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    Evaluation of the relationship between coronary slow flow phenomenon and serum magnesium levels
    (2021) Ozturk, Mustafa; Turan, Oguzhan; Ceyhun, Gokhan; Aksakal, Emrah; Karaman, Kayihan; Gulcu, Oktay; Demirelli, Selami; Korkmaz, Ali Fuat
    Aim: Splint use is often recommended following wrist injection patients diagnosed with carpal tunnel syndrome (CTS), but there is not any data in the literature pertaining to the impact of splint treatment, used before injection, on the results of local injection treatment. The aim of this study to evaluate whether or not splint use starting before the injection would impact the local injection treatment outcomes.Materials and methods: Fifty seven patients (57 hands) with CTS and underwent ultrasound-guided injection were included in the study, and patients were divided into two groups in terms of splint use. Median nerve cross-sectional area (MNCSA), pain/numbness by visual analogue scale (VAS), symptoms and functionality by Boston Carpal Tunnel Questionnaire (BCTQ) were investigated before injection and 15 days after injection.Results: There was significant change over time in MNCSA, VAS, and BTCQ scores in groups. The patients not using splint group had significantly higher percentage change in VAS nighttime score.Conclusion: Our findings has shown that using neutral wrist splint, starting before and continuing after injection treatment, did not increase the injection treatment efficacy and may actually have negative effect on improvement in VAS nighttime scores.
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    The relationship between ProNT BNP levels and erectile dysfunction in patients with chronic congestive heart failure
    (2021) Ceyhun, Gokhan; Erbay, Guven
    Aim: Dysfunction and impairment of many organs occur in chronic congestive heart failure due to ischemia and stasis. Chronic congestive heart failure is frequently accompanied by erectile dysfunction since the two conditions have many etiologic factors in common. Our aim in the study was to investigate the potential relationship between ProNT BNP levels, which show the severity of cardiac failure, and erectile dysfunction in patients with an ejection fraction of 30-40%. Materials and Methods: The study included 72 male patients followed-up for chronic congestive heart failure. for whom erectile dysfunction was investigated. International Erectile Function Index-5 (IIEF-5) questionnaire was questioned to the patients to evaluate erectile function.Results: The mean age, total testosterone and lipids (low and high-density lipoprotein cholesterol triglyceride) levels did not significantly differ between the groups (P > 0.05). The mean ProNT BNP levels belonging to all subgroups showed statistically significant differences and correlated with the severity of erectile dysfunction according to the Kruskal-Wallis test (p0.001).Conclusions: In patients with chronic congestive heart failure, ProNT BNP was higher, and the severity of erectile disfunction was similarly increased.
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    Serum oxidative stress level correlates with epicardial adipose tissue thickness in heart failure-reduced ejection fraction patients
    (2020) Buyuklu, Mutlu; Ceyhun, Gokhan; Topal, Ergun
    Aim: In the course of heart failure, various inflammatory cytokines are secreted and oxidative stress occurs. The source of some produced cytokines is epicardial fat tissue (EFT). There is a positive correlation between EFT thickness and metabolic activity. In this study, we aimed to investigate the relationship between oxidative stress and epicardial fat tissue thickness in patients with heart failure.Material and Methods: A total of 36 patients with heart failure-reduced ejection fraction as study group and 36 subjects without heart failure as control group were included in the study. Biochemical blood analyses and echocardiographic examinations were performed.Results: The NT-proBNP level in the heart failure-reduced ejection fraction group was significantly higher than the control group (6506.8±11214.3, 116.5±185.6, respectively, p0.001). The total oxidant status level in the heart failure-reduced ejection fraction group was significantly higher than the control group (14.5±3.7, 10.3±2.0, respectively, p0.001). The total antioxidant capacity level in the heart failure-reduced ejection fraction group was significantly lower than the control group (7.2±2.8, 14.4±8.7, respectively, p0.001). The EFT thickness level in the heart failure-reduced ejection fraction group was significantly higher than the control group (0.78 / (0.67-0.85), 0.51 / (0.37-0.66), respectively, p0.001).Conclusions: Oxidative stress was higher in patients with heart failure and similarly the EFT thickness was found to be increased.