Objective -To assess the clinical, electrocardiographic, and electrophysiologic characteristics of patients (pt) with intra-His bundle block undergoing an electrophysiologic study (EPS). Methods -

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Objective: to determine the frequency of traditional risk factors (TRFs) for cardiovascular diseases (CVD) in patients with systemic sclerosis (SS) and to analyze their relationship to the clinical manifestations of SS, as well as to structural changes, as evidenced by echocardiography (EchoCG).Subjects and methods. The investigation enrolled 125 patients with SS and 50 sex- and age-matched, apparently healthy individuals included in a control group. Standard electrocardiography was performed in all and EchoCG – in 121 patients. The Systematic Coronary Risk Evaluation (SCORE) scale was used to assess the risk of fatal CVD in 100 patients with SS and in 47 control individuals within 10 years.Results and discussion. The frequency of TFRs in patients with SS was not significantly different from that in the control group, except for the occurrence of hypercholesterolemia and increased body mass index (BMI). In SS, BMI >25 kg/m2 was observed significantly more often and the frequency of hypercholesterolemia was lower than in the controls (p <0.018). Hypertension and diabetes mellitus were slightly more frequently encountered in SS patients than in the controls, but this difference was insignificant. Taking into account the Russian Society of Cardiology (RSC) guidelines, the cardiovascular risk (CVR) was assessed with the SCORE scale. A very high CVR was much more common in SS and a moderate CVR was much more frequently seen in the control group. There were no substantial differences in the frequency of low and high CVRs. SS is characterized by the increased frequency of high total CVD risk as compared to the controls. Hypertension, overweight, and over 50 years of age were associated with more obvious structural heart disease.Conclusion. TRFs make a substantial contribution to the formation of a high CVR in patients with SS, promoting the development of atherosclerosis and its complications. Assessment of TGFs in SS patients will facilitate identifying patients at high risk for cardiovascular death and timely prescribing therapy. Hypertension is an important TGF that in SS is associated with considerable structural changes in the heart; therefore adequate blood pressure control is of importance in improving SS prognosis especially in patients older than 50 years.

Aim The effects of stoma surgery are multiple, and patient’s quality of life is affected in many ways. Stoma is increasingly used as surgical technique in Sudan, however; studies assessing its effects are lacking. Method a descriptive cross-sectional study was conducted in 3 hospitals in Khartoum state. Patients were interviewed using structure questionnaire Results 65.9% (27) of the patients were males, the mean age was 44.36 (±14.3) and 36.6% had primary school education. 43.9% were unemployed. Mean duration of stoma was 10.67(±10.5) months, and it was temporal in 61% (25). Colorectal cancer was the most indication for the stoma. 70.7% (29) were married, 34.3% (12) reported change in their work after surgery and 68% (17) said it was due to the stoma surgery. Of those who were sexually active, 45.2% (14) didn’t resume their sexual life after it, and most of those who returned report it not to be satisfactory. The entire social and most of the religious practices were found to be statistically different before and after surgery. The mean score for the psychological quality of life was 58.47 (±13.32) out of 80. Conclusions Although stoma patients generally have poor quality of life, they struggle in sexual, social, work, and religious aspects. Patients have good psychological quality of life. Efforts to improve the quality of life and incorporation into the community are needed