scholarly journals Left Ventricular Noncompaction Cardiomyopathy (LVNC) with Left Ventricular Apical Thrombus– A Case Study

2017 ◽  
Vol 13 (1) ◽  
pp. 128-130
Author(s):  
Mohammad Abul Hasnat ◽  
Md Israrul Hossain ◽  
Md Abdullahel Kafee ◽  
Md Borhan Uddin
Keyword(s):  
Neuromuscular Disorders ◽  
Age Groups ◽  
Armed Forces ◽  
Left Ventricular ◽  
Diagnostic Tools ◽  
Medical College ◽  
Lv Dysfunction ◽  
Magnetic Resonance Imaging Mri ◽  
Contrast Ventriculography

Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy, with or without LV dysfunction, characterized by prominent trabeculations and associated deep recesses which communicate with the ventricular cavity rather than the coronary circulation. LVNC affects all age groups and can occur in isolation or association with other cardiac and systemic anomalies, especially with neuromuscular disorders. Patient may be asymptomatic or present with ventricular arrhythmias, thromboembolism, heart failure and sudden cardiac death. Echocardiography is the most common tool for diagnosis of LVNC. Contrast ventriculography, computed tomography (CT) and magnetic resonance imaging (MRI) are other useful diagnostic tools. Due to increasing awareness and improvement in imaging methods, LVNC is being diagnosed frequently in patients now a day. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 128-130

scholarly journals Prevalence of Overweight among Military Personnel of a Selected Bangladesh Army Unit

2020 ◽  
Vol 14 (2) ◽  
pp. 193-196
Author(s):  
Irtika Rahman ◽  
ATMA Rustom ◽  
Farzana Zafreen ◽  
Md Abdul Wahab
Keyword(s):  
Military Personnel ◽  
Age Groups ◽  
Armed Forces ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Prevalence Data ◽  
Medical College ◽  
Younger Age ◽  
Military Unit ◽  
And Training

Introduction: Overweight are associated with high rates of morbidity and mortality, but prevalence data on these conditions are not readily available among military personnel in Bangladesh. The aim of this study is to determine the prevalence of overweight and its association with sociodemographic characteristics among military personnel in a unit of Bangladesh Army. Objectives: The aim of the present study was therefore to determine the prevalence of overweight/obesity among military personnel in a military unit of Jalalabad cantonment and also to investigate their association with selected sociodemographic characteristics. Materials and Methods: A cross-sectional descriptive study was conducted among 385 military personnel. Height weight, BMI were assessed using standardized procedures. Results: Prevalence of overweight was 54(14%) and n one of the participants were obese or underweight. Overweight status was significantly (p<0.05) higher among 30-45 years of age group and JCOs. No significant association was found with other socio-demographic characteristics. Conclusion: Though overall prevalence of overweight was low among military personnel because of their physical hardship and training. But it is significantly higher among the JCOs and younger age groups. Life style modification and education on appropriate diet and physical exercise during formal and informal sessions may be advised. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 193-196

scholarly journals Cardio-Oncology Educational Program: National Survey as the First Step to Start

2021 ◽  
Vol 8 ◽  
Author(s):  
Sergey Kozhukhov ◽  
Nataliia Dovganych
Keyword(s):  
Cancer Therapy ◽  
Cancer Patient ◽  
Cancer Patients ◽  
National Survey ◽  
Left Ventricular ◽  
Diagnostic Methods ◽  
Left Ventricular Ejection ◽  
Diagnostic Tools ◽  
Ventricular Ejection Fraction ◽  
Lv Dysfunction

Aim: The collaboration of cardiologists, general practitioners (GPs), and oncologists is crucial in cancer patient management. We carried out a national-based survey—The Ukrainian National Survey (UkrNatSurv)—on behalf of the Cardio-Oncology (CO) Working Group (WG) of the Ukrainian Society of Cardiology to analyze the level of knowledge in cardio-oncology.Methods: A short questionnaire was presented to specialists involved in the management of cancer patients across the country. The questionnaire was made up of eight questions concerning referred cancer patient number, CV complications of cancer therapy, diagnostic methods to detect cardiotoxicity, and drugs used for its treatment.Results: A total of 426 questionnaires of medical specialists from different regions of Ukraine were collected and analyzed; the majority of respondents were cardiologists (190), followed by GPs (177), 40 oncologists (mainly chemotherapists and hematologists), other −19 (imaging specialists, neurologists, endocrinologists, etc.). All responders were equally involved in the management of cancer patients. However, less than half of the patients have been seen before the start of cancer therapy. GPs observe the majority of patients after the end of treatment. All doctors are sufficiently aware of cancer therapy-associated CV complications. However, the necessary diagnostic tools, mostly biomarkers, are not used widely by different specialists. The criteria for cardiotoxicity, in particular, the level of reduction of the left ventricular ejection fraction (LVEF) as a marker of LV dysfunction, are not clearly understood. The specific knowledge in the management of CV complications in cancer is required.Conclusion: UkrNatSurv is the first survey in Ukraine to investigate the awareness of CO care provided to cancer patients with CV diseases (CVD) or developed CV complications. Providing such surveys among doctors involved in CO is an excellent tool to investigate the knowledge gaps in clinical practice. Therefore, the primary task is to develop a national educational CO program.

