Conclusion: Endovascular treatment method is an important option in chronic total occlusions of femoropopliteal artery disease, we think that balloon angioplasty revascularization may be promising in well-selected patients. However, the necessity of randomized controlled trials with a larger number of patients is obvious. Results: Our patient group had a mean age of 64.2 years and was relatively young according to the literature, however the burden of active smoking (71.2%) and diabetes (53.1%) was high. The rate of admission to hospital for cardiovascular reasons within one month after the procedure was 12.5%, and repeated target vessel revascularization was 3.1%. The primary endpoint of the study was the 6-month restenosis rate of 39%, but the repeated revascularization rate was 29.7%. In addition Stenting has been found to be an independent predictor of target vessel restenosis. Material and Methods: Sixty-five patients with chronic femoropopliteal artery occlusion who underwent endovascular treatment in our cardiovascular surgery clinic between 2020 and 2022 were reviewed retrospectively after ethics committee approval. Follow-up was 6 months. Objective: The adequacy of endovascular therapies in the treatment of chronic occlusions, which is one of the most severe forms of peripheral arterial disease, which affects more than 200 million people worldwide, is still a matter of debate. In this research article, the factors affecting the effectiveness and success of endovascular treatments were investigated and discussed in the light of current literature.

Objective: Ventricular rhythm disorders which after myocardial infarction has a negative effect on the prognosis. We studied 49 patients with one or more episodes of ventricular tachycardia (VT) lasting longer than 30 seconds, less than fifteen days after myocardial infarction. In our study we research the factors determining the risk of mortality in the five-year follow-up of these patients. Material and Methods: All patients consisted of cases who presented with VT attack after discharge. Programmed ventricular stimulation, late potential examination (LP) and rhythm Holter follow-up were performed to all patients. Holter and LP analyzes were performed at 6-month intervals in the follow-up for 5 years, and PSV was performed in the first 3 months. Results: Forty four men and five women, 49 patients who had myocardial infarction constitute the study group. The average age is 55 (between 33 and 79). Seventeen cases died during the study period, 10 of them were due to heart disease. Low left ventricular ejection fraction is one of the determining factors in high mortality. If left ventricular ejection fraction was less than 35% the five-year survival was 67%, and if the left ventricular ejection fraction was greater than 35%, the five-year survival was 80%. Anterior myocardial infarction has a higher mortality rate than inferior myocardial infarction. However, in our study, the difference was not found as significant. In treatment types comparison, treatment with amiodarone or different antiarrhythmic drug or ablation, there was no statistically significant difference neither. Conclusion: Due to the small number of patients in our study, we think, further studies with larger patient groups are needed.

Conclusion: The clinical consequences of COVID-19 disease in young and middle-aged adults were investigated. Results: In our current study, delayed recovery rates were observed in those receiving favipiravir treatment (p=0.05). Likewise, delayed recovery rates were observed in those receiving plaquenil treatment such as favipiravir. (p=0.05).In studies, it was determined that COVID-19 infection affects the coagulation cascade and predisposes to thromboembolic events. It was determined that 40% of patients with a diagnosis of COVID-19 who had clots in their organs received low molecular weight heparin (LMWH) treatment, and 60% did not receive LMWH treatment. Of the study population, 76.65% (348) were non-smokers, and it was found that non-smokers survived the disease milder (p=0.047). Material and Methods: Using the SurveyMonkey statistical program, a 31-question questionnaire was filled in 454 devices using digital devices. In addition, SPSS 20 program was used in the statistical evaluation of the data. 55.07% (250) of the participants were between the ages of 18-40, and 42.07% (191) were between the ages of 40-65. Objective: The coronavirus disease-2019 (COVID-19) pandemic is a pandemic that has spread all over the world in a short time due to the corona virus, readers of China’s Wuhan, in 2019. It was named severe acute respiratory syndrome coronavirus-2 because the disease especially affects the respiratory tract. There are many studies in the literature for COVID-19, and new ones are still being made. In this case, the effects of COVID-19 on young and middle-aged adults were investigated.

