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3. Anomalous Right Coronary Artery Originating From Distal Left Circumflex Artery In A Patient With Acute Coronary Syndrome

Author

ERKUS, Muslihittin Emre, ALTIPARMAK, İbrahim Halil, KAYA, Zekeriya, and DEMIRBAG, Recep

Subjects
coronary anomaly,acute coronary syndrome, Koroner anomali,akut koroner sendrom
Abstract

A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. Thephysical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern inleads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealedelevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Otherbiochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and sheunderwent early percutanous .intervention due to continuing cheat pain. We were not able to find out rightcoronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronaryangiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). Asingle coronary artery is commonly associated with severe cardiac malformations, but in this case we are notable to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

Published
2014

9. Effects of Ramadan fasting on body composition and arterial stiffness.

Author

Sezen Y, Altiparmak IH, Erkus ME, Kocarslan A, Kaya Z, Gunebakmaz O, and Demirbag R

Subjects
Adult, Blood Pressure, Body Mass Index, Humans, Islam, Male, Obesity, Overweight, Prospective Studies, Pulse Wave Analysis, Turkey, Body Composition, Fasting, Vascular Stiffness
Abstract

Objective: To examine the effects of Ramadan fasting on body composition, arterial stiffness and resting heart rate., Methods: This prospective study was conducted at the Department of Cardiology, Harran University, Sanliurfa, Turkey, during Ramadan 2015, and comprised overweight and obese males. Body composition, arterial stiffness and echocardiography were assessed before and after Ramadan. Body composition was assessed by bioelectrical impedance analysis using segmental body composition analyser. Arterial stiffness and haemodynamic parameters were also measured. SPSS 20 was used for data analysis., Results: Of the 100 subjects enrolled, 70(70%) were included. The overall mean age was 37±7 years. No significant changes were observed in blood pressures, resting heart rate, aortic pulse wave velocity, aortic augmentation index-75, aortic pulse pressure, brachial pulse pressure, basal metabolic rate, total body water, fat-free mass, and echocardiographic parameters (p>0.05 each). Although aortic pulse wave velocity (m/s) and augmentation index-75 (%) decreased after fasting period compared to that of before Ramadan, these reductions did not reach statistically significant levels (8.6±1.8 vs. 8.9±1.9, and 13.6±6.6 vs. 14.7±9.3, respectively; p>0.05 each). Body mass index, waist-hip ratio, body water rate, percentage of body fat mass, body fat mass, and visceral fat mass percentage were significantly reduced (p<0.05 each) after Ramadan., Conclusions: Ramadan fasting had beneficial effects on body composition, but did not have any significant effect on arterial stiffness and resting heart rate.

Published
2016

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