Introduction: Chronic Systemic Hypertension is one of the established cardiovascular risk factors for the development of atherosclerosis and increased incidence of peripheral vascular disease, chronic renal disease, and Coronary Artery disease. Aim: To study the echocardiographic outcome of thrombolysis in hypertensive patients with AMI within 3 days and after 1 month of AMI and to detect left ventricular hypertrophy in such patients by electrocardiography and echocardiography and its influence on left ventricular systolic function. Material and Methods: This is a prospective study to study the echocardiographic outcome of thrombolysis in the Hypertensive patient with Acute Myocardial infarction within 3 days and after one month and to detect left ventricular hypertrophy in such patient by ECG and Echo and its influence on left ventricular systolic function. Results: Among the 26 cases with LVH diagnosed by Echo, 24 diagnosed having LVH with ECG with the sensitivity of 0.9 to 3. Among 24 cases diagnosed as No LVH by Echo, 21 cases were diagnosed as No LVH by ECG with a specificity of 0.875. Conclusion: Patients with LVH after AMI had lower LVEF when compared to there without LVH. The Ejection fraction was shown to improve after one month irrespective of the presence of LVH. The most common conduction Abnormality in the study population was LBBB; Ventricular Tachycardia was commonly associated with Anterior wall MI with poor LVEF.
Background: Hypertension is one of the most common worldwide diseases afflicting humans & is one of the leading causes of death and disability among adults all over the world. It remains the major risk factor for coronary, cerebral and peripheral vascular disease. Aim: To study the levels of sodium and potassium in serum in patients with Essential Hypertension and to correlate it with Blood pressure in case of newly detected Essential Hypertensives. Methods: Prospective comparative study in patients with 100 (50 cases +50 controls) patients with essential hypertension. All the patients were subjected to detailed history taking, careful physical examination and biochemical analysis to exclude secondary hypertension. Results: The results of the study, between cases and controls were statistically significant. The mean value of serum sodium was 146 ± 2.81 mmol/L in males and 148 ± 4.2 mmol/L in females. The mean and standard deviation of serum potassium among cases was 3.79 ±0.179 mmols/L while on control groups it was 4.25 ±0.22 mmol/L. Conclusion: The conclusions of the study are serum sodium was significantly more among hypertensives and it was independent of associated risk factors and gender.
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