scholarly journals Presentation of Sudden Death in Emergency Department of a Tertiary Care Hospital of Bangladesh: A Retrospective Study

2015 ◽  
Vol 3 (1) ◽  
pp. 14-16
Author(s):  
Syed Dawood Md Taimur ◽  
M Maksumul Haq ◽  
MA Rashid ◽  
Md Rezaul Karim ◽  
Hemanta I Gomes
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Retrospective Study ◽  
Sudden Death ◽  
Medical History ◽  
Cause Of Death ◽  
Age Groups ◽  
Care Hospital ◽  
Age Group ◽  
Past Medical History

Background: The incidence and causes of sudden death vary in different societies, and these differences are influenced by demographic and clinical factors such as age, gender, risk factors, past medical history and presumed cause of death. This three years long retrospective study describes the influence of these factors on death from sudden cardiopulmonary arrest.Materials and Methods: This is a retrospective study of sudden death among all the age groups who were seen at Emergency Room (ER) of Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh. Total 414 cases of death were reported between 1stJanuary, 2012 to 31st December, 2014. They were investigated retrospectively and subsequently analyzed on age, sex, risk factors, past medical history, endo-tracheal intubation with resuscitation and cause of death. The statistical analysis was performed as appropriate to illustrate any possible association between different demographic variables and cardiopulmonary arrest.Results: Out of 414 deaths, 72.5% were male, & 27.5% were female. The mean age of subjects was 60.60 ± 13.34 years with male mean age of 60.35 ± 13.62 years and female mean age of 59.70 ± 13.24 years. There were three different age groups in this study. 52 deaths were in 17-45 years of age group, 233 death patients were in 46-65 years age group & 129 deaths were more than 65 years age group. Among 46-65years age group 161 deaths were presumed to be due to cardiac cause which is higher than the other two groups. 75.12% of all the study patients had hypertension, 84.06% had diabetes mellitus, 23.43% had CKD & 69.32% had dyslipidaemia. 31.40% patients were active smoker, & 20.53% had prior h/o smoking. Patients who suffered cardiac cause of death had significant history of hypertension (p<0.001), dyslipidaemia (p<0.001), smoking habit (p<0.001), & CKD (p<0.001). 40.8% (169) of deceased patients had previous ischemic heart disease, 10.4% (43) had previous cerebrovascular disease and 28% (116) had prior morbidity like malignancy, multi organ dysfunction. 73.67% subjects needed endotracheal intubation with urgent cardio pulmonary resuscitation. Out of 414 study patients, 65% had presumed precipitating cardiac cause of death, 15% had presumed neurological cause of death and rest 20% had other causes.Conclusion: The current study indicates a definite influence of age, gender, medical risk factors and past medical history has causal relationship with sudden death. The highest incidence occurred in the middle age group as compared to other age groups. Incidence was also higher in men than in women. Subjects with hypertension, diabetes mellitus and previous coronary artery disease had higher incidence of sudden deathsBangladesh Crit Care J March 2015; 3 (1): 14-16

Sex difference in types and distribution of risk factors in ischemic and hemorrhagic stroke

2017 ◽  
Vol 13 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Alijan A Ahangar ◽  
Payam Saadat ◽  
Behzad Heidari ◽  
Seyedeh T Taheri ◽  
Shayan Alijanpour
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Sex Difference ◽  
Cause Of Death ◽  
Associated Factors ◽  
Hemorrhagic Stroke ◽  
Age Group

Background Stroke is the second leading cause of death worldwide and is associated with several risk factors with variable risk factor distribution by population. We report the types and frequency of the associated factors of stroke in north Iran. Methods Consecutive patients with stroke were recruited from 2014 to 2015. The two groups of ischemic and hemorrhagic stroke were compared with respect to age, sex, the prevalence, and distribution of the risk factors. Results Among 230 patients (84.3% ischemic stroke) with mean age of 61.2 years, hypertension (73%), diabetes mellitus (53%), cardiovascular disease (51%), and dyslipidemia (47%) were the most frequent risk factors. Hypertension was significantly more prevalent in males compared with females (88% vs. 60%, OR = 4.91, 95% CI: 2.48–9.71). Hypertension, smoking, and opioid consumption were associated with hemorrhagic stroke. Dyslipidemia was significantly higher in ischemic stroke (OR = 2.65, 95% CI: 1.21–5.8). Overall, 84.3% of stroke occurred in patients aged >50 years (92.8% of women vs. 74.5% of the men, OR = 4.43, 95% CI: 1.93–10.16, p = 0.001). Conclusion Stroke was more prevalent in females; hypertension was more prevalent in males. In the age group less than 50 years old, stroke is more prevalent in men.

