Pub Date : 2023-12-28DOI: 10.51253/pafmj.v73i6.6688
Komail Abid, Rashid Iqbal, Syed Ali Raza Shah, Sana Tariq
Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019. Methodology: A total of 60 women undergoing LSCS under spinal anaesthesia were included. Group-A was given 8 mg/4 ml Ondansetron, while Group-B was given 4 ml Normal Saline 0.9% IV immediately before induction of spinal anaesthesia. Body temperature, level of sensory block, and shivering scores during the peri-operative period were recorded. After surgery, patients were shifted to Post Anaesthesia Care Unit (PACU). Shivering was graded using Crossley and Mahajan 5-item scale. Injection Tramadol 1mg/kg intravenously was used as a rescue anti-shivering drug. Results: The majority of the patients 33(55.0%) were between 18-25 years of age. Efficacy of Intravenous Ondansetron in preventing post-operative shivering during spinal anaesthesia in patients undergoing caesarean section was seen in 26 86(67%) patients (Group-A) as compared to 17(56.67%) patients in the Control Group (Group-B) (p-value=0.010). Conclusion: The study concluded that there was less post-operative shivering with intravenous Ondansetron during spinal anaesthesia in patients undergoing caesarean section as compared to the Control Group.
{"title":"Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section","authors":"Komail Abid, Rashid Iqbal, Syed Ali Raza Shah, Sana Tariq","doi":"10.51253/pafmj.v73i6.6688","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.6688","url":null,"abstract":"Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019. Methodology: A total of 60 women undergoing LSCS under spinal anaesthesia were included. Group-A was given 8 mg/4 ml Ondansetron, while Group-B was given 4 ml Normal Saline 0.9% IV immediately before induction of spinal anaesthesia. Body temperature, level of sensory block, and shivering scores during the peri-operative period were recorded. After surgery, patients were shifted to Post Anaesthesia Care Unit (PACU). Shivering was graded using Crossley and Mahajan 5-item scale. Injection Tramadol 1mg/kg intravenously was used as a rescue anti-shivering drug. Results: The majority of the patients 33(55.0%) were between 18-25 years of age. Efficacy of Intravenous Ondansetron in preventing post-operative shivering during spinal anaesthesia in patients undergoing caesarean section was seen in 26 86(67%) patients (Group-A) as compared to 17(56.67%) patients in the Control Group (Group-B) (p-value=0.010). Conclusion: The study concluded that there was less post-operative shivering with intravenous Ondansetron during spinal anaesthesia in patients undergoing caesarean section as compared to the Control Group.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"7 1‐2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-28DOI: 10.51253/pafmj.v73i6.7678
Noshi Bibi, Mamoon Rashid, Sohail Hafeez, Saad ur Rehman, Haroon ur Rashid, Sakina Malik
Objective: to evaluate outcomes of vascularized fibula flap used for Avascular necrosis of femoral head. Outcomes were recorded by post-operative Harris hip and radiological improvement of the femoral head. Study Design: Retrospective longitudinal study. Place and Duration of Study: Department of Plastic Surgery, Shifa International Hospital, Islamabad Pakistan, from Jan 2019 to Jan 2020. Methodology: Cases were recruited from 2005-2018 (SIH) performed by the same Orthopaedic and Plastic Surgeon. Data from 30 patients was reviewed. Ethical approval and consent of the patient were taken before the utilization of their data. Results: A total of 30 patients were included, comprising 27(90%) males and 3(10%) females. The mean age was 28.3± years. Pre-operative Harris Hip scores were fair in 17(56.7%) and poor in 13(43.3%) patients. Post operatively these scores improvedv and were noted to be excellent in 10(33.3%), good in 18(60%) and fair in 2(6,7%) patients. Radiological improvement was seen in 20(80%) patients, 8(23.3%) showed no change and 2(6.7%) went into progression. The radiological improvement was significantly associated with aetiology (p=0.004) and Avascular necrosis of HIP (p=0.007). Conclusion: A vascularized fibular graft is an effective treatment option for avascular necrosis of the femoral head in terms of improved radiological outcomes and post-operative Harris Hip scores.
