Prioritizing patients for coronary angiography using simplified treadmill score in high risk Asian subjects in Saudi Arabia

Our aim was to prioritize and identify patients for coronary angiography using simplified treadmill score in high risk Asian subjects. Consecutive patients referred for chest pain were evaluated based on clinical history and Treadmill Exercise Stress tests and Duke treadmill score and The Simplified treadmill score were plotted into risk categories and high risk patients were referred for coronary angiography. A total of 212 subjects with 95% males underwent Treadmill Stress test of whom 51[24%] were designated as high risk group with a Simplified treadmill score of >60, who were advised Coronary angiography but only 22% of the high risk group underwent Coronary angiography and almost all were found to have two or three vessel disease. The Simplified treadmill score can prioritize patients for coronary angiography using the high risk probability ratio of Simplified treadmill score in Asian subjects

Transfusion related acute lung injury

TRALI [Transfusion related acute lung injury] is a devastating complication of Blood transfusions or its components irrespective of the blood grouping and cross match, We report a case of a Philipino house wife who had blood transfusion for her vaginal lacerations and developed acute pulmonary edema immediately afterwards. Antigranulocyte antibodies were not found in the donors. The patient recovered after supportive treatment. TRALI is not an uncommon complication of Blood transfusion that is under-reported and under-diagnosed