scholarly journals Delayed presentation of patients with acute myocardial infarction in CCU of Chittagong Medical College Hospital, Chittagong, Bangladesh

2015 ◽  
Vol 67 ◽  
pp. S32-S33
Author(s):  
P.K. Das ◽  
A. Awal ◽  
A.L. Mollah ◽  
N.C. Roy ◽  
A. Dey ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Medical College Hospital ◽  
Delayed Presentation ◽  
College Hospital ◽  
Medical College

scholarly journals Profile of Young Acute Myocardial Infarction in Chittagong Medical College Hospital, Chittagong

1970 ◽  
Vol 4 (1) ◽  
pp. 53-57 ◽  
Author(s):  
PK Das ◽  
S Ghafur ◽  
B Bhattarcharjee ◽  
A Dey ◽  
AL Mollah ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Risk Factor ◽  
Coronary Angiography ◽  
Young Patients ◽  
Medical College Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Hs Crp

Background: Coronary artery disease (CAD) is now an emerging epidemic in developing countries including Bangladesh. Younger people are being affected here more and more. Young individuals with acute myocardial infarction (AMI) may have unique presentation, risk factor, angiographic profile and outcome which may have an influence on the preventive strategies. This study is an attempt to investigate the same. Methods: Young patients (aged d” 40 yrs) with AMI admitted to the coronary care unit of Chittagong Medical College Hospital over a period of one year were included in the study. Assessments of the patients were done with clinical history, physical examination and systemic evaluation. Location and types (STEMI, NSTEMI) of myocardial infarction were determined by ECG and serum troponin- 1 assay. Blood for glucose and lipid profile was drawn within 24 hours of admission. High sensitivity testing for C-reactive protein (hs CRP) was done in all patients. Coronary angiography was done within 6 weeks of hospital discharge. Results: A total of 83 Patients with age d” 40 years were included .Age range were 21-40 years (34.21 ± 5.07 yrs). There were 71 male (85.5%). Male: female ratio was 5.9:1. Most of the young AMI patients presented lately to the hospital. Majority of these patients were thinly built, came from urban or semiurban areas, engaged in heavy physical activities and belonged to lower socioeconomic group. A positive family history of CAD was present in 18 patients (28.68 %). Smoking was the most prevalent risk factor followed by a raised serum triglyceride or low high density lipoprotein (HDL). A raised hs CRP was present in 47 patients (49.39%). The overall in hospital mortality was only 3.61 %. Coronary angiography done in 38 patients revealed single vessel disease in the majority. Conclusion: The study focuses our attention to the rising incidence of AMI in young individuals who are less prone to CAD. Early detection of AMI and timely intervention needs high index of suspicion in this age group. These young patients have got low BMI High TG, Low HDG High hs CRP & habit of smoking. Avoidance of smoking, controlling high TG and/or low HDL may reduce incidence of AMI among young patients. Use of high dose of statin at an early age in young persons with raised CRP may be considered. Keywords: Myocardial infarction; Young. DOI: http://dx.doi.org/10.3329/cardio.v4i1.9390 Cardiovasc. J. 2011; 4(1): 53-57

A study of arrhythmias in the first week of acute myocardial infarction-an experience of a rural medical college hospital

2016 ◽  
Vol 5 (3) ◽  
pp. 195
Author(s):  
YJ Visweswara Reddy ◽  
Chinta Rajkumar ◽  
EKiran Kumar ◽  
Avin Subhash ◽  
NilamKumari Singh ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College

scholarly journals Predictors of no- reflow during primary angioplasty for acute myocardial infarction, from Medical College Hospital, Trivandrum

2017 ◽  
Vol 69 ◽  
pp. S34-S45 ◽  
Author(s):  
Padmajan Sabin ◽  
Alummoottil George Koshy ◽  
Prabha Nini Gupta ◽  
Pattu Valappil Sanjai ◽  
Kunjukrishanpilla Sivaprasad ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Primary Angioplasty ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
No Reflow

scholarly journals Outcome of Patients Having Acute Myocardial Infarction with and without Streptokinase

