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  • ISSN: 2333-6676
    Volume 3, Issue 1
    Short Note
    Mohammed N1*, Nuruddin R2 and Qureshi R1
    Non-communicable diseases like diabetes and cardiovascular disease (CVD) are growing at an alarming rate and are emerging public health problems, both in the developed and low middleincome countries (LMIC).
    Case Report
    Diego Jose Rodriguez Torres*, Silvia Lopez-Fernandez, Mario Verdugo Marchese and Montserrat Puga Vilchez
    Abstract:
    Background: Patients with a history of advanced heart failure (HF) and repeated hospitalizations place a heavy financial burden on health systems in western countries. Although multidisciplinary HF management programs are recommended for patients at high risk of hospital readmission, not many studies of their benefits in individual cases have been reported.
    Case Presentation: In this report, we present the case of a 79-year-old man with highly symptomatic advanced stage D heart failure corresponding to NYHA functional Class IV and with frequent re-hospitalizations despite optimized guideline-directed medical therapy and cardiac resynchronization treatment. He joined our heart failure management program for follow-up. The specialized multidisciplinary strategy reduced both the number and duration of his HF re-hospitalizations and improved his quality of life at this so-called end-stage phase of the disease.
    Conclusions: A multidisciplinary approach, including nurse-based interventions, for patients with advanced heart failure included in a heart failure management program is an important tool for improving their quality of life and for reducing costly hospital readmissions.
    Anjali V. Fields, Nehal N. Mehta, Michael B. Simson and David Lin*
    Abstract:
    Introduction: There is a paucity of data regarding the use of implantable cardioverter defibrillators (ICDs) in cases of vasospastic angina associated with ventricular tachycardia (VT). We present a case supporting their use in this clinical scenario.
    Case: A 66 year-old male with recurrent nonexertional chest pain was found to have repetitive bursts of VT on inpatient telemetry monitoring. After an ICD was implanted, the patient experienced further VT, terminated by an ICD shock.
    Conclusion: This case illustrates that ICD therapy may prevent fatal ventricular tachycardia associated with vasospastic angina.
    Short Communication
    Abdul Kader Akanda*, Zulfikar Ali, Lima Asrin Sayami, Reaz Mahmud Huda, Lipi Debnath, Mohammad Anowar Hossain, Abul Alam, Shauket Hossain and Minhazul Mohsin
    Abstract:
    Background: In-hospital outcomes of patients with acute myocardial infarction (AMI) of different ages have been widely reported. However, very limited data on Bangladeshi patients is available regarding this matter. The aim of the current study was to analyze the in-hospital outcomes of patients with AMI of two age groups admitted in a national cardiac hospital of Bangladesh.
    Methods: The patients with AMI admitted from February 2013 to January 2014 in National Institute of Cardiovascular Diseases (NICVD) were enrolled in this observational study. Data on patient's demography, existence of traditional risk factors for cardiovascular diseases (CVD) and baseline clinical parameters were recorded on hospital admission day. For each enrolled patients, the incidences of specified in-hospital outcomes were also recorded throughout the hospital staying period. The patients were categorized in two groups, Group-I (<45 years) and Group-II (≥45 years). The in-hospital outcomes were compared between these two groups.
    Results: A total of 483 patients with AMI were admitted over the study period (413 male and 70 female; M/F ratio – 5.9:1). 118 patients were in Group-I and 365 patients were in Group-II. Between these two age groups, there was no significant difference in patient's demography, existence of risk factors and baseline clinical parameters. However, significantly more patients in Group-II had diabetes compared to Group-I (141 versus 32, p = 0.023). In terms of in-hospital outcome, significantly more patients in Group-II suffered from heart failure, persistent chest pain, cardiogenic shock, atrial fibrillation, ventricular tachyarrytmias and in-hospital mortality compared to Group-I.
    Conclusion: The patients with AMI aged 45 years or more had a significantly greater incidence of diabetes and poorer in-hospital outcome compared to patients younger than 45 years. These data could be useful to adopt early aggressive treatment strategies for the patients with AMI aged 45 years or more.
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