scholarly journals Comparison of the skin lesions in patients with coronary artery disease at the time of admission in coronary care unit (CCU) and at discharge

2021 ◽  
Vol 43 (1) ◽  
pp. 41-47
Author(s):  
Fariba Iraji ◽  
Ali Asilian ◽  
Gita Faghihi ◽  
Amirhossein Akbari
Keyword(s):  
Coronary Care Unit ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Pressure Sores ◽  
Allergic Reactions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Coronary Care ◽  
Artery Disease ◽  
Time Of Admission

Background: Patients admitted in especial units such as coronary care unit (CCU) require intensive care for different aspects including skin problems. Here in this report we aimed to perform a survey on different skin lesions in patients admitted in CCU by the time of admission and when discharging. Methods: In this cross-sectional study, we had a survey on 200 patients admitted in CCU in AL-Zahra hospital, Isfahan. A dermatologist observed and examined each patients for any skin lesions by the time of admission and when discharging from CCU. Results: Here we showed that 15 percent of patients admitted in CCU have at least one skin lesion and also we indicated that seborrhea dermatitis and then rosacea have the most prevalence by the time of admission in CCU. Other skin lesions were acute skin failure. We also showed that prevalence of bed sore and pressure sores increased amazingly during admission. Conclusion: Rosacea, seborrhea dermatitis and drug allergic reactions after pressure sores are the most frequent skin lesions in CCU and there might be an association between rosacea and cardiovascular diseases.

scholarly journals FREQUENCY OF RIGHT VENTRICULAR INFARCTION AMONG PATIENTS PRESENTING WITH ACUTE INFERIOR WALL MYOCARDIAL INFARCTION

2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S741-44
Author(s):  
Ariz Samin ◽  
Nasir Ali ◽  
Shaheer Farhan ◽  
Syed Hassan Mustafa ◽  
Mahnoor Javaid ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricular ◽  
Coronary Care Unit ◽  
Cross Sectional Study ◽  
Inferior Wall ◽  
Sectional Study ◽  
Cross Sectional ◽  
Right Ventricular Infarction ◽  
Coronary Care ◽  
Ventricular Infarction

Objective: To determine the frequency of right ventricular infarction among patients with acute inferior wall myocardial infarction. Study Design: Descriptive cross sectional study. Place and Duration of Study: Ayub Teaching Hospital, Abbottabad from, Jan 2017 to Sep 2017. Methodology: A total of 163 patients aged 18-75 years and admitted to coronary care unit (CCU) with first attack of acute inferior wall myocardial infarction, were recruited through non probability purposive sampling. Electrocardiogram and Echo were performed of all patients and their findings were noted for the frequency of right ventricular infarction in acute inferior wall myocardial infarction. Results: There were 117 (72%) males and 46 (28%) females. Patients were stratified according to their age in four groups i.e. 13 (8%) patients were less than 40 years of age, 26 (16%) patients were aged between 41 and 50 years, 46 (28%) patients were aged between 51 and 60 years of age and 78 (48%) patients were above 60 years of age. Mean ± SD was 60 ± 1.28. Out of 163 patients, 44 (27%) had right ventricular infarction while 119 (73%) did not have right ventricular infarction. Conclusion: The frequency of right ventricular infraction among patients presenting with acute inferior wall myocardial infarction was 27%.

scholarly journals How Fast Foods Impact Coronary Artery Disease Incidence: A Cross-Sectional Study

2021 ◽  
Vol 3 (5) ◽  
pp. 52-55
Author(s):  
Khudayenoor ◽  
Ayesha Shaheen ◽  
Aimen Fatima ◽  
Zohaib Saleem ◽  
Hafeez Arshad ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Fast Food ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fast Foods ◽  
High Prevalence ◽  
Artery Disease ◽  
The Impact

Coronary artery disease (CAD) is a very ordinary health problem around the globe. CAD is affected by numerous factors like diabetes, obesity, smoking, gender, and diet. However, the association of CAD with diet is understudied in our region that’s why our study was aimed to evaluate the effect of diet on CAD incidence. This cross-sectional study was completed among local population of Rawalpindi, Pakistan in almost 6 months from November 2020 to April 2021. People were taken in our study via set criteria. Data was collected by self-structured proforma. Data analysis was performed by applying IBM SPSS version 25. Descriptive statistics were applied for quantitative variables. Statistical tests like Chi-square test and Spearman correlation analysis were applied to know the association, direction, and strength of study variables. Our current study displays overall high prevalence CAD (17.48%) among study population. Mean value of age for study participants was 45.42 with SD of ±8.01years. Prevalence of CAD was more common among females, faster food eaters and fresh fruit and raw vegetables non-eaters. Gender, fast food, and fresh fruits and vegetables were associated with CHD significantly with p-values 0.030, 0.0007, and 0.0006 respectively. Strength and direction for fast food and CAD association was very strong and positive while for association between fresh fruits and raw vegetables and CAD was very strong and negative with correlation coefficient +0.812 and -0.831 respectively. In a nutshell, current study indicates high prevalence of CAD especially among females, fast food eaters and fresh fruits and raw vegetables non-eaters. Higher consumption of fast foods leads to higher incidence of CAD and vice versa while higher consumption of fresh fruits and raw vegetables bring down the incidence of CAD incidence and vice versa. So, we need to create awareness among people about the impact of food on CAD and gender specific interventions for each gender to lower down the CAD incidence.

