The Pattern of Cardiac Disease at Coronary Care Unit of Dhaka Medical College Hospital

Chowdhury, Abdul Wadud; Alam, Nur; Khan, HI Lutfur Rahman; Sabah, Khandker Md Nurus; Amin, Mohammad Al

doi:10.3329/cardio.v7i2.22259

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…This finding was not in agreement with studies conducted in northern Malawi, Addis Ababa, Jimma, and the same institution two decades ago, which concluded that rheumatic heart disease was the leading cause of heart disease followed by hypertensive heart disease 3,11,13,19,20. The leading cardiac disease etiologies identified by the study performed in Bangladesh were IHD, HF, and chronic RVHD 21. In this study, hypertensive heart disease had surpassed rheumatic heart disease as the leading heart disease.…”

Section: Discussioncontrasting

confidence: 80%

“… 3 , 11 , 13 , 19 , 20 The leading cardiac disease etiologies identified by the study performed in Bangladesh were IHD, HF, and chronic RVHD. 21 In this study, hypertensive heart disease had surpassed rheumatic heart disease as the leading heart disease. This might be due to the increasing prevalence of hypertension, as supported by the high proportion of hypertension of approximately two thirds (62.3%) of CVDs found in this study.…”

Section: Discussionmentioning

confidence: 77%

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The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

Tefera¹,

Abegaz²,

Abebe³

et al. 2017

VHRM

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ObjectiveThe aim of this study was to assess the pattern of cardiovascular diseases (CVDs), their clinical characteristics, and associated factors in the outpatient department of the chronic illness clinic of Gondar University Referral Hospital.MethodA retrospective cross-sectional study was conducted among patients on follow-up at the outpatient chronic illness clinic of the hospital from October 2010 to October 2015. The source population for the study included patients with a diagnosis of CVD whose medical records have the required socio-demographic information during the study period. The data were collected from August 2015 to December 2015. Chi-square and binary logistic regression tests were performed to test the significance of difference among predictive variables and CVDs.ResultsOf 1105 patient medical records, 862 fulfilled the inclusion criteria. The majority of the patients were females (65%) and living in urban areas (62.7%). Hypertension accounted for the majority (62.3%) of CVDs followed by heart failure (HF) (23.9%). Headache was the leading chief complaint among the patients (37.7%) upon diagnosis and was the prominent clinical feature in more than half of the patients during their course of follow-up. Higher proportions of dyslipidemia (85.7%), hypertension (72.8%), and ischemic heart disease (IHD) (73.2%) were associated with urban residency (P<0.01). Patients from rural areas (crude odds ratio [COR] =1.306 [95% confidence interval 1.026–2.166], adjusted odds ratio [AOR] =1.272 [95% confidence interval 1.017–2.030]) and those with comorbidity illnesses (COR= 1.813 [1.279–2.782], AOR =1.551 [95% confidence interval 1.177–2.705]) were more likely to have poor CVD outcome (P<0.05).ConclusionHypertension was found to be the most frequent CVD followed by HF, and hypertensive heart disease was the leading cause of cardiac diseases. Most of the patients had improved assessment in the last follow-up, but patients from rural regions and those with comorbidty had higher likelihood of poor cardiovascular outcome.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 77%

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

Tefera¹,

Abegaz²,

Abebe³

et al. 2017

VHRM

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“…5 Troponin (T or I), the biomarker of choice to diagnose myocardial necrosis, is often normal during the first few hours of STEMI, thus emergent percutaneous coronary intervention (PCI) can be helpful. 6 Whereas, unstable angina (UA) and non ST-elevation (NSTEMI) are caused by incomplete occlusion of the culprit artery in 60-90% of cases. 7 According to the World Health Organization, cardiovascular diseases are the leading causes of morbidity and mortality in 2020 worldwide.…”

Section: Introductionmentioning

confidence: 99%

Recovery Rate and Predictors Among Patients with Acute Coronary Syndrome in Addis Ababa, Ethiopia: A Retrospective Cohort Study

