scholarly journals Spectrum of heart diseases on Echocardiography in a Rural tertiary care Medical college hospital in Bangladesh

KYAMC Journal ◽  
2013 ◽  
Vol 3 (1) ◽  
pp. 223-234
Author(s):  
Md Saiful Islam ◽  
Md Annaz Mus Sakib ◽  
Ranjan Talukder ◽  
Sheikh Mohammed Taslim Yusuf
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Heart Diseases ◽  
Hypertensive Heart Disease ◽  
Medical College Hospital ◽  
Ischemic Heart ◽  
Cardiac Diseases ◽  
College Hospital ◽  
Medical College ◽  
Pericardial Diseases

Background: Echocardiography is a non-invasive, on-injurious, relatively cheap and useful   imaging technique for the evaluation of cardiac diseases. The procedure has reliable levels of  accuracy. Echocardiography commenced at the Cardiology Department of Khawja Yunus Ali   Medical College Hospital,Enayetpur Sirajgonj,Bangladesh since 2004.The aim of this study is to  report our experience with the procedure, and to define the clinical cases seen in our setting.Methods: This is a retrospective analysis of a prospectively collected data. Echocardiography was  performed using Aloka Prosound-SSD 5500 SV echocardiograph equipped with 2.5-5.0 MHz   transducer.  Results: During the period of 6 months under review (July 2011-December 2011), 1883 procedures  were performed. Those reports were reviewed for demographic parameter, indications for the procedure and the main echocardiographic diagnoses. The mean age of the 1883 individuals   studied was 50 +/- 18.67 years (10-90). There were 1221 men and 662 women. Four hundred   ninety eight(498) (26.45%) had Ischemic Heart Disease, 229(12.16%) subjects were Hypertensive Heart disease,160 subjects (8.5%) had rheumatic heart disease while 62,(3.3%) had   cardiomyopathy. Pericardial diseases, corpulmonale, congenital heart diseases, were present in 36(1.92%), 35 (1.85%), 88(4.67%), respectively. Seven hundred and Seventy Five (41.1%) subjects had normal study.   Conclusion: Ischemic heart disease was found to be the most prevalent cardiac condition in this study. The relatively frequent diagnoses of Hypertensive heart Disease, valvular heart disease, cardiomyopathies and pericardial diseases reflect the impact of infections on the cardiovascular   health of adult Bangladeshis. We suggest that prevention and treatment of cardiac diseases in our setting should among other things focus on life style modification, Ceasation of smoking,regular exercise, blood pressure and blood glucose control and early treatment of infections causing heart   diseases.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13657KYAMC Journal Vol. 3, No.-1, June 2012 p.223-224

scholarly journals Echocardiographic Profile of Patients in Dhulikhel Hospital, A Medical College Hospital in Nepal

2014 ◽  
Vol 11 (1) ◽  
pp. 13-17
Author(s):  
Sanjaya Humagain ◽  
Ramsundar Twayana ◽  
Rajendra Koju
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Diastolic Dysfunction ◽  
Rheumatic Heart Disease ◽  
Congenital Heart ◽  
Hypertensive Heart Disease ◽  
College Hospital ◽  
Medical College ◽  
Rheumatic Heart

Background and Aim : Echocardiograph is an important diagnostic tool to evaluate cardiac disease and is indispensible for management. So it is important to know the spectrum of cardiac abnormalities that can be detected by echocardiograph and the frequency of these findings may vary depending on where the echocardiogram is performed. Aim of this study was to find out the spectrum of echocardiographic finding in different age group in a medical college hospital. Methods and materials : A retrospective observational study was done to at Dhulikhel Hospital to review Echocardiographic profile of 3310 patients who were indicated for echocardiogram over a period of 3 years. Data collected from echocardiograph report registry. Data analysis was done using SPSS 17. Result : Congenital Heart Disease(CHD) (37.74%),Normal finding( 21.19%), Pericardial Heart Disease(19.21%) and Rheumatic Heart Disease(RHD)(17.88%) were the echocardiographic finding in children. In adolescents and young adults Rheumatic Heart Disease (49.90%), Hypertensive Heart Disease (13.34%), Congenital Heart Disease (6.58%), and Pericardial Disease (4.38%) were found. Most common finding in middle age was cor-pulmonale (34.76%) followed by Diastolic Dysfunction (20.60%), Hypertensive Heart Disease(17.06%),Ischemic Heart Disease(IHD) (12.80%). In elderly age most common finding was Diastolic Dysfunction (57.14%). Conclusion : The spectrum of echocardiograph finding in a medical college hospital ranges from Congenital Heart Disease, Rheumatic Heart Disease, Ischemic Heart Disease ,Pericardial disease, Corpulmonale, Diastolic Dysfunction, systolic dysfunction and degenerative valve disease. Streptococcal sore throat leading to Rheumatic Heart Disease and complication of tuberculosis and parasitic infestation leading to pericardial diseases, as well as Hypertensive Heart Disease, and Ischemic Heart Disease constitutes burden in Nepal. Cor-pulmonale and ) Sanjaya Humagain, Ramsundar Twayana, Rajendra Koju. DOI: http://dx.doi.org/10.3126/njh.v11i1.10976   Nepalese Heart Journal 2014;11(1): 13-17

scholarly journals Study of High Sensitive C-Reactive Protein in Ischemic Heart Disease