{"title":"Long-Term Results in the Treatment of Avascular Necrosis of Femoral Head with Free Vascularized Fibular Graft","authors":"Noshi Bibi, Mamoon Rashid, Sohail Hafeez, Saad ur Rehman, Haroon ur Rashid, Sakina Malik","doi":"10.51253/pafmj.v73i6.7678","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.7678","url":null,"abstract":"Objective: to evaluate outcomes of vascularized fibula flap used for Avascular necrosis of femoral head. Outcomes were recorded by post-operative Harris hip and radiological improvement of the femoral head. Study Design: Retrospective longitudinal study. Place and Duration of Study: Department of Plastic Surgery, Shifa International Hospital, Islamabad Pakistan, from Jan 2019 to Jan 2020. Methodology: Cases were recruited from 2005-2018 (SIH) performed by the same Orthopaedic and Plastic Surgeon. Data from 30 patients was reviewed. Ethical approval and consent of the patient were taken before the utilization of their data. Results: A total of 30 patients were included, comprising 27(90%) males and 3(10%) females. The mean age was 28.3± years. Pre-operative Harris Hip scores were fair in 17(56.7%) and poor in 13(43.3%) patients. Post operatively these scores improvedv and were noted to be excellent in 10(33.3%), good in 18(60%) and fair in 2(6,7%) patients. Radiological improvement was seen in 20(80%) patients, 8(23.3%) showed no change and 2(6.7%) went into progression. The radiological improvement was significantly associated with aetiology (p=0.004) and Avascular necrosis of HIP (p=0.007). Conclusion: A vascularized fibular graft is an effective treatment option for avascular necrosis of the femoral head in terms of improved radiological outcomes and post-operative Harris Hip scores.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"224 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139153027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-28DOI: 10.51253/pafmj.v73i6.6932
Shahid Munir, Wajahat Ali Nadeem, Nadeem Ahmed, Ali Raza, Ahmed Tariq Malik, Zeeshan Siddique
Objective: To evaluate the functional outcome of unilateral peroneus longus autograft in arthroscopic anterior cruciate ligament reconstruction Study Design: Cross-sectional study. Place and Duration of Study: Orthopedic Department, Combined Military Hospital, Lahore Pakistan, from Jul 2020 to Jun2021. Methodology: We included all the patients who underwent ipsilateral peroneus longus autograft for anterior cruciate ligament reconstruction. Fixation was achieved with a bio-absorbable screw on the tibial side and an endobutton on the femoral side. Lateral or medial menisectomy was performed according to the requirement. Post-op X-rays were done to assess the position of the endobutton and tibial tunnel. Eight millimetres tunnels were drilled, and the tendon was tailored accordingly. Results were assessed for pain, infection, range of motion and instability after three months of surgical procedure. Results: A total of 52 patients were included in the final analysis. The mean age of the study participants was 33.36±6.353 years. At the end of three months, pain 6(11.5%) and restricted range of motion 6(11.5%) were the common untoward outcomes reported by the patients. High body mass index and lack of engagement in physiotherapy had a statistically significant relationship with the presence of untoward outcomes in our study (p-value<0.05). Conclusion: Peroneus longus is a strong, robust autograft for anterior cruciate ligament reconstruction with excellent functional results. Very few patients had untoward effects, and those, too, were of mild intensity. Patients with high body mass index and those not engaging in physiotherapy emerged as high-risk patients for having untoward effects after the surgery.