Tsegaye¹,

Gishu²,

Habte³

et al. 2021

RRCC

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Background: Coronary artery disease (CAD) is the leading cause of mortality and morbidity in the world, including Ethiopia. Over seven million people die annually due to acute coronary syndrome (ACS) secondary to CAD. Despite this fact, studies are scant in Ethiopia. Objective: To determine recovery rate and predictors of time to recovery among ACS patients in St. Peter's Specialized Hospital, Addis Ababa, Ethiopia from October 2017 to October 2019. Methodology: A retrospective cohort study was conducted among ACS patients. Patient charts were reviewed using a structured checklist. The Kaplan-Meier survival curve was used to estimate the survival time. Log-log plots were used to check proportional hazard assumption among categorical predictors. Bivariable and multivariable Cox regression analyses were performed to identify predictors of time to recovery. In bivariable analysis, variables with P ≤0.25 were fitted for multivariable Cox regression. Factors with P <0.05 in the multivariable Cox regression were independent predictors of time to recovery. Results: A total of 471 patient charts with a diagnosis of ACS were reviewed. The mean length of hospital stay was 2.98 ±1.30 days with a total follow-up time of 1397 person-days. The recovery rate was 61.8%. The incidence density rate of recovery was found to be 20.5 per 100 person-days. Percutaneous coronary intervention (PCI) (AHR = 2.08, 95% CI: 1.57, 2.74) and absence of major bleeding (AHR = 1.44, 95% CI: 1.11, 1.87) were predictors of time to recovery. Conclusion:In the current study, a considerable number of patients recovered within the first few days of admission. Absence of major bleeding and PCI were found to enhance early recovery of patients. Hence, early implementation of PCI and treatment of major bleeding may be vital to augment early recovery of patients with ACS. This can be achieved through involving case managers who can enhance the quality of treatment.

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“…More recent data indicates CAD prevalence to be 3.4% in rural and 19.6% in an urban sample of working professionals 13,14 . In Bangladesh, ACS is the major presenting form of CAD and accounts for 45% of all cause cardiac hospitalization 15 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Risk Factors & Angiographic Profiles between Young Patients with ST Segment Elevation Myocardial Infarction and Non-ST Segment Elevation Myocardial Infarction

et al. 2021

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Background: Coronary artery disease is the leading cause of death in the world. Advancing age is a well-recognized risk factor for acute myocardial infarction (AMI). Myocardial infarction is less common in young adults. Prevalence of acute coronary syndrome in young individuals is increasing progressively. These patients have different risk profile, presentation and prognosis. Early recognition and risk factor modification in this population sub-set is of key importance. Objectives: The purpose of the present study was to determine the differences in risk factors and coronary angiographic profile of young patients with ST-segment elevated myocardial infarction (STEMI) vs. those with non-ST-segment elevated myocardial infarction (NSTEMI). Methods: In this cross sectional analytical study total 135 patients (70 STEMI and 65 NSTEMI) aged ≤45 years were enrolled to see the differences of risk factors and angiographic profile. Results: The mean age of the study population was 39.39±5.12 years and the study showed male predominance (90.40 % was male and 9.60 % was female). Smoking/tobacco consumption was significantly higher in STEMI patients, whereas diabetes mellitus and hypertension were more prevalent in NSTEMI patients. The frequency of single vessel disease and involvement of left anterior descending artery was significantly higher in young STEMI patients. In case of young NSTEMI patients frequency of triple vessel disease, noncritical coronary artery disease and involvement of left circumflex coronary was significantly higher. The frequency of double vessel disease and involvement of left main coronary artery was also nonsignificantly higher in young NSTEMI patients. There was no significant difference regarding involvement of right coronary artery. Conclusion: There are significant differences between young STEMI and young NSTEMI patients in respect to risk factors and angiographic profile. Key words: Young patient, STEMI, NSTEMI, Risk factors, Coronary angiographic profile. Bangladesh Heart Journal 2021; 36(2): 124-132

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The Pattern of Cardiac Disease at Coronary Care Unit of Dhaka Medical College Hospital

Cited by 5 publications

References 7 publications

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

Recovery Rate and Predictors Among Patients with Acute Coronary Syndrome in Addis Ababa, Ethiopia: A Retrospective Cohort Study

Comparison of Risk Factors & Angiographic Profiles between Young Patients with ST Segment Elevation Myocardial Infarction and Non-ST Segment Elevation Myocardial Infarction

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