ABSTRACT
Background: Coronary Artery Disease (CAD) remains the major cause of mortality and morbidity of mankind. Even though lot of advances are made in diagnosis, management and prevention of the disease. Coronary Artery Disease (CAD) is the leading cause of death in the United States, affecting over 5 million Americans. It is the most common cause of death in most western countries. Methods: This study was carried out in Intensive Coronary Care Unit (ICCU) of McGann hospital, Shimoga. The material of study consisted of 100 consecutive patients of Acute Myocardial Infarction (AMI) admitted to ICCU of McGann hospital from January 2014 to November 2014. Only patients who satisfied World Health Organization (WHO) definition for the diagnosis of AMI were selected for the study. Results: The age of patients in this study ranged from 24 years to 85 years. Mean age 52.91 ± 13.19 years. Out of 100 cases, 82 were males and 18 were female. The male to female ratio was 4.5:1. Among the 100 patients studied, 92 patients (92%) had atleast on of the risk factors mentioned above and 46 patients (46%) had more than one risk factors. 45 of the 96 patients (46.88%) percentage to the hospital within 6 hours of onset of chest pain. The pulse rate was within normal limits in 65 patients (65%). 26 patients (26%) had tachycardia at time of presentation and 9 patients (9%) had bradycardia. In 29 patients (29%) blood pressure was more than 140/90 mmHg and 15 patients (15%) had hypotension at time of presentation. In remaining 56 patients (56%) blood pressure was within normal limits. JVP was elevated in 6 patients (6%). 4 patients (4%) were in cardiogenic shock at the time of presentation and 13 patients (13%) were in left ventricular failure. Conclusion: There is need for early detection of risk factor to prevent the progression of coronary heart disease, need for creating awareness in the community regarding risk factors, symptoms and signs of acute myocardial infarction so that early referral can be done to coronary care unit to prevent morbidity and mortality in the community.
ABSTRACT
A simple and rapid method of controlling hyperglycaemia is described. This method involves giving soluble insulin/monocomponent insulin every two hours subcutaneously till the blood sugar falls below 200 mg%, by monitoring blood sugar every 2 hours. The time taken and insulin given to control hyperglycaemia thus gives an indication as to the amount of insulin needed by the patient for 24 hours to keep the diabetes under control.