scholarly journals Prevalence and risk factors for pelvic organ prolapse in female citizens of Baku

2018 ◽  
Vol 99 (2) ◽  
pp. 187-194
Author(s):  
M Sh Askerova ◽  
L M Rzakulieva
Keyword(s):  
Risk Factors ◽  
Secondary Education ◽  
Pelvic Organ Prolapse ◽  
Family History ◽  
Medical History ◽  
Positive Family History ◽  
Age Groups ◽  
Pelvic Organ ◽  
Physical Work ◽  
Past Medical History

Aim. Study of prevalence and risk factors of pelvic organ prolapse in females in Baku. Methods. Statistical observation unit was a woman aged 45-74 years. The sample size (710 women) was determined taking into account probable prevalence of pelvic organ prolapse (20% according to literature) and margin of error (3%). All women were invited to maternity welfare centre, and a thorough examination was performed after their written consent was obtained. Results. The proportion of women aged 45-49, 50-54, 55-59, 60-64, 65-69, and 70-74 years was 26.5±1.7, 24.9±1.6, 23.1±1.6, 10.9±1.2, 8.2±1.0 and 6.4±0.9%, respectively. Prevalence of obesity in the named groups was 31.9, 34.5, 35.4, 36.4, 27.8 and 34.8%. Proportion of women with secondary and specialized secondary education was 58.5, 58.8, 53.7, 51.9, 51.7 and 67.4% resepctively. Among women of the corresponding age groups, physical work was recorded in 47.9, 53.7, 59.8, 58.4, 13.8 and 17.4% of cases, respectively. In past medical history, no surgeries were observed in 68.1, 77.4, 73.2, 77.9, 84.5 and 84.8% of cases, resepectively. Some women had no labour in past medical history (2.1, 2.3, 2.5, 2.6, 3.5 and 4.3% in the same age groups). Statistically significantly prevalence of pelvic organ prolapse increases among those aged 60 years and older (51.6±3.6% at age 45-49 years and ≥76.6±4.8% at age 60 years and older, р=0.001), with a body mass index less than 25.0 and more than 30 kg/м2 (69.7±3.3 and 66.7±3.0%, р=0.01), with high parity and remarkable family history (63.0±2.6, р=0.01), severe connective tissue dysplasia (72.6±2.5%, р=0.001), in postmenopausal period (63.8±2.0%, р=0.01), and depending on education level (88.0±2.4% among those with pre-secondary education: р=0.001). Relative risk of pelvic organ prolapse in the population of Baku is lower compared to the literature data in the background of obesity, but is higher in the background of positive family history and depending on the amount of deliveries (p=0.05). Conclusion. In Baku 59.9±1.8% of women aged 45-75 years have pelvic organ prolapse of different severity, incomplete uterine and vaginal prolapse are more prevalent (41.3±1.8 per 100 women); prevalence of pelvic organ prolapse is higher in women aged 60 years or older compared to those aged 45-49 (76.6±4.8% vs 51.6±3.6%, р=0.001).

The Pathology of Sudden Death in Hypertensive Individuals

1986 ◽  
Vol 26 (2) ◽  
pp. 158-166
Author(s):  
Arthur R. Copeland
Keyword(s):  
Sudden Death ◽  
Medical History ◽  
Cause Of Death ◽  
Coronary Arteries ◽  
Heart Weight ◽  
Medical Examiner ◽  
Past Medical History ◽  
Kidney Weight ◽  
The Mean ◽  
Total Body

A study of sudden death in hypertensive individuals was carried out with reference to the case files of the Office of the Medical Examiner of Metropolitan Dade County, Miami, Florida, USA, during 1984. All autopsied cases in which the primary or contributory cause of death included hypertensive cardiovascular disease or its sequelae (e.g. intracerebral haemorrhage) were collected. These autopsied cases were then analysed as to age, race, Hispanic surname, sex, cause of death listed on the death certificate, and alcohol content at autopsy. In addition, the total body height, total body weight, fresh heart weight and fresh kidneys weight were categorized as was the degree of patency of the coronary arteries. Furthermore, past medical history, duration of any illness, and any medication noted at the scene of death were also tabulated. Briefly, these 182 autopsied cases represented approximately half the 422 cases of hypertension examined by this office, and represented 7.2 per cent of autopsies performed in that year. Most cases involved persons over 40 years of age, having a non-Hispanic surname, being white and male, and who died from atherosclerosis and hypertension, hypertension alone, or intracranial haemorrhage, with negative blood alcohol present in 44.5 per cent of the cases studied. The mean heart weight was 504–5 gm (S.D. = 162 gm), the mean right kidney weight was 179.9 gm (S.D. = 52.4 gm) and the mean left-kidney weight was 183.6 gm (S.D. = 59 gm). Histologically, fibrosis of the heart and arteriolonephro-sclerosis or arteriolar sclerosis of the kidneys were frequently seen. Quantitatively, the degree of involvement of atheromatous plaque in the coronary arteries was evenly divided among all degrees of severity. Most cases had a past medical history conducive to developing hypertension for an undocumented amount of time. Medication at the scene of death was absent in 65 per cent of the cases. Furthermore, the blood pressure was not documented in 73.6 per cent of cases. Discussion follows concerning the role of the medical examiner in such cases and the nature of that material not frequently studied by clinicians.

