Publications by authors named "Mustafa Ozbay"

Article Synopsis
  • * Takotsubo syndrome (TTS) is a temporary heart condition often triggered by stress, but its causes and effects are not well understood, affecting around 1-2% of acute coronary syndrome cases.
  • * A study analyzed hospital data from 2016 to 2020, finding significant racial and ethnic disparities in TTS outcomes; most patients were White, with minorities generally younger and from lower-income backgrounds.
  • * Key findings include higher rates of stroke and mortality in Black and Asian patients, respectively, emphasizing the urgent need for targeted interventions to address healthcare inequalities related to TTS.
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Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organ systems. Among these, the heart, including the pericardium, conduction system, myocardium, valves, and coronary arteries, can be affected. Hypertrophic cardiomyopathy (HCM) is a myocardial disease caused mainly by genetic mutation.

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Pericardial effusion, commonly associated with malignancies such as lung, breast, and esophageal cancers through local extension, or leukemia, lymphoma, and melanoma via metastatic dissemination, is rarely observed in renal cell carcinoma (RCC). This report presents a rare case of a large loculated pericardial effusion in a 68-year-old male, potentially linked to RCC, who concurrently presented with an inferior wall ST-elevation myocardial infarction (STEMI). The patient, with a history of hypertension, hyperlipidemia, end-stage renal disease, coronary artery disease, and former smoking, exhibited symptoms including chest pain, diaphoresis, and shortness of breath, but no fever, chills, or night sweats.

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Recent randomized clinical trials demonstrated that treatment with sodium-glucose cotransporter-2 inhibitors (SGLT2is) reduces the risk of cardiac mortality due to sudden cardiac death and progressive pump failure in patients with heart failure (HF). Mechanisms underlying the potential anti-arrhythmic effects of SGLT2is are not well understood. We aimed to examine the effect of SGLT2i treatment on the frontal-plane QRS-T (f[QRS-T]) angle, a novel marker of myocardial repolarization and an independent predictor of adverse cardiac outcomes.

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Article Synopsis
  • The study aimed to explore the link between the severity of coronary artery lesions, measured by the SYNTAX score, and post-discharge sleep quality, assessed using the Pittsburgh Sleep Quality Index (PSQI).
  • A total of 424 patients with acute coronary syndrome participated, with 69.34% having a SYNTAX score of ≤22 and the rest >22, revealing no significant differences in age or sex distribution between the groups.
  • The analysis found that while several factors were linked to poor sleep quality, only a high SYNTAX score (>22) was independently associated with worse sleep quality after discharge.
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Transfusion-dependent β-thalassemia (thalassemia major and thalassemia intermedia) (BT) requires repeated blood transfusions for survival due to ineffective erythropoiesis. Consequently, iron overload can predispose the patient to atrial fibrillation (AF) despite the improved prognosis achieved with transfusion and chelation therapy. We sought to study the impact of AF on BT patients through a large database analysis.

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Article Synopsis
  • - TAVI (transcatheter aortic valve implantation) is commonly performed on extremely elderly patients with severe aortic stenosis, with a study analyzing data from 2016 to 2019 focusing on trends and outcomes in this population.
  • - Among 23,507 extreme elderly TAVI admissions, in-hospital mortality was low at 2%, and 30-day all-cause readmission rates were steady at 15%, while complications like stroke and pacemaker implantation remained stable over the years.
  • - Improvements were noted in hospital stays, with the average length decreasing from 5.5 days in 2016 to 4.3 days in 2019, and early discharge rates rose from 49% to 69
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Right heart failure (RHF) is a complex clinical syndrome that confers high risk of morbidity and mortality. We sought to study RHF using large national database. The study is a retrospective analysis of the National Readmission Database (NRD) of years 2017-2019.

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BACKGROUND Myocarditis is cardiac muscle inflammation caused by infectious or noninfectious agents. Rarely, clozapine, an atypical antipsychotic drug used to treat resistant schizophrenia, has been reported to cause myocarditis, as we report in this case. CASE REPORT A 29-year-old man, who was known to have schizophrenia and was on olanzapine therapy, presented in our Emergency Department with active psychosis, and was subsequently admitted to the psychiatric ward for refractory schizophrenia.

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Many hypotheses have been proposed to explain no-reflow (NR). Some of these hypotheses, state that NR may be caused by damage to the vascular endothelium and an inflammatory process. In a recent study that did not include patients with coronary artery bypass graft (CABG), the ratio of C-reactive protein (CRP) to albumin (CAR) was found to be associated with NR.

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Background: The importance of monocyte count-to-HDL-cholesterol ratio (MHR) in cardio- vascular diseases has been shown in various studies. Ascending aortic dilatation (AAD) is a common complication in the patients with bicuspid aortic valve. In this study, we aimed to investigate the relationship between MHR and the presence of aortic dilatation in the patients with bicuspid aortic valve.

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Background: Coronavirus 2019 (COVID-19) causes morbidity and mortality in an increasing number of people worldwide. Although it mainly affects the respiratory system, it influences all organs, including the heart. It is associated with a broad spectrum of widespread cardiovascular problems ranging from mild myocardial injury to fulminant myocarditis.

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Lead exposure has etiological role on cardiovascular system diseases as hypertension, atherosclerosis, stroke, and arrhythmic events. In this study, we aimed to compare the basal and arrhythmogenic ECG parameters of lead exposed workers before and after chelation therapy and to evaluate the effect of acute change of blood lead levels on ECG. Fourty consecutive occupationally lead exposed workers were enrolled, demographic, blood, echocardiographic, and electrocardiographic data's were analyzed before and after chelation therapy.

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Background: New-onset postoperative atrial fibrillation (POAF) is the most common arrhythmia following coronary artery bypass graft surgery (CABG) and is associated with prolonged hospitalization, stroke, and mortality. The frontal plane QRS-T [f(QRS-T)] angle, which is defined as the angle between the directions of ventricular depolarization (QRS-axis) and repolarization (T-axis), is a novel marker of ventricular repolarization heterogeneity. The f(QRS-T) angle is associated with adverse cardiac outcomes.

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Article Synopsis
  • - The study investigates a paradox where patients with lower cardiovascular risk factors (termed reverse metabolic syndrome or RMetS) have increased mortality in heart failure (H.F.) patients with reduced ejection fraction (HFrEF).
  • - The research involved 304 patients who were grouped based on metabolic syndrome (MetS), RMetS, or metabolic health; results showed that RMetS patients had the worst prognosis and unfavorable hemodynamic parameters.
  • - The findings suggest that patients with RMetS face a significantly higher risk of all-cause mortality and composite endpoints, highlighting the need for better understanding and treatment approaches for this group.
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