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Research paper thumbnail of Diastolic Dysfunction in Asymptomatic Type 2 Diabetic Patients Having Preserved Systolic Function

Pakistan Armed Forces Medical Journal

Objective: To determine frequency of diastolic dysfunction in asymptomatic type 2 diabetic patien... more Objective: To determine frequency of diastolic dysfunction in asymptomatic type 2 diabetic patients by employing twodimensional (2D) echocardiography as a measurement method. Study Design: It was an Analytical Cross sectional study. Place and Duration of Study: Rawalpindi Institute of Cardiology, Rawalpindi Pakistan, from Jul 2021 to Nov 2021 Methodology: Patients, already diagnosed as diabetics for more than 5 years and on dietary control or on medications,presenting to the outpatient department of the hospital were enrolled. They were subjected to a 2D echocardiography in left lateral position. We excluded patients with valvular heart disease, ischemia, congestive heart failure, cardiomyopathy of any aetiology, renal failure, pulmonary illness, anemia, hemoglobinopathies, prior myocardial infarctions in any region, smokers,and hypertension. Diastolic dysfunction was evaluated as per the guidelines of American society of Echocardiography. Results: Overall (n=150) patients were calc...

Research paper thumbnail of Evaluation of myocardial injury patterns and ST changes among critical and non-critical patients with coronavirus-19 disease

Scientific Reports, 2021

Novel coronavirus disease (COVID-19) has led to a major public health crisis globally. Currently,... more Novel coronavirus disease (COVID-19) has led to a major public health crisis globally. Currently, myocardial damage is speculated to be associated with COVID-19, which can be seen as one of the main causes of death of patients with COVID-19. We therefore, aim to investigate the effects of COVID-19 disease on myocardial injury in hospitalized patients who have been tested positive for COVID-19 pneumonia in this study. A prospective study was conducted among 201 patients with COVID-19 in the Pakistan Military Hospital from April 1 to August 31, 2020, including non-critical cases and critical cases. COVID-19 patients were stratified as critical and non-critical according to the signs and symptoms severity; with those requiring intensive care and invasive mechanical ventilation as critical, and those did not requiring invasive mechanical ventilation as non-critical. A total of 201 COVID-19 patients with critical and non-critical categories presented with myocardial injury. All patients ...

Research paper thumbnail of Is 3D Transthoracic Planimetry Still Superior Over 2D Echo in Rheumatic Mitral Stenosis When Both Area and Hemodynamic Parameters of Severity Are in Question?

Pakistan Heart Journal, 2022

Objectives: The objective of the study was to compare transthoracic 3D planimetry to 2D planimetr... more Objectives: The objective of the study was to compare transthoracic 3D planimetry to 2D planimetry in calculating mitral valve area along with correlation of various echocardiographic parameters of severity of mitral stenosis among these modalities. Methodology: Patients with (RMS) were enrolled. Keeping 2D PHT as reference mitral valve area (MVA) was calculated and it was compared to the results derived by transthoracic 2D and 3D planimetry. Agreement between the 2D and 3D methods was assessed by measuring the intraclass correlation coefficient (ICC). Results: 51 patients were included. 36 (70.6%) were females; mean age was 33 ± 6 years. Mean gradient was 14.5 ± 3.9 mmhg while mean Pulmonary artery systolic pressure (PASP) was 31.6 ± 6 mmhg. MVA’s derived by PHT, 3D planimetry, and 2D were 1.04 ± 0.24, 1.07 ± 0.24, 1.21 ± 0.27 cm2 respectively. 3D obtained areas were significantly lower compared to 2D (p< 0.001) and insignificantly greater from PHT (p = 0.18). 3D demonstrated be...