scholarly journals Trans-Umbilical Open Port Placement During Laparoscopic Access: A Safe Technique

2020 ◽  
Vol 15 (1) ◽  
pp. 67-70
Author(s):  
Md Atiqul Haque Sarder ◽  
Quazi Sabran Uddin Ahmed
Keyword(s):  
Age Groups ◽  
Armed Forces ◽  
Port Placement ◽  
Reliable Technique ◽  
Linea Alba ◽  
Excellent Outcome ◽  
Medical College ◽  
Modified Method ◽  
Safe Technique ◽  
Primary Port

Introduction: Intra-peritoneal access and creation of pneumoperitoneum through a quick, safe and reliable technique is important for Laparoscopic Surgery. Specially in an resource constrained setting where there is paucity of needed equipment and cost is prohibitive, utilization of the fewer instruments available and accompanid by excellent functional and cosmetic outcomes should be the aim of a laparoscopic surgeon. Objectives: To describe a modified method of primary trocar introduction that utelizes fewer available instruments. Materials and Methods: A vertical incision is made in the trans-umblical region at the base of to an everted umblicul scar. The linea alba is incised and the resultant opening bluntly developed after which the 1st port is inserted using tocar as an guide. The trocar is withdrawn while the canula is pushed in. Results: We included total 124 patient (Male-44, Female-80) in the study period, from Jan 2017 to December 2018. In one single surgical unit, with the age limit 18-75 years, With no significant complications. Conclusion: This modified open trans-umblical approach is a simple, quick, and reliable way to primary port insertion. Access is gained easily in different age groups and umblicus types, through a small congenital umblical defect that is almost universally present. It is associated with minimum morbidity and has excellent outcome. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 67-70

Parosteal Lipoma of the Humerus: A Case Report

2017 ◽  
Vol 4 (2) ◽  
pp. 41-45
Author(s):  
Deependra Das ◽  
Huang Jinbai
Keyword(s):  
Myositis Ossificans ◽  
Pathological Examination ◽  
Medical Sciences ◽  
Medical College ◽  
Parosteal Lipoma ◽  
History Of ◽  
Proper Diagnosis ◽  
Magnetic Resonance Imaging Mri ◽  
High Index Of Suspicion

Background and Objectives: To study the imaging and histopathological characteristic of a tumorous mass and to differentiate parosteal lipoma from similar looking osteochondroma or myositis ossificans. Presentation of case: A 54-year old female presented with more than 5-years history of a large swelling in the anterolateral aspect of upper arm. The case study was carried out at the First Hospital of Yangtze University situated in Jingzhou city of Hubei province, PRC in 2015 September. Discussion: Radiological Imaging and Pathological examination confirmed the diagnosis of parosteal lipoma. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) showed the mass to be fatty in nature with characteristic pedunculated exostosis abutting the periosteum. Histopathological sections showed the mass to be composed of mature adipose tissue without atypia or lipoblast. Conclusion: Parosteal lipomas are rare neoplasias with no proven malignant potential and requires high index of suspicion for proper diagnosis and effective management.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (2): 41-45

Age related volume of cadaver-prostates in Bangladesh

1970 ◽  
Vol 4 (2) ◽  
pp. 74-77
Author(s):  
Rukshana Ahmed ◽  
Shamim Ara
Keyword(s):  
Prostate Gland ◽  
Age Groups ◽  
Clinical Settings ◽  
Cross Sectional ◽  
Medical College ◽  
Age Related ◽  
Group A ◽  
Key Words Prostate ◽  
The Mean ◽  
Group B