2013 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
BA Ferdous ◽  
N Sultana ◽  
S Ahmed ◽  
EH Khan ◽  
F Atia ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Ischaemic Heart Disease ◽  
Close Association ◽  
Ischemic Heart ◽  
C Reactive Protein ◽  
College Hospital ◽  
Medical College ◽  
Reactive Protein ◽  
Control Subjects

C-reactive protein (CRP) is a sensitive marker of inflammation, and elevated levels have been associated with future risk of myocardial infarction (MI). Even elevated CRP in healthy men and women can predict the future coronary events. This cross-sectional analytical study was undertaken to observe association between high hsCRP level with chronic ischaemic heart disease and was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka from July 2010 to June 2011. A total 50 cases were selected purposively according to the selection criteria form the patients admitted in the Department of Cardiology, Dhaka Medical College Hospital with chronic ischaemic heart disease (IHD). Diagnosed IHD patients were taken as cases; age- and sex-matched 50 healthy subjects were taken as controls. Serum hsCRP and serum TC, TAG, LDL-C and HDL-C were measured in all study subjects. The mean serum hsCRP concentration in cases and controls were 11.22±7.64 mg/dl and 1.72±0.98 mg/dl respectively. Serum hsCRP, Total Cholesterol, TAG and LDL-C were significantly higher in cases than control subjects. Serum HDL-C was significantly lower in cases than control subjects. The present study reveals that the patients of chronic ischemic heart disease have been found to have close association of increased level of hsCRP. DOI: http://dx.doi.org/10.3329/bjmb.v6i1.13281 Bangladesh J Med Biochem 2013; 6(1): 11-13

scholarly journals Prevalence of Metabolic Syndrome in Ischemic Heart Disease Patients

2015 ◽  
Vol 23 (2) ◽  
pp. 157-160
Author(s):  
Nafisa Sultana ◽  
Md Saifullah Kabir ◽  
Mohammad Zaid Hossain ◽  
Jesmine Chowdhury ◽  
Shahara Begum ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Age Distribution ◽  
Ischemic Heart ◽  
Abdominal Circumference ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Ischemic heart disease (IHD) is one of the four leading causes of death globally. An important risk factor for IHD is metabolic syndrome. The definition of metabolic syndrome is not universally agreed. The most commonly used definition was proposed by the National Cholesterol Education Program – Adult Treatment panel III ( NCEP—ATP III ), where metabolic syndrome defined as involving three or more of the following criteria: Blood pressure > 130/85 mm of Hg, fasting blood sugar > 100 mg / dl, triglyceride level > 150mg / dl, high density lipoprotein cholesterol ( HDL-C) < 40mg / dl in men and < 50mg/ dl in women, and abdominal circumference > 102 cm in men and > 88 cm in women.I- which is characterized by clustering of central obesity, hypertension, hyperglycemia and dyslipidemia. This cross sectional analytical study was carried out in the Department of Biochemistry, Dhaka Medical college. The samples were collected from the Department of Cardiology of Dhaka Medical College Hospital (DMCH), Bangladesh Institute of Research on Diabetes Endocrine and Metabolic Disorder (BIRDEM), and National Institute of Cardiovascular Diseases (NICVD), Dhaka, during the period from July 2009 to June 2010. Age distribution of study group shows that majority of the IHD patients with or without metabolic syndrome were in 41-60 years of age group. In the present study the prevalence of metabolic syndrome in IHD patients was found to be 30%. Prevalence was higher in less then 50 years of age group. The prevalence was also higher in female than male.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 157-160

scholarly journals Clinical and Etiological Profile of Patients with Atrial Fibrillation (AF): Analysis and implications

2017 ◽  
Vol 4 (1) ◽  
pp. 5-12
Author(s):  
Ram Narayan Mandal ◽  
Ajay Kumar Mishra ◽  
Elena Leonidovna Mandal
Keyword(s):  
Atrial Fibrillation ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Dilated Cardiomyopathy ◽  
Rheumatic Heart Disease ◽  
Ischemic Heart ◽  
Systemic Hypertension ◽  
Clinical Hospital ◽  
Medical College ◽  
Rheumatic Heart

