Prevalence and Pattern of Cardiac Emergencies in a Tertiary Care Hospital of Bangladesh

Authors

  • Sheikh Mahmood Hasan Intern Doctor, DMCH.
  • HI Lutfur Rahman Khan Head of Department of Cardiology, DMCH
  • Abdul Wadud Chowdhury Associate Professor, Department of Cardiology, DMCH
  • KMN Sabah Assistant Professor, Department of Cardiology, DMCH
  • Md Rezaul Ekram Assistant Registrar, Department of Cardiology, DMCH

DOI:

https://doi.org/10.3329/bccj.v1i1.14361

Keywords:

cardiac emergencies, Bangladesh, tertiary care hospital, coronary care unit

Abstract

Objective: Worldwide cardiac cases constitute a large portion of the medical emergencies. There is a paucity of data on the prevalence of cardiac emergencies in Bangladesh. The purpose of this study was to identify the pattern of presentation of cardiac emergencies in a tertiary care hospital in Bangladesh.

Methods and Materials: A hospital based cross sectional study was carried out at a medical college hospital in Dhaka city. Hospital medical records of 2457 patients admitted in the Coronary Care Unit (CCU) between 1 July 2011 to 30 June 2012 were reviewed. Relevant socio demographic data were abstracted from the hospital record files.

Result: About 4.5% of the total emergency hospital admission was on the CCU. The mean age of the admitted pateints was 55.5 (SD 9.56) years. Males were affected twice as females. Majority of the patients presented with Acute Myocardial Infarction (AMI) (42%), followed by Acute Left Ventricular Failure (19%) and Unstable Angina (16%). Small portion of the patients admitted with Cardiogenic Shock, Valvular heart Disease, Congestive Cardiac Failure and Variable Block. Hypertension (26%) and Diabetes Melitus (15%) was the two most common co-existing pathologies, along with Stroke, Respiratory Disease and Renal Disease. 13.5% patients died during their hospital stay.

Conclusion: MI as the principal cause of cardiac emergencies is in coherence with other studies done abroad. High prevalence of Hypertention and Ischemic Heart Disease points to the dietery and lifestyle pattern of the people. Improvement of emergency care along with lifestyle modification is essential to minimize the burden of cardiac emergencies in Bangladesh.

DOI: http://dx.doi.org/10.3329/bccj.v1i1.14361

Bangladesh Crit Care J March 2013; 1: 23-26

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Published

2013-03-30

How to Cite

Hasan, S. M., Khan, H. L. R., Chowdhury, A. W., Sabah, K., & Ekram, M. R. (2013). Prevalence and Pattern of Cardiac Emergencies in a Tertiary Care Hospital of Bangladesh. Bangladesh Critical Care Journal, 1(1), 23–26. https://doi.org/10.3329/bccj.v1i1.14361

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Section

Original Articles