scholarly journals Association between Serum Calcium and First Incident Acute Myocardial Infarction: A Cross-Sectional Study

2020 ◽  
Author(s):  
Chi ZHANG ◽  
Bangming CAO ◽  
Xingmei HUANG ◽  
Jian GU ◽  
Ming XIA ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Logistic Regression ◽  
Serum Calcium ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gender And Age ◽  
Artery Disease

Background: The role of serum calcium in coronary artery disease (CAD) patients with or without first incident acute myocardial infarction has not been studied previously. This study aimed to assess the relationship between serum calcium and first incident acute myocardial infarction. Methods: This cross-sectional study was conducted from Jan 2014 to Dec 2016. All the participants were from our database, described in detail elsewhere including 1609 cases and 3252 controls. Multiple logistic regression was carried out to explore the effect of serum calcium on first incident acute myocardial infarction. Interaction between serum calcium and risk factors were evaluated. Results: Patients with first incident acute myocardial infarction have significantly lower serum calcium concentrations than those without acute myocardial infarction (2.18 (0.21) vs 2.24 (0.19) mmol/L, P<0.0001). After adjusting for sex and age, logistic regression showed that serum calcium was significantly associated with first incident acute myocardial infarction (odds ratio (OR): 1.50, 95% confidence interval (CI): 1.41-1.60). Further adjusted for potential confounders, serum calcium was associated with first incident acute myocardial infarction (OR: 1.32, 95% CI: 1.22-1.42). Moreover, the association still existed when patients were divided into subgroups according to gender and age. A significant interaction was found between serum calcium and diabetes mellitus (DM), lipoprotein (a) (Lp (a)), and serum albumin. Conclusion: Serum calcium was associated with first incident acute myocardial infarction among CAD patients in both sexes and in age categories. This study provides further evidence showing the value of serum calcium levels in clinical practice.

scholarly journals Pericoronary adipose tissue computed tomography attenuation distinguishes different stages of coronary artery disease: a cross-sectional study

2020 ◽  
Author(s):  
Andrew Lin ◽  
Nitesh Nerlekar ◽  
Jeremy Yuvaraj ◽  
Katrina Fernandes ◽  
Cathy Jiang ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Coronary Artery ◽  
Cross Sectional Study ◽  
Imaging Biomarker ◽  
Plaque Burden ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ct Attenuation ◽  
Artery Disease ◽  
Stable Cad

Abstract Aims  Vascular inflammation inhibits local adipogenesis in pericoronary adipose tissue (PCAT) and this can be detected on coronary computed tomography angiography (CCTA) as an increase in CT attenuation of PCAT surrounding the proximal right coronary artery (RCA). In this cross-sectional study, we assessed the utility of PCAT CT attenuation as an imaging biomarker of coronary inflammation in distinguishing different stages of coronary artery disease (CAD). Methods and results Sixty patients with acute myocardial infarction (MI) were prospectively recruited to undergo CCTA within 48 h of admission, prior to invasive angiography. These participants were matched to patients with stable CAD (n = 60) and controls with no CAD (n = 60) by age, gender, BMI, risk factors, medications, and CT tube voltage. PCAT attenuation around the proximal RCA was quantified per-patient using semi-automated software. Patients with MI had a higher PCAT attenuation (−82.3 ± 5.5 HU) compared with patients with stable CAD (−90.6 ± 5.7 HU, P &lt; 0.001) and controls (−95.8 ± 6.2 HU, P &lt; 0.001). PCAT attenuation was significantly increased in stable CAD patients over controls (P = 0.01). The association of PCAT attenuation with stage of CAD was independent of age, gender, cardiovascular risk factors, epicardial adipose tissue volume, and CCTA-derived quantitative plaque burden. No interaction was observed for clinical presentation (MI vs. stable CAD) and plaque burden on PCAT attenuation. Conclusion PCAT CT attenuation as a quantitative measure of global coronary inflammation independently distinguishes patients with MI vs. stable CAD vs. no CAD. Future studies should assess whether this imaging biomarker can track patient responses to therapies in different stages of CAD.

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