ABSTRACT
Background: this study was done to determine the types and outcome of various arrhythmias in Acute Myocardial Infarction within first 24 hours: It was a descriptive study. The study was conducted at Department of Medicine and Coronary care, Bahawal Victoria Hospital, Bahawalpur, from June 2007 to June 2008
Patients and Methods: one hundred cases, both male and female suffering from Acute Myocardial Infarction admitted within first 24 hours were selected for study. The inclusion criteria were age of 20 years and above myocardial infarction, confirmed by ECG and cardiac enzymes. History, clinical examination, and various investigations. were documented The type of arrhythmias, type of Myocardial infarction in relation to age, sex and their outcome was observed and recorded
Results: the age range of patients included in this study was between 20 to 80 years [mean 50 +/- 29.8 years]. The patients included 74 [74%] males and 26 [26%] females. Out of these, 64% patients developed arrhythmias during first 24 to 48 hours. Tachyarrhythmia's occurred in 42 [65%] cases and included supraventricular tachycardia in 12 [18.7%], premature contractions in 11 [18.7%], ventricular tachycardia in 10 [15.7%] and Junctional Tachycardia ii"] 3[4, 6%]. Brady arrhythmias were observed in 22 [35%] patients with complete heart block in 4[18%] cases, 1st and 2nd degree heart blocks in 6[27%], bundle branch blocks in 9 [4.06%] arid one [1 .5%] Sino-atrial. Block. Majority patients [80%] with anterolateral infarction, 75% with lateral. Wall infarction and 72% with inferior wall involvement developed arrhythmias of these cases of acute myocardial infarction that developed arrhythmias 16 [23.5% died
Conclusion: the study concludes that AMI involves dominantly males and 64% of patients developed arrhythmias with 1st 24 hours. Tachyarrhythmia were more common [65%] ·and mortality rate was 23.5% during first twenty four hours of AMI due to arrhythmias
ABSTRACT
Background: the objective of this study was to determine the etiological diagnosis in patients presenting with ascites and to study various modes of clinical presentations as well as the frequency of Hepatitis Band C in patients with liver cirrhosis. It is a descriptive study. The study was performed in the medical department at Bahawal Victoria Hospital, Bahawalpur from 1st December, 2006 to 31st May, 2007 for six months
Subjects and methods: all the patients admitted in the medical wards with confirmed ascites were sorted out for different etiologies. The patients suffering from hepatic encephalopathy, intestinal obstruction and perforation, appendicitis and pregnancy were excluded. A detailed history, clinical examination and laboratory investigations were documented. Ascetic fluid drawn with proper aseptic technique was examined for biochemistry, microscopy, culture and sensitivity as well as cytology. Data was analyzed using SPSS 10.0
Result: a total of 50 patients with ascites [37 males and 13 females, mean age 58.8 +/- 15.9 years] were studied. Liver cirrhosis accounted for 84% of cases [hepatitis B cirrhosis 38% , hepatitis C cirrhosis 42% and both 4%] followed by tuberculous peritonitis 6% , malignancy 6% , and congestive heart failure 2% , and nephrotic syndrome 2% . Other presentations were gastrointestinal bleed 50% , fever 40% , Jaundice 14% , breath less ness 8% and 2% were asymptomatic
Conclusion: the results conclude liver cirrhosis's as the most common cause of ascites. Hepatitis B and C infections are playing this havoc role. The other common clinical presentations were gastrointestinal bleeding, fever, and jaundice