Dr.Rehana Khadim | National University of Medical Sciences, Pakistan (original) (raw)
Papers by Dr.Rehana Khadim
Journal of University College of Medicine and Dentistry
Objective: To estimate the co-morbid depression in the patients of knee osteoarthritis at the ter... more Objective: To estimate the co-morbid depression in the patients of knee osteoarthritis at the tertiary care hospital settings of Rawalpindi/Islamabad.Study Design: Cross sectional Analytical studyMethods: Data of four hundred and four patients (n=404; 307 females and 97 males) was collected. Patients were selected from the OPD of Rheumatology Units of two Tertiary Care Hospitals of Rawalpindi/Islamabad and were assessed for co-morbid depression using Urdu translated Depression scale (CES-D). Basic demographical data and some variables directly having an impact with depression were assessed.Results: Frequency of co-morbid depression in osteoarthritis patients was 27.7%, of which females were 19.8% and males were 7.9%. Old age, illiteracy, rural residence, employment status, joint family system, obesity, co-morbidity with osteoarthritis, duration of disease and inability in performing routine activities were the variables positively associated with the depression (p< 0.05).Conclusi...
Bookmarks Related papers MentionsView impact
Pakistan Armed Forces Medical Journal
Objective: To study the effect of magnetic resonance neurography on 3 Tesla (MRN-3T) on the outco... more Objective: To study the effect of magnetic resonance neurography on 3 Tesla (MRN-3T) on the outcome of brachial plexus injury management. Study Design: Prospective comparative study.Place and Duration of Study: Department of Plastic Surgery, Combined Military Hospital Rawalpindi Pakistan, from Apr 2017 to Mar 2019. Methodology: Two groups of brachial plexus injury (BPI) were studied over two years. Group-A (n=29) cases whose operative intervention was decided based on history, examination, NCS/EMG and CT scan. Second group-B included (n=33) patients in which MRN-3T (magnetic resonance neurography on 3 Tesla) was the critical diagnostic tool. The comparison of preoperative diagnosis with intraoperative findings and outcome of surgery were made. Results: Out of 29 cases in group-A, 11 (37.93%) were explored. In these 11, neurolysis was done in one case, direct repair in one case, nerve grafting in 4 patients, nerve transfers with bridging grafts in 2 cases, whereas three patients had ...
Bookmarks Related papers MentionsView impact
KHYBER MEDICAL UNIVERSITY JOURNAL
OBJECTIVE: To identify the topics difficult to understand in learning Anatomy and to investigate ... more OBJECTIVE: To identify the topics difficult to understand in learning Anatomy and to investigate the reasons of difficulty and their possible solutions. METHODS: This descriptive observational study was conducted at Army Medical College, Rawalpindi, Pakistan from April to November 2019. Open ended and validated questionnaires were filled by 205 undergraduate medical students at the end of their academic year to ensure that complete course of anatomy including gross anatomy, histology and embryology were covered by students. Students were asked to specify the problem area, the subtopics, give the reasons for topics being difficult and mention possible solutions they think will help them in better understanding of these difficult areas. The problems having 5 or less number of responses were not included in the analysis. RESULTS: Embryology, histology & neuroanatomy were perceived as the most difficult areas by 89%, 62% & 61% of students respectively. Constraint of time (41% for gross ...
Bookmarks Related papers MentionsView impact
PAFMJ, May 10, 2019
Bookmarks Related papers MentionsView impact
Journal of Cardiovascular Medicine and Cardiology, 2019
Bookmarks Related papers MentionsView impact
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...
