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    Impact of the radial versus femoral access for primary percutaneous intervention on smoking cessation rates: A paradoxus between the health related quality of life and smoking quitting?
    (Elsevier, 2018) Deveci, Bülent; Özeke, Özcan; Gül, Murat; Acar, Burak; Çetin, Elif Hande Ozcan; Burak, Cengiz; Çay, Serkan; Topaloğlu, Serkan; Aras, Dursun; İlkay, Erdoğan
    Background: Smoking cessation is potentially the most effective secondary prevention measure and improves prognosis after acute ST-segment elevation myocardial infarction (STEMI), but more than half of the patients continue to smoke after STEMI. The awareness of the disease's severity and the short hospital stay at the index STEMI have been found to be associated with persistent smoking after STEMI. Objective: To assess whether the paradoxical relationship between smoking quitting rates and health-related quality of life (QOL) scores in STEMI patients undergoing primary percutaneous intervention (pPCI) by radial (RA) versus femoral approach (FA). Methods: Our population is represented by 138 STEMI patients undergoing pPCI by FA or RA. The smoking cessation rates and QOL scores were evaluated. Results: Patients at RA group (46 patients, 57 +/- 9 years, 87% male) had a higher European Quality of Life-5 Dimensions (EQ-5D) index score at post-PCI first week compared to FA group (92 patients, 57 +/- 8 years, 75% male) [FA: median 0.81 (0.22) vs. RA: 1 (0.22), p = 0.042], although it was similar at baseline [FA: median 1 (0) vs. RA: 1 (0), p = 0.992]. Total hospital length of stay [RA: median 3 (1) day vs. FA: 4 (1), p < 0.001] was significantly reduced in the RA group. Whereas the smoking cessation rates at 1-year post-discharge were 41% in RA group, it was 67% in FA group (p = 0.003). Female sex, pain-to-door time and RA during p-PCI were independent predictors of continued smoking after STEMI. Conclusion: This study shows that the smoking cessation was lower in RA group compared to FA group. The more comfortable conditions of STEMI management related to RA may cause a lower awareness of the disease severity and lower motivation to quit smoking. Therefore, it is important to inquire about smoking status at each clinical encounter, particularly in patients undergoing pPCI by the radial approach. (c) 2018 The Czech Society of Cardiology. Published by Elsevier Sp. z o.o. All rights reserved.
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    Single coronary artery with double coronary courses: Tips and tricks
    (Elsevier Ltd., 2019) Gül, Murat; Özeke, Özcan; Özen, Anıl; Uçar, Fatih Mehmet; Çay, Serkan; Aras, Dursun
    Congenital coronary artery anomalies are uncommon and the vast majority is diagnosed incidentally during coronary angiogram or necropsy. A single coronary artery is one of the most rarely seen coronary artery anomalies Determination of its course (inter-arterial, intra-septal, pre-pulmonic or retro-aortic) is very important regarding its clinical significance. Avoiding the misdiagnosis of an unsuspected anomalous coronary artery is critical to the patient and it is always the angiographer's responsibility to accurately define the origin and course of the vessel. Cardiologists should be aware of simple clues in order to easily identify coronary anomalies. © 2018 The Czech Society of Cardiology
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    The Usefulness of RDW as a Predictor of Atrial Fibrillation Recurrence after Cryoablation
    (Czech Soc Cardiology & Czech Soc Cardiovascular Surgery, 2023) Keskin, Pınar; Kısacık, Halil Lütfi; İnci, Sinan; Gül, Murat; Özeke, Özcan; Topaloğlu, Serkan; Aras, Dursun
    Aim: Red cell distribution width (RDW) is known to be related to inflammation and has been associated with poor outcomes in patients with cardiovascular diseases. However, little is known about the role of RDW as a predictor of atrial fibrillation (AF) recurrence after cryoablation, and thus we aimed to investigate the relation between RDW and the recurrence of AF after cryoablation. Methods: We retrospectively analyzed the case records of 90 patients after cryoablation (mean age, 50.06 +/- 12.36) with symptomatic paroxysmal AF despite being prescribed at least one anti-arrhythmic drug. The patients were divided into two groups based on the recurrence of AF and, after a mean follow-up period of 15 months. Results: AF recurrence was detected in 22 (24%) patients. Baseline demographic characteristics and left atrial diameter (3.74 +/- 0.33 vs 3.76 +/- 0.31; p = 0.757) were similar between the two groups. RDW levels were significantly higher in patients with AF recurrence than in those without AF recurrence (14.17 +/- 1.42 vs 13.57 +/- 0.85; p = 0.019). CHA(2)DS(2)-VASc scores were not different between the two groups but in the patients with a CHA(2)DS(2)-VASc score of 3, the rate of AF recurrence was 46% while it was only 15% in patients with CHA(2)DS(2)-VASc score 0. The value of RDW as a predictor of a recurrence of AF was tested using the receiver operator characteristic curve and the area under the curve was 0.634 (p = 0.06) with a trend toward statistical significance. Conclusion: RDW may be a useful predictor of AF recurrence along with other predictors but not alone, and larger multicenter and prospective studies are required to confirm this.