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Kardiyolojide Gelişmeler

01

Central Sensitization Drives Symptom Burden in Microvascular Angina: A Cross-Sectional Case Control Study

Control Study Microvascular angina (MVA), a phenotype of ischemia with non obstructive coronary arteries, produces chest pain despite normal epicardial vessels. Central sensitization (CS) may amplify symptoms, but its magnitude in confirmed MVA is unclear.

Kaynak: Tezcan H, Gürses KM, Yalçın MU, et al. Central Sensitization Drives Symptom Burden in Microvascular Angina: A Cross-Sectional Case-Control Study. Turk Kardiyol Dern Ars. 2026;54(2):141–146.

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02

Artificial Intelligence and Guideline-Augmented Prompting in Assessing the Need for Preoperative Cardiology Consultation

With the growing elderly population worldwide, the number of annual surgical procedures has risen substantially, leading to an increase in the demand for preoperative cardiology consultations. In parallel, recent years have witnessed remarkable innovations in cardiology driven by advances in artificial intelligence (AI) and machine learning (ML). In this study, we aimed to evaluate the performance of three widely used AI models: ChatGPT-5, Deepseek-V3, and Gemini 2.0 Pro, in assessing the necessity of cardiology consultation in preoperative patients and to explore the potential contribution of guideline-augmented prompting in this context.

Kaynak: Çalışkan MU, Doğru Yılmaz CY, Sarıbaş H, Kaplan E, Özdemir Al C, Al EA. Artificial Intelligence and Guideline-Augmented Prompting in Assessing the Need for Preoperative Cardiology Consultation. Turk Kardiyol Dern Ars. 2026;54(3):268–271.

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03

Assessment of Lactate Levels as Prognostic and Predictive Markers in Patients with Complete Atrioventricular Block

Complete atrioventricular (AV) block complicates management decisions, particularly regarding temporary pacemaker (TP) insertion. Lactate, an anaerobic byproduct, may reflect inadequate cardiac output and help guide this decision. We analyzed the prognostic value of lactate in patients with complete AV block.

Kaynak: Cengiz HB, Sunman H, Fatihoğlu ŞG, et al. Assessment of Lactate Levels as Prognostic and Predictive Markers in Patients with Complete Atrioventricular Block. Turk Kardiyol Dern Ars. 2026;54(5):412–420.

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04

Stress Hyperglycemia Ratio Is Associated with Intracardiac Thrombus in Acute Ischemic Stroke

Transthoracic echocardiography (TTE) is widely used for cardiac evaluation in acute ischemic stroke (AIS), but it may miss intracardiac thrombi that can be detected by transesophageal echocardiography (TEE). The stress hyperglycemia ratio (SHR), which adjusts admission glucose for baseline glycemia, has emerged as a novel biomarker in cardiovascular disease. However, its association with intracardiac thrombus undetected by TTE in AIS remains unclear.

Kaynak: Cicek V, Erdem A, Kozan Çıkırıkçı EH, et al. Stress Hyperglycemia Ratio Is Associated with Intracardiac Thrombus in Acute Ischemic Stroke. Turk Kardiyol Dern Ars. 2026;54(5):395–402.

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05

Correlations Between Air Pollutants and Acute Coronary Syndrome Subtypes: A Six-Year Analysis

Air pollution is a major global public health concern and has increasingly been linked to cardiovascular diseases, including acute coronary syndrome (ACS). This study investigated the temporal association between air pollution and ACS case counts in Amasya, northern Türkiye.

Kaynak: Cakmak A, Kertmen O. Correlations Between Air Pollutants and Acute Coronary Syndrome Subtypes: A Six-Year Analysis. Turk Kardiyol Dern Ars. 2026;54(5):388–394.

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