Bookmarks Related papers MentionsView impact
PAFMJ, 2021
Objective: To compare the role of the cultural context in determining the use of patient safety b... more Objective: To compare the role of the cultural context in determining the use of patient safety by participants from private and public sector hospitals of Karachi, Pakistan. Study Design: Mix method study. Place and Duration of Study: In two tertiary care hospitals (one private and one public sector) of Karachi from Nov 2016 till Nov 2017. Methodology: A sample size of 153 was enrolled by consecutive convenient sampling technique. The role of the cultural context of both hospitals was compared by asking questions from the hospital's staff. Data were collected by the researcher using an open and closed-ended questionnaire. Results: Data of 153 successful and filled questionnaires were analyzed. Out of 153, 78 (51%) cases were for private hospitals and 75 (49%) cases were for public hospitals. The role of the cultural context in determining the use of the patient safety concept was not sufficiently understood by participants of both hospitals, and most of the participants gave va...
Bookmarks Related papers MentionsView impact
PAFMJ, 2021
Objective: To describe the technique and results of mucosectomy; A surgical technique that is eas... more Objective: To describe the technique and results of mucosectomy; A surgical technique that is easy to perform, and has a lower morbidity and complication rate as compared to standard appendectomy in cases of complicated appendicitis. Study Design: Quasi-experimental study. Place and Duration of Study: Surgical - A Unit, Ayub Teaching Hospital, in Abbottabad, from Mar 2017 to Mar 2019. Methodology: Patients included were those who presented with appendicular mass, phlegmon, recurrent appendicitis, appendicitis in uncommon locations, presence of adhesions, those cases of appendicular mass and phlegmon which was either not responding to medical treatment, or diagnosed per operatively being clinically not palpable or not seen on ultrasound. Per operative and post-operative variables were documented and analyzed. In mucosectomy, thesubserosal portion of the appendix i-emuscularis and mucosa of the appendix was dissected out from the serosa after ligation of the appendicular base, or liga...
Bookmarks Related papers MentionsView impact
Objective: To evaluate the diagnostic accuracy of ultrasound in acute appendicitis in comparison ... more Objective: To evaluate the diagnostic accuracy of ultrasound in acute appendicitis in comparison with Alvarado score keeping histopathological correlation as gold standard. Study Design: Comparative cross-sectional study. Place and Duration of Study: Departments of Radiology, Surgery and Pathology of PIMS Hospital, Islamabad, from Jan 2018 to Oct 2018. Methodology: Patients that were Alvarado positive or either ultrasound positive were included in the study followed by appendectomy. Removed appendix was sent for histopathological examination. The results were entered in structured proformas. Results: Out of 200 patients, 117 (58.5%) were male patients while 83 (41.55%) were females. Mean age of the patients was 22.6 ± 3.1 year with range 9 to 55 years. Mean Alvarado score of patients was found to be 9.1 with maximum score 10 and minimum score of 7. Among ultrasound findings, 192 (96%) patients had appendix with diameter >6mm. Ninety two (46%) patients had free fluid, 186 (93%) pa...
Bookmarks Related papers MentionsView impact
Pakistan Armed Forces Medical Journal, 2021
Objective: To assess prospectively the presence and degree of tricuspid regurgitation (TR) after ... more Objective: To assess prospectively the presence and degree of tricuspid regurgitation (TR) after right ventricular (RV) lead placement utilizing 2-dimensional and doppler echocardiography in a group of patients implanted with Permanent pace-maker or implantable cardioverter defibrillator (ICD). Study Design: Descriptive cross sectional study. Place and Duration of Study: Study was conducted at OPD of AFIC/NIHD Rawalpindi from Jan to Jun 2019. Methodology: One hundred patients after cardiac stimulation system implantation were included in this study. Patients with severe valve disease, heart failure, congenital heart disease, pre-existing pulmonary hypertension and presence of moderate or severe tricuspid regurgitation were excluded. M-mode, 2 –dimensional and doppler echocardiographic studies were performed. Continuous-wave doppler measurements were made from apical four-chamber view in order to obtain maximum tricuspid flow velocities. A complete echocardiographic study was perform...
