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Article
The Relationship between Helicobacter Pylori Seropositivity and Myocardial Infarction

Authors: Mushtaq T. Al-Hassnawi --- Ahmed Hussein AL- Mayali2
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2018 Volume: 11 Issue: 1 Pages: 3962-3967
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: There is a controversial result about the association of H.Pylori infection and ischemic heart disease. The study was design to study the relation in our locality.Aim of the study: To study the relationship between Helicobacter pylori infection and myocardial infarction.Patients & methods: Patients that were included in this study, were patients with acute myocardial infarction (S-T segment elevation) that were admitted to coronary care unit of Baghdad Teaching hospital and Al-Hussein hospital in Karbala city between June, 2004 to August 2004, with less than 48 hours of onset of their symptoms. Patients were evaluated regarding cardiovascular risk factors; smoking, hypertension, diabetes mellitus, body mass index (BMI), hypercholesterolemia, low high-density lipoprotein (HDL) and family history (10-15).Control groups were included in the studies that were age and sex matchedFifty patients diagnosed with myocardial infarction that were admitted to the coronary care unit in Baghdad teaching hospital and Al-Hussein Hospital in Karballa city were tested for anti H.Pylori antibody using ELISA and compared with 51 control persons without coronary heart disease.Results: 72 % of the patients 78.4% of the controls were seropositive for H.Pylori without significant difference. Conclusion: No significant relation exists between seropositivity against H.Pylori and acute myocardial infarction


Article
Primary Percutaneous Coronary Intervention in Acute ST Elevation Myocardial Infarction: A Single Centre Experience

Authors: Ahmed Hussein AL- Mayali --- Mushtaq T. Al-Hassnawi
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2018 Volume: 11 Issue: 2 Pages: 3978-3987
Publisher: Kerbala University جامعة كربلاء

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Abstract

background Early revascularization is critically important in the management of patients presenting with acute myocardial infarction.Aim To assess the benefit of early primary percutaneous coronary intervention in patients with acute ST elevation myocardial infarction.Methods This study include 51 patients with acute STEMI they were selected from those who were admitted to the coronary care unit of Karbala cardiac center in Karbala-Iraq during a period between January 2017 and February 2018. Detailed history and thorough physical examination was done. Investigations done for each patient in form of ECG, cardiac troponin, blood urea, serum creatinine, and complete blood picture.Results & discussion percutaneous coronary intervention only, using one stent, two stent, three stent, aspiration catheter, CABG & medical treatment, 7 (13.7%),25(49%), 8(15.6%), none , 4(7.8%), 4(7.8%), 4(7.8%), 3(5.8%) respectively).Infarct related artery, LAD, LCX, RCA & LMS (30(58.8%), 4(7.8%), 6(11.7%), 2(3,9%) respectively, and the number of diseased vessels , single vessel, two vessels, three vessels & LMS which was (20(39.2%), 13(25.4%), 14(27.4%) respectively.Inhospital outcome, which include the following:- favorable outcome, period of hospitalization, access site bleeding, contrast induced nephropathy, death, respectively. Which were (96%, ˂ 1day 38(74.5%), ˃1day 13(25.5), 3.9%, 5.8%, 3.9% respectively)Conclusion in case of ST elevation myocardial infarction, left anterior descending artery is most culprit vessel to be involved, one quarter of patient needs one stent & carry favorable out comes in form of less complications and also decrease the period of hospitalization.

Keywords

primary PCI --- acute MI


Article
Current Practice in Management of Acute Coronary Syndrome in Tertiary Iraqi Cardiac Centers

Authors: Mushtaq T. Al-Hassnawi --- Ahmed Hussein AL- Mayali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2018 Volume: 11 Issue: 2 Pages: 3988-3992
Publisher: Kerbala University جامعة كربلاء

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Abstract

background There is continued debate as to whether a routine, early invasive strategy is superior to a conservative strategy for the management of acute coronary syndromes.Aim of the study: To verify current practice in the setting of management of acute coronary syndromes in tertiary cardiac centers in Iraq.Patients and methods Four hundred (400) patients were included in this study from 1st of January 2012 to 1st of January 2013from two tertiary Iraqi cardiac centers. Three hundred (300) patients from Ibn Albitar hospital and One hundred (100) patients from Iraqi center for heart disease refered to them as group (A) and group (B) respectively.Results & discussion Mean age for all patients was54.6±9.9 year. In group A there was 208 male patients (69.3%), 92 female patients (30.6%), in group B there was 65 male patients (65%), 25 female patients (25%). Low score (using thrombolysis in myocardial infarction score) found in 166(41.6%), intermediate score in 221 (55.3%), high in 13 (3.3%), no patients with high score was found in group B, mean TIMI score in group A was 1.61±0.5, in group B was 1.60±0.5 (P value NS). In group A UA found in 249 (83%), STEMI in 23 (7.7%), NSTEMI in 28 (9.3%).In group B UA in 79 (79%), STEMI in16 (16%), NSTEMI in 5 (5%) (Pvalue0.02). Smoking is prevalent more in group A (186 patients (62%) versus 43 patients (34%) in group B), while diabetes mellitus and family history of premature coronary artery were more prevalent in group B (Pvalue0.03).All patients in group A with low score were treated medically while in group B with low score treated invasively. Invasive approach was more in group B compared with group A in intermerdiate risk score.Normal coronaries were found in (3.3%) in group A versus (6.8%) in group B. Percutaneous coronary intervention was applied in (66.6%) in group A versus (50%)in group B, surgery used in (23.3%)in group A versus (28.3%)in group B, medical treatment in (10%) in group A versus (21.6%) in group B.There were no statistical difference between both groups regarding duration of admission to hospital and mortality.Conclusion Management of acute coronary syndromes was the same between tertiary cardiac centers and it is progressing significantly in our country.

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