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, thanks to a method that entered the world’s medical literature. He was trying to survive with issues 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 the 3-dimensional mapping and step-by-step implementation of all procedures of electrophysiology. 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 returned to normal rhythm, was published in the international peer-reviewed journal of reading Journal of Electrocardiology and featured in our journal. world medical literature.
“These are generally rare cases”
Providing information to the AA reporter on the operation process and treatment planning, Uslu explained that his patients received drug treatment at different centers before approaching them, and that he underwent a procedure to detect and burn arrhythmias in the heart, heart and veins. . angiography for chest pain. When the patient came to see them 6 months ago, the problem was rhythm related. Stating that they planned the procedures accordingly, Uslu said they detected palpitations coming from the upper right atrium of the heart and diagnosed the patient with “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 were faced with a disease that could present a risk of pacemaker until 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, along with an electrophysiological study. Noting that they determined it was abnormal flutter, Uslu said they then determined the exact focus intricately with 3D mapping to find the region where the abnormal rhythm originated. . Uslu said they were 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 failed, Uslu said 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’s 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 the throbbing was caused by the outer surface, and pointed out that they couldn’t catch the normal rhythm called sinus rhythm with ablation. With the joint work that we did with the arrhythmia, we obtained a normal rhythm in the patient with the excision of this region. Declaring that Assoc. We did not feel any arrhythmia afterwards. Our patient had previously developed heart failure due to arrhythmia. After the rhythm returned to normal, we saw that heart functions also returned to normal. Our patient is very happy. We are currently tracking,” he said.
“Teamwork is important in complex arrhythmias”
Emphasizing that serious teamwork is needed for the treatment of these arrhythmias, called ‘complex arrhythmias’, Uslu said, “We can achieve good results in this way with the teamwork we do in our hospital. . Highlighting that the case has entered the medical literature globally, Uslu said, “This case was published in a prestigious electrophysiology journal in Europe. It is one of the few tachycardia surgeries performed worldwide. This 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 has entered the literature,” he said.
“I felt like 10% of my heart was working”
Ercument Taskiran said that due to the heart rhythm disorder, he had issues that severely affected his life, such as sweating, feeling extremely depressed, and inability to sleep at night. Taskiran noted that his illness worsened during this process and ablation treatment was recommended following the exams, but he continued to take medication because he was scared. “After the operation, a period of 2 months passed. After two months, it was said that the operation had not been successful, so it would be tried again. The operation was carried out in the last week of December. said. I survived. I started having more fun with my child. Unease weighed on my heart. I had no energy. There was a constant feeling that my heart was functioning at 10%, not 100%. I was out of breath 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 now, because the method applied to me was successful, others will be treated the same way. Since I was young, I thought the operation would be less risky. Smoking or drinking alcohol. I was healthy because I didn’t use it. I guess that’s also a factor. ld. ” he said.