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Verma, Ravish Kr
- Micro-albuminuria & CRP-Early Mortality Marker in ACS
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Authors
Affiliations
1 Dept. of Medicine, School of Medical Science, G. Noida, U.P, IN
1 Dept. of Medicine, School of Medical Science, G. Noida, U.P, IN
Source
International Journal of Contemporary Medicine, Vol 1, No 2 (2013), Pagination: 65-67Abstract
This study was performed in 60 Acute MI patient, Non-diabetic, admited within 24 hr of chest pain, to investigate the prevalence & significance of Micro Albuminuria (MAU) & CRP as a predictor of inhospital mortality & to correlate it with other prognostic markers. Serial spot urinary Alb/Crt Ratio (ACR) measured from Day 1 to Day 7 along with hemodynamic measurement clinically by Killip'S class & EF by ECHO. Total 7 days mortality was recorded. Microalbumin (>30μg/mg) was found in 95% of patient on day 1. Groups with higher MAU (>100μg/mg) on day 1 was associated with high mortality(p<0.01). Increasing or static MAU had a positive correlation with deteriorating Killip'S class along with direct correlation with decrease in LVEF serially from Day 1 to Day 7. Thus MAU was found to be a reliable predictor of short term in-hospital mortality in ACS patient.Keywords
MAU, CRP, Acute Myocardial Infarction.
References
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- Killip T III, Kimball JT- Treatment of MI in coronary care unit,a 2 year experience with 250 patients. Am J cardiol 1967:20:457-64.
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- Koulouris S Lekatsas I,Karabinos I,Loannidis G,Katostaras T,Kranidis A,et al – MAU-a strong predictor of 3 years adverse prognosis in nondiabetic patients with AMI.Am Heart J 2005:149:840-5.
- Obeidat O,Alam M,Divine GW,Khaja F,Goldstein S,Sabbah H- Echocardiographic predictor of prognosis after 1st AMI. Am J Cardiol 2004:94: 1278-1280.
- Berton G,Citro T,Palmieri R,Petucco S,De Tori R,Palatini P- Alb.excretion rate increases during AMI & strongly predict early mortality. Circulation 1997:96:3338-45
- Correlation of EEG & CT Scan of Head in Partial Seizure
Abstract Views :279 |
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Authors
Affiliations
1 Dept of Medicine, SMS, G. Noida, IN
1 Dept of Medicine, SMS, G. Noida, IN
Source
International Journal of Contemporary Medicine, Vol 1, No 2 (2013), Pagination: 69-72Abstract
The finding of the present study of 50 cases of partial seizures has been correlated with EEG & CT scan of head. The male & female cases in this study were 1:2.Age of patient ranged from 10 to 70 yrs (Mean 27 yr).Max. patients were in 20-30 yr & more than 50% were under 30 yrs. aetiology varied from idiopathic in 40%,tubercular granuloma in 14%,NCC in 18%,tumor in 18%, CVA in 6%,brain atrophy in 2%.Majority below 30 yrs were having idiopathic partial seizure.CVA & ICSOL were major cause in patients above 40 yrs. Max. number of seizure began in upper limb 54%,followed by face 40% & lower limb 6%.Simple partial seizure were in 62%,complex partial in 26%,sec.generalisation in12%.Interictal EEG done in 6-48 hrs following seizure was normal in 48% cases, localization in 52%.,focus corresponds to clinical localization in 13 patients(26%).CT scan finding were normal in 40%& focal abnormality in 60%.Out of 30 patient showing localization, in 16 patients(52%) CT defined site corresponded to clinical localization. There is significant association between site of epileptic focus defined by EEG & site of lesion demonstrated by CT in case of partial seizure & partial with seizure generalisation(p<0.001).Keywords
EEG, CT Scan, Partial Seizure, Complex PS, Sec. Generalisation.References
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