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CLINICAL CHARACTERISTICS AND OUTCOMES OF ACUTE CORONARY SYNDROMES IN A GROUP OF IRAQI PATIENTS

Author: Moayed B. Hamid مؤيد بشير حامد
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2016 Volume: 14 Issue: 4 Pages: 304-311
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Coronary artery disease (CAD) is one of the most common diseases in the world. Acute coronary syndromes (ACS) represent the acute life-threatening phase of CAD. Epidemiology and management of ACS patients differ a lot between countries and there is a wide gap between guidelines and clinical practice. Objective:To assess contemporary data on clinical characteristics and outcomes of patients with ACS in the Medical City Complex and to evaluate adherence to the guidelines’ recommended treatment.Methods:This is a descriptive study registry, started on January 2014 to June 2014, and involved 348 patients with ACS in the Medical City Complex.Results:The mean age of this study's population was (60.3±11.2 years), ranging between 29 to 90 years old. Most of patients were males (61%). Only 233 (67%) patients have typical angina. Symptom onset-to-admission time was delayed (≥ 12 hours) in 65% of patients. The final diagnosis was: ST elevation myocardial infarction (STEMI) in 126 (36.2%), non ST elevation myocardial infarction (NSTEMI) in 40 (11.4%), and unstable angina (UA) in 182 (52.3%) of patients. Electrocardiography was normal in 29% of patients with UA and 10% of patients with NSTEMI. Anterior territory was the most common location of ischemia (77%). Hypertension (47.9%) was the most significant risk factor followed by diabetes mellitus (41.6%) and smoking (31.8%). Reperfusion therapy for patients with STEMI was applied in 73(57%) patients: 56 (44.4%) by thrombolytic therapy, 24 (19%) by percutaneous coronary intervention (PCI) and 3 (2.3%) by emergency CABG. Overall in-hospital mortality was 7.7% (15%, 7.5% and 2.7% for STEMI, NSTEMI, and UA respectively).Conclusion:There is lack of awareness of ischemic symptoms among our patients. There is high incidence of risk factors that can be modified by primary and secondary measures. There is underutilization of invasive management. We have a high mortality rates in patients with ACS.Keywords:Acute coronary syndromes, registry, in-hospital outcome


Article
8.PREVALENCE OF PREDIABETES AMONG ADULTS IN BAGHDAD/IRAQ

Authors: Methaq H. Alogaily ميثاق --- Atheer J. Alsaffar اثير جواد الصفار --- Moayed B. Hamid مؤيد بشير حامد
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2019 Volume: 17 Issue: 3-4 Pages: 215-222
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:In prediabetes, neither individuals having diabetic range nor normal glycemic parameters in terms of fasting plasma glucose, impaired glucose tolerance or glycated hemoglobin. Two-thirds of those with prediabetes will ends eventually with type 2 diabetes. Early detection with the proper intervention will halt or reverse this progression. Data about prediabetes prevalence in Iraq are scarce.Objective:To estimate the prevalence of prediabetes among adults in Baghdad/Iraq and to identify socio-demographic and associated risk factors among the studied population and to evaluate glycated hemoglobin in the detection of prediabetes.Methods:This cross-sectional study enrolled adults (20-79 years) attending primary health care centers in Baghdad/Iraq for one year, those with known diabetes or on anti-diabetic drugs, pregnant women and those with other medical conditions that interfere with glycated hemoglobin level were excluded from the study. Data collected through direct interview. Anthropometric measurements and laboratory analysis after overnight fast were done to measure fasting plasma glucose, glycated hemoglobin and lipid profile.Results:Prediabetes prevalence was 20.6%. Prevalence was higher in older people (40-60 years) and individuals with overweight, obesity, and dyslipidemia, the agreement between fasting plasma glucose and glycated hemoglobin was very good.Conclusion:Prevalence of prediabetes in Iraq is higher than estimated and share the same risk factors to those with type 2 diabetes. Glycated hemoglobin compared to fasting plasma glucose, is a reliable test to screen for prediabetes in Iraq.Keywords:Prediabetes; intermediate hyperglycemia; glycated hemoglobin; IraqCitation:Alogaily MH, Alsaffar AJ, Hamid MB. Prevalence of prediabetes among adults in Baghdad/Iraq. Iraqi JMS. 2019; 17(3&4): 215-222. doi: 10.22578/IJMS.17.3&4.8

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