Reply to Letter to the Editor: “Environmental and Emotional Stressors, Such as Earthquakes, as Possible Causes of Acute Coronary Syndrome”


akkus o., YASDIBAŞ R., Demirkıran R. F., Elitaş V., BEKLER Ö., ŞEN F., ...Daha Fazla

The Anatolian Journal of Cardiology, cilt.29, sa.1, ss.44-45, 2024 (SCI-Expanded, Scopus, TRDizin) identifier identifier identifier

  • Yayın Türü: Makale / Editöre Mektup
  • Cilt numarası: 29 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.14744/anatoljcardiol.2024.4843
  • Dergi Adı: The Anatolian Journal of Cardiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.44-45
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

To the Editor, Thank you for your valuable comments1 and we are happy to see your inter- est in our work entitled “Changes in Acute Coronary Syndrome Clinic after the Devastating Earthquake in Turkiye’’ published in the September 2024 issue of The Anatolian Journal of Cardiology.2 Gensini score has been defined before as you mentioned.3 It is graded according to the degree of the coronary lesion and its location in the vascular bed and can be referenced according to the sugges- tions.4 As stated in the question, diabetes and MINOCA are separate headings. This is a retrospective study, consisting of 2 separate populations that applied before and after the earthquake. The 2 separate populations have various clini- cal and biochemical characteristics. Some are diabetic and have high BMI. Some have normal BMI. Although BMI is an important factor in the formation of diabetes mellitus, high BMI is not always synonymous with diabetes mellitus. Patients who are more obese than before the earthquake may be hospitalized or may apply to our clinic. For diabetics, this earthquake had a particularly serious impact on gly- cemic control. In our study, the HbA1c levels of diabetic patients admitted after the earthquake were found to be lower than before the earthquake. However, this result was observed in the acute period. Long-term follow-up is required to reach a definitive conclusion....