Background: Egypt is the most populous country in the Middle East and North Africa and has more than 15% of the cardiovascular deaths in the region, but little is known about the prevalence of traditional risk factors and treatment strategies in acute coronary syndrome (ACS) patients across Egypt. Methods: From November 2015 to August 2017, data were collected from 1 681 patients with ACS in 30 coronary care centres, covering 11 governorates across Egypt, spanning the Mediterranean coast, Nile Delta and Upper Egypt, with a focus on risk factors and management strategies. Results: Women constituted 25% of the patients. Premature ACS was common, with 43% of men aged less than 55 years, and 67% of women under 65 years. Most men had ST-elevation myocardial infarction (STEMI) (49%), while a larger percentage of women had unstable angina and non-ST-elevation myocardial infarction (NSTEMI) (32% each; p < 0.001).
Introduction: Patients with a history of heart attack or stroke may take anticoagulant. Because these are anticoagulant medications, bleeding time after dental treatments, may be prolonged. Gelatamp is made of 95% foam gelatin sponge and 5% finely dispersed colloidal silver. Gelatamp has the great advantages of both haemostatic and bactericidal effect. Objectives: To evaluate clinically the use of Gelatamp to avoid postoperative dry socket and bleeding in patients receiving anticoagulant therapy without altering the medication dosage. Materials and methods: This study was conducted on fifty patients indicated for teeth extraction divided into two equal groups. Study group consisting of 25 patients who received their medicine as usual and extraction was done followed by insertion of gelatamp in the socket and supported with heavy pack. Control group consisting of 25 patients who stopped their medicine until INR reached 1.6 and Prothrombin activity more than 60% after that extraction was done and the socket was supported with heavy pack. The patients were monitored for 24 hours in both groups. Results: Adequate socket healing was detected in all patients of both groups. Conclusion: Gelatamp is an effective material as local hemostatic agent after extraction for anticoagulant patients (within the therapeutic range of INR) without interruption of their medicine.
BackgroundPercutaneous coronary intervention (PCI) is a commonly used procedure for revascularization, however the impairment of regional myocardial function in patients with stable coronary artery disease (CAD) has not been well characterized, our study aimed to assess the improvement of left ventricular (LV) systolic function after elective PCI of the left anterior descending artery (LAD) using strain and strain rate imaging techniques.Materials and methodsThe study included 30 patients (aged 56.8 ± 6.6 years, 66.7% males) presented with stable CAD on optimal medical therapy, and recommended for elective PCI to LAD, all patients included in the study had a normal LV wall motions, and normal LV systolic function. Tissue Doppler imaging (TDI) was done before PCI, immediately, and three months post PCI. The peak systolic longitudinal strain (PSLS), and peak systolic strain rate (PSSR) were measured and averaged for the 6 LAD segments (the basal, mid, and apical segments of the anterior wall, the basal, mid anteroseptal, and the apicoseptal segments), 15 healthy control subjects were included as a control group.ResultsThe average PSLS and PSSR of the ischemic segments were significantly lower in patients compared to control in the ischemic segments, and significantly increased 3 months post PCI but not immediately post PCI. Using the ROC curve a cutoff value of −13.69% for PSLS can detect regional ischemia with a sensitivity 93.3% and a specificity of 80%.ConclusionsTDI derived strain and strain rate can detect resting regional myocardial dysfunction in presence of preserved LV systolic function, and can assess the improvement of regional myocardial function after successful elective PCI in patients with stable CAD.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.