scholarly journals Echocardiographic Parameters Correlated with Age in Isolated Severe Rheumatic Mitral Stenosis Patients in Indonesia

2019 ◽  
Vol 7 (13) ◽  
pp. 2127-2132
Author(s):  
Luh Oliva Saraswati Suastika ◽  
Amiliana Mardiani Soesanto

BACKGROUND: Despite the high prevalence of rheumatic mitral stenosis (MS) in Indonesia, the impact of aging on the anatomical and hemodynamic component of rheumatic MS is not well studied. AIM: To analyze the association of age with various echocardiographic parameters in patients with isolated severe rheumatic MS in Indonesia. METHODS: A cross-sectional study was conducted enrolling 263 subjects with isolated severe rheumatic MS who underwent transthoracic echocardiography (TTE) during January 2015 until December 2017 at National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia. Demographic data were collected, and echocardiographic variables were measured based on standard TTE examination using GE Vivid 7 and S6 Doppler Echocardiography System (GE Medical System, Norway). RESULTS: Of 263 subjects, there are 84 men and 179 women aged 18-80 (mean age 42.9) years old. Most patients had atrial fibrillation (80%), with a higher prevalence of AF in the older group. Age was positively correlated with LA diameter and Wilkin’s score (r = 0.186, P = 0.002; r = 0.142, P = 0.022; respectively); while mean MVG (r = -0.304, P < 0.001), TR Vmax (r = -0.126, P = 0.04), TR maxPG (r = -0.127, P = 0.039) and TAPSE (r = -0.125, P = 0.044) were correlated negatively with age. Mean MVG has the strongest correlation with age in our subjects. CONCLUSION: This is the first study in Indonesia that analyze the association of age and different echocardiographic parameters in isolated severe rheumatic severe MS patients. Age has a significant correlation with mean MVG, LA diameter, Wilkin’s score, TR Vmax, TR maxPG, and TAPSE. We assume that the association of age and these parameters were influenced by the normal aging process and progression of chronic MS.

2021 ◽  
Vol 3 (5) ◽  
pp. 52-55
Author(s):  
Khudayenoor ◽  
Ayesha Shaheen ◽  
Aimen Fatima ◽  
Zohaib Saleem ◽  
Hafeez Arshad ◽  
...  

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.


2020 ◽  
Vol 36 (6) ◽  
pp. 1007-1015
Author(s):  
Gautam Sharma ◽  
Nirmal Ghati ◽  
Mohd Sharique ◽  
Shruti Sharma ◽  
Sudhir Shetkar ◽  
...  

2017 ◽  
Vol 16 (4) ◽  
pp. 251-254
Author(s):  
Kanokwan Kulprachakarn ◽  
Prakaydao Abkom ◽  
Orapin Pongtam ◽  
Sakaewan Ounjaijean ◽  
Paweena Thongkham ◽  
...  

The aim of this study was to investigate the impact of various food intake in patients with varicose veins. A cross-sectional study was conducted between December 2012 through November 2014. Patients at the outpatient department 101 at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand, who were older than > 18 years were invited to participate in this study. The severity of varicose veins was divided into 2 groups according to CEAP (clinical, etiological, anatomical, and pathophysiological) classification: mild type of venous disease (C0-C2) and severe type of venous disease (C3-C6). Patients were interviewed about their demographic data and frequency of meat consumption for varicose veins using Vein Consult Program (VCP). A total of 558 eligible outpatients were recruited for the study. Most patients were female (78.9%) and aged >50 years (47.1%). Seventeen out of 558 patients were diagnosed with high severity of venous disease (3.0%). Remarkably, significantly higher body weight (73.8 ± 13.9 vs 58.4 ± 11.2 kg, P = .000) and body mass index (28.8 ± 4.4 vs 23.3 ± 3.9 kg/m2, P = .000) was found in patients with severe types of venous disease compared with the mild group. Unexpectedly, only chicken intake demonstrated the different association with varicose veins ( P = .022). Patients with severe venous disease showed lower frequency of chicken consumption. The results suggested an association of chicken consumption with a reduced chance of developing varicose veins.