Conclusion: The COVID-19 pandemic has caused some negative results in the diagnosis, treatment and follow-up of patients with cardiac and non-cardiac chronic diseases. In this period, new technological methods have been developed in the management of chronic diseases, and large-scale randomized studies are needed to evaluate the effectiveness of the applications. Results: A total of 564 patients with a mean age of 47.5±15.5, 55.5% of whom were women, were included in this pre-study. 54.08% of the patients (n=305) stated that their routine hospital controls were disrupted during the pandemic period. It was determined that 4.9% of those who expressed their anxiety level as excessive or high, and 1.5% of those who stated it as moderate-less or not developed COVID-19 infection (p=0.038). Regarding the telemedicine method, which was performed by providing remote physician support during the pandemic period, 286 (50.71%) of the participants had the idea that it was a very useful, 262 (46.45%) useful, and 16 (2.84%) unnecessary application. Material and Methods: In this study, a multiple-choice questionnaire consisting of 23 questions was sent to individuals with chronic disease (n=564) under medical follow-up via the SurveyMonkey online statistics program. The chi-square test was used to investigate whether the distributions of categorical variables differed within the groups. Comparisons between groups were made with the Mann-Whitney U test. A value of p<0.05 was considered statistically significant. Objective: During the coronavirus disease-2019 (COVID-19) pandemic, there have been some problems in the diagnosis, treatment and follow-up of people with chronic diseases, especially cardiac diseases. In this study, which aims to examine the effects of the pandemic, which negatively affects the whole world, in this context, the conditions of the patients in this period were examined with a multiplechoice questionnaire. As a result, situations such as the problems experienced and the management of patients with new methods such as telemedicine have been revealed.

Hypersensitivity reactions due to insect stings can cause various clinical conditions such as urticaria, dyspnea, myocardial infarction. Kounis syndrome is an acute coronary syndrome in the form of allergy, hypersensitivity, anaphylaxis or anaphylactoid reactions caused by activation of mast cells. It is a syndrome with a low incidence. Depending on the degranulation of mast cells, the release of various mediators, primarily histamine, plays a role in the pathophysiology. In this study, a case of anaphylactic acute inferior myocardial infarction due to multiple honey bee stings of a 50-year-old male patient was reported.

Main mechanism of atrioventricular nodal reentrant tachycardia (AVNRT) results from the competition of two functional simultanously working pathways consisting of fast and slow ones in AV node and is one of the most prevalent form of supraventricular tachycardias seen in the clinic. Nowadays radiofrequency cathater ablation is generally preferred choice for treatment of the symptomatic patients. With the current interest in hereditary factors in cardiac arrhythmias and the serious developments in the field of molecular genetics, the genetic etiology of familial arrhythmias has come to the fore more recently. Beside the Familial Wolf-Parkinson-White syndrome which is a well known example of autosomal dominant inherited familial tachycardias, there is also familial atrial fibrillation that belongs to the channelopathies and proven to be inherited autosomally. On the other hand, there is no certain evidence that indicates AVNRT has such hereditary etiology so far. In this case, we report a family of mother, father and their daughter diagnosed of AVNRT in our clinic.

Objective: Obstructive coronary artery disease is not detected in some of the patients with ischemia in myocardial perfusion scintigraphy. Considering the possible risks of coronary angiography, we aimed to predict the risk of obstructive coronary artery disease in patients with positive myocardial perfusion scintigraphy, with P wave morphology in the electrocardiogram (ECG). Material and Methods: Our study is a retrospective study, and patients with a positive myocardial perfusion test for ischemia and subsequently undergoing coronary angiography were included between 2018 and 2019. Patients with bundle branch block, a history of coronary intervention, and not in sinus rhythm were excluded from the study. The patients were divided into two groups as with or without stenosis of 70% or more in at least one coronary artery. Demographic characteristics, laboratory parameters, echocardiographic parameters and P wave peak duration, amplitudes and dispersion times on the ECG of the patients were calculated using a computer program. Results: The parameters of the patients that were significant as a result of univariate analysis were evaluated after multivariate regression analysis. We determined that independent predictors of lesions requiring intervention were male gender (p=0.007), hypertension (p=0.039), fasting glucose value (p=0.007), and low P wave amplitude in lead D1 (p=0.014). We found that a P wave amplitude above 0.85 millivolts in the receiver operating characteristic curve has 65% sensitivity and 50% specificity in terms of not requiring coronary intervention. Conclusion: In patients who underwent coronary angiography after myocardial perfusion scintigraphy, low P wave amplitude is an independent predictor of coronary lesions requiring intervention.