Bookmarks Related papers MentionsView impact
PAFMJ, 2021
Objective: To determine the diagnostic accuracy of magnetic resonance imaging in diagnosing bone ... more Objective: To determine the diagnostic accuracy of magnetic resonance imaging in diagnosing bone tumorskeeping histopathological as correlation gold standard. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Departments of Radiology, Orthopedics and Pathology of Pakistan Institute ofMedical Sciences, Islamabad, from Jan 2018 to Jan 2019. Methodology: All the patients who had complain of bone deformity or pain with high suspicion of neoplasticpathology involving bone and soft tissue on radiograph were included in study. Patients were first diagnosed on conventional radiography followed by magnetic resonance imaging. Magnetic resonance imaging with contrast was done on Phillips 1.5 tesla machine. T1W, T2W, STIR images, Fat suppressed, PD spair and post contrast T1W images were obtained. Positive magnetic resonance imaging findings which were noted were; marrow involvement, cortical break, soft tissue involvement, joint involvement, neurovascular bundle inv...
Bookmarks Related papers MentionsView impact
Journal of the College of Physicians and Surgeons Pakistan, 2020
Bookmarks Related papers MentionsView impact
Journal of the Pakistan Medical Association, 2021
Objective: To determine aortic root dimensions in younger patients presenting with chest pain. St... more Objective: To determine aortic root dimensions in younger patients presenting with chest pain. Study Design: Descriptive cross sectional study Study Setting: CT Angiography Department of Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi. Duration of study:6 months (from 12th September 2018 to 11th March 2019) Methods: MSCT angiography was performed over all the patients who met the inclusion and exclusion criteria after written informed consent .MSCT acquisition was performed in a single breath-hold of about 5–10 seconds, ECG gated synchronized data acquisition with 60-100ml contrast was done.Multiphase data sets were reconstructed followed by data analysis. Required measurements were recorded with software caliper and tracer. All data were analyzed in SPSS 23. Results: Recruited in the study were a total of 330 patients who fulfilled the inclusion criteria. Mean age (years) was45.5±7.9 and there were 236 (71.5%) male and 94 (28.5%) female patie...
Bookmarks Related papers MentionsView impact
Pakistan Armed Forces Medical journal, 2018
bjective: To evaluate the role of duke treadmill score in assessing the severity of coronary arte... more bjective: To evaluate the role of duke treadmill score in assessing the severity of coronary artery disease in patients presenting with angina.
Study Design: A descriptive cross-sectional study.
Place and Duration of Study: Adult Cardiology department of AFIC and NIHD Rawalpindi, from Sep 2017 to Dec 2017.
Material and Methods: Patients of both genders above the age of 30 years who presented first time with angina were included in the study. Patients excluded from the study were those who had previous myocardial infarction, patients with severe valve disease (severe stenosis and/or regurgitation of heart valves), patients with prosthetic valve, heart failure (ejection fraction <50), acute coronary syndrome (unstable angina pectoris), hematological disorders, previous revascularization procedures (whether percutaneous translu¬minal coronary angioplasty or coronary artery bypass grafting [CABG]), congenital heart disease, patients taking digoxin therapy and having chronic kidney disease.
Results: There were 100 patients included in the study. The mean age of the patients was 46.04 ± 6.74 years, with minimum age 31 years and maximum age 55 years. About 68 (68.0%) patients were males and 32 were females (32.0%). The main risk factors for CAD among study participants were diabetes mellitus 55 (55.0%) hypertension 24 (24.0%) and smoking 13 (13.0%). Association between Duke Treadmill Score and SYNTAX score was found out by using ANOVA (Analysis of variance) and it showed statistically significant result between two variables with p= 0.04. Association between Duke Treadmill score and coronary arteries involvement was found by using chi-square test, the result of which was statistically significant with p=0.001.
Conclusion: It is concluded from our study that Duke treadmill score is a significant prognostic tool for coronary artery disease. There is significant association between DTS and SYNTAX score. DTS also had a significant association with extensive and significant CAD.
Keywords: Coronary Artery Disease, Duke treadmill score (DTS), SYNTAX score.