{"title":"Functional Outcome of Unilateral Peroneus Longus Autograft in Arthroscopic Anterior Cruciate Ligament Reconstruction","authors":"Shahid Munir, Wajahat Ali Nadeem, Nadeem Ahmed, Ali Raza, Ahmed Tariq Malik, Zeeshan Siddique","doi":"10.51253/pafmj.v73i6.6932","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.6932","url":null,"abstract":"Objective: To evaluate the functional outcome of unilateral peroneus longus autograft in arthroscopic anterior cruciate ligament reconstruction Study Design: Cross-sectional study. Place and Duration of Study: Orthopedic Department, Combined Military Hospital, Lahore Pakistan, from Jul 2020 to Jun2021. Methodology: We included all the patients who underwent ipsilateral peroneus longus autograft for anterior cruciate ligament reconstruction. Fixation was achieved with a bio-absorbable screw on the tibial side and an endobutton on the femoral side. Lateral or medial menisectomy was performed according to the requirement. Post-op X-rays were done to assess the position of the endobutton and tibial tunnel. Eight millimetres tunnels were drilled, and the tendon was tailored accordingly. Results were assessed for pain, infection, range of motion and instability after three months of surgical procedure. Results: A total of 52 patients were included in the final analysis. The mean age of the study participants was 33.36±6.353 years. At the end of three months, pain 6(11.5%) and restricted range of motion 6(11.5%) were the common untoward outcomes reported by the patients. High body mass index and lack of engagement in physiotherapy had a statistically significant relationship with the presence of untoward outcomes in our study (p-value<0.05). Conclusion: Peroneus longus is a strong, robust autograft for anterior cruciate ligament reconstruction with excellent functional results. Very few patients had untoward effects, and those, too, were of mild intensity. Patients with high body mass index and those not engaging in physiotherapy emerged as high-risk patients for having untoward effects after the surgery.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"5 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139148756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-28DOI: 10.51253/pafmj.v73i6.8549
Zia Ullah, A. A. Tahir, Muhammad Tayyab, Muhammad Ishfaq, Sabeen Nasir, Rubab Naseer
Objective: To determine the frequency of gall bladder carcinoma after cholecystectomy for symptomatic gallstone disease and to determine the most commonly affected age group and its gender-based predominance in our population. Study Design: Cross sectional study. Place and Duration of Study: Histopathology Lab, Tertiary Care Teaching Hospital, Peshawar Pakistan, from Jan 2015 to Jan2021. Methodology: A total of 995 patients of all age groups and of either gender were included in our study. The demographics, clinical data of the patient (signs, symptoms and ultrasound report), and histopathology findings were recorded. Results: The mean age of our study participants was 41.5±15 years. Cholecystitis was found in 807(81.1%) patients, acute cholecystitis in 101(10.2%) patients, and chronic cholecystitis with cholesterols in 72(7.2%) patients. Benign polyps were found in 6(0.6%) patients, while carcinoma gall bladder was found in 9(0.9%) patients. The frequency of gall bladder carcinoma was high in females (n=774, 66.7%). The most commonly affected age group affected by gall bladder carcinoma was 51 to 60 years. Conclusion: Routine histopathology of all grossly looking normal gall bladder specimens after cholecystectomy should be done as it is the only measure to detect carcinoma gall bladder at early stages.
{"title":"Frequency of Gall Bladder Carcinoma after Cholecystectomy for Symptomatic Gallstone Disease in Tertiary Care Hospital, Peshawar","authors":"Zia Ullah, A. A. Tahir, Muhammad Tayyab, Muhammad Ishfaq, Sabeen Nasir, Rubab Naseer","doi":"10.51253/pafmj.v73i6.8549","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.8549","url":null,"abstract":"Objective: To determine the frequency of gall bladder carcinoma after cholecystectomy for symptomatic gallstone disease and to determine the most commonly affected age group and its gender-based predominance in our population. Study Design: Cross sectional study. Place and Duration of Study: Histopathology Lab, Tertiary Care Teaching Hospital, Peshawar Pakistan, from Jan 2015 to Jan2021. Methodology: A total of 995 patients of all age groups and of either gender were included in our study. The demographics, clinical data of the patient (signs, symptoms and ultrasound report), and histopathology findings were recorded. Results: The mean age of our study participants was 41.5±15 years. Cholecystitis was found in 807(81.1%) patients, acute cholecystitis in 101(10.2%) patients, and chronic cholecystitis with cholesterols in 72(7.2%) patients. Benign polyps were found in 6(0.6%) patients, while carcinoma gall bladder was found in 9(0.9%) patients. The frequency of gall bladder carcinoma was high in females (n=774, 66.7%). The most commonly affected age group affected by gall bladder carcinoma was 51 to 60 years. Conclusion: Routine histopathology of all grossly looking normal gall bladder specimens after cholecystectomy should be done as it is the only measure to detect carcinoma gall bladder at early stages.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"59 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-28DOI: 10.51253/pafmj.v73i6.8278
