scholarly journals Comparison of Predictive Protocols in Chest Pain Patients in a Tertiary Care Hospital in Karachi, Pakistan

10.5580/2962 ◽  
2011 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Chest Pain ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Pain Patients

scholarly journals 03. How Are We Doing? A Survey of Private Internists

1996 ◽  
Vol 11 (S2) ◽  
pp. S37-S37
Author(s):  
SM. Schneider ◽  
DJ Cobaugh ◽  
NF Leahey
Keyword(s):  
Chest Pain ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Acute Chest Pain ◽  
Medical Director ◽  
Care Hospital ◽  
Similar Treatment ◽  
Negative Comments ◽  
Patient Arrival ◽  
Pain Patients

Objective: In our community the majority of patients presenting to the ED with acute chest pain come by car and do not recall their MD suggesting EMS. How do private MD's (our customers) view EMS?Methods: Single mailing survey to all 238 physicians with admitting privileges in Medicine at an urban, tertiary care hospital (722 beds). EMS services provided by 2 private ALS systems and 35 volunteer ALS services operating under one physician medical director and identical protocols. Survey consisted of a scenario with a cardiac patient in the home of the MD, followed by opinions regarding EMS.Results: 50% return. Respondents were 79% male, mean age 44 ±14yr, 68% internal medicine, 11% cardiologists. Given a patient with acute chest pain at the MD's home, 90% would call EMS, 10% would drive patient. 16% chose to drive for safety concerns, 83% because it was faster. Of those who chose EMS, 10% made negative comments regarding paramedics “playing doctor”. The following perceptions were noted: 3% of respondents indicated paramedics take “too long” to respond to calls, 26% indicated paramedics delay patient arrival to the hospital, and 6% indicated patients get too nervous if told to take an ambulance. On the other hand, 59% indicated EMS prevents cardiac arrests, 83% indicated paramedics can appropriately treat cardiac arrest, and 13% agreed paramedics can provide similar treatment for chest pain patients as hospitals.

scholarly journals Drug-lnduced Esophagitis in a Tertiary Care Hospital

2009 ◽  
Vol 22 (2) ◽  
pp. 235-238
Author(s):  
MA Haque ◽  
MA Alim ◽  
I Mahmood ◽  
MM Hoque Chowdhury
Keyword(s):  
Clinical Practice ◽  
Chest Pain ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Esophageal Injury ◽  
Care Hospital ◽  
Drug Induced ◽  
Medical College ◽  
Number Of Patients ◽  
History Of

Drug induced esophagitis, also known as pill-induced esophagitis or drug-induced esophageal injury, is uncommonly encountered in clinical practice. This observational study was jointly carried out by the Department of Medicine and Department of Gastroenterology, Rajshahi Medical College, from January 2005 to December 2009. Total number of patients included was 32. Patients who presented with history of odynophagia and chest pain after ingesting some medications and having endoscopic evidence of esophagitis were included in this study. Out of 32 patients 17 were female and 15 were male (F: M=1.1:1). Mean age of the patients were 36.7±8.5 years. Doxycycline was the drug most commonly associated with esophagitis, 25 cases (78.1%) had doxycycline induced esophagitis. Other drugs were tetracycline in 3 cases (9.4%), alendronate in 1 case (3.1%), ciprofloxacin in 1 case (3.1%), paracetamol in 1 case (3.1%), and naproxen in 1 case (3.1%), Increased awareness among the physicians and patient education can prevent this distressing clinical condition.TAJ 2009; 22(1): 235-238

scholarly journals Study of clinical profile of ischemic heart disease patients admitted in tertiary care hospital

2017 ◽  
Vol 4 (9) ◽  
pp. 3191 ◽  
Author(s):  
Poonam Vijay Sancheti ◽  
Suresh Konappa Mangulikar
Keyword(s):  
Heart Disease ◽  
Chest Pain ◽  
Ischemic Heart Disease ◽  
Cardiac Failure ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Ischemic Heart ◽  
Care Hospital ◽  
Tertiary Care Centre

Background: Cardiovascular diseases have assumed epidemic proportions in India. The study was undertaken to know the clinical presentation of ischemic heart disease. It also included time lapsed between symptoms and admission which is important outcome indicator. The aim and objective was to study the clinical profile of ischemic heart disease patients admitted in tertiary care hospital.Methods: The study was done in IHD patients admitted in ICU of tertiary care hospital. The study period was June 2014 to June 2015. Detailed clinical data like symptoms, signs, associated illnesses, general and systemic examination was included. Results: 33.59% patients were brought to tertiary care centre within 3-6 hours of onset of symptoms. Out of total, 63.61% presented with chest pain not relieved in ten minutes followed by 21.89% patients who had chest pain which relieved in ten minutes. 68.95% patients had associated sweating, 35.62% had associated breathless-ness and 16.03% had associated swelling over feet. Associated symptoms with chest pain were not exclusive of each other. 62.85% patients were of STEMI, 21.37% patients were classified as NSTMI and 15.78% were patients of unstable angina. Cardiac failure was seen in 69.52% patients. Conclusions: Most of the patients were of STEMI with most common complain of chest pain and most common clinical complication was cardiac failure in the patients. 