Bookmarks Related papers MentionsView impact
Journal Of Pakistan Medical Association, 2021
Objective: To determine aortic root dimensions in younger patients presenting with chest pain. Me... more Objective: To determine aortic root dimensions in younger patients presenting with chest pain. Method: The descriptive cross-sectional study was conducted at the Armed Forces Institute of Cardiology and the National Institute of Heart Diseases, Rawalpindi, Pakistan, from September 12, 2018, to March 11, 2019, and comprised patients of either gender aged 18-55 years presenting with chest pain falling into Canadian Cardiovascular Society class I-IV and dyspnoea falling into New York Heart Association class I-IV. Multi-slice computed tomography image acquisition was performed in a single breath-hold of about 5-10 seconds, while electrocardiogram gated synchronised data acquisition was done with 60-100ml contrast. Multiphase data-sets were reconstructed followed by data analysis. Required measurements were recorded with software caliper and tracer. Data was analysed using SPSS 23. Results: Of the 330 patients, 236(71.5%) were males and 94(28.5%) were females. The overall mean age was 45.5±7.9 years. Bicuspid aortic valve was found in 3(0.9%) patients, while 327(99.1%) were tricuspid. Mean aortic valve area was 4.01±0.70cm 2 , mean aortic annular size was 21.9±2.37mm, sinotubular junction diameter was 23.9±3.45mm, and mean sinotubular junction height was 21.09±2.77mm. The mean diameter at sinuses of valsalva was 33.0±3.99mm. Conclusion: Mean aortic root dimensions and general morphology of the aortic valve was determined to establish normal reference values.
Bookmarks Related papers MentionsView impact
Journal of the College of Physicians and Surgeons Pakistan, 2020
Objective: To assess the short term clinical outcomes for a single-stent (SS) strategy versus a d... more Objective: To assess the short term clinical outcomes for a single-stent (SS) strategy versus a double-stent (DS) strategy in percutaneous coronary intervention (PCI) of distal unprotected left main coronary artery (ULMCA) lesions. Study Design: Descriptive comparative study.
Bookmarks Related papers MentionsView impact
Journal of University College of Medicine and Dentistry
Objective: To estimate the co-morbid depression in the patients of knee osteoarthritis at the ter... more Objective: To estimate the co-morbid depression in the patients of knee osteoarthritis at the tertiary care hospital settings of Rawalpindi/Islamabad.Study Design: Cross sectional Analytical studyMethods: Data of four hundred and four patients (n=404; 307 females and 97 males) was collected. Patients were selected from the OPD of Rheumatology Units of two Tertiary Care Hospitals of Rawalpindi/Islamabad and were assessed for co-morbid depression using Urdu translated Depression scale (CES-D). Basic demographical data and some variables directly having an impact with depression were assessed.Results: Frequency of co-morbid depression in osteoarthritis patients was 27.7%, of which females were 19.8% and males were 7.9%. Old age, illiteracy, rural residence, employment status, joint family system, obesity, co-morbidity with osteoarthritis, duration of disease and inability in performing routine activities were the variables positively associated with the depression (p< 0.05).Conclusi...
Bookmarks Related papers MentionsView impact
Pakistan Armed Forces Medical Journal
Objective: To study the effect of magnetic resonance neurography on 3 Tesla (MRN-3T) on the outco... more Objective: To study the effect of magnetic resonance neurography on 3 Tesla (MRN-3T) on the outcome of brachial plexus injury management. Study Design: Prospective comparative study.Place and Duration of Study: Department of Plastic Surgery, Combined Military Hospital Rawalpindi Pakistan, from Apr 2017 to Mar 2019. Methodology: Two groups of brachial plexus injury (BPI) were studied over two years. Group-A (n=29) cases whose operative intervention was decided based on history, examination, NCS/EMG and CT scan. Second group-B included (n=33) patients in which MRN-3T (magnetic resonance neurography on 3 Tesla) was the critical diagnostic tool. The comparison of preoperative diagnosis with intraoperative findings and outcome of surgery were made. Results: Out of 29 cases in group-A, 11 (37.93%) were explored. In these 11, neurolysis was done in one case, direct repair in one case, nerve grafting in 4 patients, nerve transfers with bridging grafts in 2 cases, whereas three patients had ...