Nisar Ahmed, Yasir Khan, K. Kubra, Ammara Iftikhar, Sara Waheed, Khushboo Fatima
Objective: To evaluate the incidental paranasal sinus findings on magnetic resonance imaging Brain and the association of these findings to the presence of any sinus-related symptoms at the time of scan. Study Design: Comparative cross-sectional study. Place and Duration of Study: Combined Military Hospital, Lahore Pakistan, from Jan to May 2021. Methodology: A total of 135 patients who underwent magnetic resonance imaging of the brain were evaluated for the presence of incidental paranasal sinus abnormalities. The frequency of these abnormalities and their relation with the presence or absence of symptoms was evaluated. Results: One hundred and thirty-two (97.7%) had one or more paranasal sinus abnormalities. Mucosal thickening of 4 mm or more and the presence of polyps are significantly related to the presence of sinus-related symptoms (p-value=0.02). Conclusion: Incidental paranasal sinus abnormalities are a frequent finding on MRI Brain. Mucosal thickening of 4 mm and the presence of polyps appear to be significantly related to the presence of relevant symptoms, while mucosal thickening of less than 3 mm and mucus retention cysts are insignificant.
{"title":"Incidental Paranasal Sinus Abnormalities on MRI Brain and Association with Symptomatic and Asymptomatic Patients","authors":"Nisar Ahmed, Yasir Khan, K. Kubra, Ammara Iftikhar, Sara Waheed, Khushboo Fatima","doi":"10.51253/pafmj.v73i6.8278","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.8278","url":null,"abstract":"Objective: To evaluate the incidental paranasal sinus findings on magnetic resonance imaging Brain and the association of these findings to the presence of any sinus-related symptoms at the time of scan. Study Design: Comparative cross-sectional study. Place and Duration of Study: Combined Military Hospital, Lahore Pakistan, from Jan to May 2021. Methodology: A total of 135 patients who underwent magnetic resonance imaging of the brain were evaluated for the presence of incidental paranasal sinus abnormalities. The frequency of these abnormalities and their relation with the presence or absence of symptoms was evaluated. Results: One hundred and thirty-two (97.7%) had one or more paranasal sinus abnormalities. Mucosal thickening of 4 mm or more and the presence of polyps are significantly related to the presence of sinus-related symptoms (p-value=0.02). Conclusion: Incidental paranasal sinus abnormalities are a frequent finding on MRI Brain. Mucosal thickening of 4 mm and the presence of polyps appear to be significantly related to the presence of relevant symptoms, while mucosal thickening of less than 3 mm and mucus retention cysts are insignificant.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"74 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To assess the e-learning educational environment of our institute using a tool called the E-learning educational atmosphere measure (EEAM). Study design: Cross-sectional study. Place and Duration of Study: Rehman College of Dentistry, Peshawar Pakistan, from Oct 2020 to Mar 2021. Methodology: A pre-validated EEAM questionnaire comprising seven domains was used as a data collection tool. The questionnaire was distributed among all the Rehman College of Dentistry students, Peshawar and the response was obtained. All questions were assessed on a five-point Likert scale ranging between one and five. Results: A total of 161 students were included, with a response rate of 80.1%. The mean age of the students was 21.54±1.38 years, (range: 21-23 years). Responses to questions of all first five domains of awareness of rules, safety and convenience, teaching quality, learner support, ethics, and professionalism mostly were towards agreement and strongly agreement side. The responses to questions 41 and 42 of the program effectiveness domain and 44 and 45 of the knowledge, affective and psychomotor domain were mainly towards the disagreement side. Conclusion: The colleges should concentrate on introducing new strategies to improvise the program's effectiveness along with better teaching of affective and psychomotor skills. They should target the senior classes and the female tutees by educating them about the pros and cons of online learning and its dynamics to achieve better outcomes and results.
