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Öğe Fonksiyonel triküspit stenozuna sekonder bulantı ile başvuran rüptüre olmamış non-koroner sinüs Valsalva anevrizması(2017) Hayıroğlu, Mert İlker; Keskin, Muhammed; Balcı, Ahmet Yavuz; Altay, Servet; Güvenç, Tolga Sinan…Öğe A novel and useful predictive indicator of prognosis in ST segment elevation myocardial infarction; prognostic nutritional index(Oxford Univ Press, 2017) Keskin, Muhammed; Hayıroğlu, Mert İlker; Keskin, Taha; Kaya, Adnan; Tatlısu, Mustafa Adem; Altay, Servet; Kozan, Ömer…Öğe A novel and useful predictive indicator of prognosis in ST-segment elevation myocardial infarction, the prognostic nutritional index(Elsevier Sci Ltd, 2017) Keskin, Muhammed; Hayıroğlu, Mert İlker; Keskin, Taha; Kaya, Adnan; Tatlısu, Mustafa Adem; Altay, Servet; Kozan, ÖmerBackground and aim: The prognostic impact of poor nutritional status and cardiac cachexia in myocardial infarction is not clearly understood. Recent studies have implied a prognostic value of the prognostic nutritional index (PNI) in colorectal surgeries and postoperative septic complications. The present study aimed to evaluate the prognostic value of PNI in ST-segment elevation myocardial infarction (STEMI) patients. Methods and results: We evaluated the in-hospital and long-term (3 years) prognostic impact of PNI on 1823 patients with STEMI undergoing primary percutaneous coronary intervention. Patients with lower PNI had significantly higher in-hospital and long-term mortality and major adverse cardiac events. After adjustment for all confounders, the in-hospital mortality rates were 7.9 times higher at the lower PNI level (95% CI: 5.0-15.8) than those at the higher PNI level. The long-term mortality rates were also 6.4 times higher at the lower PNI level (95% CI: 4.4-12.4) than those at the higher PNI level. Conclusion: The present study demonstrated that the PNI, calculated based on the serum albumin level and lymphocyte count, is an independent prognostic factor for mortality in patients with STEMI. (C) 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.Öğe A Novel Independent Survival Predictor in Pulmonary Embolism: Prognostic Nutritional Index(Sage Publications Inc, 2018) Hayıroğlu, Mert İlker; Keskin, Muhammed; Keskin, Taha; Uzun, Ahmet Okan; Altay, Servet; Kaya, Adnan; Kozan, ÖmerThe prognostic impact of nutritional status in patients with pulmonary embolism (PE) is poorly understood. A well-accepted nutritional status parameter, prognostic nutritional index (PNI), which was first demonstrated to be valuable in patients with cancer and gastrointestinal surgery, was introduced to patients with PE. Our aim was to evaluate the predictive value of PNI in outcomes of patients with PE. We evaluated the in-hospital and long-term (53.8 +/- 5.4 months) prognostic impact of PNI on 251 patients with PE. During a median follow-up of 53.8 +/- 5.4 months, 27 (11.6%) patients died in hospital course and 31 (13.4%) died in out-of-hospital course. The patients with lower PNI had significantly higher in-hospital and long-term mortality. The Cox proportional hazard analyses showed that PNI was associated with an increased risk of all-cause death for both unadjusted model and adjusted for all covariates. Our study demonstrated that PNI, calculated based on serum albumin level and lymphocyte count, is an independent prognostic factor for mortality in patients with PE.Öğe Unruptured non-coronary sinus of Valsalva aneurysm presenting with nausea secondary to functional tricuspid stenosis(Turkish Soc Cardiology, 2017) Hayıroğlu, Mert İlker; Keskin, Muhammed; Balcı, Ahmet Yavuz; Altay, Servet; Güvenç, Tolga Sinan…