Bookmarks Related papers MentionsView impact
KHYBER MEDICAL UNIVERSITY JOURNAL
OBJECTIVE: To identify the topics difficult to understand in learning Anatomy and to investigate ... more OBJECTIVE: To identify the topics difficult to understand in learning Anatomy and to investigate the reasons of difficulty and their possible solutions. METHODS: This descriptive observational study was conducted at Army Medical College, Rawalpindi, Pakistan from April to November 2019. Open ended and validated questionnaires were filled by 205 undergraduate medical students at the end of their academic year to ensure that complete course of anatomy including gross anatomy, histology and embryology were covered by students. Students were asked to specify the problem area, the subtopics, give the reasons for topics being difficult and mention possible solutions they think will help them in better understanding of these difficult areas. The problems having 5 or less number of responses were not included in the analysis. RESULTS: Embryology, histology & neuroanatomy were perceived as the most difficult areas by 89%, 62% & 61% of students respectively. Constraint of time (41% for gross ...
Bookmarks Related papers MentionsView impact
PAFMJ, May 10, 2019
Bookmarks Related papers MentionsView impact
Journal of Cardiovascular Medicine and Cardiology, 2019
Bookmarks Related papers MentionsView impact
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...
Bookmarks Related papers MentionsView impact
PAFMJ, 2021
Objective: To compare the role of the cultural context in determining the use of patient safety b... more Objective: To compare the role of the cultural context in determining the use of patient safety by participants from private and public sector hospitals of Karachi, Pakistan. Study Design: Mix method study. Place and Duration of Study: In two tertiary care hospitals (one private and one public sector) of Karachi from Nov 2016 till Nov 2017. Methodology: A sample size of 153 was enrolled by consecutive convenient sampling technique. The role of the cultural context of both hospitals was compared by asking questions from the hospital's staff. Data were collected by the researcher using an open and closed-ended questionnaire. Results: Data of 153 successful and filled questionnaires were analyzed. Out of 153, 78 (51%) cases were for private hospitals and 75 (49%) cases were for public hospitals. The role of the cultural context in determining the use of the patient safety concept was not sufficiently understood by participants of both hospitals, and most of the participants gave va...
Bookmarks Related papers MentionsView impact
PAFMJ, 2021
Objective: To describe the technique and results of mucosectomy; A surgical technique that is eas... more Objective: To describe the technique and results of mucosectomy; A surgical technique that is easy to perform, and has a lower morbidity and complication rate as compared to standard appendectomy in cases of complicated appendicitis. Study Design: Quasi-experimental study. Place and Duration of Study: Surgical - A Unit, Ayub Teaching Hospital, in Abbottabad, from Mar 2017 to Mar 2019. Methodology: Patients included were those who presented with appendicular mass, phlegmon, recurrent appendicitis, appendicitis in uncommon locations, presence of adhesions, those cases of appendicular mass and phlegmon which was either not responding to medical treatment, or diagnosed per operatively being clinically not palpable or not seen on ultrasound. Per operative and post-operative variables were documented and analyzed. In mucosectomy, thesubserosal portion of the appendix i-emuscularis and mucosa of the appendix was dissected out from the serosa after ligation of the appendicular base, or liga...
