ABSTRACT
To study the response of acute myocardial infarction to both types of thrombolytic drugs and to find any variation in that response, and to identify the different ECG marks of one week successful thrombolysis in both groups. It also, reviews the role of bedside 12-leads electrocardiogram in identifying and monitoring the perfusion state of the myocardium in acute ST-elevation MI. [STEMI]. A retrospective cohort study of patients admitted to the CCU in The Ibn Sena Teaching Hospital in the city of Mosul, and treated by actylase and eminase randomly during the period from January to October 2005. Actylase and eminase successful rate is 65.5% and 54.3% respectively. Early T inversion and Q wave appearance separately together in both groups of patients showed significant response [p>0.004] to thromobolytic therapy. Statistically there was no significant difference regarding the response to both drugs, but the eminase drug is more cost-effective and easer to use
ABSTRACT
Rheumatic fever and rheumatic valvular diseases are considered major health problems in the developing communities. Accordingly, this study was attempted in order to assess the behavior of the various clinical manifestations of acute rheumatic fever [i.e., polyarthritis, carditis, Sydenham's chorea, subcutaneous nodules and erythema marginatum] with regard with age, gender and weather in our region. The study involved 110 patients proved to have acute rheumatic fever according to modified Jones criteria. The patients were studied according to gender, age groups [below and above 15 years], and according to cold and hot weather. Females were affected more frequently than males [68 vs. 42; 1.6:1]. The mean age was 15.9 +/- 4.5 years. Ages ranged from 8-35 years. Polyarthritis dominated clinical presentation; it constitutes 74.55% [P<0.001] in all aspects of the study, followed by Sydenham's chorea [16.36%], and then carditis [9.09%]. Subcutaneous nodules and erythema marginatum were not encountered. Acute rheumatic fever is still a major health problem in our area. Polyarthritis predominates followed by Sydenham's chorea, and then carditis. Age and weather had no effect on the disease parameters studied, but female gender significantly predominated over male gender