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    Examination of Coronary Heart Disease and Risk Factors in Asymptomatic Adults in Central Anatolia [eine Untersuchung Der Koronaren Herzerkrankung und Der Risikofaktoren Bei Asymptomatischen Erwachsenen in Zentralanatolien]
    (1995) Gönen, M. S.; Cin, V. G.; Gök, H.; Bayram, A.; Telli, H. H.
    The coronary heart disease and its risk factors were investigated in Konya district which is situated in central Anatolia, Turkey. In this study 280 asymptomatic persons, who were middle aged and over (?40), were selected at random from Bozkir, a small town of Konya, which shows a homogenous structure of population. Cardiovascular system of all the cases were examined. ECG and teleradiography were taken. In 54 cases (19.3% ) hypertension, in 11 cases (3.9%) hyperglycemia and in 58 male cases (59.8%) smoking were found. Obesity was seen in 17% of male and 27% of female cases. Hypercholesterolemia in 12% of cases and hypertriglyceridemia in 7.4% of cases were also seen. In 40 cases, coronary heart disease was determined. Incidence of hypertension was increasing with age, but the rate of cigarette-smoking was not changed. Under the light of positive results of the struggle with the reversible major risk factors, periodic examinations in cases with high risk, medical and preventive treatment procedures were pointed out clearly as important issues for the physician.
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    Giant Pulmonary Artery Aneurysm
    (Elsevier Science Bv, 2002) Telli, H. H.; Görmüş, Niyazi; Temizhan, Ahmet; Solak, H.
    [Abstract not Available]
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    Importance of Left Anterior Hemiblock Development in Inferior Wall Acute Myocardial Infarction
    (Westminster Publ Inc, 2001) Özdemir, K.; Uluca, Y.; Danış, G.; Tokac, M.; Altunkeser, Bülent Behlül; Telli, H. H.; Gök, H.
    The aim of this study was to investigate the clinical and angiographic importance of left anterior hemiblock (LAHB) during acute inferior myocardial infarction (AIMI) by comparing patient groups with and without LAHB after AIMI. One hundred seventy-two patients (141 men and 31 women) between 28 and 84 years of age (mean 55 +/- 10 years) with AIMI were included in the study, Patients were divided into 2 groups according to electrocardiogram (ECG) criteria: group I comprised 25 patients in whom ECG pattern characteristic of LAHB developed, group II comprised 147 patients without this pattern. According to the electrocardiogram, patients were placed in group I if the mean QRS axis was deviated to the left < 30 degrees in the frontal plane with the following pattern: increased S-wave voltage and decreased R-wave voltage in leads II, the appearance of a deep S-wave in lead II, and a terminal positive R-wave in lead aVR. Coronary angiography was performed within 2 weeks. A coronary stenosis was considered if the vessel diameter was narrowed by > 50%. The dominant coronary artery was classified as right or left or balanced. The left ventricular ejection fraction (LVEF) was calculated from left ventriculography. The mean age of the patients in group I was significantly higher (58 vs 54 years, p=0.007), while the risk factors were similar in both groups. Left anterior descending (LAD) and multivessel coronary artery disease (CAD) were found to be significantly higher in group I compared with group II (80% vs 38%, p=0.0001; 84% Vs 52%, p=0.001, respectively). The mean LVEF was found to be lower in group I (51% vs 56%, p=0.04). Peak creatine phosphokinase MB (CKMB) values were not different (216 vs 162 IU/L, p=0.09). The frequency of left dominant or balanced coronary artery was determined to be higher in group I (44% vs 17%, p=0.018). LAHB development during AIMI can be an indicator of LAD lesions, multivessel coronary artery disease, and impaired left ventricular systolic function.
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    Ruptured Cardiac Hydatid Cyst Masquerading as Acute Coronary Syndrome: Report of a Case
    (SPRINGER-VERLAG, 2001) Telli, H. H.; Durgut, K.; Temizhan, A.; Görmüş, N.
    The case of a 40-year-old man hospitalized for investigation of a doubtful diagnosis of acute coronary syndrome is reported herein. Two-dimensional echocardiography and angiography showed a cardiac cyst localized in the left ventricular apex in close proximity to the left anterior descending coronary artery. Surgery performed with the aid of cardiopulmonary bypass revealed that the cyst had ruptured partially into the left ventricle and filled with thrombus. This case is of particular interest because of the rarity of cardiac localization of a hydatid cyst, and the conflict between the severity of the complications that occurred and the absence of correlated symptoms.