Background Pericardial effusion is one of the most prevalent disorders . Pericardial effusion can create substantial symptoms and a lower quality of life, but its also linked to a higher risk of cardiopulmonary failure, mortality, and death. Pericardial effusion has a variety of causes that are related to the relative occurrence of certain diseases in different parts of the world. Methods:it was a retrospective study that includes data from all pericardial effusion cases diagnosed . Echocardiography was used to diagnose a total of 50 cases with pericardial effusion. Complete blood count with ESR, blood urea, serum creatinine, tuberculin skin test, chest X-ray, ECG, Thyroid profile, ANA, Rheumatoid factor, CT chest / MRI, and pericardiocentesis were all used to determine the source of the pericardial effusion. Cells, proteins, LDH, malignant cells, ADA, PCR (for Mycobacterium tuberculosis), gram staining, AFB staining, and cultures were all examined in the pericardial fluid. Iatrogenic (cardiac surgery, catheterization) and post-traumatic cases were excluded . Results: The majority of the patients were between the ages of 50 and 70. Thirty patients (60%) were men and 20 patients (40%) were women. Tuberculosis was the most prevalent cause of pericardial effusion, accounting for 28 % of cases, followed by Idiopathic 18%, Uremia 12 %, and Malignant 14 %. HIV infection was the least common cause of pericardial effusion, accounting for 2% of cases. Tachycardia was the most common clinical symptom, in 70% of patients, followed by Breathlessness (60%), and fever (56 %). Conclusions:Tachycardia, shortness of breath, fever, heaviness of chest, cough, chest pain, and other symptoms of pericardial effusion have been noted in this study. Tuberculosis, idiopathic/viral, uremic, neoplastic, CCF, hypothyroidism, post-MI, etc. are all major factors for the development of pericardial effusion.
INTRODUCTION: In CAP patients, the mortality rate within 90 days after discharge can be as high as 14% (this is in addition to the inpatient mortality referred to early) and considerably higher than in the general population or in those hospitalized for other reasons. However, the mortality & morbidity data in young patients of CAP (≤60 years) is sparse, this is the reason for undertaking this study. AIMS & OBJECTIVES: To study the 90 day mortality /morbidity and complications in young patients of CAP (≤60 years). MATERIALS & METHODS: 100 cases, 60 years old or younger, who were diagnosed as CAP (defined as pneumonia identified 48 hours or less from hospitalization) were studied for morbidity (complications and/or ≥10 days hospital admission and/or admission to ICU) and the 90-day mortality was calculated. RESULTS: Sepsis was significantly present in complicated hospitalisations (p value <.001). Also CCF (p value =.002) and shock (p value=.023) were significantly present in complicated group. Elevated CURB SCORE (≥2) and PSI (≥2) were significantly associated with 90 day mortality and present in complicated hospitalisation compared to uncomplicated ones. CONCLUSIONS: Young patients with CAP who had higher CURB/PSI score had higher mortality and morbidity. Also patients in complicated hospitalisation group had higher rate of associated complications and vice versa. Keywords: Community Acquired Pneumonia, CURB-65, Pneumonia severity Index (PSI).
Background : Rheumatoid arthritis (RA) is a chronic inflammatory disease of the joints, and extra-articular features are also very common . RA is associated with an increased mortality , the majority of which is originating from cardiovascular diseases . The most common cardiac involvement in RA is pericarditis . Varying the method of assessment pericarditis occurs in 30–50% of the patients. Objective : To study prevalence of pericarditis in Rheumatoid arthritis patients , by echocardiography Methods: A Prospective observational study , conducted in department of general medicine GMC Srinagar , from 2016 to 2018. 110 patients of rheumatoid arthritis were enrolled in this study. Results : Out of 110 patients , 49 % had some form of heart involvement , pericardial effusion was present in 9.1 % of patients. Female to male ratio was 3.6:1 , there were 24 (22%) males and 86 (78%) females, there was no significant relationship between gender and abnormal echocardiography findings in RA patients (p > 0.05) Conclusion : Prevalence of pericarditis was present in only 9.1% patients in our study , which is less compared to the previous studies. It is most likely because our patients were on DMARD and their disease was well controlled .Most of the previous studies date back to 70 and 80s , when DMARDS were not available and likely because of that pericarditis was very common.
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