weakness, fatigue, weight loss, nausea, vomiting, and lack of appetite for about one month. Physical examination indicated orthostatic hypotension and epigastric tenderness. Laboratory investigations revealed hypoglycemia, hyponatremia and anemia, in addition low plasma cortisole and ACTH levels. Serum cortisole responses to short and prolonged ACTH stimulation were tested and partial and accurate responses were obtained, respectively. Plasma ACTH and serum cortisole levels failed to respond after intravenous injection of human corticotropin releasing hormone. Other hypophysial hormone levels were within the normal reference ranges. Although cranial and abdominal computerized tomography images were evaluated as normal, cranial magnetic resonance imaging of the pituitary gland revealed &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;primary empty sella turcica&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;. Replacement therapy with methylprednisolon resulted in the improvement of hypoglycemia, hyponatremia and clinical symptoms. Based on these results, the patient was diagnosed as isolated ACTH deficiency and was scheduled for follow up by our outpatient clinic. Our report is consistent with other reports pointing out that primary empty sella may be responsible for pathogenesis of isolated ACTH deficiency.

Turkish Journal of Medical Sciences, Apr 5, 2004

Acute occlusion of the left anterior descending artery (LAD) generally results in ST-segment elev... more Acute occlusion of the left anterior descending artery (LAD) generally results in ST-segment elevations in leads V1-V6 and reciprocal ST-segment depressions in leads II, III and aVF (1). There are several reports about the clinical importance, prevalence and causes of simultaneous anterior and inferior myocardial infarction due to occlusion of the LAD (2). Here we report a patient with acute anterior and inferior ST segment elevation due to LAD occlusion. Case Report A 30-year-old previously healthy male was referred to our emergency department with severe crushing chest pain of 2 h onset. He had been smoking 3 packets of cigarettes a day for 15 years. He did not have any other risk factors for coronary artery disease. Initial ECG demonstrated ST-segment elevations up to 2 mm in leads II, III, aVF and V1-V6 (Figure 1a). On physical examination, blood pressure was 110/80 mmHg, and heart rate was 110/min regular. There were no abnormal findings on cardiac or other systemic examinations.

Experimental and clinical cardiology, 2003

This case describes a 45-year-old man with an abnormal origin of the right ventricular branch of ... more This case describes a 45-year-old man with an abnormal origin of the right ventricular branch of the right coronary artery originating from a separate ostium in the right coronary sinus. Coronary arteries with abnormal origin constitute roughly 0.64% to 1.2% of all the representations encountered during coronary angiography. We suggest that the presence of such a vessel must be shown in patients undergoing coronary angiography and/or cardiac surgery.

The New Zealand medical journal, Jan 21, 2004

Annals of Saudi medicine

The safety of percutaneous coronary interventions (PCI) performed in centers without surgical bac... more The safety of percutaneous coronary interventions (PCI) performed in centers without surgical back-up is controversial, but data from several western countries indicates that this approach can be extended to a larger number of hospitals. We assessed the safety and efficacy of performing angiography and PCI with a mobile C-arm angiograph in a center without on-site surgical back-up, and compared our data with that reported in the literature. We retrospectively analyzed 1485 coronary angiograms and 172 PCI procedures performed in our center from January 2001 to May 2003 using a mobile angiograph. Half of the patients that have undergone PCI had refractory unstable angina and one-third had acute myocardial infarction (AMI). The safety of PCI was assessed by the analysis of in-hospital complications (death, urgent need for repeated revascularization, AMI with or without ST elevation and stroke). The PCI procedures were considered effective when the post-PCI residual stenosis did not exc...

The Journal of invasive cardiology, 2004

The aim of the present study is to assess the safety and efficacy of performing primary angioplas... more The aim of the present study is to assess the safety and efficacy of performing primary angioplasty in a center without on-site surgical back-up, and compare the data with the literature. Seventy-eight consecutive primary angioplasty procedures, performed in our center from January 2001 to February 2003, were followed prospectively. Clinical and demographic characteristics of the patients, procedural success, early and late outcomes of the patients were taken into account. The safety of angioplasty was assessed by the analysis of in-hospital complications (death, urgent need for repeat revascularization, AMI with or without ST-elevation and stroke). The angioplasty procedures were considered effective when the post-procedural residual stenosis did not exceed 50% with the distal Thrombolysis in Myocardial Infarction (TIMI) grade III flow. The device success rate was 92.3%. Angiographic success rate was 88.8%. In hospital mortality rate was 4.1%. These patients were admitted with card...

Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology, 2006