Change of Positional Blood Pressure and Indication of Ephedrine in Hypotension During Spinal Anesthesia for Cesarean Delivery

2013 ◽  
Vol 21 (Number 2) ◽  
pp. 18-23
Author(s):  
Md. A Matin ◽  
J Banu ◽  
K Sultana ◽  
S M Shahana
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Clinical Practice ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Lateral Position ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in clinical practice. Certain risk factors play a role in altering the incidence of hypotension. A cross sectional observational study was done on sixty patients undergone cesarean delivery spinal anesthesia in Holy Family Red Crescent Medical College Hospital to evaluate the correlation between pre-anesthetic change of positional blood pressure and predictive necessity of Ephedrine to mange per-operative hypotension. The mean age of the patients included in the study was 25.85 ± 4.24 years and weighted 63.60 ± 6.91 kg (Mean ± sco. The haemodynamic outcomes of the patients are summarized in Table-I as mean systolic blood pressure increased (118 ± 12.02 and 132 ± 14.11 mm of Hg) after change of position from baseline (supine position) to right lateral position. The positional blood pressure varied from 2 to 32 mm of Hg and was observed in 54 patients. But only 35 patients were hypotensive (58.33%) after spinal anesthesia among them only 28 patients required Ephedrine (46.6%). But there was no significant correlation was observed in patients needed Ephedrine who hypotension but not obvious with positional change of pre-anesthetic blood pressure.

scholarly journals Prevalence of cardiovascular risk factors amongst teaching staff of IIMSR medical college, Badnapur, Jalna, Maharashtra

2017 ◽  
Vol 4 (10) ◽  
pp. 3877
Author(s):  
Sujata N. Muneshwar ◽  
Mohd. Shafee ◽  
Purushottam A. Giri ◽  
Pankaj R. Gangwal ◽  
Sadaf Doctor
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Waist Circumference ◽  
Cardiovascular Risk Factors ◽  
Teaching Staff ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean

Background: Cardiovascular diseases are the number one cause of death globally. The cause of heart attacks and strokes are due to combination of risk factors- tobacco use, unhealthy diet, obesity, physical inactivity, alcohol use, hypertension, diabetes and hyperlipidaemia. Most cardiovascular diseases can be prevented by addressing these behavioural risk factors. The objectives were to study the prevalence of cardiovascular risk factors among teaching staff and to know the association of age and gender with cardiovascular risk factors.Methods: A cross-sectional study was carried out amongst teaching staff of IIMSR Medical College, Badnapur, Jalna, Maharashtra during the period of August to October 2016. All teaching staff of IIMSR Medical College was included in this study by purposive sampling method. Total number of staff who was more than 30 years of age was 80. The study was performed on 71 teaching staff as 9 denied participating (71 out of 80). Clinical parameters including weight, height, blood pressure and waist circumference was recorded. Blood sample was also collected. Statistical analysis was done by using appropriate statistical test like mean, percentage, standard deviation, student’s t test and chi square test. Results: Majority participants were male 50 (70.42%). The mean age of male was 42.6±13.4 yrs and female was 37.05±9.64 yrs. The mean weight (76.2±12.9), mean waist circumference (92.0±12.1) and mean BMI (27.02±4.44) were above the normal range amongst male participants. The mean height, mean weight, mean waist circumference, mean SBP, mean DBP, mean RBS, mean creatinine and mean BMI values were higher in males as compared to females. The difference was statistically significant. Hypertension was more common in older age with raised diastolic blood pressure which signifies that age is one of the most important risk factor. Conclusions: This study showed a high prevalence of cardiovascular risk factors and signifies the importance of health awareness among the staff members regarding the various cardiovascular risk factors. 

