scholarly journals Influence of silent myocardial ischemia on the life quality in patients with ischemic heart disease

2021 ◽  
Vol 20 (2) ◽  
pp. 52-58
Author(s):  
I. I. Gorovenko ◽  
T. P. Pronko
Keyword(s):  
Mental Health ◽  
Heart Disease ◽  
Myocardial Ischemia ◽  
Ischemic Heart Disease ◽  
Life Quality ◽  
Ischemic Heart ◽  
Silent Myocardial Ischemia ◽  
Group I ◽  
Group Ii ◽  
Integral Indicator

The aim of the study was to evaluate the effect of silent myocardial ischemia on the life quality and on the frequency of occurrence and severity of depressive disorders in patients with Ischemic Heart Disease. Materials and methods. The study involved 93 persons, including 42 practically healthy individuals and 51 patients with Ischemic Heart Disease: silent myocardial ischemia. The study included males, aged 45 to 60 years old. To assess the life quality, the Russian validated version of the Medical Outcomes Study-Short Form (SF-36) questionnaire developed by the Boston Institute of Health was used. The Hamilton Depression Rating Scale (HDRS) was used to study the psycho-emotional state of the patients. Statistical data analysis was performed using the Statistica 10.0 and Microsoft Excel 2010 software package. Results. Role functioning (RF) was reduced by 32 % (p<0.0001), general health (GH) was reduced by 31 % (p<0.0001), and mental health was reduced (MH) by 32 % (p<0.0001), social functioning (SF) decreased by 30 % (p<0.0001) in patients with silent myocardial ischemia compared to healthy persons. Both integral indicators of life quality were also reduced in the patients with silent myocardial ischemia compared to the control group. The integral indicator «Physical component of health» for group I was 52.24 [37.4; 59.8] and for group II – 48.84 [41.08; 53.01], p<0.001. The integral indicator «Mental health component» for group I was 54.00 [51.45; 56.76] and for group II – 47.09 [30.29; 52.71], p<0.00001. Mild to moderate depression was found in 35.3 % of the patients with silent myocardial ischemia, and 15.68 % was with severe and extremely severe depression.Conclusions. Silent myocardial ischemia decrease the life quality of patients and promotes the development of depressive states.

scholarly journals Impact of the covid pandemic on admission for acute heart disease in a level II coronary unit

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
AM Campos Pareja ◽  
L Garcia Riesco ◽  
M Frutos Lopez ◽  
J Nevado Portero ◽  
M Villa Gil Ortega
Keyword(s):  
Heart Disease ◽  
Length Of Stay ◽  
Ischemic Heart Disease ◽  
Average Length ◽  
Ischemic Heart ◽  
Average Length Of Stay ◽  
Group I ◽  
Level Ii ◽  
Acute Ischemic Heart Disease ◽  
Group Ii

Abstract Funding Acknowledgements Type of funding sources: None. Purpose and Methods The Covid-19 pandemic has led to an increase in demand for Critical Patient Care Units. For this reason, level III Coronary Units have become a very valuable resource in the care of seriously ill patients, especially those due to covid. Level II Coronary Units could have assumed a greater number of acute heart patients, especially coronary, during the pandemic in hospitals that have coronary units of different levels.  Our objective has been to compare the profile of patients who have been admitted to our level II Coronary Unit, retrospectively analyzing and comparing the demographic data and the reason for admission of the patients who were admitted between March and November 2019 (group I) with those who did so between the same months of 2020 (group II).  Results   Group I patients were 518 patients compared to 625 in group II. There was no difference between the age of the patients admitted (65.2 + 13 vs 65.1 + 13.8 years old). In the covid period, there were no significant differences between the classic risk factors, such as hypertension, diabetes or dyslipidemia. There was a higher percentage of smoking among the patients. During the pandemic, the patients admitted had significantly less history of previous heart disease (40.2% vs 78%). There has been a significant increase in admissions for acute ischemic heart disease in our unit (60% vs 13.8% the previous year), at the expense of Acute coronary syndrome with ST elevation (STEMI), with a downward trend in pathologies such as arrhythmias (13.5% in 2020 vs 20.6% in 2019) and acute heart failure (11.1% in 2020 vs 12.1% in 2019).  The average length of stay during the Covid-19 period was significantly shorter, 2.7 days, compared to 3.3 days in the 2019 period, at the expense of a higher turnover rate in the Unit (79.42 vs 74, 09). During the covid period, there were 36.67% more discharge.  Conclusions  During the Covid-19 pandemic, a significant increase in acute ischemic heart disease (STEMI) has been observed in our level II Coronary unit, which is responsible for the greater number of discharges and the decrease in our average length of stay. This has allowed level III Coronary Units the ability to assume the excess of patients in need of intensive care that has been significantly increased by the Covid-19 pandemic

