Study of Disease Profile of Patients Admitted in Cardiac Unit in a District Hospital of Bangladesh

Bangladesh Heart Journal Pub Date : 2022-06-20 DOI:10.3329/bhj.v37i1.60099

Md Abdul Mannan, Solaiman Hossain, Md. Zahidul Islam, Sahidul Islam Talukdar, Mohammadullah Feroz, A. Majumder

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Abstract

Objectives: Aim of our study was to predict the pattern of disease of patients admitted in cardiac unit in a district hospital of Bangladesh. Material and Methods: This observational study was conducted in the department of cardiology, General hospital, Sirajgonj, Bangladesh during the period of 02 months from June to July, 2019. Total of 504 patients were enrolled who were admitted in cardiac unit in Sirajgonj 250 bed General Hospital during two months’ period from 1st June to 31st July, 2019. Every admitted patient was included in the study and history, clinical examination and investigation was done. Risk factors and complications ware noted. After diagnosis, treatment was given and outcome was recorded. Result: Age ranges was 23 to 74 year mean age was 55.9±13.6, 322 were male and 182 were female. According to risk factors, 211 were smoker, 206 were hypertensive, 166 have dyslipidemia, 110 have diabetes mellitus, 146 were prediabetic, 70 have family history of IHD and 20 were obese. The patients were diagnosed as AMI (ST elevation)-115, NSTEMI-45, UA-40, CSA-100, CCF-20, HTN- 50, MS-7, MR-5, AS-5, RMI-15, OMI-20, ICM-13, ASD-3, VSD- 5, TOF-2, PPCI-2. Admitted patients have following complications- LVF-50, PE-2, PVC-55, AF-30, Cardiogenic shock-20, SVT-15, VT-10, CHB-10, VF-5 and atrial flutter-5. Comorbidity profile were COPD-36, Bronchial Asthma- 40, CKD-30, Musculoskeletal pain-20, AN-15, PUD-10, RTI- 10, CVD-76, Tubercular pleural effusion-10, Anaemia-15, Cervical spndylosis-5, UTI-5, RA-5, Sacroilitis-5. Following were the treatment outcome cured-40, improved-414, referred-35 and death-15. Conclusion: Most of the patients were male and smoking was the predominant risk factor. Acute STelevation MI was the predominant primary disease. PVC was the most common complication and CVD was the highest comorbidity. Death was 2.9% and it was most commonly due to Acute ST elevation MI with development of LVF with cardiogenic shock. Bangladesh Heart Journal 2022; 37(1): 10-15

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孟加拉国某地区医院心脏科住院患者疾病概况研究

目的:本研究的目的是预测孟加拉国某地区医院心脏科住院患者的疾病类型。材料与方法:本观察性研究于2019年6月至7月在孟加拉国Sirajgonj总医院心内科进行，为期02个月。在2019年6月1日至7月31日的两个月期间，共有504名患者在拥有250张床位的Sirajgonj总医院的心脏科住院。将所有住院患者纳入研究，并进行病史、临床检查和调查。注意到危险因素和并发症。诊断后给予治疗并记录结果。结果:年龄23 ~ 74岁，平均55.9±13.6岁，男322例，女182例。吸烟211例，高血压206例，血脂异常166例，糖尿病110例，糖尿病前期146例，IHD家族史70例，肥胖20例。诊断为AMI (ST段抬高)-115、NSTEMI-45、UA-40、CSA-100、CCF-20、HTN- 50、MS-7、MR-5、as -5、RMI-15、OMI-20、ICM-13、ASD-3、VSD- 5、TOF-2、PPCI-2。入院患者有以下并发症:LVF-50、PE-2、PVC-55、AF-30、心源性休克-20、SVT-15、VT-10、CHB-10、VF-5和心房扑动-5。合并症为COPD-36、支气管哮喘- 40、CKD-30、肌肉骨骼疼痛-20、AN-15、PUD-10、RTI- 10、CVD-76、结核性胸腔积液-10、贫血-15、颈椎病-5、UTI-5、RA-5、骶髂炎-5。接下来是治疗结果:治愈40例，好转414例，好转35例，死亡15例。结论:患者以男性居多，吸烟为主要危险因素。急性st抬高型心肌梗死是主要的原发疾病。聚氯乙烯是最常见的并发症，心血管疾病是最高的合并症。死亡率为2.9%，最常见的原因是急性ST段抬高心肌梗死伴左心室颤动并发心源性休克。孟加拉国心脏杂志2022;37 (1): 10 - 15

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Bangladesh Heart Journal

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