2019 ◽  
Vol 31 (2) ◽  
pp. 68-71
Author(s):  
Faruque Uddin ◽  
AK Fazlul Hoque
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Mortality ◽  
Time Of Arrival ◽  
College Hospital ◽  
Medical College ◽  
North East ◽  
Acute Mi ◽  
Medicine Today ◽  
Mean Time

Introduction: Acute myocardial infarction is the leading cause of death. Streptokinase is the most commonly used thrombolytic agent. This study was conducted to compare in-hospital outcome of patients with acute myocardial infarction receiving streptokinase with those not receiving it. Materials & Methods: This descriptive observational study was conducted at Coronary Care Unit, North East Medical College Hospital from 1st July August 2016 to 30th June 2018. 340 patients having acute MI were in- cluded in the study. Two groups were formed: sk group receiving streptokinase and non-sk group not receiving. In-hospital mortality was the primary end point while mechanical and electrical complications were the secondary end points. Results: Among 340 patients, 255(75%) were males and 85(25%) females. Out of those 218 received strep-tokinase, while 122 did not. Mean age of sk group was 53.15±10.30 years and non-sk group 60.5±16 ears. Mean time of arrival to the hospital after symptom onset was 10.41±9.97 hours. SK group patients reached in 5.9±4.76 hours while non-sk group in 19.4±10.5 hours. In-hospital mortality in sk and non-sk group was 19(8.7%) and 25(20.5%) respectively, p=0.002. Complication rate was significantly higher in the non-sk group, 54.09% vs 34.86%, p=0.04. Conclusion: Patients of acute myocardial infarction receiving streptokinase have significantly lesser in-hospital mortality and complications as compared to patients not receiving it. Medicine Today 2019 Vol.31(2): 68-71

scholarly journals Selected Risk Factors for Myocardial Infarction among the Patients Admitted in Rajshahi Medical College Hospital

1970 ◽  
Vol 18 (1) ◽  
pp. 37-42
Author(s):  
Abdur Rahsid ◽  
Md Mofakkurul Islam ◽  
Md Rafiqul Islam
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Blood Pressure ◽  
Serum Cholesterol Level ◽  
Medical College Hospital ◽  
Normal Range ◽  
College Hospital ◽  
Medical College ◽  
Cardiology Department ◽  
The Common

Myocardial infarction (MI) is the common form of coronary heart disease. A large number of modifiable risk factors had been identified. This descriptive study was done to observe selected risk factors among the MI patients admitted in CCU of cardiology department of Rajshahi Medical College Hospital in the month of March to June 2005. Data were collected from 200 patients using a closed end questionnaire. Anterior, inferior and non-Q types of MI occupied the major (25%, 24.5% & 20.5%) portion of study subjects, CK-MB level was high in all MI patients, majority (57.5%) of the patients were smoker & most of them had smoked more than 10 cigarettes per day except Non-Q and antero-septal MI patients. Majority (57%) of the patients had systolic blood pressure (SBP) above 140mmHg but had normal diastolic blood pressure (DBP <90mmHg). Serum cholesterol level was high in all patients but majority (55.5%) had LDL within normal range. Less than half (46%) of the patients were diabetic (RBS >8mmol/l).   doi: 10.3329/taj.v18i1.3302 TAJ 2005; 18(1): 37-42

