Prevalence and Pattern of Cardiac Emergencies in a Tertiary Care Hospital of Bangladesh

Hasan, Sheikh Mahmood; Khan, HI Lutfur Rahman; Chowdhury, Abdul Wadud; Sabah, Kmn; Ekram, Rezaul

doi:10.3329/bccj.v1i1.14361

Cited by 2 publications

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“…ABM Imam Hosen 1 , Abdul Wadud Chowdhury 2 , Khondker Md. Nurus Sabah 3 , Mohammad GaffarAmin 4 , Mohsin Ahmed 5 , Azizul Haque 6 , Mohammed Nizam Uddin 6 , Biswanath Sarker 7 , Khandaker Abu Rubaiyat 7 , Md. Noor-E-Khuda 1 .…”

Section: Association Of Serum Vitamin D With Acute Myocardial Infarctmentioning

confidence: 99%

“…This is true for both urban and rural populations and, in men and women, with reported population of prevalence of 70-99%, with severe deficiency (<10 ng/ml) being reported as 62% in studies from Delhi. [4][5][6][7] Another review of vitamin D deficiency in Bangladesh showed prevalence of hypovitaminosis D in Dhaka among 16-40 years women being 12-17% and in Nandail 38-50%. 5 Several mechanisms, direct and indirect, have been proposed for the association of vitamin D with CHD.…”

Section: Association Of Serum Vitamin D With Acute Myocardial Infarctmentioning

confidence: 99%

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Association of Serum Vitamin D with Acute Myocardial Infarction in Young Patients (≤40 Years)

et al. 2019

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Background: Coronary heart disease (CHD) is the leading cause of death worldwide, with acute myocardial infarction (AMI) being the most severe manifestation. Recent evidence suggests that vitamin D deficiency (moderate/severe) is an important risk factor for coronary artery disease. Objectives: Considering paucity of the literature focusing young MI, the study was planned to assess the relation of different grades of low serum vitamin D with AMI in young patients admitted in a tertiary care hospital. Methods: This Hospital based case-control study was conducted in the department of cardiology in Dhaka Medical College Hospital (DMCH) over 1-year period. Patients with acute MI in young age (≤40 years) admitted in the CCU of DMCH were approached for inclusion in the study. Total 120 subjects (60 cases and 60 controls) were studied. Patients with acute MI were considered as cases and similar number of age and sex matched apparently healthy individual were included as controls. All study population were subjected to relevant investigations and detailed history along with socio-demographic data were collected. Serum vitamin D levels were categorized as severe vitamin D deficiency as a level <10ng/ml, moderate vitamin D deficiency at a level 10-20 ng/ml, vitamin D insufficiency as 21-29 ng/ml and a level of ≥30ng/ml was considered as normal. Serum 25(OH) vitamin D assay was performed for cases and controls using chemiluminescence immunoassay. Vitamin D status (normal/insufficiency vs moderate/severe deficiency) was studied among cases and controls. All necessary information were recorded in a pretested case record form. Statistical analyses were done by SPSS 22. Results: Mean age of cases and controls were 35.31±4.84 and 33.83±5.11 years respectively. Vitamin D deficiency (moderate/severe) was present in 86.7% cases and 46.7% controls and the difference was statistically significant (P<0.001). Among 60 cases of acute MI, 83% patients had acute ST segment elevated myocardial infarction and 17% patients had acute non-ST segment elevated myocardial infarction. Vitamin D deficient (moderate/severe) subjects were more likely to develop AMI than subjects who had normal/insufficient vitamin D levels in blood (OR 7.42, 95%CI 3.18-18.28, P<0.001). And among all the usual coronary risk factors, vitamin D deficiency (moderate/ severe), Hypertension, Family history of premature CAD and smoking were significantly associated with increased incidence of acute MI (STEMI and NSTEMI) (P value<0.05 in all cases). Conclusion: Vitamin D deficiency (moderate/severe) is associated with increased incidence of acute MI in young age (≤40 years). Bangladesh Heart Journal 2019; 34(2) : 80-85

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Section: Association Of Serum Vitamin D With Acute Myocardial Infarctmentioning

confidence: 99%

Section: Association Of Serum Vitamin D With Acute Myocardial Infarctmentioning

confidence: 99%

Association of Serum Vitamin D with Acute Myocardial Infarction in Young Patients (≤40 Years)

et al. 2019

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Prevalence of Comorbidity among the Patients with Angina in a Divisional City of Bangladesh

2023

IJCCD

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Bangladesh has experienced a significant increase in the presence of non-communicable chronic diseases and associated mortality and morbidity in the last few decades. Chest pain is a common complaint and reason for consultation among them. This study aimed to analyze the prevalence of comorbidity among patients with angina in a divisional city in Bangladesh. Method This Prospective cross-sectional study was conducted at the Department of Emergency, Delta Health Care, Chittagong Ltd and CSCR (pvt) Ltd, Chattogram, Bangladesh. The study duration was January’20 to June’22. A total of 420 patients presenting in the emergency department were enrolled in this study following the inclusive criteria. Data were collected using the predesigned semi-structured questionnaire. A consecutive sampling technique was used. Data were processed and analyzed by SPSS version 20.0. Unpaired t-tests and Chi-square tests were performed to observe the association between the study variables, where p<0.05 was considered the level of significance with 95% CI. Verbal consent was taken before recruiting the study population. Ethical clearance of this study was taken from the Ethical Review Committee of Delta Health Care, Ctg. Ltd and CSCR Ltd, Chattogram. The information was kept confidential only to be used for the study purpose. Result In this study, most of the patients (123, 29.3%) belonged to the age group of 50-59 years, with a minimum of 35 years and a maximum of 90 years of age. The mean age was 57.18±11.57. most of the patients (222, 52.9%) were male and the rest were female with a male-to-female ratio of 1.1:1. 95 (31.6%) patients from the 50-59 years age group, followed by, 82 (27.2%) patients from the 60-69 years age group complained of chest pain among all the study subjects with male preponderance (169, 56.1%). In contrast, 37 (31.1%) patients from the 60-69 years age group did not experience chest pain, and female preponderance was seen in the patients who did not complain of chest pain. There was no significant association of chest pain with age distribution but with sex. The comorbid conditions were DM, HTN, IHD, CAD. Chest pain was present in 122 (40.5%) and absent in 53 (44.5%) diabetic patients, it was also present in 150 (49.8%) and absent in 59 (49.6%) patients with IHD. Chest pain was present in 94 (31.2%) and absent in 37 (31.1%) patients with CAD and present in 188 (62.5%) absent in 77 (64.7%) hypertensive patients as well. There was no significant association between the comorbidities and chest pain. There was no significant relation between blood pressure with chest pain. Conclusion This study concluded that the mentioned comorbid conditions (DM, HTN, IHD, CAD, dyslipidemia) did not show any significant prevalence rate in patients with angina. However, some patients had one or more such conditions along with chest pain which was not statistically significant.

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Prevalence and Pattern of Cardiac Emergencies in a Tertiary Care Hospital of Bangladesh

Cited by 2 publications

References 11 publications

Association of Serum Vitamin D with Acute Myocardial Infarction in Young Patients (≤40 Years)

Association of Serum Vitamin D with Acute Myocardial Infarction in Young Patients (≤40 Years)

Prevalence of Comorbidity among the Patients with Angina in a Divisional City of Bangladesh

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