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Öğe Can high-sensitive troponin levels within the normal range predict positivity in treadmill test?(Lippincott Williams and Wilkins, 2023) Yılmaz, Mustafa; Atıcı, Adem; Sonsöz, Mehmet Rasih; Çevik, Erdem; Orta, Hüseyin; Demirtakan, Zeynep Gizem; Barman, Hasan Ali; Bulat, Zübeyir; Karaayvaz, Ekrem Bilal; Mercano?lu, Fehmi; Zorkun, CaferBackground This study aimed to determine whether a high level of high-sensitivity troponin T (hsTnT) predicts a positive treadmill test in patients with suspected stable ischemic heart disease (SIHD). Methods In all, 366 patients with suspected SIHD were included in the study. We measured the serum hsTnT levels before the treadmill test. The treadmill test was performed according to the Bruce protocol. Results Of the 366 patients, 97 had positive treadmill tests. The hsTnT levels were significantly higher in the positive group than in the negative group. In the binary logistic regression analysis, hsTnT, pretest probability, metabolic equivalents (METs), target heart rate (THR) percentage, and Duke treadmill score (DTS) were independent predictors of a positive treadmill test [hsTnT odds ratio (OR): 2.178, P < 0.001; pretest probability OR: 1.036, P = 0.007; METs OR: 0.755, P = 0.008; THR OR: 0.773, P < 0.001; DTS OR: 2.661, P = 0.012]. In the receiver operating characteristic (ROC) curve analysis, the area under the curve (AUC) value of the model with the combined parameters of hsTnT, pretest probability, METs, THR, and DTS was statistically significant in predicting a positive treadmill test [combined model AUC: 0.945 (0.922-0.968), P < 0.001]. Conclusions In sum, high pretest hsTnT levels predicted a positive treadmill test in patients with suspected SIHD. Analysis of the hsTnT levels before the treadmill test can increase the sensitivity and specificity of the treadmill test. The methods for measuring hsTnT levels are cheap and easily accessible and can be used before the treadmill test in patients with suspected SIHD.Öğe Development and internal-external validation of a prediction model for premature ventricular contraction unresponsive to the medical treatment(Oxford University Press, 2023) Atıcı, Adem; Tanboğa, Halil İbrahim; Barman, Hasan Ali; Şahin, I.; Baycan, Ömer Faruk; Küp, Ayhan; Çelik, Mehmet; Demirkıran, Ahmet; Çevik, E.; Soysal, A. U.; Karaduman, Medeni; Yılmaz, İshak; Yılmaz, Y.; Çalışkan, Mustafa; Aras, Dursun[Abstract Not Available]Öğe The disappearance of nonsustained ventricular tachycardia after surgical repair in a patient with mitral annular disjunction and mitral valve prolapse(Turkish Society of Cardiology, 2021) Barman, Hasan Ali; Yıldız, Ahmet; Güden, Mustafa; Ökçün, Emir Özgür BarışMitral annular disjunction (MAD) is a structural abnormality defined as the separation of the ventricular myocardium between the mitral valve annulus and the left atrial wall. It is present in some patients with mitral valve prolapse (MVP) and is associated with papillary muscle fibrosis and ventricular arrhythmia. Although it is easy to diagnose, it can be overlooked in daily practice. This study presents the case of a 42-year-old patient who was admitted to the cardiology clinic with complaints of palpitation and syncope. The patient was diagnosed with bileaflet MVP, MAD, and severe mitral regurgitation using transthoracic echocardiography and cardiac magnetic resonance imaging, in which ventricular tachycardia disappeared following subsequent surgical repair.











