Objective: To compare the heart score with emergency department assessment of chest pain score (EDACS) in prediction of MACE (Major Adverse Cardiac Events) among patients presenting with undifferentiated chest pain in north Indian setting. Methods: This study was conducted in the Department of Medicine, Prasad Institute of Medical Sciences. Lucknow. The study was approved by the Ethical Committee of the Institute. The consent was taken from each participant before including in the study. All patients presenting to Emergency department with undifferentiated chest pain were included in the study. A total of 118 patients were included in the study. Results: About one third of patients were below 50 years of age (35.6%) followed by 61-70 (34.7%) and 50-60 (29.7%) years. The mean age of patients was 58.33±12.86 years. Majority of patients were males (71.2%). The incidence of MACE was 53.4%. Both HEART and EDACS score were significantly (p<0.01) higher among patients whom MACE was present than absent. HEART score>5 correctly predicted 39% MACE cases with sensitivity and specificity of 73% and 49.1% respectively. However, EDACS score>16 correctly predicted 40.7% MACE cases with sensitivity and specificity of 76.2% and 54.5% respectively. Conclusion: This study shows that HEART and EDACS scores have good sensitivity in predicting MACE at the emergency department. The HEART and EDACS scores for chest pain patients at the emergency department provides the clinician with a quick and reliable predictor of outcome shortly after arrival of the patient, without computer-required calculating. In patients with high HEART scores (7-10) the high risk of MACE may indicate more aggressive policies.

Introduction: Epilepsy describes a condition in which a person has unprovoked, recurrent seizures due to a chronic, underlying process. Several studies have estimated the prevalence of epilepsy ranging from 5-30 persons per 1000 population. Most of the patients suffering from epilepsy have good control on seizures with the use of antiepileptic medications, however most of the patients with intractable epilepsy have seizures that are focal and can be potentially treated. Objectives of our study: The objective of our study to find out the role of MRI in evaluating the aetiologies of seizures in subjects with seizure disorder. Methodology: We included a total of 150 subjects after taking voluntary consent from the study subjects based on inclusion and exclusion criteria. A detailed proforma was recorded which included subject’s socio demographic data, medical history, personal history, past-history, family history and general physical examination, blood pressure measurement, systemic examination etc. The points noted were duration of illness, type of seizures, and any associated illness. Detailed clinical and neurological examination were done to find out any neurological deficit. Based on the history and examination, a clinic etiological diagnosis was made. Follow up of subjects were done until the completion of treatment (maximum 6 months).