Pattern of valvular lesions in rhematic heart disease and its complications in nwfp-a prospective echocardiographic study of 226 cases

To study the pattern of valvular lesions in rheumatic heart disease and assess its complications echocardiographically. Design: This is on observational prospective echocardiographic study of 226 cases of rheumatic heart disease studied between August and November 1996. Setting: A diagnostic Cardiology Centre in private sector, in Peshawar, NWFP, Pakistan. Findings: Two hundred and twenty six cases of rheumatic heart disease from all over North West Frontier Province, were studied echocardiographically. Simultaneous mitral and aortic valve lesions were seen in 45% cases. Isolated mitral or aortic valve involvement was uncommon. Regurgitant valvular lesion were twice as common as the stenotic lesions. Operated rheumatic heart disease were 3.98% of total cases. Conclusions: Rheumatic heart disease with multiple valvular lesions is a common medical problem. Echocardiography plays a vital role in the evaluation of these patients

Cerebrotendinous xanthomatosis

Hypercholestrolemia is a well known risk factor for coronary heart disease, however we report a very rare disorder of Lipid metabolism which is associated with coronary heart disease despite the fact that all the basic risk markers of dislipdemia like serum cholesterol, HDL, LDL and triglycerides are normal

Longer the belt, Shorter is the life span

Five hundred and twenty one subjects presenting for routine exercise tolerance test had their waist circumference, body mass index [BMI, waist-hip ratio [WHR. and serum cholesterol measured. Compared to weight and body mass index, waist-hip ratio and waist circumference has been found to be better anthropometric predictors of hypercholesterolemia and positive exercise tolerance test. Moreover an average waist circumference and WHR is high in our population and females are having relatively higher serum cholesterol levels than men

Takayasu's disease: analysis of clinical and angiographic features

Analysis of 20 cases of Takayasu's Disease is presented with a view to clinical manifestations and investigations including angiographic findings. There were 15 females and 5 Males with a mean age of 2l +/- 7.l years [Range 15-33 years], 90% cases presented with pulselessness while lesion of subclavian arteries was present most frequently [90%]. The findings are in conformity with other studies