Bookmarks Related papers MentionsView impact
Objective: To evaluate the diagnostic accuracy of ultrasound in acute appendicitis in comparison ... more Objective: To evaluate the diagnostic accuracy of ultrasound in acute appendicitis in comparison with Alvarado score keeping histopathological correlation as gold standard. Study Design: Comparative cross-sectional study. Place and Duration of Study: Departments of Radiology, Surgery and Pathology of PIMS Hospital, Islamabad, from Jan 2018 to Oct 2018. Methodology: Patients that were Alvarado positive or either ultrasound positive were included in the study followed by appendectomy. Removed appendix was sent for histopathological examination. The results were entered in structured proformas. Results: Out of 200 patients, 117 (58.5%) were male patients while 83 (41.55%) were females. Mean age of the patients was 22.6 ± 3.1 year with range 9 to 55 years. Mean Alvarado score of patients was found to be 9.1 with maximum score 10 and minimum score of 7. Among ultrasound findings, 192 (96%) patients had appendix with diameter >6mm. Ninety two (46%) patients had free fluid, 186 (93%) pa...
Bookmarks Related papers MentionsView impact
Pakistan Armed Forces Medical Journal, 2021
Objective: To assess prospectively the presence and degree of tricuspid regurgitation (TR) after ... more Objective: To assess prospectively the presence and degree of tricuspid regurgitation (TR) after right ventricular (RV) lead placement utilizing 2-dimensional and doppler echocardiography in a group of patients implanted with Permanent pace-maker or implantable cardioverter defibrillator (ICD). Study Design: Descriptive cross sectional study. Place and Duration of Study: Study was conducted at OPD of AFIC/NIHD Rawalpindi from Jan to Jun 2019. Methodology: One hundred patients after cardiac stimulation system implantation were included in this study. Patients with severe valve disease, heart failure, congenital heart disease, pre-existing pulmonary hypertension and presence of moderate or severe tricuspid regurgitation were excluded. M-mode, 2 –dimensional and doppler echocardiographic studies were performed. Continuous-wave doppler measurements were made from apical four-chamber view in order to obtain maximum tricuspid flow velocities. A complete echocardiographic study was perform...
Bookmarks Related papers MentionsView impact
PAFMJ, 2021
Objective: To determine the diagnostic accuracy of magnetic resonance imaging in diagnosing bone ... more Objective: To determine the diagnostic accuracy of magnetic resonance imaging in diagnosing bone tumorskeeping histopathological as correlation gold standard. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Departments of Radiology, Orthopedics and Pathology of Pakistan Institute ofMedical Sciences, Islamabad, from Jan 2018 to Jan 2019. Methodology: All the patients who had complain of bone deformity or pain with high suspicion of neoplasticpathology involving bone and soft tissue on radiograph were included in study. Patients were first diagnosed on conventional radiography followed by magnetic resonance imaging. Magnetic resonance imaging with contrast was done on Phillips 1.5 tesla machine. T1W, T2W, STIR images, Fat suppressed, PD spair and post contrast T1W images were obtained. Positive magnetic resonance imaging findings which were noted were; marrow involvement, cortical break, soft tissue involvement, joint involvement, neurovascular bundle inv...
Bookmarks Related papers MentionsView impact
Journal of the College of Physicians and Surgeons Pakistan, 2020
Bookmarks Related papers MentionsView impact
Journal of the Pakistan Medical Association, 2021
Objective: To determine aortic root dimensions in younger patients presenting with chest pain. St... more Objective: To determine aortic root dimensions in younger patients presenting with chest pain. Study Design: Descriptive cross sectional study Study Setting: CT Angiography Department of Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi. Duration of study:6 months (from 12th September 2018 to 11th March 2019) Methods: MSCT angiography was performed over all the patients who met the inclusion and exclusion criteria after written informed consent .MSCT acquisition was performed in a single breath-hold of about 5–10 seconds, ECG gated synchronized data acquisition with 60-100ml contrast was done.Multiphase data sets were reconstructed followed by data analysis. Required measurements were recorded with software caliper and tracer. All data were analyzed in SPSS 23. Results: Recruited in the study were a total of 330 patients who fulfilled the inclusion criteria. Mean age (years) was45.5±7.9 and there were 236 (71.5%) male and 94 (28.5%) female patie...
