Winklerchavez4011

8 (1.1, 5.9). Almost all pateints had raised SIRS parameters. There was an increase in levels of Dopamine (63.2 pg/ml), Epinephrine (73.5 pg/ml) and Norepinephrine (390pg/ml) on admission as compared to their levels 1 week after ictus or on discharge (Dopamine 35.6, Epinephrine 52.1, and Norepinephrine 241 pg/ml).

CA surge is common in ICH pateints and it correlates with severity and outcome of patient. 6 pateints died in the hospital 72 % of patients had poor outcome. Catecholamine levels were higher in poor outcome patients.

CA surge is common in ICH pateints and it correlates with severity and outcome of patient. 6 pateints died in the hospital 72 % of patients had poor outcome. Catecholamine levels were higher in poor outcome patients.Stroke in young adults has become a rising concern in developing countries as it leads to large economic impact by causing disability in the most economically productive years.Although stroke is uncommon in young age group, we are facing patients with ischemic stroke in young adults in daily practice.

It is a prospective observational study in which patients with ischemic stroke fulfilling the inclusion criteria were evaluated for risk factors and clinical profile was assessed.Chi-square test was used to compare data and p value<0.05 was considered to be significant.

In this study 73 patients with ischemic stroke between 15-49 years were evaluated. Most of the patients were male (63%).The most common risk factors were dyslipidemia (67.1%), metabolic syndrome (64.3%), hyperhomocysteinemia (58.9%), smoking (52%) and hypertension (44.2%). Patients were further divided into two age groups (16-32 years and 33-49 years) for comparison. Tetrahydropiperine Metabolic syndrome and hypertension were significantly more frequent in age group of 33-49 years with p value of <0.05 but we could not find difference between two age groups for rest of the risk factors.

Most of these are traditional risk factors which were previously seen in older age group, but now we are encountering these risk factors in younger age group also. As most of them are modifiable risk factors health education regarding lifestyle modification, health programs for screening and treating these risk factors should be started to reduce the mortality and morbidity of stroke among socioeconomically active age group.

Most of these are traditional risk factors which were previously seen in older age group, but now we are encountering these risk factors in younger age group also. As most of them are modifiable risk factors health education regarding lifestyle modification, health programs for screening and treating these risk factors should be started to reduce the mortality and morbidity of stroke among socioeconomically active age group.SARS CoV- 2 infection may lead to wide range of neurological complications, which range from anosmia to stroke. An observation shows a fall in the number of first-time stroke admissions, but that these admissions are more severe. Therefore, to gain an insight into it, a retrospective comparison of first ever stroke characteristics in pre-COVID 19 era and COVID 19 pandemic era at GMC, Kota, Rajasthan.

The study was conducted at GMC Kota, a tertiary care hospital in Rajasthan. All patients having their first ever stroke and admitted to our stroke unit during the pre-COVID 19 period (April 2019-May 2019) and the COVID 19 period (April 2020-May 2020) were considered. The characteristics of stroke, the severity, the number of admissions per day, and demographic characteristics as well as the short-term outcomes were studied.

Of the 108 patients included, 44 (40.7%) presented during the COVID-19 period. There was a 36% reduction in first-ever stroke diagnoses from (1.05/day) to (0.72/day) (p<0.0001). The admitted patients were five years older and in much worse health than in the pre-COVID 19 era (p<0.0001). There was a statistically significant reduction in MRI use by 27% (p=0.055).

The observation suggests an overall reduced number of stroke admissions per day. Patients admitted were older and more severely ill. In COVID 19 era patients, mortality and mRS at admission and discharge were higher, along with a longer hospital stay. An overall reduction in the utilization of MRI was observed due to COVID protocol.

The observation suggests an overall reduced number of stroke admissions per day. Patients admitted were older and more severely ill. In COVID 19 era patients, mortality and mRS at admission and discharge were higher, along with a longer hospital stay. An overall reduction in the utilization of MRI was observed due to COVID protocol.Hypertension has become a major health burden globally. The epidemiological transit to the non communicable disease era has shifted our focus to identify the risk factors and complications associated with each disease so that we can tackle the ongoing menace at the earliest. QT interval has long been associated with ventricular arrythmias and sudden cardiac deaths and the association between the QT interval in healthy subjects and diabetics have been extensively studied, but the association between QT interval and newly diagnosed hypertensive patients have been understudied.

