No abstract

The metabolic disorder is depicted as bunches of irregularities, including stomach corpulence, insulin opposition, hypertension, hyperglycaemia, expanded fatty oils, and diminished high-thickness lipoprotein cholesterol. The study was aimed to assess the  Pervasiveness of Metabolic disorder in recently identified sort 2 Diabetes mellitus Among 100 newly detected type 2 DM patients, 44.18% of male and 55.82% of female had metabolic syndrome. The maximum number of patients were in the age of 30-49 years. Most of the patients had a history of DM of 4-6 months (54%). Majority 60 patients (69.76%) and IDF criteria predicting MS in 40(46.51%) patients which is least compared to others. Modified WHO and NCEP ATP III criteria's were predicting MS 55(63.95%), 48(55.81%) respectively. Raised serum TG for men (45.3%) and diminished HDL for ladies (45.3%) were most grounded single indicator successfully showing the presence of MS in recently identified type 2 DM patients. Significant WC was seen in 51.2% of patients, and 46.5% of patients had significant waist/hip ratio. CONCLUSION- Raised serum TG for men and lessened HDL for women were most grounded single pointers, satisfactorily exhibiting the presence of MS in as of late distinguished sort 2 DM patients.

The purpose of the study is to find out presence of LVH by 2D Echo in all cases of hypertension in relation to their duration and severity. In this study it was observed that 59% subjects were males and 41% were females and the mean age of males and females was 64 yrs. Majority of them 36.5% were in the age group of 61-70 yrs, out of them majority of females 48.6% were from age group 71-80 yrs and majority of males 76.5% were from age group of >80 yrs. Study showed that occurrence of LVH by Interventricular septal thickness criteria and Left ventricular posterior wall thickness criteria of 2D Echo in relation to duration of hypertension was statistically not significant. Occurrence of LVH by interventricular septal thickness criteria and Left ventricular posterior wall thickness criteria of 2D Echo in relation to severity of hypertension was statistically not significant.

Introduction: A wide range of traditional and nontraditional cardiovascular risk factors that may promote and foster the development of atherosclerosis have been reported in association with the metabolic syndrome, including atherogenic dyslipidemia, prothrombotic and proinflammatory milieu, and endothelial dysfunction. The present study was conducted to study the cardiovascular risk factors among the cases presented with metabolic syndrome in a tertiary healthcare institute. Material and methods: It was a cross sectional observational study conducted among 100 cases diagnosed with metabolic syndrome attending outpatient department of department of medicine, KIMS. Written consents were taken from the participants. Results: Mean Waist Circumference in cm was 99.62 ± 9.2, Hip Circumference was 106.3 ± 8.67 cm. The W/H ratio was 0.93 ± 0.79. These indices were higher as compared to the controls. 7.5 % cases had peripheral vascular disease, 8.2% cases had coronary artery disease, 4% had nephrotic syndrome, 6% had history of cerebrovascular disease. Conclusions: Evaluation of the parameters in metabolic syndrome can be a simple clinical tool to assess potential risk for development of cardiovascular diseases and hence assessment of prognosis and to establish and prioritize the resources appropriately.

BACKGROUND Accelerated hypertension is defined as a rapid and inappropriate intense elevation of blood pressure with or without a risk of rapid damage to target organs such as the heart. It is a common presentation to the emergency department and appears without history of hypertensive diseases in 23% of cases. The present study was conducted to study the brain imaging in cases admitted with accelerated hypertension to find the incidences of brain parenchymal insult in case of accelerated hypertension in a tertiary healthcare institute. METHODS The observational study was done among patients presenting with hypertensive emergencies admitted under the Department of Medicine, KIMS, Karad, from August 2018 to December 2018. On admission, detailed history was taken, and complete clinical examination was done. It was an observational study. RESULTS Majority of the cases had a haemorrhagic stroke (16.66%), followed by 4.16% cases of transient ischaemic attacks and 4.16% cases of ischaemic stroke. CONCLUSIONS Acute intracerebral haemorrhage was the most common form of end organ damage in present study. The hospital mortality among the patients with hypertensive emergencies were 18.75%.