ABSTRACT
To determine the changes in coronary arteries in patients dying at high altitude. Observational descriptive study was carried out at Armed Forces Institute of Pathology and Army Medical College Pathology Laboratory, Rawalpindi form 2002 to 2004 on autopsy of 58 cases dying at high altitude. In 53 out of 58 cases, death was attributed to coronary atherosclerosis. The majority of cases were less than 40 years as also observed in people dying below high altitude. However triple vessel coronary atherosclerosis was seen in 67% cases and left anterior descending coronary artery was involved in almost 100% cases. Coronary atherosclerosis remains the major cause of death at high altitude in acclimatized individuals. Accelerated coronary atherosclerosis with triple vessel involvement in patients without prior history of ischemic heart disease points to specific indicators. Dietary modifications with high carbohydrate diet are recommended at high altitudes
Subject(s)
Humans , Death, Sudden, Cardiac/etiology , Altitude , Coronary Artery DiseaseABSTRACT
Decision makers in health sector need to understand that human resource development particularly, nursing is asking for revolutionary changes. The goal of nursing education is to equip the present day nurse for the requirement of the future, to have appropriate knowledge and skills, competence and attitude. Pakistan Nursing Council has to improve its regulatory role, should redesign the curricula, standards, modes of implementation and monitoring. Doctor nurse ratio and patient nurse ratio to be reviewed with continued mechanism of nursing education professional development