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Tejas Shah
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Prevalence of Hypertension in Patients with Coronary Artery Diseases with and without Type-II Diabetes Mellitus Mishra Mritunjay; DVSS Ramavataram; Tejas Shah; Trushna Shah
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14342

Abstract

Background: - Hypertension is one of the major public health issue and also have an important area ofresearch. Its high prevalence and being a major risk factor for cardiovascular diseases and other complications.Hypertension accounts for the majority of hypertension in individuals with diabetes, particularly those withType-2 diabetes.Objectives. To study association of hypertension with diabetes and also find out the prevalence ofhypertension in type-II diabetes, CAD patients with or without type-II diabetes mellitus.Materials & Methods: - It is a type of case control study among the rural population of kamothe, whereA total of 120 subjects were included in the study among which 90 were in study subjects and 30 were incontrol groups and among the study subjects (i.e.-90) 30 were in CAD with diabetes, 30 were in CAD and30 in Diabetes mellitus respectively. BMI was calculated by height and weight and BP was recorded. Bloodsugar were measured by enzymatic method on EM-200 analyzerResults:-The mean level of BMI in the group –II that is in the coronary artery disease with diabetes is24.22 ± 1.0, in only coronary artery diseases was 20.65 ± 2.0 and in only diabetes subjects was 24.39±1.0of the study subjects in the comparison of control subjects i.e. 23.17 ± 1.78 and we have also found thestatistical significance (P-0.001) in all the study groups. In the aspects of Blood pressure distribution, wehave distributed it into different stage of hypertension and found that more number of patients from groupIII i.e. only CAD and found 83% diastolic BP in pre hypertension stages and 60% were hypertensive andin only DM, there were 56% SBP and 60% DBP in pre-hypertensive.Conclusion: - Periodic evaluation of patient with pre hypertension and hypertension by applying lifestyle modifications and may favor the good outcome and also prompt the treatment of hypertension andhyperglycemia.
Effect of Iron Deficiency Anemia on HbA1c Levels in Patients of Diabetes Mellitus with Controlled Plasma Glucose Levels Smita N. Vasava; Roshni Sadaria; Tejas Shah
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14916

Abstract

Background: Hemoglobin A1C (HbA1c) is an indicator of patient’s glycemic status over the previous 3months. HbA1C levels increase in presence of Iron deficiency anemia.Aim: To analyze the effect of iron deficiency anemia on HbA1c levels in patients of diabetes mellitus withcontrolled plasma glucose levels.Material and Methods: In the present study, total 50 patient of diabetes mellitus with iron deficiencyanemia with controlled plasma glucose levels were taken as a cases and 50 iron-sufficient non-anemichealthy individuals were taken as a controls. Medical history was taken from all participant and data ofHbA1c, ferritin, FBS, hemoglobin, peripheral smear examination, red cell indices were collected fromlaboratory. Statistical analysis was carried out by student’s t-test, Chi-square test, and Pearson’s coefficientof regression.Results: HbA1C level (6.90 ± 0.81%) were increased in iron-deficient individuals as compared to controls.In females, HbA1C (7.08 ± 0.78%) were more elevated than males. When classified on the basis of FBS,HbA1C was elevated more in subjects having FBS between 100-126 mg/dl (7.31 ± 1.52%) compared to thethose with normal FBS (<100 mg/dl).Conclusion: A positive correlation found between iron deficiency anemia and increased HbA1C levels,especially in the controlled diabetic women and individuals having FBS between 100-126 mg/dl. Therefore,presence of iron deficiency anemia should be checked before altering the treatment regimen of diabetesmellitus patient.
Evaluation of Routine hematological parameter and Red Cell Distribution Width (RDW) in Myocardial Infarction patients admitted at Dhiraj Hospital Mritunjay Kumar Mishra; DVSS Ramavataram; Tejas Shah; Swapan Goswami
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14936

Abstract

Background: - An increased systemic and local inflammation in vascular rupture plays a key role in thepathophysiology mechanism of acute coronary syndrome (ACS). Routine complete blood count (CBC) isone of the most common and conventional blood test that physicians test cycle.Objective: To study the level of routine hematological parameters and red cell distribution width inMyocardial Infarction.Methodology: - A cross sectional type of study carried out in the department of biochemistry, Smt. B.K.Shah Medical Institute & Research center, Sumandeep Vidyapeeth Vadodara Gujarat. A total 100 myocardialinfarction patients with age group of 25-70 of either gender were collected from Dhiraj General Hospital.Pathological parameter were analyzed by BACKMAN COULTER SYSMEX Kx-21N.Results: - In the age wise distribution of MI patients, we found more number in 58 to 68 age group. Themean levels of pathological parameter were observed with in reference range. In the observation of age wisepathological parameter we found that there increases mean levels of leucocyte count and the mean level ofRDW (18.50±1.80) is increased in 58-68 age group.Conclusion: - RDW is one of the predictive biomarkers for diagnosis of myocardial infarction with cardiacmarkers especially cardiac troponin I (cTn-I). Platelet levels can be monitored in MI patients in early phaseto find out the status of clot.
A Study to Assess Awareness Levels and Status of Lipid Parameters in the Subjects with Coronary Artery Disease in Tertiary Care Setup in a Rural Area DVSS Ramavataram; Prasad Snehita; Tejas Shah; Sheetal Chhaya; Mishra Mritunjay
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.15063

Abstract

Background:-. Among the various cardiovascular diseases, Coronary artery disease is one of the majoretiology of mortality and morbidity in the world wide population. It is a prevalence in mainly older adultsand exists in the entire health context. The CAD prevalence was strongly associated with various lipidparameters such as cholesterol and different lipoprotein fraction, which contributed as a major factor for theprogression of CAD. In spite of various therapeutic advances, so for safe and effective management of CAD,there are requirements for consideration of risk/benefits and goals of care.Objective: To determine the current level of knowledge of the symptoms and duration of diseases and alsocomparison of lipid parameters in cases and control.Material and Methods:-The study was a case control observational study conducted in the department ofbiochemistry, SBKSMI& RC. A total of 200 subjects of 100 Coronary artery disease (CAD) and 100 healthycontrol were enrolled to assess lipid parameter and duration of diseases.Result: - There were 82% male and 18% female in case group and CAD caused majorly by the anginawhich was 65% and in the symptom of duration, majority of people aware with their symptoms in less than1 months. In the measurement of dyslipidemia there was significantly higher in atherogenic component i.e.LDL-C and anti atherogenic component i.e. HDL-C was also higher and found significant.Conclusion: - The majority of subjects who were suffering from CAD were males compared to females.Most of the patients from a rural areas so they had a chest pain comparison to heart attack and found highlysignificant with lipid parameters.
Co-Authors DVSS Ramavataram Mishra Mritunjay Mritunjay Kumar Mishra Prasad Snehita Roshni Sadaria Sheetal Chhaya Smita N. Vasava Swapan Goswami Trushna Shah