2018 ◽  
Vol 70 (2) ◽  
pp. 206-213 ◽  
Author(s):  
Jamal Yusuf ◽  
Jothinath P ◽  
Saibal Mukhopadhyay ◽  
Vickram Vignesh ◽  
Sanjay Tyagi

Author(s):  
D. A. Hassan ◽  
M. I. Elamin ◽  
M. Elamin ◽  
H. M. Beheiry ◽  
A. A. Abdalla ◽  
...  

Aims: To investigate the effect of elevated resting heart rate (RHR), hypertension (HTN) and associated risk factors on the prevalence of stroke among Sudanese adults.  Study Design: This is a cross-sectional study based on a survey conducted by Sudanese society of hypertension during the May Month of Measurement (MMM), 2018 campaign. Methods: A total of 12281 respondents (mean age: 32.5±14.5 years, 49% men) were included. Structured questionnaires of demographic data, and self-reported medical history were filled by all respondents and analyzed.  Blood pressure and RHR were measured using an Omron BP monitor. Participants were divided into two main cohorts: normotensive (n=9497, 77.3%) and hypertensive (n=2784, 22.7%) participants. Each cohort was then segregated into three sub-cohorts using RHR tertiles (T1: <79 bpm; T2: RHR: 79 to 100 bpm; and T3:>100 bpm). Results: Multivariate logistic regression analyses were performed to assess the individual and combined effect of RHR and HTN on prevalence of stroke. Hypertensive patients were more likely to develop stroke compared to normotensive participants (OR= 2. 968, 95% CI 2.028-4.345). Within the hypertensive cohort, RHR T3 participants had a significantly increased risk of stroke compared to RHR T1-T2 combined (OR= 2.35, 95% CI1.043-5.323). Individuals of RHR T3 sub-cohort were more likely to be younger, leaner and displayed significantly higher level of both systolic & diastolic blood pressure compared to RHR T1 and T2 groups. Diabetes Mellitus and smoking increased the odds of stroke among both normotensives (OR (95% CI):5.6 (2.24- 14.09), 3.17 (1.71-6.08 respectively), and hypertensives (OR (95% CI): 4.40 (2.26-8.58), 2.03 (0.95-4.32) respectively). Female gender and older age also increases the odds of stroke among hypertensives (OR (95% CI): 1.85 (1.00- 3.45) and 2.00 (1.02- 4.17) respectively.   In conclusion, this study demonstrated that HTN was an independent risk factor of stroke. The effect of elevated RHR on stroke was only prominent when joined to high blood pressure. Prevalence of tachycardia was higher among the young participants which make them more prone to stroke if the condition is associated with HTN. Our results highlight the importance of addressing elevated RHR to reduce the risk of stroke particularly among hypertensive patients.  


2020 ◽  
Vol 12 (1) ◽  
pp. 125-132
Author(s):  
Glauko André Figueiredo Dantas ◽  
Clarissa Lula de Menezes Cruz ◽  
Flávio Santos Silva ◽  
Mikhail Santos Cerqueira ◽  
Bento João Abreu ◽  
...  

SummaryStudy aim: The purpose of this study was to determine the prevalence and factors associated with pain and musculoskeletal injuries in Brazilian kickboxers.Material and methods: This is a cross-sectional study composed of a population of kickboxers from the academies affiliated to the Rio Grande do Norte State Federation of Kickboxing. The study was conducted by means of a questionnaire regarding their demographic data, graduation and level of participation in the modality, routines of procedures during training, and pain/ discomfort regions and respective intensities. In addition, the characteristics, types, and regions of the injuries were evaluated.Results: Of the 132 kickboxers included, a high prevalence of pain (84.09%) was observed and associated with the female gender (OR = 3.62; CI95% 1.29–10.13) and body mass index (OR = 0.80; CI95% 0.71–0.91). In addition, the kickboxers presented a moderate percentage of injuries (40.91%) that were associated with longer training time (OR = 5.82; CI95% 2.68–12.61) and contact level in the training sessions (OR = 3.53; CI95% 1.85–6.72).Conclusions: There was a high prevalence of musculoskeletal pain in kickboxers, mainly associated with female gender and with lower body mass. Musculoskeletal injuries were moderately prevalent in kickboxers who trained more than one hour per session and with an intense contact level.


