ABSTRACT
Objective: To evaluate the association of BMI and risk factors of coronary artery disease in patients presenting with chest pain in outdoor cardiology department
Study Design: Descriptive / comparative study
Place and Duration of Study: This study was conducted at the Outdoor Cardiology Department of Nishter Hospital Multan from May 2016 to August 2016
Materials and Methods: All patients who presented with complain of chest pain in outdoor cardiology department were included. Patients were divided into three groups on the basis of BMI
Results: There were 42.0% females patients in obese group as compared to only 12.0% and 20.0% in normal weight and overweight groups [p-value 0.002 Mean age of patients at the time of presentation was significantly less in obese group 49.38 +/- 6.56 years, whereas in normal and overweight patients mean age was 56.60 +/- 9.29 years and 54.84 +/- 9.94 years respectively [p-value <0.001]. There was no patient with age more than 60 years in obese group, 47.5% in overweight group and 52.5% in normal weight group [p-value <0.001]
Conclusion: Obesity is an independent risk factor for the early development of coronary artery disease [CAD] and increased risk of hypertension in early age
ABSTRACT
Objective: Heart failure [HF] is a chronic disease usually associated with psychological issues especially anxiety/depression despite of medical treatments. Aim of our research data study was the estimation of level of depression among admitted CHF patients in Nishtar Hospital and to find an association of various clinical parameters with depression
Study Design: Observational / descriptive study
Place and Duration of Study: This study was conducted at the Cardiology Department of Nishtar Medical College and Hospital Multan from March 2016 to August 2016
Materials and Methods: 400 patients with systolic HF were divide according to the NYHA heart failure classification system. The level of depression was assessed by using Beck's Depression Inventory questionnaire. The patients with a previous history of major depressive disease, psychological diseases, or chronic other severe ailments were excluded. To assess the relationship between variables the chi square test was applied to data
Results: 76 patients in group B of depression were hypertensive and in group A of depression 85 were hypertensive with p=0.04 that is significant i.e. p<0.05. The high depression of group B was much more common in heart failure group B with 53 people having severe depression and 96 group A CHF patients had mild depression with p=0.05 that is statistically significant. Similarly, 94 mildly depressed people were in joint family system of group J and 56 severely depressed patients were in group S with p=0.03 that is highly significant
Conclusion: Depression is very common among CHF patients who are living alone or with spouse only. And severe depression level is more common than mild/moderate depression at higher NYHA classes of CHF
ABSTRACT
Objective: To determine the frequency of acute ST elevation myocardial infarction and various reasons of pre-hospital delay in early morning hours
Study Design: Cross-sectional survey
Place and Duration of Study: This study was conducted in the department of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 18th September 2012 to 17th March 2013
Materials and Methods: 164 patients of either sex giving mid-section torment in right on time morning were incorporated in this study. The meeting secured the patients' indications, the season of onset of side effects, the consequent occasions and the past history. Entry time short the season of side effects onset was ascertained as pre-healing center postponement and it was computed in hours
Results: 164 patients were included in the study. The mean age of patients was 54.85 years with standard deviation of 10.684 years. 77 [46.95%] patients were male and 87 [53.05%] patients were female.Mean delay of patientswith chest pain was 3.49 hours with standard deviation of 1.777 hours. 96 patients had pre-hospital delay of more than 3 hours while 68 patients had no pre-hospital delay. 130 patients presenting with morning chest pain had ST elevation MI while 34 patients did not have ST elevationMI
Conclusion: In conclusion, onset of symptoms at night especially in morning causes more prolonged delay in hospital arrival because transport means and medical helps are beyond reach at these times
ABSTRACT
To compare the acute anaphylactic reactions of ionic and nonionic contrasts in patients undergoing coronary angiogram. Experimental study. This study was conducted in Catheterization Laboratory of Punjab Institute of Cardiology, Lahore from 28th September 2007 to 27th March 2008. 200 patients undergoing coronary angiogram, admitted in Punjab institute of Cardiology Lahore through outpatient department [OPD] and emergency ward were included. The socio demographic information like name, age sex and address were recorded. After taking informed consent, the patients were divided into two groups by using random numbers table before the procedure. First group received ionic and the second group received nonionic dye. All patients will undergo coronary angiogram and anaphylactic reactions were recorded. Out of 200 patients 153 [76.5%] were male and 47 [23.5%] were female. Age range was 32-75 yrs with mean age of 53.94 +/- 10.07 of study population. The study population was divided into two equal groups. First group 100 patients received Ionic dye while second group 100 patients received Non ionic dye. Anaphylactic complications during coronary angiogram were more common in patients who received ionic contrast as compared to non ionic contrast group. Anaphylactic complications during coronary angiogram were more common with ionic dye as compared to non ionic contrast