Deaf athlete: is there any difference beyond the hearing loss?

Regular physical activity and sport is important for enhanced physical fitness and skill performance of deaf athletes. However there are few data in the literature about their medical considerations. In this study we aimed to determine the morphological findings and cardiac status of the deaf athletes and compare them with the normal ones. Thirty deaf and twenty-two normal male athletes without cardiovascular diseases participated in the study. Transthoracic echocardiography and exercise stress testing were performed. Tissue Doppler imaging (TDI)-derived myocardial performance index (MPI) was also evaluated. VO2 max and heart rate recovery were calculated after exercise stress testing. Total cholesterol, LDL and trigliseride levels were significantly increased in the deaf athletes, but they were still found to be in normal ranges according to age and risk factor profile (p< 0.05). End-diastolic diameter and left ventricular mass index were found to be significantly increased in the controls when compared with the deaf athletes (p< 0.001). Heart rate recovery at 1 minute did not show any difference in the deaf group when compared with the control group (p> 0.05). MPI calculated from TDI-derived variables was found to be 0.41±0.073 in the deaf group and 0.46±0.061 in the controls respectively and significantly decreased in the deaf (p < 0.05). Beyond having a hearing loss, the deaf athletes have many cardiac structural and functional differences from their normal counterparts. The factors that give rise to these differences have to be revealed by further research

Association of total serum antioxidant capacity with the Tei index in echocardiography in patients with microvascular angina

Objectives Cardiac syndrome X (CSX) is a conditioncharacterized by exercise-induced chest pain that occursconsidering a normal coronary angiogram. We aimed toinvestigate the total serum antioxidant capacity (TAC) andbiventricular global functions using echocardiography inpatients with CSX.Patients and methods The study population included 55patients with typical anginal symptoms and a positiveexercise stress test, or ischemia in myocardial perfusionscintigraphy and normal coronary arteries detectedangiographically, and 49 healthy volunteers with atypicalchest pain and a negative stress test. TAC was assessedfrom blood samples. Transthoracic echocardiography wasperformed for the entire study population. The Tei index wascalculated using the formula IVCT+IVRT/ET.Results TAC was found to be significantly lower in the CSXgroup compared with the control group (0.70 ± 0.37 vs.1.5± 0.30, respectively, P1.77 mmol/l), it was found that the Tei indexwas higher in the decreased TAC group compared with theother groups (0.66 ± 0.18 vs. 0.49 ± 0.10 and0.46± 0.13 mmol/l, P<0.001, respectively).Conclusion Our study suggested that TAC wassignificantly decreased in CSX patients and decreasedantioxidant levels were related to impaired Tei index inechocardiography in patients with microvascularangina. Coron Artery Dis 26:620–625 Copyright © 2015Wolters Kluwer Health, Inc. All rights reserved

Nutritional status and severity of coronary artery disease

Objective The aim of this study is to evaluate the association between Nutritional Risk Index (NRI), a simple tool to assess nutritional status, and coronary artery disease severity and complexity in patients undergoing coronary angiography. Methods This study is a retrospective analysis of 822 patients undergoing coronary angiography. Patients with previous revascularization were excluded. Gensini and SYNTAX scores were calculated according to the angiographic images to determine atherosclerosis severity. NRI was calculated as follows: NRI = [15.19 × serum albumin (g/dl)] + [41.7 × (body weight/ideal body weight)]. In patients ≥65 years of age, Geriatric NRI (GNRI) was used instead of NRI. GNRI was calculated as follows: GNRI = [14.89 × serum albumin (g/dl)] + [41.7 × (body weight/ideal body weight)]. Patients were then divided into three groups as previously reported: NRI < 92, NRI 92–98 and NRI > 98. Gensini and SYNTAX scores were compared between three groups. Results The mean age of study population was 61.9 ± 11.1 years. NRI 98 was measured in 212, 321 and 289 patients, respectively. There was no difference regarding to sex, BMI, smoking, hypertension and diabetes mellitus between three groups. Patients with NRI < 92 had the highest mean Gensini score than the patients with NRI 92–98 and NRI > 98 (38.0 ± 40.6 vs. 31.17 ± 42.4 vs. 25.8 ± 38.4, P = 0.005). Also patients with NRI < 92 had the highest mean SYNTAX score than the patients with NRI 92–98 and NRI > 98 (11.8 ± 12.9 vs. 9.3 ± 12.4 vs. 7.7 ± 11.8, P = 0.001). Also, Gensini score of ≥20 and high SYNTAX score of ≥33 were associated with lower NRI (P < 0.001 and P < 0.001, respectively). Conclusion In our study, nutritional status evaluated by the NRI was associated with more extensive and complex coronary atherosclerosis in patients undergoing coronary angiography

Two interesting cases of coronary artery fistulas treated by coil embolization

13th International Congress of Update in Cardiology and Cardiovascular Surgery (UCCVS) -- MAR 23-26, 2017 -- Cesme, TURKE

Usefullness of the CHA2DS2VASc score To predict intracoronary thrombus burden in ST-Elevation myocardial infarction patients

13th International Congress of Update in Cardiology and Cardiovascular Surgery (UCCVS) -- MAR 23-26, 2017 -- Cesme, TURKE

Atipik klinik ile tespit edilen atipik yerleşimli kardiyak miksoma

Atriyal miksomalar, en sık karşılaşılan benign primer kardiyak tümörlerdir. Literatürde tanımlandığı üzere birçok komplikasyona yol açmaktadır. Çoğunlukla solda atriyumda olsa da atriyum ve interatriyal septuma bağlı olarak, herhangi bir kardiyak boşlukta ortaya çıkabilir. Bu olgu raporunda 55 yaşındaki bir kadın hastamızı sunduk. Kardiyoloji polikliniğine tek taraflı geçici görme kaybı etyolojisinin araştırılması amacıyla danışıldı. Transözofageal-ekokardiyografide kardiyak miksoma olarak şüphe edilen bu kitlelenin cerrahi esnasında sol atriyum posteriyor duvar, sol üst pulmoner ven çevresinden kaynaklandığı tespit edildi ve kitle tamamen çıkartıldı. Patolojik inceleme sonucunda tanı kardiyak miksoma olarak doğrulandı. Geçici iskemik semptomları olan ancak atriyal fibrilasyonu olmayan hastalarda sol atriyumda potansiyel kitle tanısını koymak için ekokardiyografi yapılmalıdır.Atrial myxomas are the most common benign primary cardiac tumors that can lead to many complications as defined in literature. Although the majority occur in the left atrium and attached to interatrial septum, they can arise from any cardiac chamber. Here we report the case of a 55-year-old woman whom was referred to our outpatient clinic for etiological diagnosis of unilateral transient loss of vision. Transesophageal echocardiography revealed a mass that was suspected as cardiac myxoma arising from the posterior wall of the LA in the vicinity of the left superior pulmonary vein. During the surgical procedure cardiac mass was removed totally and the pathological examination confirmed the diagnosis as cardiac myxoma. In patients with transient ischaemic symptoms but without atrial fibrillation echocardiography should be performed to diagnose of potential mass in left atrium