Bookmarks Related papers MentionsView impact
Pakistan Armed Forces Medical journal, 2018
bjective: To evaluate the role of duke treadmill score in assessing the severity of coronary arte... more bjective: To evaluate the role of duke treadmill score in assessing the severity of coronary artery disease in patients presenting with angina.
Study Design: A descriptive cross-sectional study.
Place and Duration of Study: Adult Cardiology department of AFIC and NIHD Rawalpindi, from Sep 2017 to Dec 2017.
Material and Methods: Patients of both genders above the age of 30 years who presented first time with angina were included in the study. Patients excluded from the study were those who had previous myocardial infarction, patients with severe valve disease (severe stenosis and/or regurgitation of heart valves), patients with prosthetic valve, heart failure (ejection fraction <50), acute coronary syndrome (unstable angina pectoris), hematological disorders, previous revascularization procedures (whether percutaneous translu¬minal coronary angioplasty or coronary artery bypass grafting [CABG]), congenital heart disease, patients taking digoxin therapy and having chronic kidney disease.
Results: There were 100 patients included in the study. The mean age of the patients was 46.04 ± 6.74 years, with minimum age 31 years and maximum age 55 years. About 68 (68.0%) patients were males and 32 were females (32.0%). The main risk factors for CAD among study participants were diabetes mellitus 55 (55.0%) hypertension 24 (24.0%) and smoking 13 (13.0%). Association between Duke Treadmill Score and SYNTAX score was found out by using ANOVA (Analysis of variance) and it showed statistically significant result between two variables with p= 0.04. Association between Duke Treadmill score and coronary arteries involvement was found by using chi-square test, the result of which was statistically significant with p=0.001.
Conclusion: It is concluded from our study that Duke treadmill score is a significant prognostic tool for coronary artery disease. There is significant association between DTS and SYNTAX score. DTS also had a significant association with extensive and significant CAD.
Keywords: Coronary Artery Disease, Duke treadmill score (DTS), SYNTAX score.
Bookmarks Related papers MentionsView impact
Journal Of Pakistan Medical Association, 2021
Objective: To determine aortic root dimensions in younger patients presenting with chest pain. Me... more Objective: To determine aortic root dimensions in younger patients presenting with chest pain. Method: The descriptive cross-sectional study was conducted at the Armed Forces Institute of Cardiology and the National Institute of Heart Diseases, Rawalpindi, Pakistan, from September 12, 2018, to March 11, 2019, and comprised patients of either gender aged 18-55 years presenting with chest pain falling into Canadian Cardiovascular Society class I-IV and dyspnoea falling into New York Heart Association class I-IV. Multi-slice computed tomography image acquisition was performed in a single breath-hold of about 5-10 seconds, while electrocardiogram gated synchronised data acquisition was done with 60-100ml contrast. Multiphase data-sets were reconstructed followed by data analysis. Required measurements were recorded with software caliper and tracer. Data was analysed using SPSS 23. Results: Of the 330 patients, 236(71.5%) were males and 94(28.5%) were females. The overall mean age was 45.5±7.9 years. Bicuspid aortic valve was found in 3(0.9%) patients, while 327(99.1%) were tricuspid. Mean aortic valve area was 4.01±0.70cm 2 , mean aortic annular size was 21.9±2.37mm, sinotubular junction diameter was 23.9±3.45mm, and mean sinotubular junction height was 21.09±2.77mm. The mean diameter at sinuses of valsalva was 33.0±3.99mm. Conclusion: Mean aortic root dimensions and general morphology of the aortic valve was determined to establish normal reference values.
Bookmarks Related papers MentionsView impact
Journal of the College of Physicians and Surgeons Pakistan, 2020
Objective: To assess the short term clinical outcomes for a single-stent (SS) strategy versus a d... more Objective: To assess the short term clinical outcomes for a single-stent (SS) strategy versus a double-stent (DS) strategy in percutaneous coronary intervention (PCI) of distal unprotected left main coronary artery (ULMCA) lesions. Study Design: Descriptive comparative study.
Bookmarks Related papers MentionsView impact