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Register a new userRole of the Hypertension in Cardio Voscular Diseases
دور فرط التوتر الشرياني في الأمراض القلبية الوعائية
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Tishreen University ورقة بحثية
Publication date
2014
fields
Medicine
and research's language is
العربية
Authors
هدى أحمد( باحث )
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Shamra Editor
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إن ارتفاع التوتر الشرياني مرض شائع له اختلاطات قلبية عديدة تعتبر كمصادر للوفيات والمراضة. حددت هذه الاختلاطات بواسطة صورة الصدر وتخطيط القلب الكهربائي ومخطط صدى القلب «الأيكو». تمت هذه الدراسة على 248 مريضاً منهم 140 ذكراً و108 أنثى تراوحت أعمارهم بين 34 ـ 80 سنة. أظهرت دراستنا الاختلاطات القلبية التالية: 1ـ اضطراب الوظيفة الانبساطية 71% 2ـ اعتلال عضلة قلبية ضخامي 43.5% 3 ـ اعتلال عضلة قلبية توسعي 25.8% 4 ـ اضطرابات نظم 29.8% 5 ـ أمراض الشرايين الأكليلية 22.8% أظهرت دراسة العلاقة بين الاختلاطات القلبية والعلاج أن العلاج الكافي والمنتظم ينقص هذه الاختلاطات لدى مرضى ارتفاع التوتر الشرياني.
Hypertension is a common disease whose cardiac complications are very important sources of morbidity and mortality. These complications were detected by xray, electra car diography and echo cardiogeaphy. We have 248 patients in our study: 140 male and 108 female whose ages range between 34 and 80. Our study shows that the common cardiac compliations are: disorder of diastolic function (71%). Diloted cardio my opathy25.8%. Hy pertrophic cordiomiopathy.43.5%. arrhythamias (29.8%). coronary arteries disease 22.6%. Studying the relationship between cardiac complications and treatment shows that the regular and sufficient treatment seduces the cardiac compilation of hyprtension.
References used
American Heart Journal Suppliment, Sept. 1999 vol. 138, No 3, pp.5204 - 5219
American Heart ,Journal, Dec, 2000 vol. 140, No 6, p. 842
Brownwald heart disease, 5th Ed. 1997
British l hart Journal, June, 1995, vol. 73, No 6, pp. 498 -497
British I lean Journal, Sept. 1995. vol. 74, p. 272
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Recently, it has been noticed that the incidence of pulmonary hypertension
in Neonatal Intensive Care Unit of children hospital has increased.
The purpose of this study is to evaluate the outcome of newborns with
pulmonary hypertension. This study
was conducted on 73 newborns
diagnosed by Doppler Echocardiography, admitted to the unit from 1/7/02
to 1/7/03.
High rates of hypoxia and sepsis were noticed during the perinatal period.
Treatment included good oxygenation, dopamine, alkalosis and diuretics.
The results were asThe following: complete recovery in 76.7%, Partial
improvement in12.3% and death in 11%.
The last tow results were discussed and due to otheer organic lesions
prevented the full recovery or led to death.
INTROUDACTION : Arterial chronic hypertension (HTN) is a well-known associated with myocardial infarction because it is un cardiovascular risk factor for development of atherosclerosis, And there are risk factors shared by the two diseases, such as g
enetic risk, insulin resistance, sympathetic hyperactivity, and vasoactive substances (i.e., angiotensin II); In patients with acute myocardial infarction (AMI) with ST elevation , the prevalence of antecedent hypertension is 32% and these percentage increases with age and in women
METHODES:Our study is formed in service of soine intensive in al Assad hospital in Lattaquia ,it includes every patient was admitted in our service for myocardial infarction with ST elevation within period from January 2014 to juin 2015 At admission we took the following information: age .sex, history of hypertension . therapy And the cardiovascular risk factures as diabetes , hyperlipidemia, smoking, familial history, obesity RESULTS: in our study,in patients with acute myocardial infarction (AMI)withST elevation , the prevalence of antecedent hypertension is 43%(39\90) women48.5(17\35) men 40%(22\55) and this percentage increase with age and more in women , reaching 100% in patients over the age of 80 year ,in our study 48%of patients with hypertension don’t take their treatment And 90%have more than one risk factor CONCLUSION :The proportion of hypertension in patients with myocardial infarction with ST elevation in our study was 43%.
Renal artery stenosis is an important clinical entity. its
importance lies in that it may be a treatable cause of
hypertension, and it is -when progress- a cause of chronic
renal failure. The causes of renal artery stenosis are
numerous, the most
common are: atherosclerosis and
fibromuscular dysplasia (accounts for more than 95% of
cases). Digital Subtraction Angiography (DSA) is the standard
reference in the radiologic diagnosis of renal artery stenosis,
but it carries the risk of being invasive procedure. Doppler
ultrasound is used in the evaluation of the renal arteries, and
it has the advantage of being non-invasive and inexpensive.
Hypertension
تصوير الأوعية بالطرح الرقمي
Digital Subtraction Angiography
ارتفاع الضغط
القصور الكلوي
تضيق الشريان الكلوي
التصلب العصيدي
خلل التنسج العضلي الليفي
التصوير الطبي
الإيكو دوبلر
الطبقي المحوري متعدد الشرائح
Renal Failure
Renal Artery Stenosis
Doppler Ultrasound
Multislice Computed Tomography
المزيد..
In this study 500 obese pregnant women and 250 non-obese pregnant women
(Group of Control) were followed up to prove the role of obesity as a high risk
factor on the incidence of (P.I.H.). We found that:
1. There is a considerable increase in the
incidence of (P.I.H.), which was
proportional to the grade of obesity in the main group. The incidence of P.I.H.
was : %15.38 in grade 1, %26.42 in grade 2 and %42.22 in grade 3 of obesity
(Vs. %6.4 in the control group).
2. There is a considerable increase in the incidence of (P.I.H.) among the obese
pregnant women, especially when they are 36-45 years old (%32.39 Vs. %6.45
in control group).
So that it is advisable to screen all obese pregnant women especially when they
are 36-45 years old and consider them as a high risk group for the indicence of
(P.I.H.).
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Platelet volume is an indicator of platelet activation and function, and it can be assessed by
platelet volume indices (PVI) such as mean platelet volume (MPV), platel
et distribution
width (PDW), and Platelet-large cell ratio (P-LCR). PVI are potentially useful markers for
the prediction of acute coronary syndromes. Thus our study aims to evaluate the
relationship between them and clinical features of coronary artery disease (CAD).
Our population is represented by 60 patients undergoing coronary angiography at Al-
Assad University Hospital, Lattakia, Syria. Patients were evenly divided into four groups
according to their clinical presentation; control group, stable angina group, unstable angina
group, and acute myocardial infarction (MI) group. PVI were measured in all patients.
We found a significant increase in MPV (P=0.04), PDW (P=0.03), and P-LCR
(P=0.03) in patients compared to healthy control subjects. We calculated the cutoff points
of these indices to help diagnosing the progressive atherosclerotic plague, P-LCR>28.7%
(P=0.01) [sensitivity 44%, specificity 93%], and diagnosing MI, PDW>13.8 (P=0.01)
[53%, 100%], MPV>10.4 (P=0.004) [60%, 93%], P-LCR>28.7 (P=0.003) [66%, 93%].
In conclusion, PVI are simple and easy methods that can be used as a predictive
marker in CAD patients.
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