{"title":"Evaluation of Students’ Perception of E-Learning Education Atmosphere (EEAM) in a Private Dental College in Pakistan","authors":"Zainab Akbar, Khaula Gul, Falahat Nasir, Waqas Hameed, Mushyyada Durrani, Hidayat Ullah","doi":"10.51253/pafmj.v73i6.8173","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.8173","url":null,"abstract":"Objective: To assess the e-learning educational environment of our institute using a tool called the E-learning educational atmosphere measure (EEAM). Study design: Cross-sectional study. Place and Duration of Study: Rehman College of Dentistry, Peshawar Pakistan, from Oct 2020 to Mar 2021. Methodology: A pre-validated EEAM questionnaire comprising seven domains was used as a data collection tool. The questionnaire was distributed among all the Rehman College of Dentistry students, Peshawar and the response was obtained. All questions were assessed on a five-point Likert scale ranging between one and five. Results: A total of 161 students were included, with a response rate of 80.1%. The mean age of the students was 21.54±1.38 years, (range: 21-23 years). Responses to questions of all first five domains of awareness of rules, safety and convenience, teaching quality, learner support, ethics, and professionalism mostly were towards agreement and strongly agreement side. The responses to questions 41 and 42 of the program effectiveness domain and 44 and 45 of the knowledge, affective and psychomotor domain were mainly towards the disagreement side. Conclusion: The colleges should concentrate on introducing new strategies to improvise the program's effectiveness along with better teaching of affective and psychomotor skills. They should target the senior classes and the female tutees by educating them about the pros and cons of online learning and its dynamics to achieve better outcomes and results.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"78 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-21DOI: 10.51253/pafmj.v73isuppl-3.10656
Amna Yousaf, Rehan Shafique, Abdul Hameed Siddiqui, Iftikhar Ahmed, S. Kiani, Ismail Ahmed Khan, Javeria Kamran, Naseem Azad
Objective: To assess the prevalence of left ventricular (LV) systolic and diastolic function on Echocardiography (ECHO) in patients presented with liver cirrhosis. Study Design: Analytical Cross-sectional study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,Pakistan, from Apr 2023 to May 2023. Methodology: Total of n=131 liver cirrhotic patients were recruited by non-probability consecutive sampling technique. All these patients presented and diagnosed with liver cirrhosis on ultrasound, were selected. Their echocardiographic assessment was done by an experienced operator. Gathered data specially the LV diastolic and systolic function, was entered and analyzed in SPSS version-24:00. Chi-square and analysis of variance was applied to find the p-values for study variables in relation with severity of liver cirrhosis. p-value <0.05 was taken statistically significant. Results: Out of 131 Patients, 85(64.9%) patients had liver cirrhosis for less than 5-years, 32(24.4%) had for 5-10 years and 14(10.68%) for more than 10-years. There was almost similar frequency of males and females [67(51.1%) and 64(48.9%)respectively] with mean age of 57.14±9.84 years. Statistically significant association of demographics and clinical parameters with liver cirrhosis was found (p<0.05) except left ventricular systolic diameter (p>0.05). LV diastolic dysfunction was reported in 94(71.8%) while systolic function was normal in all participants. LV diastolic dysfunction was found in 56(42.7%) as grade-I, 31(23.7%) as grade-II and 7(5.3%) cases as grade-III which was statistically significant (p<0.001). Conclusion: Diastolic dysfunction is relatively more common in liver cirrhosis patients as compared to systolic function. There was significant ...
