RESUMEN
Background: the goal of this study was to highlight the diagnostic methods and approaches toward most devastating cardiac disorders which are cardiac arrhythmias, MI and hypertensive
Methods: we searched thorough electronic databases as, MEDLINE, EMBASE using the following terms individually and/or in combination: 'Cardiac arrhythmias', 'myocardial infarction [MI] ', 'hypertension', 'ventricular arrhythmias'and 'diagnosis', to look for the most important and relevant articles concerning with the diagnostic approaches of hypertension, MI, and arrhythmias in general
Conclusion: some ideal cardiac biochemical markers need to have not only high level of sensitivity but additionally high specificity to coronary infarction. The creatine kinase-MB, a reasonably certain cardiac marker, could be elevated in situations other than acute myocardial infarction. The ECG continues to be a cornerstone in the diagnosis of MI as well as need to be regularly duplicated, particularly if the first ECG is not analysis of MI. The diagnosing high blood pressure consist of 24-h ambulatory blood pressure monitoring [ABPM] as well as self-home] BP surveillance [SBPM] as optional methods for determining hypertensive patients. None of the current standards have actually yet consisted of ABPM or SBPM as essential devices for detecting hypertension, preferring instead to depend on standard workplace analyses tape-recorded by mercury sphygmomanometry
RESUMEN
Background: in our present review, the main goal was to determine the factors that influence the time of CT in diagnosis of SAH in emergency department, since the ED physicians are the first who are approaches to the patients, awareness and attitude of those physicians are very important for the benefit of SAH patients
Methods: we conducted a comprehensive search using following databases; PUBMED, EMBASE, SCOPUS of studies that involving data on the roles and time of CT in diagnosis of subarachnoid hemorrhage [SAH] in ED patients with acute headache, published in English language up to 2017
Conclusion: CT within 6 hours might be considered enough to rule out SAH in the following circumstances: a neurologically regular patient, a thunderclap headache presentation, a clear time of beginning, and a modern-day CT scan carried out within 6 hours of beginning read by a going to radiologist. Time from headache beginning to imaging is reasonably associated with favorable imaging for SAH. Postpone to health center presentation represent the biggest portion of time to imaging, especially those without SAH. These findings recommend restricted opportunity to minimize lumbar puncture rates merely by accelerating in-hospital processes when imaging hold-ups are under 2 hours, as diagnostic yield of imaging decreases beyond the 6-hour imaging window from headache beginning
RESUMEN
Introduction: Although patients undergoing elective surgery are assumed to have a lower level of preoperative anxiety, studies reported a high level of anxiety among those patients. This study aimed at assessing the level of preoperative anxiety and its predictors in adult patients undergoing elective surgery
Methods: This study is a cross-sectional design conducted among patients admitted for elective surgery. A total of 278 patients with non-life-threatening surgeries were included and those who had mental or psychological problems were excluded from this study. Sample type and sample size. The data collected through a questionnaire about demographics, preoperative knowledge and anxiety in the preoperative room 24 hours before the operation. The frequencies, percentages, mean and SD were calculated, and ttest was used to detect significant associations
Results: The overall preoperative anxiety score had a mean +/- SD of 18.2 +/- 5.8 and the questions regarding knowledge component reported higher scores than those about anxiety component. The components of anxiety about surgery reported higher scores than those of anxiety about anesthesia. Age, gender, availability of family support and type of surgery were found as significant predictors for preoperative anxiety prior to elective surgery. However, the association between preoperative anxiety and marital status and previous experience of surgery were found statistically non-significant
Conclusion: This study concluded that patients underwent elective surgery had high preoperative anxiety. The patients with younger age, female gender, patients under general anesthesia, or those who had no family support showed a higher level of preoperative anxiety