1.Two Cases of Multivessel Coronary Artery Ectasias Resulting in Acute Inferior Myocardial Infarction.
Huseyin GUNDUZ ; Saadet DEMIRTAS ; Mehmet Bulent VATAN ; Mehmet Akif CAKAR ; Ramazan AKDEMIR
Korean Circulation Journal 2012;42(6):434-436
The incidence of multivessel coronary artery ectasias (CAEs) among patients undergoing coronary artery angiography is very rare. All three coronary vessels can be affected by CAE, but most patients have an isolated arterial ectasia, commonly the right coronary artery. In this report we present two cases with inferior myocardial infarction that was likely caused by thrombotic occlusion of CAEs.
Angiography
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Coronary Artery Disease
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Coronary Vessels
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Dilatation, Pathologic
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Humans
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Incidence
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Inferior Wall Myocardial Infarction
2.Relationship of salusin-alpha and salusin-beta levels with atherosclerosis in patients undergoing haemodialysis.
Savas SIPAHI ; Ahmed Bilal GENC ; Seyyid Bilal ACIKGOZ ; Mehmet YILDIRIM ; Yakup Ersel AKSOY ; Mehmet Bulent VATAN ; Hamad DHEIR ; Mustafa ALTINDIS
Singapore medical journal 2019;60(4):210-215
INTRODUCTION:
In patients undergoing haemodialysis, cardiovascular mortality and morbidity, characterised by accelerated atherosclerosis and increased inflammation, are elevated. Salusins are newly defined molecules in the atherosclerotic processes, and while salusin-alpha (Sal-α) acts as an antiatherogenic factor, salusin-beta (Sal-β) has a proatherogenic role. Their roles are as yet undefined in patients undergoing haemodialysis.
METHODS:
In this cross-sectional study, salusin levels, carotid intima-media thickness (CIMT) from the common carotid artery and pulse wave velocity (PWV) were measured for 180 patients undergoing haemodialysis and 90 healthy controls.
RESULTS:
Mean Sal-α and Sal-β levels in patients undergoing haemodialysis (Sal-α: 726.4 ± 578.7 pg/mL; Sal-β: 1,080.4 ± 757.1 pg/mL) and healthy controls (Sal-α: 325.8 ± 303.7 pg/mL; Sal-β: 268.1 ± 409.0 pg/mL) were determined. Negative correlation was observed between Sal-α levels and CIMT (patients undergoing haemodialysis: r = -0.330, p < 0.0001; healthy controls: r = -0.223, p = 0.035) and PWV (patients undergoing haemodialysis: r = -0.210, p = 0.005; healthy controls: r = -0.378, p < 0.0001) in both groups. In patients undergoing haemodialysis, positive correlation was observed between Sal-β/Sal-α ratio and CIMT (r = 0.190, p = 0.012) and PWV (r = 0.155, p = 0.041). On subgroup analysis, Sal-α levels were found to be low in patients with diabetes mellitus.
CONCLUSION
Patients undergoing haemodialysis have higher Sal-β and Sal-α levels, and their higher Sal-β/Sal-α ratio, in comparison with healthy controls, might have cardiovascular risk implications.