Background: Peripheral arterial disease (PAD) is associated with a significant morbidity and mortality. In addition to physical factors, patient’s quality of life (QOL) i.e. individual’s physical health, psychological state, level of independence, social relationships, and their relationship to salient features of their environment also influence on post-operative outcome and there by long term survival after surgery. Health related quality of life (HRQOL) is the extent to which one’s usual or expected physical, emotional and social well-being are affected by a medical condition or its treatment. The purpose of this study was to compere the health-related quality of life before and after revascularization following PAD and to identify the relationship with post-operative outcome following revascularization.Methods: Cases were divided into two groups according to presence and absence of ulceration in foot. Those patients having claudication with ulceration were enrolled in group A and those having claudication without ulceration were enrolled in group B. Data were collected from both groups preoperatively and during follow up at 1 month and 3 months by interviewing the patient according to SF-36. Results: Two groups with preoperative poorer HRQOL (n=25) or optimum HRQOL (n=25) were compared. Postoperative outcome was found poor in Group A compered to Group B. In both groups, there was little improvement in quality of life after 1 month of surgery. In Group A QOL improved a little between 1 to 3 months postoperatively. But in Group B, there was significant improvement of postoperative QOL between 1 and 3 months. Overall, Group A patients had preoperative symptoms more prominent and their postoperative outcome was also poor.Conclusions: Those patients who had preoperative optimum quality of life had better postoperative outcome. From this study it can be concluded that quality of life can be used as a predictor of postoperative outcome in peripheral arterial disease patients.
Back ground: Hypertension and dyslipidemia are associated with oxidative stress and are major causes of cardiovascular disease amounting to 30% of global death rate. It is widely accepted that cardiovascular disease is associated with hypertension and increased blood levels of low-density lipoprotein (LDL), total cholesterol (TC), and triglycerides. In contrast, a low level of high density lipoprotein (HDL) is a risk factor for mortality from cardiovascular disease. Hypertension is a major public health problem in developed and developing countries. Methods: This study was a cross sectional study in which 159 diagnosed hypertensive patient and 75 with normal blood pressure (normotensive) were enrolled. These patients sought a through health cheek up including blood pressure assessment between May 2012 to April 2013 in Tairunnessa Memorial Medical College and Hospital. Lipid parameter total cholesterol (TC), triglyceride (TG), low density lipoprotein ( LDLc) and high density lipoprotein (HDLc) were estimated by enzymatic colorimetric test. Results: The mean of Systolic blood pressure and Diastolic blood pressure of hypertensive were higher than normotensive (p<0.001). The serum levels of total cholesterol, triglyceride and LDL-C in hypertensive subject were higher than normotensive and statistically significant (p<0.001). Serum HDL-C was significantly lower (p<0.001) in hypertensive patients than in normotensive. Conclusion: Analytical results of the study revealed that hypertensive patients have been found to have close association with dyslipidemia. Hypertension and dyslipidemia can be modified either by proper life style changes or medical management or by the combination of the both. This study suggests that hypertensive patients need measurement of blood pressure and lipid profile at regular interval to prevent heart diseases and stroke. DOI: http://dx.doi.org/10.3329/uhj.v9i1.19505 University Heart Journal Vol. 9, No. 1, January 2013; 13-17
Non-communicable diseases (NCDs) such as cardiovascular diseases, diabetes mellitus, cancer, and chronic respiratory diseases are on the rise in South East Asia Region (SEAR). NCDs account for nearly 54% of the deaths, significant amount of disabilities and huge socioeconomic losses in countries of SEAR. NCDs are caused by a set of behavioural risk factors, such as tobacco and alcohol consumption, physical activity and unhealthy diet (high in salt, sugar and fat and low in fruits and vegetables) and biological risk factors like raised blood pressure, raised blood sugar and impaired cholesterol levels and others.South Asia is experiencing urbanization, with widening incme and social inequities. The impact of noncommunicable diseases on the rich and the poor are likely to be different, in terms of both the principal causes and manifestations. As the rich are likely to reconnise their risk earlier and seek medical attention, they will develop chronic but manageable disease; as the poor are likely to be less aware of their risk and less able to access medical care, they will develop rapidly progressive disease with early and sudden fatal outcomes To challenge to public health is to anticipate and avert an epidemic of non-communicable diseases.NCDs risk factors can be reduced with existing knowledge through cost- effective policies and programmes, Establishment of surveillance systems for non-communicable diseases and their risk factors is essential for developing prevention strategies and monitoring the impact of control programmes.Key Words: Non-communicable diseases; South Asia; Risk factors; BurdenDOI: 10.3329/uhj.v6i2.7255University Heart Journal Vol. 6, No. 2, July 2010 pp.97-102
Background: Coronary heart disease (CHD) is one of the leading causes of death in both developed and developing countries including Bangladesh. CHD endanger not only physical health but also psychological, environmental and social health of the patients seriously and many of them live without hope to improve. Thus evaluation of health related quality of life of such patients is very important.Methods: This descriptive cross sectional study was conducted among 217 CHD patients at the National Institute of Cardiovascular Diseases (NICVD), Sher-e-Bangla Nagar, Dhaka, during the period from January to December 2013. The study intended to assess their health related quality of life in terms of general health, physical health, psychological health, social relationship and environmental conditions. Data were collected by a semi-structured questionnaire based on WHOQOLBREF (26) scale.Results: Regarding level of quality of life and general health, majority (51.2%) had average quality of life while in respect of physical health, most (89.9%) of the patients had average quality of health. Regarding psychological health, majority (72.8%) had average quality while regarding social relationship, majority (53.9%) had average quality and by environmental conditions, majority (64.1%) had average quality. Overall health related quality of life by age of the CHD patients was statistically significant as most (391.3%) of the CHD patients with age 30-49 years had average while majority (53.3%) of the elderly (65-75 years) had poor quality of life [c2(4)=28.42, p<0.01]. Overall quality of life and general health was average among most (31.3%) of the middle aged patients while it was poor among majority (53.3%) of the elderly patients and this variation was statistically significant [c2(10)=35.89, p<0.01]. Overall quality of life and general health was average among most (91.3%) of the middle aged patients while it was poor among majority (53.3%) of the elderly patients and this variation was statistically significant (c2(4), p<0.01). All of the retired patients had average and most (94.0%) of the service-holder had average physical health.Conclusion: The study recommends effective measures to improve the overall health related quality of life of the CHD patients in the context of Bangladesh.Cardiovasc. j. 2016; 9(1): 43-48
Venous disease is more common in the society but less addressed than peripheral arterial disease. This is commonest in people who are sedentary workers, people standing for prolonged period, obase. Usually this group of people do not visit a doctor until it restricts him from regular work, ultimately causing a burden in the community. Early diagnosis of venous disease and its’ management is important. Understanding venous pathology, educating people about disease, conducting awareness program among target group of people are essential. Superficial venous disease includes both venous insufficiency and venous thrombosis. Management options of varicose vein and thrombophlebitis are discussed in the presentation.
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