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Haemodynamic responses to low levels of lower body negative pressure (LBNP) were investigated in two groups of healthy, normotensive volunteers (8 men and 8 women) during two repeated experimental runs on two occasions, the latter determined by the different phases of the menstrual cycle in the women. The data consisted of systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean blood pressure (MBP), pulse rate (fc), forearm blood flow (FBF) and forearm vascular conductance (FC). The resting cardiovascular status was similar in men and women, except that women had a significantly higher fc than men. LBNP (1.3, 2.7 and 4 kPa) had no significant effect on any BP variable or on fc. However, FBF and FC were reduced at all levels of LBNP. Significant overshoots in FBF and FC were seen in all subjects following the release of LBNP of 2.7 and 4 kPa and, in most cases, after release of LBNP of 1.3 kPa. There were no significant gender differences in any of the responses to LBNP. Furthermore, none of the cardiovascular variables measured showed significant differences between the follicular and luteal phases of the menstrual cycle in women, either at rest or during exposure to LBNP, and the responses in the men on the two occasions were not different. These findings indicate that gender differences in responses to LBNP hypothesized previously are not apparent during and after exposure to low levels of LBNP.

Introduction: Post-obturation pain is one of the primary problems following root canal treatment. Although in most cases pain does not last long, but could be a source of embarrassment to the dentist and annoying for the patient. Objectives: This prospective study was conducted to assess the incidence of postoperative pain after multivisit root canal treatment of teeth with vital and nonvital pulps. Methods: Total, 52 patients with teeth requiring endodontic treatment were identified and included in this study. The patients were randomly assigned and treated in a military hospital and in government dental college hospital into two groups. The teeth of patients in group 1 were with vital inflamed pulp; group 2 were with non-vital pulp with or without periapical radiolucency (0-5mm). Patients were treated in multiple visit procedure. They were asked whether they experienced any postoperative pain to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chi-square test. Results: No significant difference in postoperative pain was found between vital and non-vital pulps (p=0.2). Mild and moderate pain occurred in 4.34% and 4.34% respectively in teeth with vital pulp and 17.3% and 3.44% in teeth with non-vital pulp respectively. There was no significant difference in postoperative pain between the two groups (p>0.05). Conclusions: The incidence of postoperative pain did not differ between vital and non-vital teeth.

Background: The presence of ischemic ECG changes on admission has been shown to predict outcome, the relationship between the extent of ECG changes and the risk of cardiac events is still ill   defined. The severity of ST-segment depression on admission ECG has a strong association with   adverse in-hospital outcome in patients with non ST-segment elevation acute coronary syndrome. The study was done to observe the extent of ST-segment depression and in-hospital outcome in patients with non ST-segment elevation acute coronary syndrome.   Methods: This study was conducted in the Department of Cardiology in NICVD Dhaka, from   January 2006 to December 2007. Considering inclusion and exclusion criteria, a total of 183 patients   were evaluated. All the patients were evaluated clinically after admission. ECG, blood biochemistry and echocardiography were done. Patients were categorized into three groups according to the extent   of ST- segment depression.   Results: In this study, analysis of the baseline parameters revealed no statistically significant   difference among the three groups of patients (p>0.05). Mean sum of the ST-segment depression analysis was done and all mean values were more in group III patients. 41.0% patients developed  complications during the study period. Acute LVF (22.9%) was the most common complication   followed by arrhythmia (11.5%), cardiogenic shock (4.4%) and STEMI (2.2%). All the complications were more in group III patients. During this period 6% patients died and more death (12.3%) was observed in group III patients.   Conclusion: The amount of ST-segment depression is a powerful predictor of adverse in-hospital   outcome in patients with non ST-segment elevation acute coronary syndrome DOI: http://dx.doi.org/10.3329/cardio.v5i1.12275 Cardiovasc. j. 2012; 5(1): 62-66

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Background: Arterial stiffness assessed noninvasively with aortic pulse wave velocity (PWV) has been associated with atherosclerosis in the coronary arteries and also cardiovascular mortality. The aim of this study was to evaluate the association between aortic PWV and severity of coronary artery disease (CAD) in patients with acute ST elevation myocardial infarction (STEMI). Methods: This cross sectional analytical study was conducted over 200 acute STEMI patients who were purposively selected and agreed to do coronary angiogram during index hospital admission. Assessment of aortic PWV was performed noninvasively with the commercially available SphygmoCor system using applanation tonometry with high fidelity micromanometer on the day before angiogram. Study subjects were subdivided into two groups on the basis of PWV. In group I: aortic PWV was d” 10 m/sec and in group II: aortic PWV was> 10 m/sec. One hundred patients were included in each group. Angiographic severity of CAD was assessed by vessel score, Friesinger score and Leaman score. Results: Vessel score 0 and 1 were significantly higher in group I (p<0.05) where vessel score 2 and 3 were significantly higher in group II (p<0.05).The mean PWV in the group with normal angiographic result was 8.10±2.9 m/sec, and in patients with single vessel disease it was 11.65±3.46m/sec. In those with double and triple vessel disease the mean value of PWV was found 13.85±3.80 and 15.70±4.66 m/sec respectively. The mean value of PWV increased in proportion with the number of vessel involved by CAD and the differences were statistically significant (p=0.001).The mean value of PWV was observed 8.5±2.3 and 12.5±3.7m/sec in insignificant and significant CAD respectively using Friesinger score and the difference was statistically significant (p<0.05).There was statistically significant positive linear relation between the values of PWV and vessel score(r=.62, p=0.01), Friesinger score(r=.64, p=0.01) and Leaman score(r=.45, p=0.01). Conclusion: Aortic PWV is associated with the extent and severity of CAD. This noninvasive, cheap, radiation free method may be considered as risk stratification tool beyond other investigations. DOI: http://dx.doi.org/10.3329/cardio.v6i2.18351 Cardiovasc. j. 2014; 6(2): 116-121

On the other hand whatever the cause of hyperglycaemia in acute myocardial infarction, it has got a detrimental effect on myocardium itself.

Abstract:Background