scholarly journals Silent myocardial ischemia during holter monitoring in ischemic heart disease.

1989 ◽  
Vol 53 (11) ◽  
pp. 1399-1406 ◽  
Author(s):  
TETSURO KOHYA ◽  
FUMISHI TOMITA ◽  
KAZUSUKE ITOH ◽  
YOSHIYUKI SUZUKI ◽  
NORIKO KAWABATA ◽  
...  
Keyword(s):  
Heart Disease ◽  
Myocardial Ischemia ◽  
Ischemic Heart Disease ◽  
Holter Monitoring ◽  
Ischemic Heart ◽  
Silent Myocardial Ischemia

scholarly journals Results of holter monitoring in patients with coronary heart disease depending on the severity of atherosclerotic lesions of the coronary arteries

2021 ◽  
pp. 15-19
Author(s):  
Tetiana Pylova
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Comparative Analysis ◽  
Myocardial Ischemia ◽  
Coronary Arteries ◽  
Holter Monitoring ◽  
Group I ◽  
St Segment ◽  
Stable Coronary Heart Disease ◽  
Group Ii

The aim – to conduct a comparative analysis of the presence, frequency and duration of episodes of myocardial ischemia and arrhythmias based on the results of Holter monitoring in patients with coronary heart disease depending on the condition of the coronary arteries. Materials and methods. We examined 53 patients (group I) with stable coronary heart disease (CHD) and slightly altered coronary arteries (INOCA), who were hospitalized in the period from October 2018 to February 2021 at the “City Clinical Hospital № 8” of Kharkiv City Council. Group II included 52 patients with a diagnosis of stable coronary heart disease, and according to coronary angiography (CAG) had stenosis of coronary arteries (CA) more than 50 %. Results. According to the results of comparative analysis, it was found that in group I there were signs of myocardial ischemia – depression of the ST segment in 62.3 % (n=33) and elevation of the ST segment in 11.3 % (n=6), compared with group II -73 % (n=38) and 5.66 % (n=3), respectively. Ventricular arrhythmias (VA) have been reported in 52 patients of group I, and in 44 patients of group II. VA 4 and 5 type according to Laun, was significantly higher in group II compared with group I (p=0.0324). The occurrence of ventricular tachycardia was recorded in 5.7 % (n=3) of patients in group I and 9.3 % (n=5) patients of group II (p=0.347). In group II, there was a tendency to more episodes of ischemia compared with group I (p=0.072). The duration of ischemia was significantly longer in group I, compared with group II (p=0.042). Conclusions. The results of the study did not show significant differences in the development of the number of episodes of myocardial ischemia according to Holter monitoring depending on the condition of the coronary arteries. The duration of episodes of ischemia in patients with INOCA is significantly longer than in patients with obstructive atherosclerosis. In patients with coronary heart disease with obstructive coronary arteries, ventricular arrhythmia was statistically significantly more severe according to Lown

scholarly journals Comparison of Serum Magnesium and Potassium in Acute Myocardial Infarction and Chronic Ischemic Heart Disease

2012 ◽  
Vol 17 (1) ◽  
pp. 33-36
Author(s):  
MBK Choudhury ◽  
MS Rahman ◽  
MM Hassan ◽  
R Begum ◽  
N Hoque ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Serum Magnesium ◽  
Serum Glucose ◽  
Ischemic Heart ◽  
Cardiac Complications ◽  
Chronic Ischemic Heart Disease ◽  
Group I

