Anaphylactic reactions of ionic and nonionic contrasts during coronary angiogram

To compare the acute anaphylactic reactions of ionic and nonionic contrasts in patients undergoing coronary angiogram. Experimental study. This study was conducted in Catheterization Laboratory of Punjab Institute of Cardiology, Lahore from 28th September 2007 to 27th March 2008. 200 patients undergoing coronary angiogram, admitted in Punjab institute of Cardiology Lahore through outpatient department [OPD] and emergency ward were included. The socio demographic information like name, age sex and address were recorded. After taking informed consent, the patients were divided into two groups by using random numbers table before the procedure. First group received ionic and the second group received nonionic dye. All patients will undergo coronary angiogram and anaphylactic reactions were recorded. Out of 200 patients 153 [76.5%] were male and 47 [23.5%] were female. Age range was 32-75 yrs with mean age of 53.94 +/- 10.07 of study population. The study population was divided into two equal groups. First group 100 patients received Ionic dye while second group 100 patients received Non ionic dye. Anaphylactic complications during coronary angiogram were more common in patients who received ionic contrast as compared to non ionic contrast group. Anaphylactic complications during coronary angiogram were more common with ionic dye as compared to non ionic contrast

Comparison of complications in patients of inferior wall myocardial infarction with and without right ventricular infarction

To compare in-hospital complications in terms of complete heart block and mortality in patients of inferior wall myocardial infarction with or without right ventricular infarction and to see the frequency of right ventricle infarction in patients of inferior wall myocardial infarction. Cross-sectional comparative study. The study was conducted at Chaudary Pervez Elahi Institute of Cardiology, Multan from 7th August 2009 to 6th February 2010. 73 patients with inferior ST-segment elevation myocardial infarction were distributed into two groups; one with IWMI only and second with IWMI with RV infarction. Patients with prior MI, pre-exiting heart failure, valvular heart disease, pericardial disease, acute pulmonary embolism, significant pulmonary diseases were excluded from the study. The data was analyzed by using software SPSS. The difference in frequencies of complications in two groups was compared using chi square test and a p value of <0.05 was considered significant. Mean age was 51.95 +/- 11.8 years in group 1 and 54.17 +/- 12.0 years in group 2. Patients in group 2 had more complications as compared to group 1. The incidence of Complete AV block was 7 [38%] in group 2 vs. 3 [5%] in group 1 [p=<0.001]. The incidence of right ventricular infarction in patients of inferior wall myocardial infarction was noted to be 26%. RVI results in increase in the frequency of complete heart block and mortality in patients of inferior wall myocardial infarction with right ventricular infarction and the incidence of right ventricular infarction in inferior wall MI was 26%