The prevalence of cardiovascular diseases, risk factors, and cardiovascular drug therapy in very elderly Turkish patients admitted to cardiology clinics: A subgroup analysis of the ELDER-TURK study

WOS: 000435148100007PubMed ID: 29853696Ojective: The aim of this study was to determine the baseline clinical characteristics and the cardiovascular drug usage of patients aged >= 80 years who were admitted to cardiology clinics and to compare the cardiovascular disease and risk factors with patients aged 65-79 years who participated in the Epidemiology of Cardiovascular Disease in Elderly Turkish Population (ELDER-TURK) study. Methods: The ELDER-TURK study included 5694 patients aged over 65 years who were followed up at cardiology clinics between March 2015 and December 2015. The prevalence of cardiovascular diseases and the risk factors of 1098 patients aged >= 80 years (Group II) were compared with 4596 patients aged 65-79 years (Group I). Result: The mean age of Group I was 71.1 +/- 4.31 years (male: 50.2%) and the mean age of Group II was 83.5 +/- 3.12 years (male: 47.5%). The prevalence rate was 71.3% for hypertension, 24.6% for diabetes mellitus (DM), 44.7% for coronary artery disease (CAD), 35.9% for atrial fibrillation (AF), and 15.5% for renal failure. A statistical difference in the prevalence of comorbid conditions and cardiovascular disease risk factors, such as DM, CAD, renal failure, and AF was seen in the very elderly group (p<0.001, p=0.002, p<0.001, p<0.001, respectively). In all, 28.7% of the very elderly were using a beta-blocker, 10.1% an angiotensin system inhibitor, 28.4% an angiotensin receptor blocker, and 32.7% a mineralocorticoid receptor antagonist. Conclusion: Valuable data about the prevalence of cardiovascular and comorbid diseases and medication usage among Turkey's very elderly patients who were admitted to cardiology clinics was gathered and analyzed.Turkish Society of CardiologyThe study was funded by Turkish Society of Cardiology

FREQUENCY OF CARDIOVASCULAR DISEASES AND DRUG USE IN TURKISH ELDERLY POPULATION FOLLOWED UP AT CARDIOLOGY CLINICS: THE ELDERTURK STUDY

WOS: 000417398900001Introduction: In Turkey, there is a lack of data on the frequency of cardiovascular diseases, risk factors, co-morbid diseases, and drug usage among the elderly population. We aimed to compile a data of frequency of cardiovascular diseases, cardiovascular risk factors, concomitant diseases, and drug usage among elderly patients visiting cardiology clinics in Turkey. Materials and Method: This non-interventional, multicenter study evaluated 5694 patients aged 65 years or older and who were followed up at cardiology clinics. Cardiovascular diseases, risk factors, co-morbidities, and medication use were surveyed. Results: Mean age of patients was 73.5 similar to 6.3 years (males: 49.8%). The frequency rates were 73% for hypertension, 28.8% for diabetes mellitus, 35% for hyperlipidemia, 50% for previous myocardial infarction, 27.3% for atrial fibrillation, and 11.5% for chronic renal failure. The body mass index of participants was 27.7 +/- 4.4 kg/m2, systolic blood pressure was 130 +/- 18 mmHg, diastolic blood pressure was 77.1 +/- 11 mmHg, and resting heart rate was 6 +/- 14 bpm, 66.3% of the study population used beta blockers, 71.7% angiotensin system inhibitors, 59.6% diuretics, 7.9% digoxin, 30.5% calcium channel blockers, 34% lipid-lowering agents, 71.5% acetylsalicylic acid, and 25.9% oral anticoagulants. The most common non-cardiovascular medications were vitamins (12.3%) and nonsteroidal anti-inflammatory drugs (11.2%). Conclusion: Valuable data of Turkey's elderly population at cardiology clinics, pertaining to cardiovascular and co-morbid diseases was collected. The identification of risk factors for cardiovascular diseases as well as concomitant diseases, and medication use in elderly patients may lead to interventions that could improve the health of elderly in the general population.Turkish Society of CardiologyOur trial was supported by 'Turkish Society of Cardiology'

Late elimination of challenging idiopathic ventricular arrhythmias originating from left ventricular summit by anatomical ablation

Ablation of premature ventricular complexes (PVCs) originating from left ventricular outflow tract (LVOT)/left ventricular summit (LVS) is challenging with considerable rate of failure. Recently, in a novel approach to ablation of these arrythmias, application of radiofrequency energy to anatomically opposite sites of presumed origin of arrythmia, has been associated with moderate procedure success. Although late elimination of PVCs that are persistent following an ablation procedure has been previously reported, this observation has not been studied sufficiently. In this report, firstly, we present three cases of lately eliminated LVS PVCs, then, we discuss possible mechanism of this observation and conclude that after an initial failed attempt of anatomic ablation, operators may choose a period of watchful waiting before attempting a redo procedure. Keywords: Idiopathic ventricular arrhythmias, Radiofrequency, Coronary sinus, Left ventricular summit, Anatomical approac

FREQUENCY OF CARDIOVASCULAR DISEASES AND DRUG USE IN TURKISH ELDERLY POPULATION FOLLOWED UP AT CARDIOLOGY CLINICS: THE ELDERTURK STUDY

WOS: 000417398900001Introduction: In Turkey, there is a lack of data on the frequency of cardiovascular diseases, risk factors, co-morbid diseases, and drug usage among the elderly population. We aimed to compile a data of frequency of cardiovascular diseases, cardiovascular risk factors, concomitant diseases, and drug usage among elderly patients visiting cardiology clinics in Turkey. Materials and Method: This non-interventional, multicenter study evaluated 5694 patients aged 65 years or older and who were followed up at cardiology clinics. Cardiovascular diseases, risk factors, co-morbidities, and medication use were surveyed. Results: Mean age of patients was 73.5 similar to 6.3 years (males: 49.8%). The frequency rates were 73% for hypertension, 28.8% for diabetes mellitus, 35% for hyperlipidemia, 50% for previous myocardial infarction, 27.3% for atrial fibrillation, and 11.5% for chronic renal failure. The body mass index of participants was 27.7 +/- 4.4 kg/m2, systolic blood pressure was 130 +/- 18 mmHg, diastolic blood pressure was 77.1 +/- 11 mmHg, and resting heart rate was 6 +/- 14 bpm, 66.3% of the study population used beta blockers, 71.7% angiotensin system inhibitors, 59.6% diuretics, 7.9% digoxin, 30.5% calcium channel blockers, 34% lipid-lowering agents, 71.5% acetylsalicylic acid, and 25.9% oral anticoagulants. The most common non-cardiovascular medications were vitamins (12.3%) and nonsteroidal anti-inflammatory drugs (11.2%). Conclusion: Valuable data of Turkey's elderly population at cardiology clinics, pertaining to cardiovascular and co-morbid diseases was collected. The identification of risk factors for cardiovascular diseases as well as concomitant diseases, and medication use in elderly patients may lead to interventions that could improve the health of elderly in the general population.Turkish Society of CardiologyOur trial was supported by 'Turkish Society of Cardiology'