scholarly journals Patterns of Vascular Events and Risk Factors of Stroke- A Retrospective Study in a Tertiary Care Hospital of Bangladesh

2015 ◽  
Vol 27 (1) ◽  
pp. 12-14
Author(s):  
Shekhar Bhattacharjee ◽  
Swapna Bhattacharjee ◽  
Khandker Parvez Ahmad ◽  
Jesmin Ul Zannat Kabir ◽  
Md Jahid Hossain
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Retrospective Study ◽  
Study Patient ◽  
Modifiable Risk Factors ◽  
Care Hospital ◽  
Vascular Events ◽  
Mri Scan ◽  
Stroke Incidence ◽  
Female Ratio

Although stroke can affect any age but overall its incidence increases with advanced age. A number of risk factors affect stroke incidence. Here, we have tried to focus on relation of age and sex with stroke incidence as well as identification of modifiable risk factors, both of which bears important implication’s both patients and physicians. This retrospective study was undertaken by analyzing previous records of patients admitted in medicine ward of Shahabuddin Medical College and Hospital Dhaka, Bangladesh, from June 2013 to December 2014. Patients with stroke confirmed by CT/MRI scan were included in the study. Patient’s age, sex, risk factors including smoking, diabetes mellitus, hypertension and dyslipidemia were recorded from the history sheets and attached investigation slips. A total of 64 patients diagnosed as having stroke by CT/MRI scan were included. Overall male and female ratio was 1.2:1. In the study cerebral infraction, intra cerebral haemorrhage and subarachnoid haemorrhage were found in 71.87%, 20.31%, and 7.81%patients respectively. Most patients were between 40-79 years with male predominance but above 80 years female patients more than male. Among the stroke patients hypertension was found in 60.93% patients followed by smoking 48.43% dyslipidemia 40.38% and diabetes mellitus 37.93%. Stroke can be regarded as a preventable disease to large extent. Quitting smoking, detecting and treating most of the modifiable risk factors can go a long way to protect the community against stroke.Medicine Today 2015 Vol.27(1): 12-14

scholarly journals Risk Factors Associated with Ischemic Heart Diseases in Different Age Groups Patients of Tertiary Care Hospitals of Peshawar

2015 ◽  
Vol 1 (2) ◽  
pp. 3-9
Author(s):  
Riaz Gul ◽  
Sumaira Naz
Keyword(s):  
Risk Factors ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Age Groups ◽  
Ischemic Heart ◽  
P Value ◽  
Age Group ◽  
Ischemic Heart Diseases ◽  
Sedentary Life ◽  
Tertiary Care Hospitals

Objectives:To determine different risk factors associated with ischemic heart diseases in different age group patients of tertiary care hospitals of Peshawar.Methodology:A cross sectional study conducted on 350 patients of different age groups presented with ischemic heart diseases in tertiary care hospitals of Peshawar. Study was conducted for duration of 3 months from December 2013 to February 2014. Non probability convenient sampling technique was used. Sample size was calculated using standard sample size calculator. Semi structured questionnaire was used as data collection tool. Patient’s record and investigations were used as adding tools. Standard definition was made for ischemic heart disease. Different modifiable and non-modifiable factors were assessed and were analyzed using SPSS version 16.Results:This study contains 350 patients in which female patients were 133(38%) and male were 217(62%).The mean age was 57.23±11.36 years. The age of the patients ranges from 22 to 80 years. The frequencies of risk factors were stress (73.1%) followed by hypertension (65.7%), sedentary life style (59.4%), family history (57.1%), smoking (50.6%), over weight and obese (39.1%), below normal HDL (30.3%), high LDL (29.1%), hypertriglyceridemia (28%), hypercholesterolemia (23.7%). 64.3% patients were presenting with acute IHD and 35.7% were with chronic IHD. Stress, HTN, DM and sedentary life style were found to be significantly associated with male gender (p- value <0.05). Age was divided into two groups, <45 years and >45 years. Stress, HTN, DM and hypercholesterolemia had a significant association with >45 years of age group. (P-value <0.05).Conclusion:Stress, HTN, DM, sedentary life styles were the major risk factors. And they were found to be more in male gender and in equal to more than 45 years of age group.