Pathological changes in the prostate gland occur commonly with advancing age including inflammation, atrophy, hyperplasia and carcinoma and a change in volume is also evident. Estimation of volume of prostate may be useful in a variety of clinical settings. A cross-sectional descriptive study was designed to see the changes in volume of the prostate with advancing age and done in the Department of Anatomy, Dhaka Medical College, Dhaka from August 2006 to June 2007. The study was performed on 70 post-mortem human prostates collected from the unclaimed dead bodies that were under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age groups; group A (10-20 years), group B (21-40 years) and group C (41-70 years). Volume of the sample was measured by using the ellipsoid formula. The mean ± SD volume of prostate was 7.68 ± 3.64 cm3 in group A, 10.61 ± 3.99 cm3 in group B and 15.40 ± 6.31 cm3 in group C. Mean difference in volume between group A and group C, group B and group C were statistically significant (p<0.001). Statistically significant positive correlation was found between age and volume of prostate (r = + 0.579, p < 0.001). Key Words: Prostate; volume; Bangladeshi. DOI: 10.3329/imcj.v4i2.6501Ibrahim Med. Coll. J. 2010; 4(2): 74-77

Urine Albumin to Creatinine Ratio and Echocardiographic Left Ventricular Structure and Function in Patients with Essential Hypertension

2011 ◽  
Vol 9 (2) ◽  
pp. 90 ◽  
Author(s):  
Rohola Hemmati ◽  
Mojgan Gharipour ◽  
Hasan Shemirani ◽  
Alireza Khosravi ◽  
Elham Khosravi ◽  
...  
Keyword(s):  
Essential Hypertension ◽  
Peak Velocity ◽  
Left Ventricular ◽  
Lv Function ◽  
Creatinine Ratio ◽  
Uncomplicated Hypertension ◽  
Urine Albumin ◽  
Lv Dysfunction ◽  
Mitral Annulus Velocity ◽  
Lv Mass

Background:Appearance of microalbuminuria, particularly in patients with hypertension, might be associated with a higher prevalence of left ventricular (LV) dysfunction and geometric abnormalities. This study was undertaken to determine whether high urine albumin to creatinine ratio (UACR) as a sensitive marker for microalbuminuria can be associated with LV hypertrophy (LVH) and systolic and diastolic LV dysfunction.Methods:The study population consisted of 125 consecutive patients with essential uncomplicated hypertension. Urine albumin and creatinine concentration was determined by standard methods. LVH was defined as a LV mass index >100 g/m2 of body surface area in women and >130 g/m2 in men. Echocardiographic LV systolic and diastolic parameters were measured.Results:The prevalence of microalbuminuria in patients with essential hypertension was 5.6 %. UACR was significantly no different in patients with LVH than in patients with normal LV geometry (21.26 ± 31.55 versus 17.80 ± 24.52 mg/mmol). No significant correlation was found between UACR measurement and systolic and diastolic function parameters, including early to late diastolic peak velocity (E/A) ratio (R=-0.192, p=0.038), early diastolic peak velocity to early mitral annulus velocity (E/E') ratio (R=-0.025, p=0.794), LV ejection fraction (R=0.008, p=0.929), and LV mass (R=-0.132, p=0.154). According to the receiver operator characteristic (ROC) curve analysis, UACR measurement was not an acceptable indicator of LVH with areas under the ROC curves 0.514 (95 % confidence interval 0.394–0.634). The optimal cut-off value for UACR for predicting LVH was identified at 9.4, yielding a sensitivity of 51.6 % and a specificity of 48.3 %.Conclusion:In patients with uncomplicated essential hypertension, abnormal systolic and diastolic LV function and geometry cannot be effectively predicted by the appearance of microalbuminuria.

Prognostic role of Pro-BNP levels in left ventricular hypertrabeculation/non-compaction and neuromuscular disorders: results of a pilot study

2019 ◽  
Vol 67 (3) ◽  
Author(s):  
Norbert Malli ◽  
Nastasia Wilfinger-Lutz ◽  
Walter Krugluger ◽  
Claudia Stöllberger ◽  
Maria Winkler-Dwora K ◽  
...  
Keyword(s):  
Pilot Study ◽  
Neuromuscular Disorders ◽  
Left Ventricular ◽  
Prognostic Role

Applanation Tonometry for Assessment of Left Ventricular Systolic Load

2019 ◽  
Vol 12 (2) ◽  
pp. 94-99
Author(s):  
Rene D. Mileva-Popova ◽  
Nina Y. Belova
Keyword(s):  
Arterial Stiffness ◽  
Augmentation Index ◽  
Age Groups ◽  
Systolic Pressure ◽  
Left Ventricular ◽  
Applanation Tonometry ◽  
Non Invasive ◽  
Pressure Area ◽  
Older Subjects ◽  
And Gender