Prevalence of Hypertension and Associated Risk Factors Among Women in a Rural Community in Bangladesh: A Cross-Sectional Study

2021 ◽  
pp. 1-19
Author(s):  
Anika Boitchia ◽  
Shabnam Naher ◽  
Sabbir Pervez ◽  
Moyazzem Hossainc
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Background Characteristics ◽  
Cross Sectional ◽  
The Mean ◽  
Associated Risk Factors ◽  
Structured Questionnaire

Abstract The purpose of this cross-sectional quantitative study was to identify the prevalence and associated risk factors of hypertension among rural women. Data collection was carried out between March to June 2019 among 380 women in Kumarkhali Upazila, Kushtia, Bangladesh. Participants were interviewed with a structured questionnaire including background characteristics, anthropometric measurements, prevalence, and risk factors of hypertension. IBM SPSS version 25 was used for analyzing the data. The prevalence of hypertension and prehypertension among the total participants was 21.3% and 17.1%, respectively. The mean systolic and diastolic blood pressure was 126.65 (±19.31) mmHg and 77.21 (±12.51) mmHg. Association was found between the prevalence of hypertension and participant’s age, marital status, educational level, body mass index, intake of raw salt, secondary smoking, stress, and diabetes (p<0.05). Among the diabetic women, prehypertension and hypertension prevailed as 26.3% and 55.3% respectively. The lowest risk of hypertension was found with limited raw salt (aOR: 1.42) and red meat (aOR: 0.05) consumption. Hypertension was more likely to affect overweight (aOR: 3.98) and women aged 55 to 64 years (aOR: 13.44). Thus, effective and integrated intervention agendas are required for women, which can improve the rate of diagnosis and prevent uncontrolled hypertension in Bangladesh. Keywords: Prevalence, hypertension, women, blood pressure, risk factor, Bangladesh

scholarly journals Risk Factors and Morphological Differences of Ruptured Saccular Aneurysm in Different Sites of Anterior Circulation in Patients Presenting with Subarachnoid Haemorrhage

2018 ◽  
Vol 3 (1) ◽  
pp. 21-28
Author(s):  
Reaz Mahmud ◽  
Mansur Habib ◽  
Sharif Uddin Khan ◽  
Asma Khan
Keyword(s):  
Risk Factors ◽  
Subarachnoid Haemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Aneurysm Rupture ◽  
Digital Subtraction ◽  
Anterior Circulation ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: All sites of intracranial aneurysms have always been considered together in most of the studies of risk factors of aneurysm rupture. Therefore, it is not known whether some risk factors predispose to aneurysm rupture at a particular location. Morphologies also vary in accordance to different sites of the aneurysm.Objective: The purpose of the present study was to observe the differences in the risk factors, the size, aspect ratio and size ratio among the anterior circulation aneurysms.Methodology: This hospital based cross-sectional study carried out in the Department of Neurology at Dhaka Medical College Hospital (DMCH), Dhaka during July 2013 to June 2015 for a period of two (02) years. Patients with subarachnoid haemorrhage caused by ruptured anterior circulation saccular aneurysms admitted in the Departments of Neurology, Internal Medicine and Neurosurgery Departments at Dhaka Medical College Hospital (DMCH), Dhaka and the Department of Neurointervention at National Institute of Neurosciences and Hospital, Dhaka were enrolled in this study. Patients’ ≥18 years of age with subarachnoid haemorrhage caused by anterior circulation aneurysm which was confirmed by computed tomogram (CT-scan) and/or CSF study and digital subtraction angiography were included in this study. The risk factors were identified by interviewing the patients and the morphology were measured from the digital subtraction angiogram.Results: A total number of 85 patients with ruptured saccular anterior circulation aneurysm were enrolled in this study. In this study anterior communicating artery aneurysm (ACom) was the most frequent site of aneurysm (42%). The mean age of the patients with ACom aneurysm (51.72 ± 9.26 years) was significantly higher than posterior communicating artery (47.5 ± 8.2 years) aneurysm and middle cerebral artery (MCA) (43.41 ± 8.0 years) aneurysm. Above the age of 50 ACom aneurysm was the most frequent aneurysm (OR 5.5, p<0.05). Among the female Posterior communicating artery (PCom) aneurysm (46.7%) was the most frequent aneurysm and among the male ACom aneurysm (37.5%) was the most frequent aneurysm. Family history was exclusive in MCA aneurysm (3.5%). The mean size of MCA (7.79 ± 0.71 cm) was higher than ACom (6.12 ± 2.7cm) aneurysm and PCom (6.5 ± 2.4 cm) aneurysm and proportion of aneurysm >10 mm was also higher among the middle cerebral artery (35.6%) aneurysms. The size ratio was significantly higher in ACom (3.08±1.23) and MCA (3.04±0.97) aneurysm. ACom (76.4%) and MCA (83.3%) had also more frequent high risk size ratio.Conclusion: In conclusion anterior circulation aneurysms differ in respects of risk factors and morphology.Journal of National Institute of Neurosciences Bangladesh, 2017;3(1): 21-28

