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Introduction: In developing country like Bangladesh rheumaticfever is common diseases occur in children.Objective: In this study our main goal is to evaluate theincidence in rheumatic fever in age 5-15 age groupBangladesh.Method: This cross sectional study was done at differentprivate hospital in Khulna district from January 2016 to January2017 .where 100 patients data were recorded methodically in apreformed data sheet.Results: In the study 71% patients’ mother was illiterate andmost of them were house wife. Also, most of the patients facedserious heart damage.Conclusion: We can conclude that, overcrowding and lowattainment of education by mothers is responsible for incidenceof RF in children. Further study in needed for better outcome.
ABSTRACT
Introduction: Diabetics responsible for a greater mortality rateduring the acute phase of myocardial infarction (MI).Objective: In this study our main aim is to evaluate theincidence of myocardial infraction in diabetes mellitus.Methodology: This study was done at different private hospitalin Khulna District. During the period of two years (2015-2017)among 105 patients. Where complete demographic detailssuch as age, gender, blood pressure, smoking and alcoholdetails, previous clinical and medical history were noted for allthe patients. Blood was collected from the patients for randomblood glucose levels and HbA1c levels.Results: In the study patients male patients 26.8% higher thanfemale and 28.1% were known diabetics. 10.7% of them wereidentified as diabetic during the hospitalization. Also wherediabetic patients who have had an MI previously are more atrisk to a recurrent MI rather than those without.Conclusion: From result we can conclude that the chronic andacute hyperglycemia linked with acute myocardial infarction isan independent and determinant factor in the outcome forpatients with and without diabetes mellitus. Further study isneeded for better outcome.
ABSTRACT
A review study was done by searching literature through PubMed. Reflex sympathetic dystrophy is a life altering disease pathogenesis of which are not yet clearly known likewise its management protocol has not been established. Treatment of longstanding Reflex sympathetic dystrophy is empirical and of limited efficacy. This disease may lead to dreadful squeal which may need amputation for their management and few of these patients may even develop suicidal tendency. Patient with Reflex sympathetic dystrophy usually present late. It was found that the clinical presentation of RSD are too much variable, although different modalities of treatment are used either alone or in combination, the outcomes are often unpredictable and of variable efficacy. Understanding of the treatment modalities and proper selection of treatment option are essential for best outcome. Preventive measure does play a role in management of these patients. Option of treatment includes pharmacological method, sympathetic nervous system interruption, use of calcitonin and bisphosphonate. More study is required to find out the mechanism that triggers the pain and other clinical manifestation so that a standardized protocol for its management can be developed.
Subject(s)
Acute Disease , Adult , Echocardiography , Heart Block/etiology , Humans , Male , Rheumatic Fever/complications , Syncope/etiologyABSTRACT
To evaluate hemodynamic changes during dynamic exercise, we investigated 13 patients after mitral valve replacement (MVR) for chronic mitral regurgitation (MR) and 5 control subjects by right heart catheterisation during supine bicycle exercise. According to the sizes of the St. Jude Medical (SJM) prosthesis during MVR, patients were divided into group A (n = 8) with SJM 31mm and group B (n = 5) with SJM 29mm. Significant rise in cardiac index (CI) was noted during exercise in both groups A and B (from 3.3 +/- 0.8 to 5.5 +/- 0.9 l/min/m2, p < 0.01 and from 3.0 +/- 0.6 to 5.6 +/- 0.6 l/min/m2, p < 0.01 respectively) and also in control subjects (from 3.4 +/- 0.7 to 6.2 +/- 0.6 l/min/m2, p < 0.01). Mean pulmonary artery and pulmonary capillary wedge pressure were significantly higher during exercise in patients of both groups A and B than control subjects (p < 0.05 and p < 0.01 respectively). Total pulmonary vascular resistance was significantly higher during exercise in both groups A and B than control subjects (p < 0.05 and p < 0.01 respectively). No difference in hemodynamics were noted between the patients of group A and B during exercise. It is concluded that response of CI to exercise in patients after MVR for chronic MR was adequate in comparison to control subjects irrespective of two different valve sizes.