{"title":"Assessment of Left Ventricular Systolic and Diastolic Functions on Echocardiography in Cirrhotic Patients","authors":"Amna Yousaf, Rehan Shafique, Abdul Hameed Siddiqui, Iftikhar Ahmed, S. Kiani, Ismail Ahmed Khan, Javeria Kamran, Naseem Azad","doi":"10.51253/pafmj.v73isuppl-3.10656","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10656","url":null,"abstract":"Objective: To assess the prevalence of left ventricular (LV) systolic and diastolic function on Echocardiography (ECHO) in patients presented with liver cirrhosis.\u0000Study Design: Analytical Cross-sectional study.\u0000Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,Pakistan, from Apr 2023 to May 2023.\u0000Methodology: Total of n=131 liver cirrhotic patients were recruited by non-probability consecutive sampling technique. All these patients presented and diagnosed with liver cirrhosis on ultrasound, were selected. Their echocardiographic assessment was done by an experienced operator. Gathered data specially the LV diastolic and systolic function, was entered and analyzed in SPSS version-24:00. Chi-square and analysis of variance was applied to find the p-values for study variables in relation with severity of liver cirrhosis. p-value <0.05 was taken statistically significant. \u0000Results: Out of 131 Patients, 85(64.9%) patients had liver cirrhosis for less than 5-years, 32(24.4%) had for 5-10 years and 14(10.68%) for more than 10-years. There was almost similar frequency of males and females [67(51.1%) and 64(48.9%)respectively] with mean age of 57.14±9.84 years. Statistically significant association of demographics and clinical parameters with liver cirrhosis was found (p<0.05) except left ventricular systolic diameter (p>0.05). LV diastolic dysfunction was reported in 94(71.8%) while systolic function was normal in all participants. LV diastolic dysfunction was found in 56(42.7%) as grade-I, 31(23.7%) as grade-II and 7(5.3%) cases as grade-III which was statistically significant (p<0.001).\u0000Conclusion: Diastolic dysfunction is relatively more common in liver cirrhosis patients as compared to systolic function. There was significant ...","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"22 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-21DOI: 10.51253/pafmj.v73isuppl-3.10501
Masood Khan, Muhammad Shabbir, Aneela Shabbir, Sarwat Paiker, Zahid Hussain, Arif Siddiqui, Naseem Azad, Javeria Kamran
Objective: To compare the short term in-hospital outcomes in patients presenting with acute ST-Elevation Myocardial Infarction (STEMI) and Non-ST-Elevation Myocardial Infarction (NSTEMI). Study Design: Comparative Cross-sectional study. Place and Duration of Study: Adult cardiology department of tertiary care center, Rawalpindi Pakistan, from Aug 2022 to Feb 2023. Methodology: A sample of 323 patients of acute STEMI and NSTEMI were enrolled. Patients fulfilling the inclusion criteria were enrolled through non-probability consecutive sampling. Patients were divided into two groups. The data of short term in hospital outcomes was recorded. Data was entered and analyzed using SPSS version-26:00. Chi-square and t-test were used to find association and mean difference of study variables between study groups. Results: Out of total 317 patients, males were 262(82.6%) and females were 55(17.4%)) with an average age of 63.34±8.96 years in the study. 139(43.8%) patients had Diabetes Mellitus, 146(46.1%) were hypertensive and 73(23.0%) were smokers. 198(62.5%) patients had STEMI and 119(37.5%) had NSTEMI. Mortality within hospital was found in 10(3.2%) patients. There were significant findings with age (p<0.001), gender (p<0.001), diabetes (p=0.01), pulmonary edema (p=0.01) and severe Left Ventricular Dysfunction (LVD) (p<0.001). Higher in-hospital mortality rate was noted in NSTEMI group, i.e. 5(4.2%) compared to STEMI 5(2.5%), but the findings were statistically insignificant (p=0.40). Conclusion: There was no meaningful distinction between the two groups' immediate outcomes. Although patients with NSTEMI had relatively higher complication rates and in-hospital mortality, and patients with STEMI had better short-term outcomes, suggesting that patients with NSTEMI may also require immediate medical attention.
