ABSTRACT
Background: ACS represents a global epidemic. Arrhythmia in ACS is common. Careful investigation may lead to further improvement of prognosis. Retrospectively analyzed the year- round data of our center. Study was undertaken to analyze the incidence, frequency and type of arrhythmias in ACS. This is to aid timely intervention and to modify the outcome. Identification of the type of arrhythmia is of therapeutic and prognostic importance.Methods: This cross sectional analytical study was conducted in the Department of Cardiology, Apollo Hospitals Dhaka, from January 2019 to January 2020 with ACS patients. Enrolled consecutively and data analyzed.Results: There were 500 patients enrolled considering inclusion and exclusion criteria. Sample was subdivided into 3 groups on the type of ACS. Group-I with UA, Group-II with NSTE - ACS and Group-III with STE - ACS. Different types of arrhythmia noted. Types of arrhythmia were correlated with type of ACS. 500 patients included. Mean age 55.53±12.70, 71.6% male and 28.4% female. 60.4% hypertensive, 46.2% diabetic, 20.2% positive family history of CAD, 32.2% current smoker, 56.4% dyslipidaemic and 9.6% asthmatic. 31.2% UA, 39.2% NSTE-ACS and 29.6% STE-ACS. Type of arrhythmias noted. 22% sinus tachycardia, 20.2% sinus bradycardia, 9% atrial fibrillation, 5.2% ventricular ectopic, 4.8% supra ventricular ectopic, 2.8% bundle branch block, 2.2% atrio-ventricular block, 1% broad complex tachycardia, 0.4% narrow complex tachycardia, 0.2% sinus node dysfunction and 32.2% without any arrhythmia. Significant incidences of arrhythmia detected - respectively 29.8%, 39.2% and 31%, p<0.001.Conclusions: In conclusion, arrhythmias in ACS are common. More attention should be paid to improve their treatment and prognosis.
ABSTRACT
Introduction: Early detection of silent myocardial ischemia plays an important role in prevention of sudden cardiac death and acute myocardial infarction. The studies regarding the frequency of silent myocardial ischemia in diabetic patients having cardiovascular autonomic neuropathy are few so we planned this study to determine the frequency of silent myocardial ischemia among patients with diabetic cardiovascular autonomic neuropathy in our population
Objectives: To determine the frequency of silent myocardial ischemia in type 2 diabetic patients having cardiovascular autonomic neuropathy
Study Design: Cross-Sectional study
Place and Duration of Study: Medical Departments of Allied Hospital and Aziz Fatimah Hospital Faisalabad from 01-08-2013 to 31-01-2014
Methods: This study included 91 type 2 diabetic patients with cardiovascular autonomic neuropathy. All the patients had ECG done. Those who had normal ECG underwent ETT, to determine if there was any silent myocardial ischemia which was described as frequency distribution table. The data was collected on specially designed performa
Results: Total 91 patients were included in the study. Silent myocardial ischemia was present among 35 [38.5%] patients while 56 [61.5%] did not have silent myocardial ischemia. The mean age of the patients was 52.99 + 7.00 years [range 41-71years]. 57 [62.6%] patients were male and 34 [37.4%] patients were female. ECG was positive for ischemia among 25 [27.5%] patients and ETT was positive for ischemia among 10 [11%] patients
Conclusion: The frequency of the silent myocardial ischemia is high among patients with diabetic cardiovascular autonomic neuropathy, so every diabetic patient with cardiovascular autonomic neuropathy should be screened for ischemic heart disease
ABSTRACT
Reproductive health implies that people are able to have a responsible, satisfying and safer sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. The purpose of the study was to explore the attitudes of adults of different communities towards reproductive health education in Dera Ismail Khan. The population of the study consisted of adult residents of different communities in Dera Ismail Khan. The sample of the study consisted of 100 adults selected through convenience sampling. A Questionnaire was used for data collection. The data show that the attitude of adult residents of different communities was positive towards reproductive health education in Dera Ismail Khan. However, demographic variables do not seem to influence the attitudes of respondent's towards reproductive health education
Subject(s)
Humans , Male , Female , Attitude , Rural Population , Urban Population , Safe Sex , Adult , Surveys and QuestionnairesABSTRACT
Appendicitis is an important differential diagnosis in patients with right iliac fossa pain. Acute appendicitis is one of the most common surgical emergencies with a life time prevalence of approximately 1 in 7[2]. To analyze the Alvarado score in relation to the diagnosis and management of acute appendicitis. This study was carried out in Surgical Unit III, Nishtar Medical College/hospital Multan. The study period was from January 2003 to December 2005. Sample size consisted of 100 patients. All these patients presented in A and E department Nishtar Medical College. Hospital Multan. Patients of any age group and both genders presenting to the emergency department with pain in right lower quadrant of abdomen were included in the study. Patients with presentation of urological, gynecological or surgical problems other than appendicitis and especially patients with mass in right iliac fossa were excluded from the study. Only 11 patients had increased severity of symptoms with score 7 or more on reevaluation with in first 24 hours. These 11 patients underwent appendicectomy. Operative findings and histopathological reports showed that 6 patients had inflammed appendix and the remaining 5 patients had normal appendix. Total number of surgeries performed in our study was 73 [73%]. Among these patients 42 were males and 31 were female. Operative findings and histopathological reports showed that 64 patients [87.68%] had inflammed appendix. Negative appendicectomy rate in our study was 12.32%. In our study we found the positive predictive value for Alvarado Score is 87%. The Alvarado score can be used as an objective criterion in selecting patients for admission. Its application improves diagnostic accuracy and consequently reduces negative exploration and complication rates