Background and Objectives: Atrial fibrillation (AF) is a frequently encountered cardiac arrhythmia which may be either symptomatic or asymptomatic. So, this study was conducted to know clinical presentation and to find out possible clinical and etiological profile of patients with AF.Material and Methods: This cross sectional study was conducted at Osh Regional Integrated Clinical Hospital, Osh Territorial City Clinical Hospital, The Kyrgyz Republic in collaboration with Janaki Medical College Teaching Hospital, Janakpurdham, Nepal. Sixty consecutive patients with AF were taken. Presenting complaints, past history, personal history was recorded. A thorough clinical examination was done, electrocardiogram, chest X-Ray posterio-anterior view, echocardiogram, thyroid function test and relevant test were done and analyzed.Results: Forty percent of the patients complained palpitation. Systemic thrombo-embolism was found in 15% of the patients. Other presenting complaints were cough, chest pain, shortness of breath, dizziness, swelling of the legs, tremors. Eighteen percent of patients presented with features of congestive cardiac failure and 30% of the patients gave history of rheumatic heart disease, 16.6% and 11.6% hypertension and ischemic heart disease respectively. Etiology-wise, rheumatic heart disease was the most common (46.6%) followed by hypertension (21.6%), ischemic heart disease (11.6%), dilated cardiomyopathy (6.6%), hyperthyroidism (5%), pneumonia (5%).Conclusion: Rheumatic heart disease, especially mitral stenosis is the most common cause of AF in this study. Systemic hypertension was next common etiology of AF, followed by ischaemic heart disease, dilated cardiomyopathy, thyroid disease. Heart failure, Systemic thromboembolism, decreased exercise tolerance are a major determinants for development of significant morbidity and mortality.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (1): 5-12

scholarly journals Medical Conditions Related to Ischemic And Haemorrhagic Stroke: A Hospital Based Study

2015 ◽  
Vol 23 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Mohammad Murad Hossain ◽  
Md Hafiz Sardar ◽  
ATM Hasibul Hasan ◽  
Mohammad Anwarul Bari ◽  
Syed Zakir Hossain ◽  
...  
Keyword(s):  
Heart Disease ◽  
Family History ◽  
Ischemic Heart Disease ◽  
Tobacco Use ◽  
Common Factor ◽  
Oral Contraceptive Pill ◽  
Ischemic Heart ◽  
Medical Conditions ◽  
Stroke Patients ◽  
Medical College

Objective: To evaluate the distribution of common medical conditions related to stroke among Bangladeshi patients.Methods: This is an observational study. It involved 336 stroke patients from different medicine words in Dhaka Medical College Hospital over a period of twelve months. We evaluated some common established medical conditions observed among stroke patients e.g. age, sex, family history, hypertension, diabetes, ischemic heart disease, smoking, obesity, dyslipidaemia, alcoholism, use of oral contraceptive pill, lack of fresh fruit consumption etc. A predesigned check list was used for data collection.Result: Among the 336 patients, Most of the stroke events occurred after the age of forty (82.3%) and the ischemic stroke (72%) being the most common. Other than the non modifiable risk factors (advancing age, sex, Family history of stroke) hypertension was the most common factor found in relation to stroke patients (57.6%) followed by smoking (44.6%), tobacco use (24.3%), OCP use in female (40% of female stroke), diabetes (23%), ischemic heart disease (17.1%), obesity (10.6%) and dyslipidaemia (5.3%).Conclusion: Stroke is common after the age of forty. Ischemic events are commonest type of stroke. Hypertension, smoking, diabetes, tobacco use, and ischemic heart disease were five most common conditions related to stroke.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 167-174

A study on the clinical profile and risk factors of ischemic heart disease in women

2021 ◽  
Vol 19 (3) ◽  
pp. 130-132
Author(s):  
Sarath Kumar Reddy B ◽  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Chest Pain ◽  
Ischemic Heart Disease ◽  
Stable Angina ◽  
Heart Diseases ◽  
Chronic Stable Angina ◽  
Clinical Profile ◽  
Ischemic Heart ◽  
Ischemic Heart Diseases