Summary Vascular-ventricular coupling is a major determinant of left ventricular load. The aim of our study was to assess non- invasively left ventricular load and its dependency on central hemodynamics. Sixty-five healthy and gender-matched individuals were divided in two groups according to their age: 20y/o and 50y/o. Applanation tonometry was performed using the Sphygmocor device. Central pressures and pulse wave analysis indices were computed. Central systolic (120±3 vs. 98±2 mm Hg) and pulse pressures (43±3 vs. 29±1 mm Hg) as well as the augmentation index (AIx75) (23±3 vs. 6±2%) were significantly higher in the 50y/o group (p<0.01). These parameters are relevant markers of arterial stiffness and evidenced the development of central arterial morphological and functional alterations in the older subjects. The time-tension index (TTI) computed from the systolic pressure area was significantly higher in the 50y/o subjects as compared to the 20y/o group (2378±66 vs. 1954±73 mmHg×s, p<0.01). Moreover, we have shown the presence of significant correlation between TTI and AIx75 (p<0.01) in both age groups. This finding confirmed the contribution of arterial stiffness for the impaired vascular-ventricular coupling. In conclusion, applanation tonometry might be utilized for non-invasive evaluation of the left ventricular load, which is an important parameter of cardiovascular risk.

Biomarkers of Atrial Fibrillation in Hypertension

2019 ◽  
Vol 26 (5) ◽  
pp. 888-897 ◽  
Author(s):  
Costas Tsioufis ◽  
Dimitris Konstantinidis ◽  
Ilias Nikolakopoulos ◽  
Evi Vemmou ◽  
Theodoros Kalos ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Ventricular ◽  
P Wave ◽  
Diagnostic Tools ◽  
Atrial Remodeling ◽  
Hypertensive Patients ◽  
Risk Patients ◽  
Underlying Mechanisms ◽  
Prompt Diagnosis ◽  
The Ideal

Background: Atrial fibrillation (AF) is the most frequently encountered cardiac arrhythmia globally and substantially increases the risk for thromboembolic disease. Albeit, 20% of all cases of AF remain undiagnosed. On the other hand, hypertension amplifies the risk for both AF occurrences through hemodynamic and non-hemodynamic mechanisms and cerebrovascular ischemia. Under this prism, prompt diagnosis of undetected AF in hypertensive patients is of pivotal importance. Method: We conducted a review of the literature for studies with biomarkers that could be used in AF diagnosis as well as in predicting the transition of paroxysmal AF to sustained AF, especially in hypertensive patients. Results: Potential biomarkers for AF can be broadly categorized into electrophysiological, morphological and molecular markers that reflect the underlying mechanisms of adverse atrial remodeling. We focused on P-wave duration and dispersion as electrophysiological markers, and left atrial (LA) and LA appendage size, atrial fibrosis, left ventricular hypertrophy and aortic stiffness as structural biomarkers, respectively. The heterogeneous group of molecular biomarkers of AF encompasses products of the neurohormonal cascade, including NT-pro BNP, BNP, MR-pro ANP, polymorphisms of the ACE and convertases such as corin and furin. In addition, soluble biomarkers of inflammation (i.e. CRP, IL-6) and fibrosis (i.e. TGF-1 and matrix metalloproteinases) were assessed for predicting AF. Conclusion: The reviewed individual biomarkers might be a valuable addition to current diagnostic tools but the ideal candidate is expected to combine multiple indices of atrial remodeling in order to effectively detect both AF and adverse characteristics of high risk patients with hypertension.

Hepatitis C an Ayurvedic approach - A Case Study

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Vidyadhar Balikai ◽  
Prashanth A. S. ◽  
S. G. Chavan
Keyword(s):  
Hepatitis C ◽  
Clinical Features ◽  
Daily Basis ◽  
Diagnostic Tools ◽  
Weekly Basis ◽  
General Weakness ◽  
Loss Of Appetite

The effect of Gandharva Haritaki, Sudarshana Vati, Arogyavardhini Vati along with Punarnavadi Kashaya were studied clinically on a case of Hepatits - C by modern diagnostic tools with USG Abdomen and Hematological investigations. The review of the patient was done on daily basis in IPD and weekly basis after discharge, the clinical features like loss of appetite, heaviness of abdomen and general weakness were completely subsided during the 2nd month of treatment.

Sign in / Sign up

Export Citation Format

Share Document