Complication and treatment 185 patients with severe hypertension at the Cardiovascular Department, Viet Tiep Hai Phong Hospital in 2004

185 patients with severe hypertension were treated at the Cardiovascular Department, Viet Tiep Hai Phong Hospital in 2004. Results: patients with severe hypertension accounted for 20.30% of admitted hypertension patients. The mean age was 63.44± 13.64. Female is more than male. 18.33% the patients didn’t know that they suffered from hypertension, only 26.49% patients had regular treatment, specially 55.73% patients discontinued treatment. Heart disease was the most common complication, with high rate 37.85%. 16.21% patients had myocardial ischemia. 25.95% patients had arrhythmia. 93.52% patients were treated by triple-drug or fourth-drug therapy after admission, the patients’ blood pressure decreased after one hour follow up. The mortality was low (1.62%). There were no treatment sequelae

Evaluation of left ventricular function in 64 patients with hypertension by Doppler ultrasound

Study was performed in 64 patients with hypertension who were treated at Viet Tiep Hospital, Hai Phong city from 2001 to 2002. The control group consisted of 36 normal healthy persons. Results: in patients with hypertension, the LA, Dd, IVSd, LWPd, LVMl increased more highly than in the control group. However, the evaluated parameters of the left ventricular function such as EF%, FS%, T%, lVS, T% LWP, the distance of E-lVS and curve EF of the heart valve decreased more than the normal persons. Only 15.62% of patients with hypertension had the left ventricular function decreased (EF<55%). While 90.62% of those patients had left ventricular function disorders. Reduced elastic ability of left ventricular occurred in majority of patients with hypertension (93.75%). The type of “unnormal” disorder of diastolic function occurred in 2 patients (3.12%)

Clinical, laboratory characteristics and treatment in 46 patients have comorbid rheumatic heart valvular disease and cerebrovascular stroke at Viet Tiep Hai Phong Hospital in 2004

A retrospective descriptive study on 46 patients comorbid rheumatic valvular heart and cerebrovascular ischemic stroke at Viet Tiep Hai Phong Hospital in 2004. Results: this condition appears more common in women than in men (71.74% vs 28.16%), average age 52.70± 0.45. 95.65% of patients are over 30 years old. Most of patients had heart failure at grade NYHA III (89.13%). Causes of cerebrovascular ischemia were simple or combined mitral valve stenosis (100%). 73.91% of patients had first cerebrovascular stroke and 100% patients had sudden hemiplegia. Cerebrovascular stroke in patients with rheumatic heart valvular disease had more atria fibrillation in sinus rhythm (82.61% vs 17.39%). 82.35% patients with acute CVA had been treated by low molecular weight Heparin for 5-7 days in combination with anti-vitamin K. 91.30% patients used anti-vitamin K for the rest of their life. After treatment, clinical condition was improved: 8.69% hemiplegic patients recovered completely, 47.83% recovered partly and 43.48% had no improvement. Mortality rate of CAV was 0%

Lipemia disorder on patients with fatty liver who were diagnosed by ultrasound

Studying on 50 patients with fatty liver, aged > 16 years old, treated at Bach Mai Hospital from Dec 2002 – Jun 2003. All patients had laboratory tests such as: blood - lactose, liver enzymes, HBsAg, lipemia, liver ultrasound. Lipemia disorder occurred in 74% of these patients, and mainly increased triglyceride; the level of lipemia components was not different by severe level of fatty liver by ultrasound. In patients with fatty liver caused by alcohol, the level of HDL-C (1.55  0.52 mmol/l vs. 1.21  0.31 mmol/l) was higher than those without alcohol

Assessment of 76 patients with acute left heart failure who were treated at Viet Tiep Hospital, Hai Phong in 2004

The study included 76 patients (47 females, 29 males) aged 48.54  15.96, with acute left heart failure who were treated at Viet Tiep Hospital, Hai Phong in 2004. The mean rate of the disease increased by age (p<0.05). Hypertension was the main cause (86.84%), the blood pressure when admission was very high (188.86  31.58/107.98  16.79 mmHg) and 60.56% of patients untreated, especially 26.76% of patients with hypertension not be aware of their diseases. Acute pulmonary edema 63.16%, cardiac asthma 36.84%, conscious disorders30.26%, cough and blood expectoration 30.29%, shortness of breathes 35.00  1.41 c/m, rapid heart rhythm 111.11  24.0 c/m, 100% of patients had heart disorder, the most common was rapid sinus rhythm 78.26%, auricular fibrillation 13.04% and ventricular fibrillation 8.70%. The ultrasound showed that left cardiectasic and the function of blood circulation of heart decreased significantly

Notes from studying 86 patients with unstable angina treated at Cardiovascular Department of Viet Tiep Hai Phong Hospital from January 2004 to May 2005

A retrospective study was performed on 86 patients with unstable angina treated at Cardiovascular Department of Viet Tiep – Hai Phong Hospital from January 2004 to May 2005. Results: this disease occured mainly in age group of 51-80; there was no difference in prevalence between 2 genders. The hospitalized patients more likely live in urban than in rural (77.91% vs 22.09%). Most of patients had at least one risk factor; several patients had 2 or 3 risk factors. Most common risk factors are hypertension (53.49%), diabetes (15.21%), and dyslipidemia (46.5%). Angina appeared in rest time in 77.9%, and angina post-myocardial infarction angina accounted for 26.,74%. ECG was performed 2.62 times/patient. Heparin and aspirin are two most common used anti-coagulators (used in 70.09% and 84.88% of patients, respectively). Two drugs were used to treat myocardial ischemia are nitrat derivatives (87.21%) and beta-adrenergic blockers (40.7%). The hospitalized mortality rate was 4.65% due to ventricular fibrillation

The result of temporary making of heart rhythm emergency in 19 patients at Hai Phong Viet Tiep Hospital

The temporary making of heart rhythm emergency in 19 patients at Hai Phong Viet Tiep Hospital from 4/1997 to 11/2002, 10 males and 9 females, average age was 57.10 ± 21.16. Cause: bloc A-V degree III was 63.16%, in which cardiac infarct was 31.58%, sinus node deficiency syndrome was 31.58%. Clinical symptoms: senseless 57.89%, dizzy 37.84%, Adams-Stokes crisis 21.05%, hypotensive and pressure equal zero was 42.10%, mean ventricle frequency was 40.46 ± 11.97 CK/minute, left heart failure 26.31%. 100% machine use have good result. Immediately after machine use: stable pressure, faint sign and Adams-Stokes crisis disappeard. Mortality rate was 0%