Forty-eight-year-old chronic kidney patient Serkan Erman suffered a heart attack while watching a football derby in his hospital room in Istanbul ahead of a scheduled transplant, causing an estimated delay of roughly three to six months to his surgery.
Emotional Extremes Trigger Unexpected Heart Attacks
- Plaque Rupture: Emotional extremes such as intense stress, grief, or even sudden joy can rupture fatty deposits inside coronary arteries, triggering a heart attack even in patients with no prior history of major vessel blockages.
- Pre-Transplant Screening: Comprehensive cardiac evaluations are mandatory before organ transplantation, but acute coronary events can still occur unexpectedly due to physiological triggers.
- Surgical Deferral: Following a myocardial infarction treated with stent placement, blood thinner therapy and vascular recovery timelines require postponing major elective surgeries like a renal transplant for several months.
Pre-Transplant Routine Upended by an Acute Cardiac Event
Serkan Erman had completed his pre-operative diagnostic tests and checked into an Istanbul private hospital under observation, preparing to receive a donor kidney on a Tuesday. On October 26, while confined to his room, he watched the derby between Galatasaray and Fenerbahçe on his computer, following the post-match television analysis long after the final whistle.
As sports programs ended and he attempted to sleep, Erman experienced acute left arm and chest pain accompanied by breathing difficulties. Nurses immediately summoned the medical team, who recorded an electrocardiogram (EKG/ECG) revealing clear indicators of an acute myocardial infarction, commonly known as a heart attack. Doctors took him for coronary angiography the following morning. Maçtan sonra şiddetli bir göğüs ve sol kol ağrısı yaşadım
diyen Serkan Erman, çocukluğundan beri Fenerbahçe taraftarı olduğunu belirterek, Kronik böbrek hastasıyım, ayın 26’sında hastaneye yattım
ifadelerini kullandı. Erman, Galatasaray’ın 2-1’lik üstünlüğüyle sonuçlanan maç bittikten sonra sonucundan dolayı stres yaptığını ve yorumcuları izlediğini belirtti.
Specialists Restore Blood Flow Using Emergency Angiography
Treating physician Prof. Dr. Mahmut Uluganyan noted that Erman had undergone full cardiovascular evaluations approximately three months prior to admission. At that time, cardiac function tests, electrocardiograms, echocardiograms (EKOs), and exercise stress tests returned entirely normal results, granting the patient formal medical clearance for the renal transplant.
Upon re-admission, however, pre-procedure monitoring captured heart attack signs. During the emergency angiography, specialists identified an arterial blockage and successfully restored blood flow using balloon angioplasty and stent placement. Erman also noted that his uncle made him a Fenerbahce fan, and that he tries to attend matches when he is not sick, hoping to see Fenerbahce in better days and with more championships.
| Clinical Parameter | Pre-Admission Evaluation (3 Months Prior) | Hospital Admission (October 26) |
|---|---|---|
| Electrocardiogram (EKG) | Normal | Ischemic Changes / Acute Infarction Signs |
| Echocardiogram (EKO) | Normal Function | Not specified |
| Coronary Status | No problems detected | Acute Plaque Rupture / Vessel Occlusion |
| Transplant Eligibility | Approved for Surgery | Deferred by 3 to 6 Months |
Treatment Protocols and Five-to-Six-Month Surgical Delay
The emergency intervention significantly reduced Erman’s immediate mortality risk, though active surveillance remains necessary due to the recent coronary event. The patient has been placed on rigorous pharmacological regimens, including blood thinners and heart-protective medications.
Because post-infarction vascular healing requires extended medical management, the renal transplantation procedure has been officially postponed. Prof. Dr. Uluganyan stated that provided Erman’s general clinical recovery proceeds smoothly over the next five to six months, the transplant evaluation process will be re-initiated. 5-6 ay sonra genel durumu iyiyse tekrar nakil sürecini başlatmış olacağız
diyen Prof. Dr. Uluganyan, hastaya mümkün olduğunca stresten uzak durmasını önerdiklerini aktardı.
Telif Hakkı ve Kaynak Bilgisi
Tic. A.Ş’ye aittir.
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