TR-Dizin İndeksli Açık & Kapalı Erişimli Yayınlar

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Author: search.filters.author.Akkucuk, Mehmet Husamettinsearch.filters.applied.f.language: search.filters.language.eng

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    Admission Tpe interval predicts reperfusion success in STEMI patients treated with fibrinolytic agents
    (2020) Coner, Ali; Akinci, Sinan; Akkucuk, Mehmet Husamettin; Altin, Cihan; Muderrisoglu, Haldun; 0000-0002-9635-6313; 0000-0003-4569-1143; 0000-0001-5250-5404; 31974326; AAG-8233-2020; AAJ-2828-2021; AAD-5564-2021
    Objective: Myocardial infarction is a leading cause of morbidity and mortality. Fibrinolytic administration is still a life-saving choice in ST-segment elevated myocardial infarction (STEMI), but the rate of successful reperfusion can be inconsistent. Failed reperfusion adds additional clinical risks to rescue percutaneous coronary intervention for STEMI patients. The interval between the peak of the T wave and the end of the T wave (Tpe) and the ratio of Tpe and a corrected measurement of the time from the start of the Q wave to the end of the T wave (Tpe/QTc ratio) are relatively new electrocardiogram (ECG) indices and have not yet been tested in STEMI patients treated with fibrinolytic agents. Methods: A total of 177 STEMI patients (mean age: 60.5 +/- 11.1 years; 138 men and 39 women) were enrolled in this retrospective study to evaluate ECG parameters. The Tpe interval and the Tpe/QTc ratio at baseline and at the 90th minute following the administration of fibrinolytic therapy were analyzed. The clinical and ECG findings of successful and failed reperfusion groups were compared. Results: Successful reperfusion was achieved in 119 patients (67.2%). The average Tpe interval on the admission ECG was shorter (91.7 vs. 100.9 milliseconds [ms]) (p<0.001) and shortened more in the successful reperfusion group (9.3 vs. 4.5 ms) (p<0.001). A cut-off value of 89.0 ms for the Tpe interval on the admission ECG was found to be related to reperfusion success with a sensitivity of 90.9%. Conclusion: The Tpe interval was a predictor for reperfusion success in STEMI patients treated with fibrinolytic agents.
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    Cervicofacial and Mediastinum Emphysema Following Dental Intervention
    (2015) Akkucuk, Mehmet Husamettin; Avci, Suat; Torun, Ebru; Gonullu, Hatice
    Mediastinitis is a clinical case with high mortality and morbidity ratio. Thus, defining the causes beforehand is significantly important. A 65-year-old male patient present to the emergency care unit because of symptoms such as swelling of his face and neck. Crepitation is noted during palpation at the right lateral face and neck of patients, indicating that swelling occurred after medical intervention by the dentist using spray. Emphysema is seen on the face, neck, and mediastinum on X-ray and CT scans. Patients were hospitalized, and parenteral antibiotic therapy was applied in case of the possibility of serious infection, which may occur because of the use of air syringe, causing the permeation of oral flora to the neck and mediastinum via buccal mucosal ruptures during the patient's dental surgery. Because swellings disappeared and the patient did not have fever on the third day of hospitalization, the patient was discharged after oral antibiotics therapy. Physicians working at the emergency care unit will always keep in mind the risk of deep neck infections and mediastinitis occurrence that patients presenting with swelling symptoms on the neck and face may have following dental surgery.