Research paper thumbnail of Evaluation of myocardial injury patterns and ST changes among critical and non-critica l patients with coronaviru s-19 disease

Research paper thumbnail of Evaluation of myocardial injury patterns and ST changes among critical and non-critica l patients with coronaviru s-19 disease

Research paper thumbnail of Diastolic Dysfunction in Asymptomatic Type 2 Diabetic Patients Having Preserved Systolic Function

Pakistan Armed Forces Medical Journal

Objective: To determine frequency of diastolic dysfunction in asymptomatic type 2 diabetic patien... more Objective: To determine frequency of diastolic dysfunction in asymptomatic type 2 diabetic patients by employing twodimensional (2D) echocardiography as a measurement method. Study Design: It was an Analytical Cross sectional study. Place and Duration of Study: Rawalpindi Institute of Cardiology, Rawalpindi Pakistan, from Jul 2021 to Nov 2021 Methodology: Patients, already diagnosed as diabetics for more than 5 years and on dietary control or on medications,presenting to the outpatient department of the hospital were enrolled. They were subjected to a 2D echocardiography in left lateral position. We excluded patients with valvular heart disease, ischemia, congestive heart failure, cardiomyopathy of any aetiology, renal failure, pulmonary illness, anemia, hemoglobinopathies, prior myocardial infarctions in any region, smokers,and hypertension. Diastolic dysfunction was evaluated as per the guidelines of American society of Echocardiography. Results: Overall (n=150) patients were calc...

Research paper thumbnail of Evaluation of myocardial injury patterns and ST changes among critical and non-critical patients with coronavirus-19 disease

Scientific Reports, 2021

Novel coronavirus disease (COVID-19) has led to a major public health crisis globally. Currently,... more Novel coronavirus disease (COVID-19) has led to a major public health crisis globally. Currently, myocardial damage is speculated to be associated with COVID-19, which can be seen as one of the main causes of death of patients with COVID-19. We therefore, aim to investigate the effects of COVID-19 disease on myocardial injury in hospitalized patients who have been tested positive for COVID-19 pneumonia in this study. A prospective study was conducted among 201 patients with COVID-19 in the Pakistan Military Hospital from April 1 to August 31, 2020, including non-critical cases and critical cases. COVID-19 patients were stratified as critical and non-critical according to the signs and symptoms severity; with those requiring intensive care and invasive mechanical ventilation as critical, and those did not requiring invasive mechanical ventilation as non-critical. A total of 201 COVID-19 patients with critical and non-critical categories presented with myocardial injury. All patients ...

Research paper thumbnail of Is 3D Transthoracic Planimetry Still Superior Over 2D Echo in Rheumatic Mitral Stenosis When Both Area and Hemodynamic Parameters of Severity Are in Question?

Pakistan Heart Journal, 2022

Objectives: The objective of the study was to compare transthoracic 3D planimetry to 2D planimetr... more Objectives: The objective of the study was to compare transthoracic 3D planimetry to 2D planimetry in calculating mitral valve area along with correlation of various echocardiographic parameters of severity of mitral stenosis among these modalities. Methodology: Patients with (RMS) were enrolled. Keeping 2D PHT as reference mitral valve area (MVA) was calculated and it was compared to the results derived by transthoracic 2D and 3D planimetry. Agreement between the 2D and 3D methods was assessed by measuring the intraclass correlation coefficient (ICC). Results: 51 patients were included. 36 (70.6%) were females; mean age was 33 ± 6 years. Mean gradient was 14.5 ± 3.9 mmhg while mean Pulmonary artery systolic pressure (PASP) was 31.6 ± 6 mmhg. MVA’s derived by PHT, 3D planimetry, and 2D were 1.04 ± 0.24, 1.07 ± 0.24, 1.21 ± 0.27 cm2 respectively. 3D obtained areas were significantly lower compared to 2D (p< 0.001) and insignificantly greater from PHT (p = 0.18). 3D demonstrated be...

Research paper thumbnail of Evaluation of myocardial injury patterns and ST changes among critical and non-critica l patients with coronaviru s-19 disease

Research paper thumbnail of Evaluation of myocardial injury patterns and ST changes among critical and non-critica l patients with coronaviru s-19 disease

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