Print ISSN: 2790-0207

Online ISSN: 2790-0215

Author : Jabbar, Assad Mubarak

Prevalence, Awareness and Control of Hypertension among Patients Attending Azadi Teaching Hospital in Kirkuk

Sabah Hashim Fathullah; Bilal Jamal Kamal; Assad Mubarak Jabbar

Kirkuk Journal of Medical Sciences, 2019, Volume 7, Issue 1, Pages 103-108
DOI: 10.32894/kjms.2021.169395

ackground: Hypertension is a major health abnormality affecting around (20%) of the adult populations in more country. Mortality from vascular events like stroke and ischemic heart disease double with increases in the systolic blood pressure or increases in diastolic blood pressure. Diagnosis of hypertension and control of blood pressure are highly important for decreasing the risk of cardiac attacks and vascular events like strokes. We studied the prevalence, awareness, and control of hypertension in attendance of medical consultation room in Azadi Teaching Hospital in the period from 2013-2015. Objective: To determine: (1). Prevalence, awareness and control of hypertension in adult population attended Azadi Teaching Hospital in Kirkuk. (2). The proportions of treated patients, controlled, and uncontrolled HTN. Patient and methods: Across-sectional point prevalence study. A total of 2351 unselected medical consultation clinic attendance; Blood pressure information on 2351 individuals (in 2013- Prevalence of hypertension based on clinical diagnosis, self- diagnosis, and (BP) measurements. Results: A total of (41%) of all patients were diagnosed as having hypertension (BP nine percent of hypertensive patients were on antihypertensive medications, (21%) of which awareness, treatment, and control rates of hypertention have increased significantly .01). Conclusions: Prevalence of HTN is high in Kirkuk population. The proportions of attendance who received medications remained low, and BP control was bad among HTN patients. These findings indicate that increase in improvement of management and controlling of HTN among our population seriously needed.

The Effectiveness of Adenosine in Treating the Acute Attacks of Supra-ventricular Tachycardia

Assad Mubarak Jabbar

Kirkuk Journal of Medical Sciences, 2017, Volume 5, Issue 1, Pages 7-17
DOI: 10.32894/kjms.2021.169438

Background: Adenosine is a natural adenine nucleoside available endogenously that decreases heart beat by blocking atrioventricular (AV) node transiently so that extend the duration of conduction in (AV) node when injected intravenously. It has a curative value in the conversion of majority of supraventricular tachycardia (SVT) to sinus rhythm. In order to evaluate the adenosine in the management of arrhythmias we conduct this study. Objective: This study was conducted to evaluate the safety and efficacy of intravenous adenosine therapy for treatment of (SVT), to determine the optimal adenosine dose effective in (SVT), and to determine the underlying conditions affecting the effective dose. And to evaluate the effectiveness of vagal maneuvers in terminating of spontaneous SVT patients and methods: A cross-sectional study conducts in a group consist of 69 patients ranged from 23-70 years old admitted to the Coronary care unit in Azadi Teaching Hospital ,in Kirkuk city, from July 2014 to June 2016. The diagnosis of (SVT) was made by present of tachycardia which is of narrow complex with a heart beat rate greater than 140 beats/ min by 12 leads chest electrocardiography (ECG). In patients who are hemodynamically stable, vagal maneuvers were carried out initially in the form of carotid sinus massage, gag reflex and Valsalva maneuver, if this failed intravenous administration of adenosine as recommended doses were preformed. If three doses of adenosine boluses were unsuccessful to convert the arrhythmia, patients were managed with other available antiarrythmias or managed with direct electrical cardio version (DC). In unstable patients were managed with (DC). Results: Of 69 included patients, diagnosed as (SVT), M: F ratio was 1:2.1. Their age ranged from 23 years to 70 years with mean age of 57 years. Vagal maneuvers (VM) resulted in restoration of sinus rhythm (SR) in 8patients (7.6%). Out of 57 episodes of (SVT), Adenosine was effective in reverting 51 episodes of SVT to sinus rhythm (89.5%). Of those converted, 18 required a single dose (6mg) (31.6%), fifteen required one additional (12mg) dose (26.3%), and another 18 required two additional doses (81mg) (31.6%).four patients were hemo-dynamically unstable (systolic blood pressure <90 mm Hg) which required (DC). Six patients (10.5%) not responding to full adenosine dose(81mg), started treatment with other medication, 1 with verapamil, 4 with amiodarone, and1 with digoxin. All of them were successfully treated. Conclusions: Adenosine is an effective medicine in treating (SVT) in those patients in whom vagal maneuvers has unsuccessful. It demonstrates a high rate of success in terminating acute attack of SVT. A higher dose may be required in majority of patients specially