scholarly journals Demographic profile of patients with right ventricular failure admitted in tertiary care center

2020 ◽  
Vol 72 ◽  
pp. S22
Author(s):  
Kunaal Makkar ◽  
Yashpaul Sharma ◽  
Akash Batta
2014 ◽  
Vol 41 (2) ◽  
pp. 203-207 ◽  
Author(s):  
Kairav Vakil ◽  
Elina Minami ◽  
Daniel P. Fishbein

A 55-year-old woman with a history of complete heart block, atrial flutter, and progressive right ventricular failure was referred to our tertiary care center to be evaluated for cardiac transplantation. The patient's clinical course included worsening right ventricular dysfunction for 3 years before the current evaluation. Our clinical findings raised concerns about arrhythmogenic right ventricular cardiomyopathy. Noninvasive imaging, including a positron emission tomographic scan, did not reveal obvious myocardial pathologic conditions. Given the end-stage nature of the patient's right ventricular failure and her dependence on inotropic agents, she underwent urgent listing and subsequent heart transplantation. Pathologic examination of the explanted heart revealed isolated right ventricular sarcoidosis with replacement fibrosis. Biopsy samples of the cardiac allograft 6 months after transplantation showed no recurrence of sarcoidosis. This atypical presentation of isolated cardiac sarcoidosis posed a considerable diagnostic challenge. In addition to discussing the patient's case, we review the relevant medical literature and discuss the need for updated differential diagnostic criteria for end-stage right ventricular failure that mimics arrhythmogenic right ventricular cardiomyopathy.


2018 ◽  
Vol 16 (2) ◽  
pp. 54-57 ◽  
Author(s):  
Binus Bhandari ◽  
Prem Saxena ◽  
Dipendra Khadka

Introduction: The pesticide poisoning is a common medical emergency and leads to increase morbidity and mortality rate in developing countries due to easy accessibility and low cost. The study was conducted to study the socio-demographic profile of poisoning case to understand the possible factors responsible for poisoning episodes. Method: A hospital based descriptive crosssectionalstudy was carried out in Nepalgunj Medical College, Teaching Hospital, Kohalpur, a tertiary care center, conducted for period of six months from October 2017 to March 2018. The socio-demographic profile of all cases of pesticidal poisoning attended in emergency department or admitted in medical ward were collected on a suitably designed pre- structured proforma and analyzed. Results: Total 164 patients were enrolled in the study. Majority were fallen in the age group of 20-30 years with female 76.80% dominating the male 23.20%. Married couples (74.40%) were found to be more affected and house wife was more vulnerable group 42.10%. Incidence of poisoning was more common in joint family as compare to nuclear family 81.10% versus 18.90%. Organophosphorous was most common pesticides 42.70% and suicide was main manner of poisoning. Quarrel with spouse was main reason in majority 23.80% and most of events were held at evening 69.50%. Conclusion: Pesticide poisoning was common in developing countries. More emphasis should be given on preventive measures and safety practices among the population for prevention and reduction of the pesticide poisoning.


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