scholarly journals Haematocrit Value in Preeclampsia

2016 ◽  
Vol 30 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Sankar Kumar Basak ◽  
Kohinoor Begum ◽  
Maliha Rashid ◽  
Nahid Yasmin ◽  
Hasina Begum
Keyword(s):  
Pregnant Women ◽  
Strong Association ◽  
Cross Sectional Study ◽  
P Value ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
Group B

Objective(s): To assess the association between the haematocrit value and severity of preeclampsia.Materials & Methods: This cross sectional study was conducted in the department of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period of January 2012 to December 2013. Total of 100 patients were studied and they were divided into two groups – group-A and group-B. Fifty preeclamptic patients were included in the group-A and 50 normal pregnant women were included in the group-B.Results: Majority of preeclamptic women (68%) and normal pregnant women (76%) were in the age group of 20-30 years with the mean ages of group-A and group-B subjects were 26.50±5.71 and 26.26±4.91 years respectively. Eighty six percent of group-A and 70% of group-B women were of lower socioeconomic status. Majority of the study subjects (74% of group-A and 80% of group-B) were housewife. More than half (54%) of the preeclamptic women were primigravid and 60% of normal pregnant women were multigravid. Among the preeclamptic subjects 16 (32%) had mild hypertension (DBP<110mmHg) and 34 (68%) had severe hypertension (DBP ? 110 mmHg). Out of 50 preeclamptic subjects 45 (90%) had severe proteinuria (+++) and only 5 (10%) had moderate (++) proteinuria.The mean haematocrit value of preeclamptic patients was 34.881±3.03 and that of normal pregnant women was 31.94±1.2. It was statistically significant (P value 0.001). The mean haematocrit value of normal pregnant, mild and severe preeclamptic women were 31.94±1.2, 33.31±2.57 and 35.62±2.95 respectively. It was also statistically significant (P value 0.001).Conclusion: This study shows that haematocrit value of preeclamptic patients is significantly higher compared to that of the normal pregnant women (P<0.05). There is a strong association of increasead haematocrit and preeclampsia.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 80-85

scholarly journals Assessment of cardiovascular behavioural risk factors in medical student

2015 ◽  
Vol 30 (2) ◽  
pp. 1-8
Author(s):  
Manoj Bundela ◽  
Jayant Kumar ◽  
ND Soni ◽  
Raghuveer Choudhary ◽  
Rajnee
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Medical Students ◽  
Life Style ◽  
Dietary Habits ◽  
Eating Habits ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical College ◽  
Exercise Counseling

It is an established fact that life-style related behavioral factors are mainly responsible for cardiovascular diseases. Doctors are playing very important role in imparting knowledge to the society as to how to stay away from diseases by adopting preventive measures. We studied the prevalence of life-style related risk behavior in medical students and to determine the effect of these factors on blood pressure. The study was conducted on 249 medical students, from which 182 were boys and 67 were girls of age group 16-29 years. In a random cross-sectional survey of medical students were interviewed for anthropometric measurements, BMI, dietary habits, physical activity and cardiovascular parameters. Cardiovascular risk factors in boys of medical college are more than girls. Out of 182 boys studied 48 [26.37%] were having their blood pressure values higher than 130/90 mm Hg. because of their faulty living/eating habits. Junk food, cola, alcohol and smoking is on rising trend with predominance of physical inactivity and overweight and as a consequence rise in the blood pressure. Dietary and exercise counseling is required for such students. DOI: http://dx.doi.org/10.3329/bjpp.v30i2.22675 Bangladesh J Physiol Pharmacol 2014; 30(2):1-8

scholarly journals Blood Pressure Parameters Among Smokers and Smokeless Tobacco Users in a Tertiary Level Hospital