scholarly journals Rohingya Crisis: An Added Challenge in Neurosurgical Arena of Chattogram Medical College Hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 111-116
Author(s):  
Md Rabiul Karim ◽  
SM Noman Khaled Chowdhury ◽  
Syed Md Mainuddin ◽  
Anisul Islam Khan ◽  
Md Manzoorul Islam ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Spinal Injury ◽  
Medical College Hospital ◽  
Local Health ◽  
Delayed Presentation ◽  
Care Providers ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Rohingya are the group of people who has an specific ethnic, linguistic and religious group lived in the former Arakan state, renamed as Rakhain state of Myanmar. These people are homeless, stateless and disowned by their own government. Chattogram Medical College Hospital is the only tertiary level government hospital nearest to the Rohingya camp where Rohingya patients are referred from local health care providers. On a cross sectional observational demographic study conducted in the Department of Neurosurgery, CMCH revealed that, total number of admitted patient in CMCH is 757 among which 137 (18.09%) patient was admitted in Department of Neurosurgery since the Rohingya citizens are forcibly displaced from their land. Traumatic brain injury (31) , spinal injury (22) and gun shot wound (3) are the most common presentation as a result of ethnic cleansing. But lack of primary health care support, proper health education leads to development of hydrocephalus (8), meningocele (8), meningomyelocele (1) in children and delayed presentation of ICSOL (15) and Spinal SOL (2) are also observed among the admitted patients. 67 (48.90%) patients were treated conservatively and 70 (51.09%) patients are treated operatively. Despite the existing over crowded patients from the Chattogram Division, these Rohingya patients made an added challenge to the Department of Neurosurgery. Proper strategic plan should be carried out for the management of neurosurgical condition for decreasing mortality and morbidity and thus support humanity above all. Bang. J Neurosurgery 2020; 9(2): 111-116

scholarly journals Prevalence of Metabolic Syndrome in Acute Myocardial Infarction Patiens in Bangladeshi Population

2018 ◽  
Vol 24 (2) ◽  
pp. 82-84
Author(s):  
MMR Khan ◽  
MK Rahman ◽  
NK Sana ◽  
M Rais Uddin ◽  
MAL Khan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Metabolic Syndrome ◽  
Acute Myocardial Infarction ◽  
Coronary Care Unit ◽  
College Hospital ◽  
Medical College ◽  
The Metabolic Syndrome ◽  
Increased Risk ◽  
Coronary Care ◽  
Bangladeshi Population

This was a hospital based study done to see the prevalence of metabolic syndrome in acute myocardial infarction patients in Bangladesh. A total of 325 acute myocardial infarction patients attending in coronary care unit Rajshahi medical college hospital were included in this study. According to modified NCEP ATP III criteria 48.5% of subjects aged ≥ 20 years had the metabolic syndrome and it was more commonly seen in women than in men (72% vs 37.4%). The metabolic syndrome is associated with an increased risk of acute myocardial syndrome.TAJ 2011; 24(2): 82-84

scholarly journals Short Term Complications of Acute Myocardial Infarction in a Tertiary Hospital

2021 ◽  
Vol 33 (1) ◽  
pp. 42-44
Author(s):  
Md Nazrul Islam ◽  
Sabikun Nahar Chowdhury ◽  
Md Sajjadur Rahman ◽  
Sk Moazzem Hossain
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Tertiary Hospital ◽  
Short Term ◽  
College Hospital ◽  
Term Outcome ◽  
Medical College ◽  
Coronary Syndrome ◽  
Causes Of Mortality ◽  
Medicine Today

Introduction: Acute myocardial infarction is very common in Bangladesh. It is one of the most common causes of mortality worldwide. The clinical course is associated with various complications. Materials and Methods: To assess the short-term outcome of acute coronary syndrome we select 100 patients. The study was conducted at the Medicine wards of Khulna Medical College Hospital, Khulna from February’2019 to August’2019. We observed the clinical presentations, ECG findings, echocardiographic findings, short term complications and outcome. Results: We found that most of the patients (61%) were within 45-64 years of age. Chest pain was the most common (85%) presentation. NSTEMI is more common than STEMI. 53% patients developed complications. Acute LVF is the most common (23%) complication. AV block is the most common arrythmia (10%). We found overall mortality 38%. Conclusion: Early detection of complications is essential for reduction of morbidity and mortality. This study will help to evaluate short-term complications and to give appropriate management. Medicine Today 2021 Vol.33(1): 42-44

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