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kakar, Kaleemullah
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Frequency of Lumbar Spinal Stenosis in symptomatic patients of age ≥ 50 years diagnosed on Magnetic Resonance Imaging (MRI) Zarak, Muhammad Samsoor; kakar, Kaleemullah; Khan, Alamzeb; Tareen, Bisma; Khan, Rozi; Ullah, Asad
Journal of Medical Biomedical and Applied Sciences Vol 6 No 8 (2018)
Publisher : Journal of Medical Biomedical and Applied Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.191 KB) | DOI: 10.15520/jmbas.v6i8.144

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Introduction: Lower Back pain with radiation to the lower extremities is a frequent complaint, especially in elderlypeople, and lumbar spinal stenosis (LSS) is one of the underlying conditions. Computed Tomography (CT) orMagnetic Resonance Imaging(MRI) can verify a stenosis in the lumbar spinal region. The incidence and prevalenceof symptomatic lumbar stenosis are rather speculative with no pertinent data. This study is designed to know the bestestimate of LSS in symptomatic patients to help in resource allocation and to make strategies to cut down the morbidity.Subject and Methods: A cross sectional study was done at Neurology and Medicine Department, Bolan MedicalCollege, Quetta. Total duration was from 01/01/2018 to 30/06/2018. A total of 169 symptomatic patients were includedin this study. A detailed history was taken for the duration of symptoms, and MRI was advised. Patients fulfilling thecriteria of lumbar spinal stenosis on MRI reported by the consultant radiologist and having symptoms for more than 3months, were marked as having lumbar spinal stenosis.Results: - The average age of the patients was 63.01 8.39 years Out of 169 cases, 102(60.03%) were male and67(39.64%) female. Frequency of spinal stenosis diagnosed on imaging in symptomatic patients was observed in37.27% (63/169) cases.Conclusion: The results of this study provide significant statistics for doctors that can help in promoting awarenessabout spinal stenosis. In future it might also help to reduce its incidence by designing local protocols and strategiesfor overcoming a problem of such a magnitude which may ultimately help in locating proper funds and proper timeallocation to deal with this disease entity.
Accuracy of 12 Lead ECG For Diagnosis of Posterior Myocardial Infarction Taking 15 Lead ECG As Gold Standard Panezai, Sikander Azeem; Azim, Waqar; Kakar, Kaleemullah; khan, Alamzeb; Tareen, Sehrish Ghani; Tareen, Zarghoona
Journal of Medical Biomedical and Applied Sciences Vol 6 No 9 (2018)
Publisher : Journal of Medical Biomedical and Applied Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.673 KB) | DOI: 10.15520/jmbas.v6i9.149

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INTRODUCTIONThe acute management of ST-elevation myocardial infarction (STEMI) is based on interpretation of the ECG. Thisis typically undertaken by doctors in the emergency department (ED) and acute medical unit. Increasingly, the ECGdiagnosis is being made by paramedics, allowing them to pre-alert the ED or even initiate thrombolytic therapy inregions where primary angioplasty is unavailable. Identification of ST-segment elevation or presumed new left-bundlebranch block in combination with a history of cardiac chest pain results in prompt initiation of reperfusion therapy.SUBJECT AND METHODA cross sectional study was done at Cardiology Department, Bolan Medical College, Quetta. Total duration was from01/02/2018-30/07/2018. 196 patients were recruited from Out Patient Department and Emergency Department of BolanMedical Complex, Quetta on the basis of inclusion/exclusion criteria, that is all patient with chest pain and age >18 and< 70 with posterior MI as per operational definition presenting within 12 hours of symptoms were included and allpatients with underlying LBBB on ECG, PPM and paced rhythm on ECG and pericardial effusion were excluded asthey are effect modifiers and bring bias in study.RESULTSTotal 196 patients were included in the study according to the inclusion criteria of the study. Mean age (years) in thestudy was 40.28+14.38 whereas there were 123 (62.8) male and 73 (37.2) female patients in the study. The diagnosticaccuracy, sensitivity, specificity, PPV and NPV of 12 lead ECG for diagnosis of posterior myocardial infarction taking 15lead ECG as gold standard was 82.14%, 87.12%, 57.58%, 91.03% and 47.50% respectively.CONCLUSIONThe study concludes that diagnostic accuracy of 12 lead ECG for diagnoses of posterior wall myocardial infarction washigh. The high sensitivity identified more patients to be re vascularized early.
Co-Authors Azim, Waqar Khan, Alamzeb Khan, Rozi Panezai, Sikander Azeem Tareen, Bisma Tareen, Sehrish Ghani Tareen, Zarghoona Ullah, Asad Zarak, Muhammad Samsoor