RESUMO
Hypertension is a global public health problem with increasing prevalence. There is limited updated information on the prevalence of hypertension in the Pakistani population. This is a cross-sectional study based on data collected during multiple health screening camps held at multiple locations in rural central Punjab, Pakistan in the period between 2008 and 2015. A total of 13,722 patients were included in this study. Crude prevalence of hypertension was 35.1% and age-standardized prevalence was 34.4%. Among patients with hypertension, 62.3% were aware of having high blood pressure; among these patients, 75.3% were already on treatment for hypertension. Blood pressure was controlled in 22.3% of all patients with hypertension. Among those on treatment for hypertension, blood pressure was controlled in 32.3%. Nearly one-third of patients in health screening camps of rural central Punjab had hypertension. Blood pressure control rate was poor among these patients
RESUMO
Coronary artery bypass surgery and its entire perioperative management is demanding in patients with end stage renal disease [ESRD]. We included data from all patients on hemodialysis who underwent coronary artery bypass grafting [CABG] between November 1st, 2003 and November 1st, 2006 at Sheikh Zayed hospital and Federal postgraduate medical institute, Lahore, Pakistan. During the study period 41 patients with end stage renal disease underwent coronary artery bypass grafting at the Sheikh Zayed hospital and Federal postgraduate medical institute, Lahore. Among these patients, we recorded a perioperative mortality of 19.51%. Six months survival rate was 75.60% among study group patients. The incidence of peripheral artery disease is reported significantly higher in the dialysis dependent patients. Uremic patients showed significantly lower hemoglobin serum levels [4], fresh frozen plasmas [FFP's] when needed. Our preliminary study indicates that coronary artery bypass surgery can be performed with acceptable midterm results when the specific requirements of this patient group are taken into account