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Article
Ischemic Heart Disease Mortality, Morbidity and Risk Factors of Coronary Care Unit Patients

Author: Ali Hussein Salih
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2014 Volume: 7 Issue: 1 Pages: 35-40
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Ischemic heart disease (IHD) is the commonest type of heart disease .It causes more deaths and disability and incurs greater economic costs than any other illness. Gender, age, hypertension, diabetes mellitus, smoking, hyperlipidemia and family history are obvious risk factors. In acute state it may be complicated by life threatening arrhythmia, heart failure, circulatory failure and cerebrovascular accidents.Aims of study: To evaluate the patients with ischemic heart disease admitted to the coronary care unit of Baquba teaching hospitalPatients and Methods: A total of 160 cases of patients with various symptoms of ischemic heart disease including chest pain, dyspnea, and palpitation are evaluated in the coronary care unit of Baquba teaching hospital by history taking, physical examination, and Electrocardiogram, echocardiogram, and lab tests with continuous follow up until discharge from the coronary care unit.Results: From total number 97(60.62%) patients were males,58 have myocardial infarction and 39 have angina .The rest of the patients were females 63 (39.38%),41 of them have angina and 22 have myocardial infarction. Male was the highest risk factor followed by hypertension, diabetes mellitus, smoking family history and hyperlipidemia .Arrhythmia is the commonest complication while heart failure, cerebrovascular accident and circulatory failure of lesser frequency .


Article
Determination of Selenium , Magnesium , and Malondialdehyde (MDA)for Ischemic Heart Disease Patients
تقدير عنصري سيلينيوم والمغنيسيوم والمالوندايلديهيد لدى الاشخاص المصابين بمرض قصور عضلة القلب

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Abstract

Abstract One hundred and nineteen ischemic heart disease (unstable angina and myocardial infarction ) patients (65 male and 54 female) aged between 40 to 85 years with a mean age of (61±11.27) were included in this study . The control group comprises one hundred twenty four healthy subjects (62 male and 62 female) aged between 30 to 60 years with a mean age of (36.37±7.72). The present study were included the measurements of two essential elements (Selenium and Magnesium) and Malondialdehyde (MDA) for patients suffering from ischemic heart disease. The work results show low levels of (Se and Mg) in the whole blood and serum of patients (58.21±6.72) ng/ml , (15.47±0.53) µg/ml respectively as compared with the mean values for control group (83.87±6.53) ng/ml , (22.79±0.76) µg/ml respectively with high significant differences (P˂0.001) between controls and patients groups. The level of (MDA) for controls was (2.08±0.16) mmol/l and (6.86±0.80) mmol/l for patients.

الخلاصةتضمنت الدراسة الحالية 119 حالة مرضية لأشخاص يعانون من قصور في عضلة القلب (الذبحة والجلطة) بواقع 65 ذكر و54 أنثى تراوحت اعمارهم بين 40 الى 85 بمعدل (61±11.27) سنة ، بالإضافة الى 124 شخص من الاصحاء اللذين يمثلون مجموعة السيطرة بواقع 62 ذكر و 62 أنثى تتراوح اعمارهم بين 30 الى 60 سنة بمعدل (36.37±7.72) سنة . تم قياس معدلات أثنين من العناصر الاساسية في الجسم وهما السيلينيوم والمغنيسيوم بالإضافة الى قياس معدل المالوندايالديهيد فيدم ومصل الاشخاص الخاضعين للدراسة ، ولقد وجد أن معدلات السيلينيوم والمغنيسيوم في دم ومصل الاشخاص المصابين بالمرض يساوي (58.21±6.72) نانوغرام/مل و (15.47±0.053) مايكروغرام/مل على التوالي وهي معدلات واطئة بالمقارنة مع معدلاتها في الاشخاص الاصحاء التي كانت تساوي (83.87±6.53)نانوغرام/مل و (22.79±0.76) مايركوغرام/مل على التوالي بفرق معنوي أقل من 0.001. كما وجد أن معدل المالوندايالديهيد في مصل الاشخاص الاصحاء يساوي (2.08±0.16) مليمول/لتر مقابل (6.86±0.08)مليمول/لتر في مصل الاشخاص المصابين بالمرض

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