2013 ◽  
Vol 25 (1) ◽  
pp. 28-31
Author(s):  
N Habib ◽  
M Rashid ◽  
USN Begum ◽  
N Ahter ◽  
D Akhter
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Smokeless Tobacco ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Group A ◽  
The Mean ◽  
Group B

This cross-sectional study was carried out to assess blood pressure parameters among adult male smokers and smokeless tobacco users. For this purpose, 105 male respondents were selected. They were divided into two groups; Group A-consisting of 30 were smokeless tobacco users and group B consisting of 75 smoker patients The participants were selected from medicine outdoor of Dhaka Medical College Hospital. In this study, the mean (±SD) of systolic blood pressure were 154.50±26.793 mm of Hg in Group A and 151.67±19.248 mm of Hg in group B respectively. Statistical analysis was done by unpaired‘t’ test, there were no statistical significant differences (P>0.05) of systolic blood pressure between Group A and Group B. The mean (±SD) of diastolic blood pressure were 96.67±10.933 mm of Hg in Group A and 86.47±14.745 mm of Hg in group B respectively. The mean (± SD) of diastolic blood pressure were significantly higher (P<0.05) in Group A than Group B. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16066 Medicine Today 2013 Vol.25(1): 28-31

scholarly journals Prevalence of risk factors for obesity, hypertension, coronary artery disease and diabetes among under-graduate medical college students of Tamil Nadu

2017 ◽  
Vol 4 (9) ◽  
pp. 3250 ◽  
Author(s):  
Razeek Mohammed Ibrahim ◽  
Sengoda Gounder Palaniyappan Priyadarsini ◽  
Rahim Abdul Nayeem ◽  
Vellomgattupalayam Muthusamy Somasundaram ◽  
R. Shankar
Keyword(s):  
Risk Factors ◽  
College Students ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Tamil Nadu ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Artery Disease ◽  
Obesity Hypertension

Background: The present scenario indicates that NCD-related diseases are on the rise among young people. Once the behavioural patterns of an individual are established, it often persists throughout life and is hard to change. Research has documented that adolescence is the appropriate time period for appropriate intervention. The aim of the study was toassess the prevalence of various risk factors of hypertension, coronary artery disease and diabetes among the medical students.Methods: A cross-sectional observational study was conducted among the medical college students of Annapoorna Medical College Hospital for a period of one year. A total of 406 students had participated in the study. A semi-structured and pilot tested questionnaire was used to collect the personal and demographic details of the students. Measurements such as BMI and blood pressure were recorded. Biochemical measurements such as fasting blood sugar and lipid parameters were measured. Results: A total of 38 (17.9%) male students and 6 (3%) female students are at risk of developing diabetes, hypertension or CAD at a very early age as per their clinical and biochemical reports. Conclusions: Promotion of supportive environment for strengthening student-based approaches and strategic delivery of health education is essential to target the risk behaviours among our future doctors. 

scholarly journals Shorter Timed Urine Collection for Detecting Proteinuria in Pre Eclamptic Women

2016 ◽  
Vol 27 (1) ◽  
pp. 9-13
Author(s):  
Nusrat Ara Yousuf ◽  
M Anwar Hussain ◽  
Khadija Begum
Keyword(s):  
Cross Sectional Study ◽  
Urinary Albumin ◽  
Albumin Concentration ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Urine Albumin ◽  
The Mean ◽  
Medical University ◽  
Criteria For Selection

Objective: To assess urinary albumin excretion in pre-eclamptic women by shorter timed collection of urine from 12 hours night sample.Method: This cross sectional study was carried out in the Department of Obstetric and Gynaecology, Bangabandhu Sheikh Mujib Medical University, and Dhaka Medical College Hospital, during the period of November 2004 to February 2005. Among the admitted patient total 40 pregnant women with pre-eclampsia were taken with proper selection criteria. The criteria for selection were hypertension (140/90 mmHg or more) after 20th week of gestation and a bed side urine albumin test positive. Detailed medical and obstetric history was taken and thorough examination was done and all the informations were recorded in the pre-designed data collection sheet.Results: The mean± SD urinary albumin in 12 hour day, 12 hour night and 24 hour sample were 1.74+0.51 gm/L, 1.76+0.51 gm/L and1.75+0.54 gm/L respectively. Urinary albumin concentration in the 12 hour day & night samples agreed well with concentration of the 24 hour samples.Conclusion: From the result it could be concluded that albumin concentrations in the 12- hours day and 12-hours night collections were close to the concentrations of the 24-hour collection.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(1) : 9-13

scholarly journals Selected Risk Factors for Myocardial Infarction among the Patients Admitted in Rajshahi Medical College Hospital

