Summary Objectives The aim of this study was to investigate the protective effect of topical rifamycin SV treatment against sternal infection (SWI) in diabetic patients undergoing on-pump coronary artery bypass graft (CABG) surgery. Methods One hundred and fifty-nine diabetic patients who were scheduled to undergo isolated on-pump CABG surgery were included. Eight were excluded for various reasons. Of the 151 patients, 51 were on insulin therapy and 100 were on oral anti-diabetics. The risk of mediastinitis was assessed using the American College of Cardiology/American Heart Association 2004 guideline update for CABG surgery. According to the risk scores, patients were divided into two comparable groups: the rifamycin group (n = 78) received topical rifamycin treatment after on-pump CABG surgery, and the control group (n = 73) received no topical treatment.
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Epicardial fat tissue predicts increased long-term major adverse cardiac event in patients with moderate cardiovascular risk
by clinicby clinicWe investigated the relationship between epicardial fat volume (EFV) measured by multislice computed tomography (MDCT) and long-term major adverse cardiac events (MACEs). Consecutive patients (n = 564) were enrolled in this retrospective study. Patients were divided into tertiles according to EFV. Patients were followed up for an average of 18 months. Patients in each tertile were similar in terms of gender and risk factors. Patients with greater EFV in the third group were more likely to be overweight (P = .001) and older (P = .001). High-density lipoprotein cholesterol levels were relatively lower in the third tertile (45 ± 9, 45 ± 11, and 43 ± 9 mg/dL, respectively; P = .018). The third group had a significantly higher rate of myocardial infarction (0.6%, 1.1%, and 3.7%, respectively; P = .043). The incidence of MACEs during the follow-up period was highest in the third group 15.9% (4.1%, 7.7%, and 15.9%, respectively; P = .001). Epicardial fat volume measured by MDCT was associated
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Relationship of coronary artery disease with pericardial and periaortic adipose tissue and their volume detected by msct
by clinicby clinicConclusions: In both groupings, the prevalence of CAD was significantly higher in Group 2 versus Group 1 (p<0.01 for both). There was a significant relationship between CAD and PAFV (p<0.05), but the relation between CAD and PCFV was more significant (p<0.01).
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Evaluation of echocardiographic epicardial fat thickness as a sign of cardiovascular risk in positive exercise test patients
by clinicby clinicEFT was significantly correlated with the severity and prevalence of coronary artery disease in positive exercise test patients. Keywords: Angiography, Coronary artery disease, Epicardial adipose tissue volume
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Epicardial fat and liver disease; the contribution of cardio autonomic nervous system function
by clinicby clinicAs a consequence, we believe that the impairment of the cardiac autonomic nervous system function may be helpful in explaining the results of the article by Petta et al., [[1] ]. We hope that the above-mentioned items would add to the value of the well-written article of Petta et al. on the relationship between epicardial fat and NAFLD.
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Association between pdw and long term major adverse cardiac events in patients with acute coronary syndrome honor ulucan ahmet keser zeynettin kaya mustafa info ismail fire mehmet siddik ulgen
by clinicby clinicThe pre-procedural PDW may be an independent predictor of both in-hospital and long-term adverse outcomes in patients with ACS.
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Peripheral artery disease and atrial fibrillation: the dangerous combination.
by clinicby clinicOn the other hand, there are some doubts about the anticoagulation regime of the patients of this study. In this study, about 6% of patients had a diagnosis of atrial fibrillation. Presence of risk factors such as hypertension, diabetes, coronary artery disease, and old age in the study population is associated with thromboembolism, bleeding, and high mortality risk. Therefore, CHADS2 or CHA2DS2-VASc (5) scores should have been calculated and possible effects should have been explained before discussing the study results
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Demographics of patients with heart failure who were over 80 years old and were admitted to the cardiology clinics in turkey
by clinicby clinicHF is common in elderly Turkish population, and its frequency increases significantly with age. Females, diabetics, and hypertensives are more likely to have HFpEF, whereas CAD patients are more likely to have HFrEF.
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The effect of group counseling based on solution-focused counseling on rumination and learned helplessness.
by clinicby clinicThe Effect of Group Counseling Based on Solution-Focused Counseling Approach on Rumination and Learned Helplessness
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Trans-arterial radioembolization with yttrium-90 of unresectable and systemic chemotherapy resistant hepatoblastoma in three toddlers
by clinicby clinicAbstract The aim of this short communication was to report the results of transarterial radioembolization (TARE) with Yttrium-90 (Y90) loaded resin microspheres in three toddlers with unresectable and systemic chemotherapy-resistant HB hepatoblastoma (HB). Six TARE procedures were performed on the patients. The dose required for treatment was calculated using partition model. Administered doses of Y90 were 1.369, 0.851, and 1.147 GBq.Complete radiological response in two patients and partial response enabling liver resection in one patient were achieved. Neither life-threatening nor minor complications developed after the treatment. These results demonstrate that HB is a radiosensitive neoplasm, and TARE-Y90 can be used as the primary, neoadjuvant and palliative treatment method in patients with unresectable and systemic chemotherapy-resistant HBs. However, studies with higher number of patients and long-term results are required
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