IN-HOSPITAL EARLY COMPLICATIONS IN DIABETICS VS NON DIABETICS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION AGE GROUP 30-70 YEARSįREQUENCY OF COMPLIANCE TO GUIDELINE RECOMMENDED TREATMENT IN HEART FAILURE PATIENTS WITH LVEF <40%ĬLINICAL OUTCOME OF PATIENTS ADMITTED WITH ACUTE ANTERIOR VERSUS ACUTE INFERIOR WALL MYOCARDIAL INFARCTION Suppl-4 (2020): AFIC SUPPLEMENT - DECEMBER Pakistan Armed Forces Medical Journal: Vol.
#Timi score aspirin series
TRANS-CATHETER AORTIC VALVE IMPLANTATION (TAVI)-A CASE SERIES AT AFIC/NIHD TRANSCATHETER AORTIC - VALVE IMPLANTATION (TAVI) – AN EXPERIENCE AT ARMED FORCES INSTITUTE OF CARDIOLOGY unstable angina /NSTEMI who are referred for coronary angiography, clinical risk stratification according. Chi-square test was applied between Thrombolysis In Myocardial Infarction Score and Coronaries lesions, which showed statistically significant results (p<0.001).Ĭonclusion: Our study demonstrates that among patients presenting with Non-STE Acute coronary syndrome i.e. 60 (52.2%) used aspirin in the last 7 days. Cardiac biomarkers were raised in 36 (31.3%) patients. 71 (61.7%) patients had one angina episode in the last 2 hours while 34 patients had two angina episodes in the last 2 hours. The most common co-morbidity was hypertension 66 (57.4%) followed by diabetes mellitus 39 (33.9%) and smoking 25 (21.7%). There were 87 (75.7%) male patients while 28 (24.3%) female patients. Results: Total 115 patients were recruited in the study with mean age 57.08 ± 10.2 years. Patients with Acute Coronary Syndrome were risk stratified with Thrombolysis In Myocardial Infarction risk scores and were further evaluated with coronary angiograms to assess the extent of coronary artery disease. Methodology: Patients who had chest pain suggestive of angina or anginal equivalent symptoms and diagnosis of Acute Coronary Syndrome (ACS) were included in the study. Place and Duration of Study: Adult Cardiology department, Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi from Jul to Dec 2018. Objective: To evaluate the correlation between thrombolytic in Myocardial Infarction risk score with the severity of coronary lesions found by coronary angiography during hospitalization in patients with non-ST elevation Acute coronary syndrome. The combination of an S3 gallop and a chest radiograph showing pulmonary venous congestion or interstitial edema is highly suggestive of congestive heart failure.Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanĪrmed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan,Ĭoronary artery disease, NSTEMI, Thrombolysis in myocardial infarction, Unstable angina Abstract Physical exam findings that suggest congestive heart failure include presence of a third heart sound or S3 gallop (likelihood ratio (LR) 11.0), hepatojugular reflux (LR 6.4), and jugular venous distention (LR 5.1).However, these symptoms are seen in many conditions and cannot be used to distinguish congestive heart failure from other causes of dyspnea.Symptoms include dyspnea on exertion, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea, and peripheral edema.A weakened or diseased left ventricle or one facing high systemic pressures cannot adequately pump blood and as a result, blood pools in the lungs, leading to pulmonary edema and clinical symptoms of congestive heart failure. Heart failure is a common cause of respiratory distress.Presence of a third heart sound JVD also seen, but has lower likelihood ratio
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