The study included 100 newly diagnosed hypertensive patients who were willing to be a part of the study and providing informed consent whereas patients who were pregnant, below 18 years of age, mental health conditions which could affect their ability to comprehend and respond and patients suffering from any conditions such as myocardial infarction (MI), stroke, acute renal failure (ARF), liver disease, thyroid disorders, malignancy and al and higher prevalence of prolonged QTc interval. Patients presenting in OPD must be looked for QTc and QTd so that risk of developing Arrythmias could be detected at early stages, thereby reducinfgmorbidity and mortality.Hypertension is one of the leading causes of the global burden of disease. Screening for microalbuminuria is a sensitive, reliable and accessible test for renal disease and CV morbidity or mortality in hypertension. Reducing SBP but not DBP leads to a decrease in microalbuminuria. Therefore this study is intended to study the association of blood lipid level and urine microalbumin in hypertensive individuals in patients examined in Mandya Institute of Medical Science. Material and Objectives To study the correlation of microalbuminuria and lipid profile in hypertensive patients. The study is a Descriptive cross-sectional study over a period of one year ( JUNE 2020- JUNE 2021). A minimum of 300 hypertensive patients admitted to the hospital or attending outpatient department with documented SBP ≥ 140mmHg and DBP ≥ 90 mmHg in age less than 65 years as per JNC 8 GUIDELINES were recruited into the study. History of treatment for hypertension were also included. Blood pressure was recorded with the patient well reion Authors conclude by saying that MA in hypertensive subjects may prove to be a valuable marker in the evaluation of target organ damage and control of risk factors amenable to prevention (regular treatment of HT, weight control, normal lipid levels) may have a favorable effect in preventing, delaying and lessening prevalence of MA. Early screening of hypertensive patients for MA and prompt treatment of positive cases may help reduce the burden of chronic kidney disease and cardiovascular disease in the community.Systemic Hypertension (HTN) is one of the most common co-morbidities in Diabetes Mellitus (DM). Because of the drawbacks of office blood pressure monitoring, it has been suggested that ambulatory blood pressure monitoring (ABPM) be used for hypertension assessment. The sensitivity of Clinic/Office monitoring of BP to predict hypertension-associated organ damage is less. Hence the present study was carried out to estimate the prevalence of hypertension in normotensive type 2 diabetic patients by using a 24-hour ambulatory blood pressure machine and also to assess the relationship between blood pressure patterns and anthropometric measurements in overweight and obese type 2 diabetic patients.

A 1 year cross-sectional hospital-based study was conducted on 162 people, attending a tertiary care institute over the age of 18, who had type 2 diabetes and a Body Mass Index (BMI) of 25 to 40 kg/m2 (Asian cut-off > 23 kg/m2). All subjects underwent a standardized medical examination including anthropometric measly significant association between all day SBP, day SBP with BMI only (P Value<0.05).

The present study was one of the kinds in the study region as there was no report of ABPM parameters in the study population. Patients with T2DM can benefit from routine ABPM by early identification and management of Hypertension in Type 2 DM.

The present study was one of the kinds in the study region as there was no report of ABPM parameters in the study population. Patients with T2DM can benefit from routine ABPM by early identification and management of Hypertension in Type 2 DM.Myocardial infarction is the death of a portion of myocardium due to a prolonged ischaemia. Myocardial infarction is the leading cause of mortality around the globe. Mortality could be due to various complications of mi such as ventricular failure, cardiogenic shock and arrhythmias. With the rise in sedentary lifestyle and poor dietary habits, the incidence of diabetes is increasing too. Diabetes is an independent risk factor for coronary artery disease. Acute hyperglycemia is a response seen commonly during stressful conditions including myocardial infarction. Raised blood sugar levels could be due to diabetes or a marker of pre existing diabetes which is not yet diagnosed. Raised sugar levels increase oxidative stress, endothelial dysfunction and impair fibrinolysis thereby leading to adverse outcomes in patients of mi. Raised sugar levels could also indicate insulin resistance or beta cell failure which could have a detrimental impact in patients with mi via various other pathways. Random blood sugar is a /dl.

myocardial infarction is the most common cause of mortality in the world. Hyperglycaemia and diabetes are independent risk factors for various life threatening complications of myocardial infarction. Hyperglycaemia causes endothelial dysfunction by increasing oxidative stress via multiple pathways. The likelihood of developing complications post myocardial infarction is higher with hyperglycaemia.

myocardial infarction is the most common cause of mortality in the world. Hyperglycaemia and diabetes are independent risk factors for various life threatening complications of myocardial infarction. Hyperglycaemia causes endothelial dysfunction by increasing oxidative stress via multiple pathways. The likelihood of developing complications post myocardial infarction is higher with hyperglycaemia.Cardiac Failure is an organ system failure with a time sensitive treatment and is usually due to the failure of the left ventricle. Left ventricular function is most easily calculated by a 2D echocardiogram (ECHO). The 2D echo estimates accurately the ejection fraction(EF) of the heart thus, indicating the functioning of the left ventricle. But because of the restrains in availability of the 2D echo in rural set ups of India, it is essential to develop another method to calculate left ventricular function, which is cheap, rapid and accessible in peripheral settings. The objective of this study to calculate the sensitivity and specificity to predict low ejection fraction by Electrocardiogram (ECG).

This cross-sectional study was conducted in medicine department of B R Ambedkar medical college and hospital in Bangalore, from 1st November, 2019 to 31st August, 2021. The consenting participants underwent ECG and 2D ECHO. The ejection fraction values were obtained from the ECG using the formula (2.808 x QRS complex of aVR + 27.