{"title":"Comparison of Short Term In-Hospital Outcomes in patients presenting with ST-Elevation Myocardial Infarction Versus Non-ST-Elevation Myocardial Infarction","authors":"Masood Khan, Muhammad Shabbir, Aneela Shabbir, Sarwat Paiker, Zahid Hussain, Arif Siddiqui, Naseem Azad, Javeria Kamran","doi":"10.51253/pafmj.v73isuppl-3.10501","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10501","url":null,"abstract":"Objective: To compare the short term in-hospital outcomes in patients presenting with acute ST-Elevation Myocardial Infarction (STEMI) and Non-ST-Elevation Myocardial Infarction (NSTEMI).\u0000Study Design: Comparative Cross-sectional study.\u0000Place and Duration of Study: Adult cardiology department of tertiary care center, Rawalpindi Pakistan, from Aug 2022 to Feb 2023.\u0000Methodology: A sample of 323 patients of acute STEMI and NSTEMI were enrolled. Patients fulfilling the inclusion criteria were enrolled through non-probability consecutive sampling. Patients were divided into two groups. The data of short term in hospital outcomes was recorded. Data was entered and analyzed using SPSS version-26:00. Chi-square and t-test were used to find association and mean difference of study variables between study groups.\u0000Results: Out of total 317 patients, males were 262(82.6%) and females were 55(17.4%)) with an average age of 63.34±8.96 years in the study. 139(43.8%) patients had Diabetes Mellitus, 146(46.1%) were hypertensive and 73(23.0%) were smokers. 198(62.5%) patients had STEMI and 119(37.5%) had NSTEMI. Mortality within hospital was found in 10(3.2%) patients. There were significant findings with age (p<0.001), gender (p<0.001), diabetes (p=0.01), pulmonary edema (p=0.01) and severe Left Ventricular Dysfunction (LVD) (p<0.001). Higher in-hospital mortality rate was noted in NSTEMI group, i.e. 5(4.2%) compared to STEMI 5(2.5%), but the findings were statistically insignificant (p=0.40).\u0000Conclusion: There was no meaningful distinction between the two groups' immediate outcomes. Although patients with NSTEMI had relatively higher complication rates and in-hospital mortality, and patients with STEMI had better short-term outcomes, suggesting that patients with NSTEMI may also require immediate medical attention.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"36 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-21DOI: 10.51253/pafmj.v73isuppl-3.10515
Muhammad Asad Farhan, Nadeem Sadiq, Ayesha Sana, Azizullah, Andaleeb Ara
Objective: To identify the complications of Transcatheter palliation in Tetralogy of Fallot patients. Study Design: Analytical Cross-sectional study. Place and Duration of Study: Paediatric Cardiology Department, AFIC/NIHD, Rawalpindi Pakistan, from Jul to Dec 2022. Methodology: This Analytical Cross-sectional study was conducted in n=54 patients of Tetralogy of Fallot (TOF) who underwent Transcatheter palliation procedure. Cases were selected by using non-probability consecutive sampling. Patients with isolated pulmonary stenosis, complex congenital heart and Tetralogy of Fallot with pulmonary atresia were excluded from the study. Data was entered and analyzed by using SPSS version-24:00. In descriptive statistics, Mean±SD were calculated for continuous variables while frequency (%) for categorical variables. To find out the association between categorical variables, Chi-square test was used. p-value of <0.05 was taken as statistically significant. Results: Out of 54 patients, 32(59.3%) were males and females were 22(40.7%). Mean age was 11.87±7.34 months. Right ventricular outflow tract ballooning was done in 39(72.2%) and right ventricular outflow tract stenting was done in 15(27.8%) patients. Transient arrhythmias 28(51.9%) were the most commonly encountered complications. Conclusion: Transcatheter palliation is becoming the first line of management in Tetralogy of Fallot patients because of better outcomes, ease of performance and safety profile. Working professionally can yield a safe invasive procedure of balloon pulmonary valvotomy and stenting in these patients.
