dc.rights.license |
DOAJ Gold, Green Published |
|
dc.date.accessioned |
2021-06-03T08:21:53Z |
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dc.date.available |
2021-06-03T08:21:53Z |
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dc.date.issued |
2020 |
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dc.identifier.issn |
1011-7571 |
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dc.identifier.uri |
www.doi.org/10.1159/000503553 |
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dc.identifier.uri |
https://hdl.handle.net/20.500.12619/95402 |
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dc.description |
Bu yayın 06.11.1981 tarihli ve 17506 sayılı Resmî Gazete’de yayımlanan 2547 sayılı Yükseköğretim Kanunu’nun 4/c, 12/c, 42/c ve 42/d maddelerine dayalı 12/12/2019 tarih, 543 sayılı ve 05 numaralı Üniversite Senato Kararı ile hazırlanan Sakarya Üniversitesi Açık Bilim ve Açık Akademik Arşiv Yönergesi gereğince açık akademik arşiv sistemine açık erişim olarak yüklenmiştir. |
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dc.description.abstract |
Objective: This study assessed whether high levels of iodide administered during percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) differentially influenced thyroid function compared to PCI for non-complex coronary lesions. Subjects and Methods: A total of 615 patients were enrolled in the study; 205 underwent elective PCI for CTO lesions (Group I) and 410 underwent elective PCI for non-complex lesions including non-CTO, non-bifurcation, non-calcified, and non-tortuous lesions (Group II). Patients were monitored for development of incidental thyroid dysfunction between 1 and 6 months after PCI. Results: The patients in Group I were administered a median of 255 mL of contrast medium during PCI for CTO; a median of 80 mL was administered to the patients in Group II during non-complex PCI (p =0.001). Ten (5.4%) of the 186 euthyroid patients in Group I and 19 (5%) of the 379 eu-thyroid patients in Group II developed subclinical hyper-thyroidism (p = 0.854). However, 7 (50%) of the 14 subclinical hyperthyroid patients in Group I and only 3 (12%) of the 25 subclinical hyperthyroid patients in Group II developed overt hyperthyroidism (p = 0.019). Conclusion: In euthyroid patients, PCI for coronary CTO lesions did not increase the risk for subclinical hyperthyroidism when compared to PCI for non-complex coronary lesions. However, in patients with subclinical hyperthyroidism at baseline, PCI for coronary CTO lesions significantly increased the development of overt hyperthyroidism when compared to PCI for non-complex coronary lesions. |
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dc.language |
English |
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dc.language.iso |
İngilizce |
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dc.publisher |
KARGER |
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dc.relation.isversionof |
10.1159/000503553 |
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dc.rights |
info:eu-repo/semantics/openAccess |
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dc.subject |
IODINATED CONTRAST-MEDIA |
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dc.subject |
IN-HOSPITAL OUTCOMES |
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dc.subject |
URINARY IODINE |
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dc.subject |
HEART-DISEASE |
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dc.subject |
DYSFUNCTION |
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dc.subject |
HYPERTHYROIDISM |
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dc.subject |
RISK |
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dc.subject |
ASSOCIATION |
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dc.subject |
ANGIOGRAPHY |
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dc.subject |
MORTALITY |
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dc.subject |
Coronary occlusion |
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dc.subject |
Contrast media |
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dc.subject |
Percutaneous coronary intervention |
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dc.subject |
Thyroid diseases |
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dc.title |
Percutaneous Coronary Intervention for Chronic Total Occlusion versus Percutaneous Coronary Intervention for Non-Complex Coronary Lesions: Is There a Different Impact on Thyroid Function? |
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dc.type |
Article |
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dc.contributor.authorID |
COSANSU, KAHRAMAN/0000-0002-4063-5874 |
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dc.identifier.volume |
29 |
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dc.identifier.startpage |
188 |
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dc.identifier.endpage |
194 |
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dc.relation.journal |
MEDICAL PRINCIPLES AND PRACTICE |
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dc.identifier.issue |
2 |
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dc.identifier.wos |
WOS:000518582500012 |
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dc.identifier.doi |
10.1159/000503553 |
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dc.identifier.eissn |
1423-0151 |
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dc.contributor.author |
Ureyen, Cagin Mustafa |
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dc.contributor.author |
Cosansu, Kahraman |
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dc.contributor.author |
Vural, Mustafa Gokhan |
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dc.contributor.author |
Sahin, Sait Emir |
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dc.contributor.author |
Cakar, Mehmet Akif |
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dc.contributor.author |
Kilic, Harun |
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dc.contributor.author |
Agac, Mustafa Tarik |
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dc.contributor.author |
Gunduz, Huseyin |
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dc.contributor.author |
Akdemir, Ramazan |
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dc.contributor.author |
Tatli, Ersan |
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dc.relation.publicationcategory |
Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı |
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dc.identifier.pmıd |
31536980 |
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