Aim: Among cardiovascular diseases, pulmonary embolism (PE) is a serious emergency with high mortality. Right ventricular dysfunction due to an excessive increase in pulmonary artery pressure is considered a major cause of death in vigorous PE. We aimed to assess the predictive value of computed tomographic pulmonary angiography (CTPA)-based morphometric measurements of right heart function in the diagnosis of PE.Materials and Methods: This is a retrospective, case-controlled study. A total of 198 cases were included in the study during the study phase. CTPA results of 102 patients with PE were recorded, and the patients were grouped according to clot localisation. The diameters of the inferior vena cava (IVCA), aorta, pulmonary artery and right and left ventricles were assessed. Results: IVCA area/aortic area significantly predicted embolism in the main pulmonary artery [area under the curve (AUC)=0.957, p<0.001]. The optimal cut-off value was 1.22 with 88% sensitivity and 90% specificity. IVCA diameter/aortic diameter significantly predicted embolism in the main pulmonary artery (AUC=0.955, p<0.001). The optimal cut-off value was 1.1 with 89% sensitivity and 88% specificity.Conclusion: Our study illustrated a remarkable association between the existence and dispersion of PE and morphometric changes in IVCA and aortic ratio parameters measured using CTPA.
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Aim: We investigated the development of epistaxis and the effect of red blood cell distribution (RDW) and mean platelet volume(MPV) levels in hypertensive patients compared to non-hypertensive patients. Epistaxis is an urgent rhinologic condition that maymanifest itself as recurrent hemorrhages in small quantities or life-threatening hemorrhages. It is known that epistaxis does notdevelop in every hypertensive patient.Material and Methods: In this retrospective study, the participants were divided into four groups as follows: Group 1 hypertensiveepistaxis, Group 2 isolated epistaxis, Group 3 isolated hypertension, Group 4 control. RDW and MPV values were obtained fromcomplete blood count (CBC) samples.Results: There was a statistically significant difference in RDW and MPV blood parameters between all groups (p=0.02). When RDWand MPV blood parameters of Group 1 with hypertensive epistaxis and Group 3 with isolated hypertension were evaluated, there wasa statistically significant difference between these two groups in both parameters (p = 0.000, p = 0.011).Conclusion: In our study, we showed that the decrease in RDW and MPV values among the hematological parameters increases theassociation of epistaxis with hypertension in hypertensive patients compared to non-hypertensive patients.
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Aim: The purpose of this study was to determine the effects of using a bag-valve-mask (BVM) or endotracheal intubation (EI), andadministering epinephrine during the transfer of Out-of-hospital Cardiac Arrests (OHCA) cases, and to show the effects of BVM or EI,and epinephrine use on discharge from the hospital and patient survival.Material and Methods: Totally 109 OHCA patients were included in the study. Group 1 included patients in whom return of spontaneouscirculation was achieved after Cardiopulmonary resuscitation (CPR) and who were then discharged from the hospital within 30 days.Group 2 included patients who died after emergency CPR or hospitalization. A Student’s t-test was used for normally distributedcontinuous values, and a Chi-square (χ2) test was used for numerical data.Results: Sixteen (14.7%) of the OHCA cases survived and were discharged within 30 days, and 93 (85.3%) died. The outcomes weresimilar between those who received endotracheal intubation (EI) and BVM during hospital transfer (p = 0.569). Epinephrine wasadministered to 15 (19.2%) patients in group 2 and 5 (45.4%) patients in group 1 during the transfer period, but this difference was notsignificant (p = 0.167). Logistic regression modelling did not find an association between type of airway management, epinephrineuse and 30-day discharge survival.Conclusion: The results of this study show that epinephrine had no effect on patient survival or hospital discharge in OHCA patients.Additionally, the effects of EI and BVM on 30-day survival and hospital discharge were similar.
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Backround: The aim of this study is to investiate whether patints with acute myocardial infarctin exhibited diurnal variatin and the relatinship between the affcted coronary artery and this diurnal variatin.Material and Methods: The patints admittd to the emergency department of Yozgat Bozok Universitywith symptoms of acute coranary syndrome between January and December 2017 were retrospectielyanalyzed. In 24 hour period diurnal changes were analyzed in 6 groups (00:01-04:00, 04:01-08:00, 08:01-12:00, 12:01-16:00, 16:01-20:00, 20:01-00:00), seasonal changes were analyzed in 4 groups (Spring,Summer, Autumn, Winter), and weekly changes were analyzed in 2 groups (Weekday, Weekend).Results: When diurnal effcts coronary arteries were examined, no statitially signifiant results werefound. When the changes of diurnal effct were observed at weekdays and weekends, it was found thatall three coronary artery lesions were statitially increased at weekdays compared to the lesions seen atweekends (p<0,05).Conclusion: Although daily diurnal variability was not detected as a result of our study, it was clearlydetermined that the increase in coronary artery disease was affcted by social reasons such as stress andintensive work pace during the weekdays
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