MI Presentation Different in Kidney Disease: Only 44% Have Chest Pain

2006 ◽  
Vol 39 (11) ◽  
pp. 48
Author(s):  
MARY ANN MOON
Keyword(s):  
2012 ◽  
Vol 159 (5) ◽  
pp. 391-396 ◽  
Author(s):  
Sherezade Khambatta ◽  
Michael E. Farkouh ◽  
R. Scott Wright ◽  
Guy S. Reeder ◽  
Peter A. McCullough ◽  
...  

2017 ◽  
Vol 24 (2) ◽  
pp. 139-150 ◽  
Author(s):  
Flavia Ballocca ◽  
Fabrizio D'Ascenzo ◽  
Claudio Moretti ◽  
Roberto Diletti ◽  
Carlo Budano ◽  
...  

Author(s):  
Chandrakantasaraf

Human health is a state of complete physical, mental and social well-being. Good health also includes physical health, mental health, intellectual health, spiritual health, and social health. A person goes to health when his body is healthy and healthy and calm.Pollution is a kind of disease through age, water, dust, etc. not only in humans' bodies, but also on the animals, animals, animals, trees, animals and animals. Fatigue, cough, throat disease, cardiovascular disease, kidney disease, chest pain etc.Pryavarnkopradusitkrnewaleanekpramuk Praduskhakpraduskvepdarthhajinhenmnushy Bnataha, Upyogkrtahaawrantmen Seshbagkopryavarnmenfenkdetahakpryavarnkopradusitkrnewalapramuk Pdarthjmahuyepdarthjase- smoke, dust, grit, Gradi, Rasyanikpdarthjase-Ditrjents hydrogen fluoride, Fasginadi, Dhatuyenjase-iron, mercury, zinc, Sisaadi, Gasjase-Kaॅrbnmonaॅksaid, Slfrday oxide, ammonia, chlorine, Florinadi , Fertilizers such as urea, potassic etc., pasticides such as DTM herbicides, insecticides etc., aerated sludge, sound heat, radioactive substances. मानवस्वास्थ्य एक पूर्ण शारीरिक, मानसिकऔरसामाजिक खुषहाली की स्थितिहै।अच्छेस्वास्थ्य में शारीरिकस्वास्थ्य, मानसिकस्वास्थ्य, बौद्धिक स्वास्थ्य, आध्यात्मिकस्वास्थ्य औरसामाजिकस्वास्थ्य भी शामिलहै। एक व्यक्तिकोस्वस्थतबकहांजाताहैजबउसका शरीरस्वस्थऔरमनसाफऔर शांतहो।प्रदूषण एक प्रकारकाजहरहैजोवायु, जल, धूलआदि के माध्यम से न केवलमनुष्य के शरीरमेंप्रवेषकरउसे रूग्णबनादेताहैवरन् जीवजन्तुओं, पशुपक्षियों, पेड़पौधेओरवनस्पतियोंकोभीनष्टकरदेताहै।प्रदूषणअनेकभयानकबिमारियोंकोजन्मदेताहै।जैसे-कैंसर, तपेदिक, रक्तचाप, दमा, हैजा, मलेरिया, चर्मरोग, नेत्ररोग, कान के रोग, स्वाइन फ्लू, सिरदर्द, थकान, खांसी, गले की बिमारी, हृदय संबंधीरोग, वृक्करोग, सीनेमेंदर्दआदि।पर्यावरणकोप्रदूषितकरनेवालेअनेकप्रमुख प्रदूषकहै।प्रदूषकवेपदार्थहैजिन्हेंमनुष्य बनाताहै, उपयोगकरताहैऔरअंतमें शेषभागकोपर्यावरणमेंफेंकदेताहै।पर्यावरणकोप्रदूषितकरनेवालाप्रमुख पदार्थजमाहुयेपदार्थजैसे- धुआं, धूल, ग्रिट, घरआदि, रासयानिकपदार्थजैसे-डिटरजेंटस् हाइड्रोजन फ्लोराइड, फास्जीनआदि, धातुयेंजैसे-लोहा, पारा, जिंक, सीसाआदि, गैसजैसे-काॅर्बनमोनाॅक्साइड, सल्फरडाॅय आॅक्साइड, अमोनिया, क्लोरिन, फ्लोरिनआदि, उर्वरकजैसे यूरिया, पोटाषआदि, पेस्टीसाइड्सजैसे-डी.टी.टीकवकनाषी, कीटनाषीआदि, वाहितमलजैसे-गंदापानी, ध्वनिउष्मा, रेडियोंएक्टिवपदार्थहै।


2021 ◽  
Vol 7 (1) ◽  
pp. e14-e14
Author(s):  
Emad Abdallah ◽  
Bassam Al Helal ◽  
Reem Asad ◽  
George Nessim ◽  
Shaikha Al-Bader ◽  
...  

Introduction: Coronavirus disease 2019 (COVID-19) is an outbreak due to SARS-CoV-2, declared by the World Health Organization (WHO) as a global pandemic in March 2020. Patients with underlying diseases, such as those with end-stage kidney disease (ESKD) on dialysis, are at greater risk. Objectives: The aim of our study to assess the outbreak and impact of COVID-19 on dialysis patients. Patients and Methods: Our study prospectively assessed and followed 442 patients with ESKD undergoing dialysis [390 patients on maintenance hemodialysis (HD) and 52 patients on peritoneal dialysis (PD)] for outbreak and impact of COVID-19 on these patients during the period from April 22, 2020 until March 23, 2021 in Al Khezam dialysis center, Kuwait. Age, gender, nationality, original kidney disease, history of hypertension (HTN), diabetes mellitus (DM), ischemic heart disease (IHD), congestive heart failure (CHF), bronchial asthma (BA), chronic obstructive pulmonary disease (COPD), history of pulmonary embolism (PE) and source of infection were analyzed. Symptoms as fever, fatigue, cough, loss of smell and taste and chest pain were recorded, the need for ICU admission, mechanical ventilation (MV), extracorporeal membrane oxygenation (ECMO), medications were recorded. The need to shift to continuous renal replacement therapy (CRRT) and outcomes (complications and mortality) were analyzed. Results: Our study reported that 102 out of 442 (23%) dialysis patients [97 out of 390 (24.8%) HD patients and 5 out of 52 (9.6%) PD patients] got infected with COVID-19 and reinfection reported in 4 out of 97 (4%) COVID-19 HD patients. Around 27% of COVID-19 HD patients had fever, 19% had fatigue, 8% had cough, 4% had loss of smell, 4% had loss of taste, 4% had chest pain and 40% of COVID-19 PD patients had fever. Fifteen out of 97 (15 %) COVID-19 HD patients needed ICU admission, 12 out of 97 (12 %) COVID-19 HD patients needed MV. A 33 out of 97 (34%) COVID-19 HD patients and 4 out of 5 (80%) COVID-19 PD patients needed to switch to CRRT. Mortality was 17 (15 HD and 2 PD) out of 102 (16.6 %) COVID-19 dialysis patients and common causes of death were sepsis, myocardial infarction (MI), heart failure and PE. Conclusion: Outbreak and mortality of COVID-19 infection is high in ESKD patients undergoing dialysis compared with general populations. Strict protocol for prevention of COVID-19 should be undertaken in dialysis centers and encourage of home dialysis and highly protective COVID-19 vaccination priority for dialysis patients.


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