2020 ◽  
Author(s):  
Weiran Li ◽  
Pengcheng Xun ◽  
Chang Cui ◽  
Jibo Zhou

Abstract Background: To evaluate the effect of parental myopia on Chinese university students with a high prevalence of myopia in Shanghai.Methods: A cross-sectional study of university students in Shanghai, China. All participants responded to a detailed questionnaire, including questions about age, ethnicity and family history. They underwent a standardized ophthalmological examination, including visual acuity, a slit lamp examination and non-cycloplegic auto-refraction. Generalized linear model was used to identify risk factors for myopia.Results: Of the 11,977 total subjects, 91.55% were myopic (spherical equivalent refraction [SER] ≤ -0.75 D), 20.18% were highly myopic (SER ≤ -6.0 D) and only 6.94% were emmetropic (-0.75 D<SER ≤ 0.75 D). The mean age of the myopic participants (19.7±2.4) was higher than that of the emmetropic participants (19.3±1.9, p < 0.001). 10391 (91.8%) of Han students were myopic, which exhibited greater myopia than minority students (91.5%, p < 0.001). Among the students from families with two myopic parents, 97.9% had myopia. Only 93.7% of students had myopia where only one parent was myopic, and among the students without myopic parents, 90.7% had myopia (p < 0.001). Female students whose parents were myopic (8.0%) were more likely to have myopia than male students whose parents were myopic (7.5%) (p < 0.001). Students with two myopic parents (mean difference: -2.04, 95% CI: -2.21, -1.86) were at a high risk of myopia compared with students with no myopic parents (p < 0.001).Conclusions: This study showed that the refractive status of children in a population with a high prevalence of myopia was related to the status of parents. Increased severity of parental myopia led to a greater risk of myopia in their children.


2021 ◽  
Vol 8 ◽  
Author(s):  
Hanna-Maria E. Gerland ◽  
Tino Prell

Background: Medication non-adherence is an important healthcare issue and a common problem. Many predictors of non-adherence have been found in different settings and cohorts.Objective: Evaluate the impact of the health locus of control (HLC) on unintentional/intentional non-adherence in primary care.Methods: In this observational, cross-sectional study, 188 patients (mean age 63.3 ± 14.9 years) were recruited from three primary care practices in Jena, Germany, over 4 months. The study assessed demographic data, self-reported adherence (German Stendal adherence to medication score, SAMS), HLC, and depression.Results: According to the SAMS total score, 44 (27.5%) were fully adherent, 93 (58.1%) were moderately non-adherent, and 23 (14.4%) were clinically significantly non-adherent. The most common reasons for non-adherence were forgetting to take the medication or lacking knowledge about the prescribed medication. Multiple linear regression revealed that adherence was good in people with external HLC and poor in internal HLC. In particular, intentional non-adherence was positively associated with internal HLC and negatively with fatalistic external HLC. Depression had a negative influence on both intentional and unintentional non-adherence.Conclusion: HLC is an independent predictor of medication non-adherence and is a promising target for interventions that enhance adherence.


2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Angulo-Felix GC ◽  
◽  
Bermudez-Villalpando VI ◽  
Flores-Madrigal NL ◽  
◽  
...  

Background: According to the World Health Organization (WHO), the world prevalence of psoriasis is between 0.9-11.4 % according to the geographical area, in Mexico the prevalence is 2%; the frequency is higher in the Caucasian population, this disease can appear at any age but is more common in the 50- 69 age group. The affectations of the physical, mental and social areas are frequent in this disease. Aim: The purpose of this study is to know the relationship between depression and quality of life in patients with psoriasis from the family medicine unit #27 (FMU 27). Design and Setting: Analytic cross-sectional study. Methods: An analytical cross-sectional study was carried out in patients with psoriasis older than 18 years. Quality of life was measured using the Dermatology Life Quality Index (DLQI) questionnaire and depression using the Hamilton scale. The data was analyzed using the SPSS version 21; the chi-square test was used to determine the association between qualitative variables, the Shapiro-Wilk test was applied for data distribution and correlation using the Spearman test. Results: 59.3% of the patients have an alteration in the quality of life, 85.2% with depression and a positive correlation between DLQI and Hamilton score. Conclusion: There is a high prevalence of alterations in quality of life in patients with psoriasis and a high prevalence of depression; The impact on the quality of life is correlated with depression.


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