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Öğe Effect of Piracetam and Iron Treatment on Heart Rate Variability in Patients With Breath-Holding Spell(Elsevier Science Inc, 2024) Oncul, Mehmet; Elkiran, Ozlem; Karakurt, Cemsit; Gungor, Serdal; Maras, Serdar Akin; Bag, Harika Gozde GozukaraBackground: Breath-holding spells are a benign condition primarily seen in 3% to 5% of healthy children aged between six months and five years. Although no specific treatment is recommended due to its benign nature, iron and piracetam are used in severe or recurrent cases. We planned to compare the heart rate variability (HRV) before and after treatment with 24 -hour Holter monitoring in patients receiving iron and piracetam treatment and investigate the treatment's effectiveness. Methods: Twenty-five patients who applied to the outpatient clinic between 2013 and 2015 due to breath-holding spells were included in the study. The patients who received piracetam and iron therapy and underwent 24 -hour rhythm Holter monitoring were evaluated retrospectively. Results: Fourteen (56%) of these patients were evaluated as having cyanotic-type and 11 (44%) patients were assessed as having pale -type breath-holding spells. A significant difference was found only between hourly peak heart rate and total power in the group receiving iron treatment. Significant differences were also found among the minimum heart rate, mean heart rate, the standard deviation of RR intervals, the mean square root of the sum of the squares of their difference between adjacent RR intervals, spectpow, and low frequency before and after the treatment in the patients who started piracetam treatment ( P < 0.05). Conclusions: Our study is critical as it is the first to investigate the effects of treatment options on various HRV in patients with breath-holding spells. There were statistically significant changes in HRV parameters in patients receiving piracetam, and the number of attacks decreased significantly. Piracetam treatment contributes positively to the breath-holding spell with regard to efficacy and HRV, therefore it can be used to treat breath-holding spells. (c) 2024 Elsevier Inc. All rights reserved.Öğe Evaluation of patients undergoing 24-hour rhythm Holter monitoring in the pediatric cardiology unit(2024) Elkıran, Ozlem; Karakurt, Cemsit; Öncül, Mehmet; Maras, Serdar Akin; Özer, Mustafa SerdarAim: This study aims to determine the value of 24-hour Rhythm Holter monitoring (HM) in diagnosing and treating pediatric patients. Somebody reviewed our clinic’s indications and results of 24-hour rhythm Holter monitoring. Materials and Methods: The files of 1670 patients who applied to our clinic between January 1, 2015 and December 31, 2022, were scanned retrospectively. Somebody retrospectively evaluated and recorded age, gender, reason for admission, presence of cardiac disease, presence of cardiac disease in the family, treatment histories, family consanguineous marriages, Electrocardiography (ECG) findings, Echocardiography (ECHO) findings, and HM findings were from the hospital computer archive files. Results: Found to be expected in 1,005 (60.2%) of the patients who underwent Holter monitoring (HM). Detected tachyarrhythmia in 408 (24.4%) patients, bradyarrhythmia in 85 (5.1%) patients, preexcitation syndrome in 73 (4.4%) patients, right bundle branch block in 27 (1.6%) patients, atrial-derived arrhythmia in 27 (1.6%) patients, genetic-related arrhythmia in 12 (0.7%) patients, pace rhythm in 12 (0.7%) patients, and other different Holter findings in 21 (1.3%) patients. Conclusion: Since arrhythmic symptoms often occur intermittently in childhood, detecting them at presentation may not be possible. A missed ECG taken at rest provides information for a short period of cardiac rhythm and many arrhythmias, so the 24-hour Holter method (HM) is helpful for diagnosis. Our study has supported that HM is used increasingly frequently and is beneficial as an easy-to-apply, noninvasive method in diagnosing arrhythmia and in monitoring and treatment planning of cases with arrhythmia.Öğe Reply to Letter to the Editor: ?Spontaneous Coronary Artery Dissection in the Setting of Duchenne Muscular Dystrophy: More Questions Than Answers?(Kare Publ, 2023) Öncül, Mehmet; Karakurt, Cemsit; Elkiran, Ozlem; Hidayet, Siho; Maras, Serdar Akin[Abstract Not Available]Öğe Spontaneous Coronary Artery Dissection in Children with Duchenne Muscular Dystrophy(Kare Publ, 2022) Oncul, Mehmet; Karakurt, Cemsit; Elkiran, Ozlem; Hidayet, Siho; Maras, Serdar Akin[Abstract Not Available]
