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    Index of cardiac-electrophysiological balance and the effects of thrombolytic therapy on the electrocardiogram of patients with pulmonary embolism
    (Assoc Medica Brasileira, 2020) Alsancak, Yakup; Sahin, Ahmet Taha; Gurbuz, Ahmet Seyfeddin; Sertdemir, Ahmet Lutfi; Icli, Abdullah; Akilli, Hakan; Duzenli, Mehmet Akif
    OBJECTIVE: Different parameters on electrocardiograms (ECG) have been investigated to predict arrhythmia and mortality in patients with acute pulmonary embolism (APE). The acute effect of thrombolytic therapy (TT) on these parameters has not been investigated yet. METHODS: We examined the data of 83 patients who were evaluated as high-risk APE and discharged from the hospital after TT First, the high-risk APE patients' ECGs were compared with healthy control subjects (n = 55). After their admission and 24 hours later, the ECGs of patients with APE were compared. Heart rate, P-wave morphology, QRS duration, QT distance, Tp-e, and the index of cardiac electrophysiological balance (iCEB) were analyzed. RESULTS: Although P maximum was not different between the groups' ECGs, heart rate, QT, QTc (corrected QT) interval, Tp-e intervals, Tp-e/QT ratio, and P wave dispersion were significantly higher in the APE group (P values < 0.031). iCEB or iCEBc (corrected iCEB) values were lower in APE group (P < 0.001). After TT, we determined a decrease in heart rate, Tp-e interval, and Tp-e/QT ratio (P < 0.001). Although we detected a decrease in the QT and QTc interval and QT dispersion (QTd), QTd had no statistical significance (respectively P-value 0.013, 0.029, and 0.096). The iCEB and iCEBc levels were lower after TT (P-value was 0.035 and 0.044 respectively). CONCLUSION: The QT, QTc, Tp-e interval, Tp-e/QTc ratio, iCEB, and iCEBc values significantly decreased after TT It may be thought that effective TT causes partial improvement in ventricular repolarization in an early period.
  • Küçük Resim Yok
    Öğe
    Index of cardiac-electrophysiological balance and the effects of thrombolytic therapy on the electrocardiogram of patients with pulmonary embolism
    (Assoc Medica Brasileira, 2020) Alsancak, Yakup; Sahin, Ahmet Taha; Gurbuz, Ahmet Seyfeddin; Sertdemir, Ahmet Lutfi; Icli, Abdullah; Akilli, Hakan; Duzenli, Mehmet Akif
    OBJECTIVE: Different parameters on electrocardiograms (ECG) have been investigated to predict arrhythmia and mortality in patients with acute pulmonary embolism (APE). The acute effect of thrombolytic therapy (TT) on these parameters has not been investigated yet. METHODS: We examined the data of 83 patients who were evaluated as high-risk APE and discharged from the hospital after TT First, the high-risk APE patients' ECGs were compared with healthy control subjects (n = 55). After their admission and 24 hours later, the ECGs of patients with APE were compared. Heart rate, P-wave morphology, QRS duration, QT distance, Tp-e, and the index of cardiac electrophysiological balance (iCEB) were analyzed. RESULTS: Although P maximum was not different between the groups' ECGs, heart rate, QT, QTc (corrected QT) interval, Tp-e intervals, Tp-e/QT ratio, and P wave dispersion were significantly higher in the APE group (P values < 0.031). iCEB or iCEBc (corrected iCEB) values were lower in APE group (P < 0.001). After TT, we determined a decrease in heart rate, Tp-e interval, and Tp-e/QT ratio (P < 0.001). Although we detected a decrease in the QT and QTc interval and QT dispersion (QTd), QTd had no statistical significance (respectively P-value 0.013, 0.029, and 0.096). The iCEB and iCEBc levels were lower after TT (P-value was 0.035 and 0.044 respectively). CONCLUSION: The QT, QTc, Tp-e interval, Tp-e/QTc ratio, iCEB, and iCEBc values significantly decreased after TT It may be thought that effective TT causes partial improvement in ventricular repolarization in an early period.
  • Küçük Resim Yok
    Öğe
    A Rare Cause of Pulmonary Embolism: Lead Fracture in an Unexpected Area
    (Erciyes Univ Sch Medicine, 2024) Sahin, Ahmet Taha; Alsancak, Yakup; Sertdemir, Ahmet Lutfu; Gezer, Mertcan
    Background: Cardiac pacemakers are increasingly used in clinical cardiology practice for various indications. Lead fractures, though undesirable, are potential complications in patients with pacemakers.Case Report: We present a case of a patient with a cardiac pacemaker, in whom a lead fracture was discovered during an investigation for the etiology of pulmonary embolism.Conclusion: Cardiac pacemakers are invaluable in clinical practice. However, complications related to lead fractures can lead to additional clinical challenges in patients. Vigilance for such scenarios is crucial in the management of patients with pacemakers.
  • Küçük Resim Yok
    Öğe
    A Rare Cause of Pulmonary Embolism: Lead Fracture in an Unexpected Area
    (Erciyes Univ Sch Medicine, 2024) Sahin, Ahmet Taha; Alsancak, Yakup; Sertdemir, Ahmet Lutfu; Gezer, Mertcan
    Background: Cardiac pacemakers are increasingly used in clinical cardiology practice for various indications. Lead fractures, though undesirable, are potential complications in patients with pacemakers.Case Report: We present a case of a patient with a cardiac pacemaker, in whom a lead fracture was discovered during an investigation for the etiology of pulmonary embolism.Conclusion: Cardiac pacemakers are invaluable in clinical practice. However, complications related to lead fractures can lead to additional clinical challenges in patients. Vigilance for such scenarios is crucial in the management of patients with pacemakers.