Résumé
To compare the angiographic findings in patients with acute myocardial infarction [AMI] and compare it with diabetic and non-diabetic patients admitted in the cardiology department of LUHMS. Descriptive analytical study. Department of cardiology at Liaquat University of Medical and Health Sciences [LUMHS] Hospital, Hyderabad. Periods of 1[st] June 2012 to 31[st] July 2013. All patients with AMI and had diabetes mellitus and age eighteen or more than eighteen years both male and female were included after taking informed consent. Out of 297 patients diagnosed as AMI, 195 [65.65%] patients had acute ST elevation Myocardial Infarction and 102 [34.35%] patients had acute non ST elevation myocardial infarction. Among 297 patients, 190 [64%] patients were non-diabetic and 107 [36%] patients were diabetic. Diabetic patients were older, more often males, but prevalence of smoking was less marked. Coronary angiographic findings among patients with AMI and diabetics revealed three vessels disease. Older patients with male predominance presented with AMI and had diabetes mellitus were found to have three vessels disease in coronary angiography
Résumé
OBJECTIVE: To determine the in-hospital outcome of Native Valve Endocarditis patients and associated complications
STUDY DESIGN, PLACE AND DURATION: Hospital based prospective study, Department of Cardiology, Liaquat University Hospital Hyderabad from July 2005 to December 2007
PATIENTS AND METHODS: 56 consecutive patients, who presented with fever, joint pain, dyspnoea, history of Rheumatic fever, previous history of IE, history of I/V drug abusiveness were studied by history, physical examination, 3 blood samples were taken and sent to the laboratory for culture and sensitivity. All patients were evaluated by Doppler echocardiography on day 1, at 14 day, at one month and on 6th week of treatment. Empiric treatment was started on admission and later adjusted according to culture and sensitivity. Descriptive and inferential statistical analysis was performed using SPSS version 16.0
RESULTS: Males out numbered females with ratio 37[66.1%] / 19[33.9%]. Definite vegetation was found in 40/56 [71.4%]; but definite culture positive cases were 30/56 [53.6%]. Complete improvement was seen in 32[57.1%], 08[14.3%] patients died during the course of treatment in hospital, 10[17.9%] were referred for surgery and 06[10.7%] patients developed recurrent episode of infective endocarditis. 13/56[23.2%] patients developed congestive heart failure, recurrent episodes of fever in 8[14.3%] and valvular regurgitation 6[10.7%] cases
CONCLUSION: Our study showed that native valve infective endocarditis is not un common
Early diagnosis and treatment can help in improving morbidity and mortality, overall outcome and can reduce devastating complications associated with infective endocarditis. Patients who require surgical intervention like large vegetations or abscess should be referred for surgery as early as possible to avoid further complications