{"title":"Trans-Catheter Palliation in Tetralogy of Fallot Patients: Complications & Challenges","authors":"Muhammad Asad Farhan, Nadeem Sadiq, Ayesha Sana, Azizullah, Andaleeb Ara","doi":"10.51253/pafmj.v73isuppl-3.10515","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10515","url":null,"abstract":"Objective: To identify the complications of Transcatheter palliation in Tetralogy of Fallot patients.\u0000Study Design: Analytical Cross-sectional study.\u0000Place and Duration of Study: Paediatric Cardiology Department, AFIC/NIHD, Rawalpindi Pakistan, from Jul to Dec 2022.\u0000Methodology: This Analytical Cross-sectional study was conducted in n=54 patients of Tetralogy of Fallot (TOF) who underwent Transcatheter palliation procedure. Cases were selected by using non-probability consecutive sampling. Patients with isolated pulmonary stenosis, complex congenital heart and Tetralogy of Fallot with pulmonary atresia were excluded from the study. Data was entered and analyzed by using SPSS version-24:00. In descriptive statistics, Mean±SD were calculated for continuous variables while frequency (%) for categorical variables. To find out the association between categorical variables, Chi-square test was used. p-value of <0.05 was taken as statistically significant.\u0000Results: Out of 54 patients, 32(59.3%) were males and females were 22(40.7%). Mean age was 11.87±7.34 months. Right ventricular outflow tract ballooning was done in 39(72.2%) and right ventricular outflow tract stenting was done in 15(27.8%) patients. Transient arrhythmias 28(51.9%) were the most commonly encountered complications.\u0000Conclusion: Transcatheter palliation is becoming the first line of management in Tetralogy of Fallot patients because of better outcomes, ease of performance and safety profile. Working professionally can yield a safe invasive procedure of balloon pulmonary valvotomy and stenting in these patients.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-21DOI: 10.51253/pafmj.v73isuppl-3.10705
Adeel Ahmed, Sobia Mehreen, N. Samore, Usman Iqbal, Muhammad Bilal Siddique, Mutahir Abbas Virk, S. Shahzad, Abdul Hameed Siddiqui
Objective: To determine the prevalence of anxiety and depression in young patients presenting with atypical chest pain andnormal coronary arteries. Study Design: Analytical, Cross-Sectional Study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,Pakistan, from Jul to Dec 2021. Methodology: This study was carried out on 750 participants (having normal coronaries) of both gender and age<40yearsdivided into study group (presented with atypical chest pain; n=375) and comparison group (no chest pain; n=375). Consecutive sampling technique was applied to collect data. Hospital Anxiety and Depression Scale (HADS) Questionnairewas used. Patients scoring 11 or more out of 21 points in Depression and Anxiety scale were identified as positive. Data was analyzed using SPSS version 24:00. Chi Square test was applied to find association between variables and p-value <0.05 wastaken as significant value. Results: Out of n=750 patients 619(82.4%) were males and 131(17.6%) were females. Mean age at presentation was 33.54±5.54 years and 30.93±5.68 years in study and comparison group respectively. About 230(61.3%) participants had anxiety in the study group compared with 189(50.4%) in the comparison group, which was statistically significant (p=0.003). 221(58.9%) participants in study group and 132(35.2%) in comparison group had depression (p<0.001). Conclusion: Non cardiac chest pain is a common manifestation of depression and anxiety. Early recognition and prompt referral of these patients should be ensured to improve quality of life and prevent future unnecessary hospital visits.
{"title":"Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries","authors":"Adeel Ahmed, Sobia Mehreen, N. Samore, Usman Iqbal, Muhammad Bilal Siddique, Mutahir Abbas Virk, S. Shahzad, Abdul Hameed Siddiqui","doi":"10.51253/pafmj.v73isuppl-3.10705","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10705","url":null,"abstract":"Objective: To determine the prevalence of anxiety and depression in young patients presenting with atypical chest pain andnormal coronary arteries.\u0000Study Design: Analytical, Cross-Sectional Study.\u0000Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,Pakistan, from Jul to Dec 2021.\u0000Methodology: This study was carried out on 750 participants (having normal coronaries) of both gender and age<40yearsdivided into study group (presented with atypical chest pain; n=375) and comparison group (no chest pain; n=375). Consecutive sampling technique was applied to collect data. Hospital Anxiety and Depression Scale (HADS) Questionnairewas used. Patients scoring 11 or more out of 21 points in Depression and Anxiety scale were identified as positive. Data was analyzed using SPSS version 24:00. Chi Square test was applied to find association between variables and p-value <0.05 wastaken as significant value.\u0000Results: Out of n=750 patients 619(82.4%) were males and 131(17.6%) were females. Mean age at presentation was 33.54±5.54 years and 30.93±5.68 years in study and comparison group respectively. About 230(61.3%) participants had anxiety in the study group compared with 189(50.4%) in the comparison group, which was statistically significant (p=0.003). 221(58.9%) participants in study group and 132(35.2%) in comparison group had depression (p<0.001).\u0000Conclusion: Non cardiac chest pain is a common manifestation of depression and anxiety. Early recognition and prompt referral of these patients should be ensured to improve quality of life and prevent future unnecessary hospital visits.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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