Background: Ischemic heart disease (IHD) is one of the principle causes of morbidity and of mortality in women1. Ischemic heart disease may manifest clinically as either chronic stable angina or acute coronary syndrome2 (ACS). Traditional risk factors (hypertension, diabetes, etc.) contribute to the development of IHD in both women and men. Some risk factors are unique to women (e.g., pregnancy-related complications, menopause), which cause increased mortality in women Aim: To study the risk factors and clinical profile of ischemic heart disease in women. Materials And Methods: Hospital-based prospective, cross-sectional study done in 50 patients with ischemic heart disease. Patients with a history of Chest pain suggestive of ischemic heart diseases and Electrocardiogram and cardiac biomarkers suggestive of ischemic heart disease were included in the study. Results: Maximum incidence of ischemic heart diseases is seen in the 6th decade. Mean age is 58.92 + 2.8years. 64%of the patients presented with chest pain, and 36% patients presented without any chest pain. After chest pain, the most common symptom was palpitations, seen in 56% patients, followed by sweating (44%). 30% presented to the medical facility within 3hours. 88% were diagnosed with acute coronary syndrome, and 12% were diagnosed with chronic stable angina. Women specific risk factors include the pregnancy-related complications seen in 10% patients, menopause attained in 86% patients, PCOS seen in 08% patients, use of oral contraceptive pills noticed in 08% patients, Other risk factors identified were hypothyroidism in 16% patients, connective tissue disorders like rheumatoid arthritis seen in 12% of the patients. Conclusion: Awareness regarding atypical symptoms as well as other symptoms of IHD should be created among women to avoid delayed complications. Simple lifestyle modifications like physical activity, diet modifications, etc., will reduce the number of women at risk for IHD.

scholarly journals Factors Related to Stroke: A Hospital Based Study

2015 ◽  
Vol 4 (2) ◽  
pp. 13-19
Author(s):  
Mohammad Murad Hossain ◽  
Sardar Mohammad Hafiz ◽  
ATM Hasibul Hasan ◽  
Mohammad Anwarul Bari ◽  
Mirza Manjurul Haque
Keyword(s):  
Heart Disease ◽  
Family History ◽  
Ischemic Heart Disease ◽  
Tobacco Use ◽  
Common Factor ◽  
Oral Contraceptive Pill ◽  
Ischemic Heart ◽  
Medical Conditions ◽  
Stroke Patients ◽  
College Hospital

To determine the distribution of common medical conditions related to stroke among Bangladeshi patients. This is an observational study. It involved 336 stroke patients from different medicine wards in Dhaka Medical College Hospital from July 2012 to June 2013. We assessed some common established medical conditions observed among stroke patients e.g. age, sex, family history, hypertension, diabetes, ischemic heart disease, smoking, obesity, dyslipidaemia, alcoholism, use of oral contraceptive pill, etc. A predesigned check list was used for data collection. Among 336 patients, most of the stroke events occurred after the age of forty (82.3%) and the ischemic stroke (72%) being the most common. Other than the non-modifiable risk factors (advancing age, sex, Family history of stroke) hypertension was the most common factor found in relation to stroke patients (57.6%) followed by smoking (44.6%), tobacco use (24.3%), OCP use in female (40% of female stroke), diabetes (23%), ischemic heart disease (17.1%), obesity (10.6%) and dyslipidaemia (5.3%). Stroke is common after the age of forty. Ischemic events are the commonest type of stroke. Hypertension, smoking, diabetes, tobacco use, and ischemic heart disease were five most principal conditions associated with stroke. CBMJ 2015 July: Vol. 04 No. 02 P: 13-19

scholarly journals The role of platelet indices in ischemic heart disease: a hospital based case control type of study

2019 ◽  
Vol 7 (9) ◽  
pp. 3426
Author(s):  
Priyanka S. Gandhi ◽  
Bhavna N. Gamit
Keyword(s):  
Platelet Count ◽  
Heart Disease ◽  
Chest Pain ◽  
Ischemic Heart Disease ◽  
Heart Diseases ◽  
Inverse Correlation ◽  
Ischemic Heart ◽  
Noncardiac Chest Pain ◽  
Platelet Volume ◽  
Pain Patients

Background: In developing countries, Ischemic heart diseases (IHD) is one of the leading causes of morbidity and mortality. The underlying pathology of CAD is atherosclerosis. When this atherosclerotic plaque ruptures, platelets play a crucial role in the prothrombotic events and forms a thrombus on this plaque and as a result coronary artery gets occluded causing ischemia and infarction. Platelet contains many chemokines, cytokines and growth factors. Release of these factors along with interaction with endothelial cells and leukocytes promotes inflammation and progression of atherosclerosis. We aimed to investigate the association between platelet volume indices in patients with diagnosis of Ischemic heart disease in comparison with control group.Methods: By using automated cell counter platelet count and platelet volume indices - were compared with Normal healthy or non-cardiac chest pain patients with the use of unpaired t test.Results: In the present study, we demonstrated that platelet count is significantly low and MPV and PDW are significantly high in Ischemic heart disease as compared to patients with noncardiac chest pain or healthy subjects. The correlation of MPV with PC revealed an inverse correlation between the patients of IHD and healthy or non-cardiac chest pain patients which is statistically significant.Conclusions: The platelet volume indices are an important, simple, effortless and a cost-effective tool useful in predicting the development of an acute coronary event sometimes in the near future and therapeutic modification for improved patient’s cardiovascular care.

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