Kosuyolu High Specialization Training and Research Hospital Cardiology Specialist Assoc. Abdulkadir Uslu and his team saved his 41-year-old patient from a difficult heart rhythm disorder, for which drug treatment was insufficient, with a method that entered the world medical literature. He was trying to survive with problems like heart failure.
What distinguishes the ablation treatment applied to Ercument Taskiran from others is the combination of “hot” and “cold” ablation methods as well as 3-dimensional mapping and the step-by-step implementation of all electrophysiology procedures. The article titled “Surgical treatment of a difficult case of atrial tachycardia requiring multiple electrophysiological procedures” by Abdulkadir Uslu and his team, in which Taskiran’s heart regained its normal rhythm, was published in the international refereed journal Journal of Electrocardiology and presented to our journal. world medical literature.
“These are rare cases in general”
Providing information to the AA reporter about the operation process and treatment planning, Uslu explained that his patients received drug treatment in different centers before applying to them, and that he had a procedure done to detect and burn rhythm disorders in the heart, heart and veins. angiography for chest pain. When the patient came to them 6 months ago, the problem was related to the rhythm. Stating that they planned the procedures accordingly, Uslu stated that they detected palpitations originating from the right upper atrium of the heart and they diagnosed the patient as “atrial tachycardia”. “We plan to treat the palpitation as a complex arrhythmia and treat it with both three-dimensional mapping and conventional methods. In this patient, we faced a disease that could pose a risk from pacemaker to death.” aforementioned. Assoc. Uslu explained that they first placed a catheter in the heart to distinguish whether the palpitation was abnormal or sinus tachycardia originating from the heart, with electrophysiological study. Noting that they determined that this was an abnormal flutter, Uslu said that they then determined the exact focus in a complex way with 3D mapping to find the region where the abnormal rhythm originated. Uslu stated that they are trying to remove the focus with a process called “radiofrequency ablation”.
Surgery and arrhythmia worked together to restore the patient’s rhythm
Stating that their first attempt was unsuccessful, Uslu said that they plan to completely isolate the heart from its own tissue by ablation by freezing the area called the “appendix” that comes out of the heart atrium. He said they mapped the outer part of the heart, called the “epicardium,” in 3D. Uslu pointed out that they mapped this region because they knew that the palpitation was caused by the outer surface, and pointed out that they could not catch the normal rhythm called sinus rhythm with ablation. With the joint work we did with arrhythmia, we achieved a normal rhythm in the patient with the excision of this region.” Stating that Assoc. We did not experience arrhythmia afterwards. Our patient had previously developed heart failure due to arrhythmia. After the rhythm returned to normal, we saw that the heart functions also returned to normal. Our patient is very happy. We are currently following up,” he said.
“Teamwork is important in complex arrhythmias”
Pointing out that a serious team work is required for the treatment of such arrhythmias, which are called “complex arrhythmias”, Uslu said, “We can achieve successful results in this way with the teamwork we do in our hospital. ” Emphasizing that the case has entered the medical literature in the world, Uslu said, “This case was published in a prestigious electrophysiology journal in Europe. It is one of the rare tachycardia surgeries performed in the world. It is a procedure that has been applied once in our country. Apart from what we did, he had an example in the world. The third entered the literature,” he said.
“I felt like 10 percent of my heart was working”
Ercument Taskiran said that due to the rhythm disorder in his heart, he had problems that seriously affected his life, such as sweating, feeling of extreme depression and not being able to sleep at night. Taskiran noted that his disease worsened during this process and ablation treatment was recommended as a result of the examinations, but he continued to use medication because he was afraid. “After the operation, a period of 2 months passed. At the end of two months, it was said that the operation was unsuccessful, so it would be tried again. The operation was performed in the last week of December.” said. I survived. I started to have more fun times with my child. The discomfort weighed on my heart. I had no energy. There was a constant feeling that my heart was working 10 percent, not 100 percent. I was out of breath while running and swimming. Now they are left behind.” Stating that it feels good to enter the medical literature, Taskiran said, “Such treatments are an example for some diseases that cannot be cured. Maybe from now on, because the method applied to me was successful, others will be treated in the same way. Since I was young, I thought the surgery would be less risky. Smoking or drinking alcohol. I was healthy because I didn’t use it. I guess that is also a factor. ld.” he said.
