Objective: The study was designed to describe various clinical features of fibromyalgia syndrome [FMS] in a Bangladeshi population seen at a university rheumatology clinic.Methods: Thirty consecutive patients with FMS were compared with the next patient with rheumatoid arthritis [RA] as well as a healthy painfree normal control [NC], of the same sex and similar age. All subjects were evaluated by a physician-administered questionnaire.Results: Virtually all clinical and psychological features were more common in FMS than NCs as well as RA. The frequency of clinical and psychological features of FMS, e.g., fatigue, sleep difficulties, swollen feeling, paresthesia, irritable bowel syndrome, tension-type headaches as Amal K. Choudhury, MBBS, FCPS, is affiliated with National Institute of Cardiovascular Diseases, Dhaka, Bangladesh.
Abstract:Background: The association between extent and severity of coronary artery disease (CAD) and renal artery stenosis (RAS) has been well established in many studies. The aim of this study was to assess the incidence and severity of RAS in patients with CAD. Methods: Coronary angiogram (CAG) and renal angiogram was done in standard protocol. A total of 95 patients was included in the study and divided into two groups according to the presence of significant renal artery stenosis.In Group I 45 patients were having normal or insignificant renal artery stenosis. In Group II 50 patients were having significant renal artery stenosis. All data were recorded systematically in preformed data collection form. renal artery disease. 6 Cardiologists are frequently confronted with 'Cardio renal' problems and have the expertise necessary for stenting of renal artery lesions with equipments adapted from coronary artery interventions. 7 Needless to mention, that in Bangladeshi perspective, we don't have an exact data on the incidence, prevalence and survival outcome of patient with RAS associated with CAD and other co morbid renal condition. 8 The aim of this study was to see the association of ARAS with coronary artery disease (CAD) in Bangladeshi perspective. Results: In Group I, most common CAG findings were single vessel disease (SVD) (91.1%), triple vessel disease (TVD) (2.2%) and double vessel disease (DVD) (6.7%). No patients in Group I had Left Main (LM) disease. In Group II, most common CAG findings were DVD (42.0%) followed by SVD 32.0%, TVD 26.0% and LM 8.0%. There is statistically significant difference in Vessels Score, Friesinger Score and Leaman Score between the groups (p<0.05). Conclusion: The study revealed significant association between atherosclerotic renal artery stenosis (RAS) and severity of coronary artery disease (CAD). This indicates significant atherosclerotic renal artery stenosis (RAS Methods:This is a cross sectional study was done in the department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka from January 2012 to December 2012. Considering inclusion and exclusion criteria, 95 patients was included in the study and divided into two groups according to the presence of significant renal artery stenosis. In Group I 45 patients were having insignificant renal artery stenosis. In Group II 50 patients were having significant renal artery stenosis. Patients of coronary artery diseases admitted in NICVD and undergone coronary angiogram and renal angiogram showing atherosclerotic renal artery stenosis and coronary artery involvement were included in the study. Patients with ischeamic heart disease associated with following condition excluded from the study congenital and valvular heart disease, cardiomyopathy obstructive pulmonary disease, severe systemic illness (Liver & Kidney disease), patient unwilling to be included in this study.Meticulous history and detailed clinical examination were carried out and were recorded . Informed written consent was taken from each p...
Drug-eluting stents (DES), which locally elute antiproliferative drugs, can dramatically inhibit neointimal growth. However, several pathological studies have indicated that DES may delay healing after vascular injury, and DES implantation may be theoretically associated with a risk of coronary artery aneurysm formation. Coronary aneurysms have been reported from 3 days to up to 4 years after DES implantation procedures, with varying clinical presentations. Mr. X, 60 years old diabetic, hypertensive got admitted in NICVD and was diagnosed as a case of Chronic Stable Angina. His ETT was strongly positive, CAG showed significant long lesion in LAD. Direct stenting with DES to LAD done and whole procedure was uneventful. After 10 days of PCI patient got readmitted in hospital with complaints of chest discomfort with high grade fever for 2 days. ECG showed AMI (Extensive Anterior) indicating involvement of LAD territory with strong suspicion of Sub Acute Stent Thrombosis (SAST). Streptokinase could not be given due to delayed arrival. Patient was treated conservatively with Low Molecular Weight Heparin. Check CAG was done 7 days after readmission showing Patent stent in LAD with aneurysmal dilatation at the distal end of stent in LAD. The objective of this case report is to focus on the rare but not uncommon incidence of stent implantation. Cardiovascular Journal Volume 6, No. 1, 2013, Page 63-67 DOI: http://dx.doi.org/10.3329/cardio.v6i1.16118
Abstract:Background: Ischemic Heart Disease (IHD) is the leading cause of death throughout the world and obesity especially visceral adiposity (central obesity has significant influence for its development & progression. Visceral adiposity index (VAI) is a novel sex specific index which had significant correlation with visceral adiposity.
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