Clinical profile of patients with cardiac syndrome X in a tertiary care hospital

2017 ◽  
Vol 5 (7) ◽  
pp. 3231
Author(s):  
Bhavya R. ◽  
Suresh G. ◽  
Subramanyam K.
Keyword(s):  
Chest Pain ◽  
Clinical Characteristics ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Systemic Hypertension ◽  
Syndrome X ◽  
Care Hospital ◽  
Treadmill Test ◽  
Cardiac Syndrome X ◽  
Cardiac Syndrome

Background: Abnormalities in coronary microcirculation may lead to symptoms of chest pain which mimics angina. Symptoms of chest pain along with evidence of ischemia on non-invasive tests like electrocardiography (ECG), echocardiography or treadmill test (TMT) but with normal coronary angiogram (CAG) is referred to as cardiac syndrome X (CSX). Previous studies have shown favourable prognosis in such patients. However recent studies have not shown good prognosis. We intend to understand whether such adverse cardiovascular outcomes could be secondary to any change in the clinical characteristics of patients with CSX in the current era.Methods: This is a retrospective study which was conducted at a tertiary care hospital. CAG of patients who underwent coronary angiography between November 2013 and October 2016, for suspected ischemic heart disease was reviewed. Clinical characteristics of patients with normal or non-obstructive coronaries (less than 50% stenosis) in angiography with chest pain were analyzed. Further clinical characteristics, ECG, echocardiography, treadmill test and CAG findings were compared among males and females.Results: 410 patients were included in the study. 212 were females and 198 were males. Mean age of presentation was 53.46±10.5 years for males and 55.04±9.3 years for females. Patients presenting with atypical chest pain were higher (70.7%). There were 195 subjects with systemic hypertension, 103 with diabetes mellitus and 57 had dyslipidemia. In the study, most 260 subjects had ST-T changes on ECG. Abnormal echocardiography was seen in only 35 patients. 30.5% patients showed positive stress test for inducible ischemia.Conclusions: CSX is prevalent in significant number of patients who present with symptoms of chest pain. Unlike previous studies, there is no significant difference among males and females, in prevalence and risk factors for this syndrome. Further non-obstructive lesions were found to be higher in females.

scholarly journals The Socio-Demography, Clinical Characteristics and the Prevalence of Cardiovascular Risk Factors Among a Group of Elderly Hypertensive Patients Followed Up at A Tertiary Care Hospital in Sri Lanka.

2017 ◽  
Vol 1 (1) ◽  
pp. 3-15
Author(s):  
Udaya Ralapanawa ◽  
Sampath Tennakoon ◽  
Thilak Jayalath ◽  
Milinda Bandara ◽  
Noorika Wickramasurendra ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chest Pain ◽  
Alcohol Consumption ◽  
Sri Lanka ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Hypertensive Patients ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients

Background Hypertension is one of the most prevalent risk factors for myocardial infarction, strokes, congestive cardiac failure and chronic kidney disease (CKD)and its prevalence is significantly higher inthe elderly population. Objectives To assess the demography, various presentations and the prevalence of risk factors among elderly hypertensive patients followed up in a tertiary care hospital in Sri Lanka. Materials and Methods This was a cross sectional descriptive study involving 250 patients whoseage was 60 years or above onantihypertensives for at least 6 months. Results Approximately 65.2% of the study population was female. The mean age was 70.17.Dizziness and chest pain were the most prevalent symptoms.The mean age at first detection was 58.17 years.Mean SBP and DBP were 128.5mmHg and 81.14mmHg respectively. The prevalence of alcohol consumption and smoking among men were 70.1% and 72.4% respectively. Approximately 54.7% were either overweight or obese.Approximately 81.6% females and 41.4% males had a waist circumference ofmore than therisk level with p-value<0.05. Approximately 36% had diabetes mellitus and 27.6% of the patients had at least one parent and 36.8% had at least one sibling diagnosed with hypertension. Approximately 61.3% of the patients hadadequate levels of physical activity while 31.8% had IHD,11.5% had stroke and 3.8% had CKD. Conclusion Dizziness and chest pain were the most disturbing symptoms while abdominal obesity among females,and alcohol consumption and smoking among males were the major risk factors in elderly hypertensive patients

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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