Introduction and Research Problem: The resemblance between the presentations of acute myocarditis and myocardial infarction poses a great challenge regarding diagnosis and management. Materials and Methods: This study describes the case of a young man aged 25 who had acute retrosternal pain, elevated cardiac markers and electrocardiographic ST T changes. The patient is 15 pack-year smoker and has positive history of coronary artery disease of his father and his eldest brother. The patient underwent coronary angiography, which revealed normal coronary arteries. Summary of Results: The diagnosis of myopericarditis was made on consideration of his fever, sore throat and body ache for 5 days prior to chest pain, elevated cardiac markers, electrocardiographic ST T changes but only after the exclusion of acute coronary syndrome by a normal coronary angiogram. Conclusion and Recommendations: Myopericarditis can present with a wide variety of findings. Some of those findings are also characteristic of acute coronary syndrome. This might make the diagnosis confusing. However, even if the patient is young and the presentation is consistent with myopericarditis, still it is important to exclude the diagnosis of acute coronary syndrome by performing a coronary angiogram before settling on the diagnosis of myopericarditis.
Feb. 26, 2021
Role of Vascular Ultrasonography in COVID-19-- Review Article
Corona virus pandemic has certainly become one of the most challenging diseases ever to come to light in the history of humankind affecting from individual level to national level worldwide affecting every aspect of life. To decrease the mortality rate in coronavirus patients, the most significant role is played by early interventions when the virus is in its initial stages. To achieve this, various imaging techniques are employed out of which vascular ultrasonography is one of the most important ones. Although a little light has been shed so far on the mechanisms regarding the coagulopathies caused by Corona virus, it is without a doubt one of the hottest topics in the scientific community these days. The virus enters the body by interacting with angiotensin converting enzyme receptors which are present in different areas of the body like lungs, heart, arteries, and kidneys. The virus Interacts with endothelial cells becoming a cause for their activation and consequently initiating the coagulation system. Arterial thrombosis, deep venous thrombosis, acute respiratory distress syndrome, sepsis-induced coagulopathy, etc. are the complications caused by the virus and are the reason for mortality in severe cases of coronavirus. Vascular ultrasonography enables us to stop the virus in its tracks long before it can become fatal, ultimately helping us in decreasing the mortality rate significantly.
Original Research Article
Feb. 27, 2021
Association of Arterial Hypertension with Acute Myocardial Infarction among Iraqi Patients
Shwan O. Amen, Banan Q. Rasool, Soza Th. Baban
Page Numbers : 39-44
DOI : 10.36348/sjm.2021.v06i02.003
Background: Acute Myocardial Infarction (AMI) is the most prevalent serious cause of morbidity and loss of quality of life worldwide despite current advances in primary preventive and state-of-the art interventional strategies for effective AMI treatment. Hypertension is the major contributor to atherosclerosis and which in turn leads to progression of AMI. Little is known about the prevalence of hypertension in AMI patients among Iraqi population. Objectives: The aim of this study was to assess the prevalence of Hypertension in AMI patients in relation to age and gender in Iraqi population. Methods: This study focused on 74 consecutive Iraqi patients diagnosed with AMI aged 22-85 years. Results: Findings of this study showed that hypertension was present in 74.3% of AMI patients. The prevalence of hypertension was significantly higher in females (46.7%) as compared to male patients (20.5%) at age group of 50-59 years. Furthermore, results showed that 37 hypertensive AMI patients (67.3%) had high-normal arterial hypertension, followed by 11 (20%) as isolated systolic arterial hypertension, 4 (7.3%) as Grade-1 arterial hypertension, 2 (3.6%) as Grade-2 arterial hypertension, and 1 (1.8%) as Grade-3 arterial hypertension level. Conclusions: These findings confirm that hypertension varied in age and gender in AMI patients among Iraqi Population. Hypertension was significantly more prevalent in older female patients with AMI when compared to male patients. The High normal of hypertension was the most prevalent type among AMI patients.
Feb. 27, 2021
Muhammad Ali Sadpara an Anonymous Prince of the Mountains
Anwar Ali, Munir Ahmed, Ahmed Bostani
Page Numbers : 45-46
DOI : 10.36348/sjm.2021.v06i02.004
Mountaineering is a field that is easy to see but very difficult, those who adopt this field are well aware that one day they may not be able to see the next day’s sun. It is also very attractive in the background of how dangerous it looks. The beauty of the mountain valleys can only be appreciated by one who has seen it up close and Muhammad Ali Sadpara was one of those lucky people. He was the prince of the mountains who hoisted the flag of his nation on the highest peaks of the world. He climbed eight of 14 Eight-thousanders. His first climb was Gasherbrum II in Karakoram. In this review we tried to explore the life of a mountaineer who sacrificed his life just for the sake of his nation and country. We highlighted his achievements for Pakistan. February 4th 2021 he set out for the top of the K2 Mountain with two of his team members and got lost somewhere in the valley of the hill. A rescue mission with two army helicopters was organized but no trace of them has been found. We will not consider him past because he will live in our hearts forever and ever.
Original Research Article
Feb. 28, 2021
A Semi-systematic Review of Patient Journey for Chronic Pain in Saudi Arabia to Improve Patient Care
Sami M Bahlas, Ziad El Chami, Ashraf A Amir, Said Khader, Mahmoud Bakir, Shams Arifeen
Page Numbers : 47-56
DOI : 10.36348/sjm.2021.v06i02.005
This semi-systematic review aimed to quantitatively map and identify data gaps in patient journey touchpoints for chronic low back pain (CLBP) and osteoarthritis (OA) in Saudi Arabia. An evidence mapping approach was used to quantify the prevalence and distribution of different touch points including awareness, screening, diagnosis, treatment, adherence and control across CLBP and OA patient journeys. A systematic search of databases MEDLINE, Embase and BIOSIS was conducted using predefined inclusion criteria to identify relevant studies published in English between 01 January 2010 and 11 December 2019. A substantive unstructured literature search was also conducted on public or government websites with no date restriction. To address data gaps, anecdotal data were also considered for inclusion. Data combined from all sources was synthesized and presented as simple or weighted mean. Of the 47 records identified, five studies met the inclusion criteria. The overall prevalence of CLBP from three studies was estimated at 8%. The prevalence of OA as per anecdotal data was 30%. Awareness of OA, based on two published studies and anecdotal evidence was 48%. According to anecdotal evidence, screening and diagnosis of OA was 50% and 60%, respectively. The majority of patients with OA (80%) were treated, with higher adherence (90%), of which 60% of patients showed symptoms control. The study findings highlight the need for more evidence-based research related to common patient journey touchpoints, which in turn may aid in efficient resource utilization, innovative pain services and collaborative practices to improve patient outcomes at national level.