Objective: This study aimed to assess the incidence of anxiety and depression among AMI patients during COVID-19 pandemic in Pakistan. Material & Method: This cross-sectional study was conducted from February 27 to June 2, 2020, at the Cardiology ward of Dera Ghazi Khan Teaching Hospital. Total 611 patients selected through convenience sampling. The patients were requested to respond to Hospital Anxiety and Depression Scale (HADS) and demographic information. An independent samples t test was applied for comparisons. Results: Patients’ age was ranging from 41 to 79 years, with a mean age of 52.35 ± 5.12. There was a high frequency of anxiety (51.72%) and depression (34.86%) among AMI patients. A significant difference was observed in the level of anxiety (p = 0.001) and depression (p = 0.000) among male and female patients. Conclusion: The present study findings affirmed that increased level of anxiety and depression are prevalent in AMI patients. Additionally, both anxiety and depressive symptoms were more common in female patients. Keywords: COVID-19, Anxiety, Depression, Acute Myocardial Infarction (AMI).
ABSTRACT… Objectives:To determine the frequency of multivessel coronary artery disease (CAD) in patients suffering from inferior wall acute myocardial infarction (AMI) having ST segment depression in anterior chest leads. The presence of precordial ST depression during acute inferior wall myocardial correlates well with multivessel CAD. Precordial ST-segment depression in acute inferior wall MI is related to anterior injury due to LAD stenosis and these patients tend to have more severe CAD. Key words:Acute inferior wall myocardial infarction, ST segment depression, coronary angiography, multivessel coronary artery disease. Article Citation: Abbas S, Riaz R, Javaid I, Hameed N. Coronary artery disease; acute inferior wall myocardial infarction with ST segment depression in anterior chest leads. Professional Med J 2017;24(7):935-941.
Coronary artery anomalies are abnormalities in coronary arteries by birth (congenital) and involve their anatomy, course and function. They usually occur in association with other congenital cardiac defects. Coronary artery anomalies are usually clinically silent as they do not cause symptoms and are found incidentally but relatively few become evident by causing symptoms. Objectives: Determine the frequency of coronary artery anomalies in patients undergoing coronary angiography. Study Design: Cross sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: From July to December 2017. Material & Methods: Demographic information from all the patients was recorded and all of these individuals were undergone coronary angiography. All the collected data was analyzed by SPSS. Results: The mean age of the patients was 43.74 ± 15.35 years, male and female patients were equal in number. In this study coronary anomalies were present in 28(4.06%) patients. Conclusion: Coronary artery anomalies are found quite frequently but usually are incidental finding.
Introduction: In recent years the trans-radial approach has been increasinglyemployed as an alternative approach to percutaneous coronary intervention. Loss of radial pulsemay lead to ischemic symptoms like pain in hand, claudication etc. There is a lack of local dataregarding complication associated with trans-radial coronary catheterization. Therefore, thereis need for local study to find out the frequency of complications associated with trans-radialapproach. Objectives: To determine the frequency of loss of radial pulse in patients undergoingtrans-radial coronary catheterization. Design: Cross sectional study. Setting: Department ofCardiology, Jinnah Hospital, Lahore. Period: From 3rd June 2014 to 2nd December 2014.Methodology: All 325 cases fulfilling the inclusion/exclusion criteria undergoing coronarycatheterization were included in the study. Results: A total of 325 patients, both male and femalewith positive Allens test, undergoing Trans-radial angiography for intervention were included.Loss of radial pulse was evaluated clinically at four weeks follow up.In our sampled population,mean age was 57.01 ± 6.8 years and 240 patients (73.8%) were male while 85 patients (26.2%)were female. Only 14 patients (4.3%) out of 325 had loss of radial artery pulse while remaining311 patients (95.7%) didn’t have loss of radial artery pulse. There was found no effect of genderon outcome i.e. loss of radial pulse but older age made a person prone to loss of radial pulse.Conclusion: It is concluded that the frequency (percentage) of loss of radial pulse is quite low(4.3%) in our patients undergoing trans-radial coronary catheterization.
In recent years the trans-radial approach has been increasingly employed as an alternative approach to percutaneous coronary intervention. Loss of radial pulse may lead to ischemic symptoms like pain in hand, claudication etc. There is a lack of local data regarding complication associated with trans-radial coronary catheterization. Therefore, there is need for local study to find out the frequency of complications associated with trans-radial approach. Objectives: To determine the frequency of loss of radial pulse in patients undergoing trans-radial coronary catheterization. Design: Cross sectional study.
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