1970 ◽  
Vol 18 (1) ◽  
pp. 37-42
Author(s):  
Abdur Rahsid ◽  
Md Mofakkurul Islam ◽  
Md Rafiqul Islam
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Blood Pressure ◽  
Serum Cholesterol Level ◽  
Medical College Hospital ◽  
Normal Range ◽  
College Hospital ◽  
Medical College ◽  
Cardiology Department ◽  
The Common

Myocardial infarction (MI) is the common form of coronary heart disease. A large number of modifiable risk factors had been identified. This descriptive study was done to observe selected risk factors among the MI patients admitted in CCU of cardiology department of Rajshahi Medical College Hospital in the month of March to June 2005. Data were collected from 200 patients using a closed end questionnaire. Anterior, inferior and non-Q types of MI occupied the major (25%, 24.5% & 20.5%) portion of study subjects, CK-MB level was high in all MI patients, majority (57.5%) of the patients were smoker & most of them had smoked more than 10 cigarettes per day except Non-Q and antero-septal MI patients. Majority (57%) of the patients had systolic blood pressure (SBP) above 140mmHg but had normal diastolic blood pressure (DBP <90mmHg). Serum cholesterol level was high in all patients but majority (55.5%) had LDL within normal range. Less than half (46%) of the patients were diabetic (RBS >8mmol/l).   doi: 10.3329/taj.v18i1.3302 TAJ 2005; 18(1): 37-42

scholarly journals Awareness About Hazards of Blood Transfusion Among the Recipients in a Selected Hospital in Dhaka City

2009 ◽  
Vol 13 (Number 2) ◽  
pp. 19-24
Author(s):  
A Mazid ◽  
Md. S H Khan ◽  
AHM O Farooque ◽  
Md. H AHM O ◽  
A Rubyt
Keyword(s):  
Blood Transfusion ◽  
Blood Donors ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean ◽  
Demographic Condition ◽  
Cross Matching ◽  
Blood Grouping

This cross sectional descriptive study was conducted in Holy Family Red Crescent Medical College Hospital from September 2007 to December 2007 among the admitted patients, who received blood at that time, to assess the extent of awareness about hazards of blood wansfitsion among the blood recipients to find out the knowledge about blood grouping, cross matching. screening. quality of blood. fitness of blood donors. hazards due to blood transfission and sods demographic condition of the blood recipients. A total of 202 blood recipients were selected purposively. of them 75 were male and 127 were female. The mean age of the respondents were 41.6 years. of them mean or of the male was 46.3 years and the mean age of ihe fronale was 39.3 years. More than 93% of the respondents had some !net of education and 6.9% were illiterate; 41.6% of the respondents were house wife. 31.2% were service holder. 8.9% were business man and only 2.5% were of lower hiconte group. About the type of blood examination needed before rmisfitsion. 82.2% were aware about blood gimping. 51.5% about cross matching, 6.4% about Rh typing, 5.4% about screening and 17.8% had no idea. Regarding blood transfusion related diseases. 80.2% were aware about hepatitis 13. 60.9% about AIDS. 32.7% about syphilis, 22.3% about malaria and 20.8% of the respondents were totally unaware shoal the transfission related diseases. About reaction due to blood smut fission, 174 (86.1%) hod some idea but 28 (13.9%) were totally unaware about say reaction. Of the respondents, 196 (97%) preferred blood front unpaid vohnumv donors. friends and relatives, and only six (3%9 preferred professional donors. Only 4.5% of the respondents had idea about screening of blood before transficsion.

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