A PROSPECTIVE OBSERVATIONAL STUDY ON THE EVALUATION OF RISK FACTORS IN PATIENTS DIAGNOSED WITH CORONARY ARTERY DISEASE IN TERTIARY CARE HOSPITAL.

Background: coronary artery disease is one of the most common types of cardiovascular disorder and it occurs when the coronary artery that supply blood to the heart muscle is compromised due to the accumulation of materials such as plaque/cholesterol atherosclerosis risk factors associated with coronary artery disease men are susceptible at 45, women at 55 include age, gender, genetics, etc, Objective: To identify the patients at elevated risk for CAD, To identify patients required further investigation to confirm the diagnosis of CAD, To describe a management plan including lifestyle changes, medications, psychosocial support, cardiac rehabilitation, etc. Methods: A prospective observational study was conducted for a period of 6 months, from CAD patients attending max cure hospital. The data was collected from the participants after consent. Relevant patient lifestyles and lab data were documented in the data collection form (DCF). Results: The study findings are according to parameter wise, age categorization defines that in 51-60 ranging age group 27.22% that is the highest percent affected people are observed with CAD. Of the total number of subjects participated in the study (n=202) the gender-wise comparison males (144) are more than females (58).To observe patient region, urban people (68%) are mostly affected with CAD than rural people (32%). To identify risk factors of CAD, patients with DM (34.67%), HTN (23%), smoking (17.32%), alcohol (25.74%), and obesity (13.86%) are the major risk factors associated with CAD. Based on family history a total of 21 members were identified out of 202, among them with CAD were 7, with CKD were 6, with HTN were 5 and with DM were 3 members respectively. According to the past history in a total of 202 members, patients with Cerebrovascular accidents were 4, patients with MI/UA were 20, and CKD were 4 respectively. Conclusion: Evaluation of risk factors in patients with coronary artery disease in a tertiary care hospital was observed. Age, Diabetes mellitus, Hypertension, Smoking, Alcohol, and Obesity are more causing risk factors than others.

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MS289 COMPARATIVE STUDY OF RISK FACTORS IN YOUNG AND OLDER PATIENTS OF CORONARY ARTERY DISEASE IN A TERTIARY CARE HOSPITAL

Atherosclerosis Supplements ◽

10.1016/s1567-5688(10)70790-x ◽

2010 ◽

Vol 11 (2) ◽

pp. 168

Author(s):

A. Aggarwal ◽

P. Schroff ◽

S. Dwivedi

Keyword(s):

Risk Factors ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Comparative Study ◽

Older Patients ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Artery Disease

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Conventional risk factors of coronary artery disease in a tertiary care hospital of Chandigarh in Northern part of India

CVD Prevention and Control ◽

10.1016/j.cvdpc.2011.05.003 ◽

2011 ◽

Vol 6 (3) ◽

pp. 113-119 ◽

Cited By ~ 1

Author(s):

Harsha Jeevan ◽

Manojkumar Rohit ◽

Reena Das ◽

J.S. Thakur ◽

K.K. Talwar

Keyword(s):

Risk Factors ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Artery Disease ◽

Conventional Risk Factors

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To Determine the Frequency of Extent of Coronary Artery Disease (CAD) with Troponin-I level >10 folds ULN in NSTEMI Patients at Tertiary Care Hospital

10.53350/pjmhs211592757 ◽

2021 ◽

Vol 15 (9) ◽

pp. 2757-2762

Author(s):

Vinesh Kumar ◽

Fawad Ali Siddiqui ◽

Kiran Irfan ◽

Muhammad Adeel Qamar ◽

Ghulam Jaffar Shah ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Troponin I ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Vessel Disease ◽

The Mean ◽

Artery Disease ◽

Single Vessel Disease

Introduction: Higher levels of troponins >10 folds of upper normal limits (UNL) are considered as high-risk patients on coronary angiography sufferers having high levels of troponin-I (>10 folds upper limit normal level) had extra three-vessel coronary artery disease involvement. Objectives: To determine the frequency of degree of cardiovascular disease with Troponin-I level >10 folds ULN in NSTEMI patients at tertiary care hospital. Methodology: It is a cross-sectional study comprising of a total 800 patients recruited from the Department of Cardiology, National Institute of Coronary Disease, Karachi Pakistan based on Exclusion/Inclusion criteria. Results: There are 678 male as well as 122 female patients. The mean troponin-I level was 15.00±6.82 ng/ml. Single vessel disease found in 25.25% cases, two vessel diseases were observed in 37.75% cases, and three vessel diseases were observed in 20% cases. 83% were found with extent of CAD findings on angiography. There have been 678 male and also 122 female patients. The mean troponin-I level was 15.00±6.82 ng/ml. Single vessel disease found in 25.25% cases, two vessel diseases were observed in 37.75% cases, and three vessel diseases were observed in 20% cases. 83% were found with extent of CAD findings on angiography. Conclusion: The higher troponin level found significantly associated with extent of CAD and three vessel disease. To understand the cardiovascular troponin condition of the sufferer as soon as feasible is crucial. Keywords: Extent of Coronary Artery Disease, NSTEMI, Troponin-I Level >10 Folds ULN

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The Evolving Pattern and Outcome of Stroke at Moderate Altitude

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_207_17 ◽

2018 ◽

Vol 09 (01) ◽

pp. 068-072

Author(s):

Deepika Dhiman ◽

Sanjay K. Mahajan ◽

Sudhir Sharma ◽

Rajiv Raina

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Coronary Artery Disease ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Moderate Altitude ◽

Care Hospital ◽

Altered Sensorium ◽

Poor Outcome ◽

Artery Disease

ABSTRACT Background: The people residing in hills of this Sub-Himalayan region traditionally have a distinct lifestyle involving high level of physical activity. However, increased urbanization in the last two decades has led to changes in lifestyle of people. The present study was an endeavor to document changes in the pattern of stroke in people residing at moderate altitude. Aim: This study was aimed to study the evolving trends in clinical profile, risk factors, and outcome at 3 months in hospitalized patients of stroke in a Tertiary Care Hospital situated at moderate altitude. Setting and Design: This prospective, observational study was carried out in a Tertiary Care Hospital, situated at 2000 m mean sea level, from July 2014 to June 2015 in Sub-Himalayan region of India. Methods: The clinical features and risk factors profile of 235 patients of stroke consecutively admitted in hospital were analyzed, and findings were expressed in percentage. The profile was compared with a study conducted at this institute 15 years back. The outcome of patients at 3 months in terms of modified Rankin Scale >3 (mRS) and Barthel Index <60 (BI) was also studied. Results: The occurrence of stroke as a cause of hospitalization was decreasing. Ischemic stroke was noted in 74%, and 26% had hemorrhagic stroke (HS). There was male predominance (58%), but affliction of females with stroke increased from 34% to 42%. The altered sensorium (P = 0.00) and neurological weakness (P = 0.024) were significantly associated with poor outcome in stroke. The occurrence of hypertension, diabetes mellitus, and coronary artery disease increased but smoking decreased among indoor patients of stroke in the last 15 years. Poor outcome of 203 patients at 3 months follow-up in terms of mRS >3 was 79 (IS-47, HS-32) but in term of BI, 63 (IS-32, HS-31) had poor outcome. Overall HS had poorer outcome. Age >70 years, female sex, altered sensorium, hypertension, and diabetes mellitus, were observed as poor prognostic factors, but the association was significant with advanced age, headache, and altered sensorium. Conclusion: The occurrence of stroke decreased among hospitalized patients. Hypertension, diabetes mellitus, and coronary artery disease increased but smoking decreased among patients of stroke.

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