scholarly journals MDCT evaluation of coronary artery calcification in Nepalese population undergoing CT thorax examination for non-cardiac pathology

2014 ◽  
Vol 6 (4) ◽  
pp. 40-44
Author(s):  
Mukesh Kumar Gupta ◽  
Raj Kumar Rauniyar ◽  
Naveen Kumar Pandey ◽  
Deepak Kumar Yadav
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cross Sectional Study ◽  
Age Group ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Cardiac Pathology ◽  
Patients With Diabetes ◽  
Ct Evaluation ◽  
Atherosclerotic Risk Factors

Background:Coronary artery calcification (CAC) is frequently encountered as incidental findings during CT evaluation of thorax; however, little is known about its magnitude and association with atherosclerotic risk factors in Nepalese population. The purpose of this study was to evaluate the frequency of incidental CAC in patients undergoing standard thoracic CT examination for non-cardiac pathology and to correlate it with risk factors for coronary atherosclerosis.Methods: A hospital based prospective cross-sectional study was conducted on 216 patients over 8 month duration. The coronary arteries were evaluated for calcification on 16-slice MDCT and the frequency of CAC was correlated with atherosclerotic risk factors viz. age, sex, diabetes mellitus, hypertension, smoking and obesity.Results: Incidental CAC was seen in 72(33.3%) of total 216 patients. The rates of CAC below 40, 40-60 and above 60 years age group were 0%, 31.6% and 43.9% respectively. The frequency of CAC in male and female were 35% and 31.2% for all ages, 43.6% and 20% for 40-60 years group, and 35.2% and 61.1% for above 60 years age group respectively. The frequency of CAC was higher in patients with diabetes mellitus (47.5%), hypertension (42.3%), smoking (43%) and obesity (38.9%).Conclusion: Incidental CAC was seen in 33.3% of the patients and it had significant association with advancing age, diabetes mellitus, hypertension and smoking. Rate of CAC was significantly higher in male for 40-60 years group but the frequency drastically increased in female for above 60 years group. DOI: http://dx.doi.org/10.3126/ajms.v6i4.11205 Asian Journal of Medical Sciences Vol.6(4) 2015 40-44

scholarly journals HYPERTENSIVE PATIENTS;

2013 ◽  
Vol 20 (03) ◽  
pp. 341-347
Author(s):  
SHAHANA ARSHI ◽  
FAKHRA NAHEED ◽  
MAZHAR BADSHAH ◽  
Farah Naz ◽  
Kamran Sardar
Keyword(s):  
Diabetes Mellitus ◽  
Impaired Fasting Glucose ◽  
Fasting Glucose ◽  
Age Groups ◽  
Age Group ◽  
Medical Sciences ◽  
Blood Samples ◽  
Hypertensive Patients ◽  
Glucose Levels ◽  
Secondary Causes

Objective: To see the frequency of diabetes mellitus and impaired fasting glucose levels in hypertensive patients. Design:Descriptive study. Place of Study: OPD / Filter clinic. Pakistan Institute of Medical Sciences. Islamabad. Patients and Methods: Thisstudy was carried out on 116 hypertensive patients during the period from August to September '2008. Out of 116 patients, 64 werefemales and 52 were males with age group between 20 to 70 years. Secondary causes are ruled out on the basis of history and physicalexamination. Blood samples were sent to PIMS laboratory for fasting glucose. Data and results were analyzed in SPSS. Results:According to this study, out of 116 patients, there were18 patients who had diabetes mellitus while 33 had hypertension with impairedfasting glucose tolerance which is statistically significant. The females as compared to males were increased in number who had bothdiabetes mellitus and impaired fasting glucose. According to age diabetes mellitus increased in age groups between 41-50 and 61-70years while impaired fasting glucose were increased in age group between 31-60 yrs. The results indicate that impaired fasting glucose ispresent in significant number of hypertensive patients. Conclusions: Hypertension is associated with diabetes mellitus and impairedfasting glucose.

scholarly journals HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

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