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Obesity:
Weight :---------Kg Height:-----------cm BMI:-------------
Diet: Low Fat Diet / High Fat Diet
Physical Activity
Mild 100-20 Cal/hr, Moderate 200-350Cal/hr , Vigorous: 400-900cal/hr
Drug History:
Thiazide Diuretics
Corticosteroids
Contraceptive pills
Others
Alcohol Intake: Yes/No
Hypothyroidism: Yes/No
CRF: Yes/No
Hypertension: mm of hg Treatment: Regular/Irregular BP:Cont/Uncont
Diabetes: Yes/No Treatment: Regular/Irregular BSL: Cont/Uncont
Smoking: Yes/No
Lipid Profile: Triglyc T.Chol HDL LDL mg/dl
Family History: Hypertension Y/N
Hypercholestrolemia Y/N
Diabetes Y/N
IHD Y/N
Stroke Y/N
Sudden Cardiac death Y/N
Diagnostic Criteria:
• History, Symptoms and Sings: Typical history of retrosternal chest pain radiating to arm shoulder jaw or neck, associated with sweating or vomiting. Pain occurs at rest or during exertion. History of all risk factors for IHD. All patients were examined to asses the presence of signs of Ischemic heart disease as transient MR, hypotension, diaphoresis, pulmonary edema or basal crepts.
• A twelve lead ECG was recorded in each patient with three channel ECG machine or single channel ECG machines (N.K.Cardiofax Gem FQW HO-2-140, NKE-A730 and AutoCardiner FCP-2155.) ECG was interpreted within 10 min of admission of each patient in supine position with a paper speed of 25mm/sec and 10mm/mv standardization. ECG was repeated at least once a day during admission.
Abnormal ST segment elevation defined as >/ o.2mv, 10msec after the J point, using PR segment as reference point , in 2 or more contiguous leads , in absence of LBBB or ventricular rhythm, ST segment depression was defined as > 0.05 mv, below the isoelectric base line, measured at the J-point and abnormal Q-wave as >0.03 sec in duration with Q/R ration > 1/3rd in > 2 contiguous leads. T wave inversion was defined as T Symmetrical T wave inversion in contiguous group leads (>/=0.2mv).
• Cardiac Troponin T: was done on every patient of our study to rule out Non STSEMI. It was done by Cardiac Reader (Boehringer Mannheimgmbh). It was performed after 10 hrs of history of chest pain. Cardiac Troponins (cTn1 and cTnT) have a number of attractive features and have established acceptance as the biochemical markers of choice in the evaluation and diagnosis of patients of ACS. 25 In patients with UA/NSTEMI these markers provide both diagnostic as well as the prognostic information as there is a quantitative relationship between the magnitude of elevation of marker levels and the risk of an adverse outcome. 26
DATA ANALYSIS
Aggregate measure of central tendency was calculated as below: -
MEAN VALUE; Mean = sum of all the observation values ÷ number of observations
MEDIAN VALUE; Median = the middle value of a set of data.
MINIMUM VALUE; The minimum value in an observed data.
MAXIMUM VALUE; The maximum value in an observed data.
Literature Review
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