The comparative study has been designed to estimate serum magnesium (Mg) and potassium (K) in patients with acute myocardial infarction (AMI) and chronic ischemic heart disease (CIHD). A total 61 subjects were selected and were divided as group-I (30 subjects of AMI) and group-II (31 subjects of CIHD). Laboratory investigations were done for estimation of serum glucose and serum creatinine to exclude the diabetes mellitus and renal disease. Serum Mg was estimated by atomic absorption spectrophotometer and serum K by ion selective electrode. This study showed that Mg and K level in serum is significantly lower in patients with AMI than that of CIHD subjects. Findings of the study suggested that significantly reduced serum level of Mg and K persists in AMI than those of CIHD, which may be the cause of further cardiac complications. So it may be recommended for estimation and supplementation of Mg and K in both the cases of AMI and CIHD patients for better management. DOI: http://dx.doi.org/10.3329/jdnmch.v17i1.12190 J. Dhaka National Med. Coll. Hos. 2011; 17 (01): 33-36

scholarly journals ISCHEMIC HEART DISEASE

2016 ◽  
Vol 23 (09) ◽  
pp. 1057-1059
Author(s):  
Zaigham Rasool Khalid ◽  
Naseem Ahmed ◽  
Farhan Ali Rizvi ◽  
Mirza Ahmad Raza Baig
Keyword(s):  
Heart Disease ◽  
Liver Disease ◽  
Ischemic Heart Disease ◽  
Fatty Liver ◽  
Fatty Liver Disease ◽  
Group Versus ◽  
Ischemic Heart ◽  
Alcoholic Fatty Liver ◽  
Group I ◽  
Alcoholic Fatty Liver Disease

Objectives: To find the correlation between the non-alcoholic fatty liver disease(NFALD) and ischemic heart disease. Study Design: Retrospective cross-sectional study.Period: May 2014 to Nov 2014. Setting: CPE Institute of Cardiology. Material and methods:One hundred and thirty five participants were incorporated in the study. In Group I; patientswere with NAFLD and in group II; patients were without NAFLD. Data was Analyzed using SPSSV20 software. Results: Mean age in NAFLD group was 52.0+02.6 years and in without NAFLD53.0+1.89 years. There were 73.2 % males in NAFLD group. Incidence of Family history anddiabetes was higher in NAFLD group. The incidence of carotid artery stenosis was 4 (9.7%) inNAFLD group versus 6 (6.3%) in without NAFLD group. we also found a significantly higherincidence of triple vessel and left main stem disease in NAFLD group, it was 34 (80.87%) and3 (7.31%) in NAFLD group versus 9 (9.7%) and 2 (2.12%) in without NALD group respectively.Conclusion: Non-alcoholic Fatty liver Disease has a strong correlation with ischemic heartdisease.

scholarly journals The role of ozone in the treatment of the acute phase of ischemic heart disease

Ozone Therapy ◽  
2017 ◽  
Vol 1 (3) ◽  
pp. 66
Author(s):  
Stefano Ciampa ◽  
Giovanni Dequerquis ◽  
Biagio Lettieri
Keyword(s):  
Heart Disease ◽  
Relative Risk ◽  
Myocardial Ischemia ◽  
Ischemic Heart Disease ◽  
Acute Phase ◽  
Nyha Class ◽  
Ischemic Heart ◽  
Ozone Therapy ◽  
Ischemic Infarct

The present paper describes the role of ozone in the treatment of the acute phase of ischemic heart disease. Two studies are presented: the first mechanically induced myocardial ischemia in rats; the second involved 42 consecutive patients with an outcome comparable to the UA/non-Q wave NSTEMI AMI group of the ENACT study, divided randomly into 2 groups with homogeneous quantitative levels (NYHA class II-III) and was evaluated at weeks 8 and 12 of treatment with ozone. Both studies confirm that i) the effectiveness of ozone therapy increases in relation to how early and how long treatment is performed; and ii) that ozone reduces the relative risk both of ischemic (infarct extension) and arrhythmia complications.

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