ABSTRACT
Introduction: Adolescence is a period when individual starts coming up with their choices and develops personal lifestyle. This lifestyle includes unhealthy diet and physical inactivity which are the major risk factors of various non-communicable diseases of great public health importance like cardiovascular diseases, diabetes, obesity etc. Objective: To assess the pattern of dietary practices and physical activity among school going adolescents in Haldwani block of Nainital district. Material and Method: School based cross sectional study was done among 900 adolescents of 8th to 12th standard. Sample collected from 30 clusters/schools using simple random sampling. Results: Out of 900 students, majority were non-vegetarian. Daily intake of fruits and vegetable was observed among 31.9% and 73.3% of adolescents. Practice of eating junk food and meals outside home were seen more in urban adolescents. 55.6% of participants were found to be physically active, sedentary behavior was more common in urban area and adolescents studying in private schools.
ABSTRACT
Background: Ventricular Tachycardia (VT) constitutes an important manifestation of coronary artery disease (CAD). VT can occur in the immediate acute myocardial infarction (MI) period, further complicating the management. VT also occurs after long duration of acute coronary syndrome (ACS) in the healed MI. Aim: The aim of our study was to evaluate the epidemiology, clinical presentation, hemodynamic status, treatment received and finally the outcome of CAD patients manifesting as sustained VT. Materials and methods: This prospective study was conducted at Sher I Kashmir Institute of Medical Sciences (SKIMS), a tertiary care center in Srinagar, Jammu and Kashmir, India, between August 2013 to May 2016. All the cases of definite sustained VT already admitted in the hospital or Rahul Sudan, Mehroz Ahmed, Khursheed Aslam, Irfan Yaqoob, Gunjan Gupta, Shantanu Aggarwal. Sustained ventricular tachycardia (VT) in coronary artery disease (CAD): A study from tertiary care center in north India. IAIM, 2018; 5(2): 160- 167. Page 161 presenting in the emergency department including those who developed VT during the course of acute MI were evaluated. Results: In our study, a total of 35 patients of CAD manifesting as sustained VT were observed. Majority of these patients were males. The most common presenting symptom was chest pain seen in a total of 14 patients. A total of 23 patients (66%) were hemodynamically stable at the time of VT. A decreased Left Ventricular Ejection Fraction (LVEF <50%) was seen in 18 patients (51%). Monomorphic VT was seen in a total of 28 patients (80%) and the rest of 7 patients showed polymorphic VT. Mortality was seen in 8 patients (23%). Conclusion: Polymorphic pattern of sustained VT, hemodynamic instability at the time of VT and a decreased LVEF are associated with increased mortality in patients of CAD manifesting as VT.