ATN probably resulted from chronic PEG exposure via massive doses of lorazepam injection, possibly enhanced by concurrent administration of vancomycin.

Background: Several studies have reported the correlation between socio-economic status (SES) and incidence of acute coronary syndrome (ACS). However, none of these studies have included data on Bangladesh. Hence, we aimed to find out the SES among the patients with ACS admitted in a district-level general hospital of Bangladesh.Methods: All the patients with a diagnosis of ACS admitted from March 2016 to February 2017 in the Cardiology department of 250-bedded General Hospital (Abdul Malek Ukil Medical College & Hospital), Noakhali were enrolled in this study. Data on demography, risk factors and SES parameters of the patients was screened and recorded with the help of a pre-defined questionnaire. Socioeconomic profile of the patients was defined according to modified Kuppuswamy SES scale.Results: A total of 366 patients were included (mean age 56.6 ± 11.5 years, 261 male and 105 female). Most of the patients had multiple risk factors like smoking, hypertension, diabetes, dyslipidemia and family history of cardiovascular disease. 80.1% (n=293) of the studied patients were from lower socio-economic class followed by 18.3% (n=67) from middle class and only 1.6% (n=6) were from upper class.Conclusion: This study found that most of the patients admitted due to ACS in a district-level general hospital of Bangladesh are from lower socio-economic class. These findings could be useful to draw the attention of health authorities towards people of lower socio-economic class and to adopt preventive strategies for them against ACS.Cardiovasc. j. 2017; 10(1): 17-20

observed a transient increase in UAE during AMI attributed to a systemic increase in vascular permeability as part of the early acute inflammatory process accompanying AMI. 5 Other studies confirmed the sharp increase of albumin excretion during AMI. 6,7 UAE is also found to be associated with increased risk for short-term inhospital mortality in patients with AMI. 7 Original Article Correlation between Urinary Albumin to

Background: Lipid disorder is a major risk factor for the progression of atherosclerosis. With increasing urbanization and socioeconomic improvement, changing population dynamics is expected to influence disease pattern with rising trends of non communicable diseases. Thus there is a need to screen healthy adults for their lipid pattern with high population dynamics in Bangladesh. Present study was aimed to find out the distribution of lipid profile in adult population of Bangladesh.Methods: A cross-sectional study was carried out among adults age over 18 years residing in an urban and a rural community. A total of seven hundred sixty eight (768) participants were screened. Data included socioeconomic information, behavioural risk factors, anthropometric measurement and biochemical measurement using a pretested questionnaire.Results: Between the urban and rural participants, the mean total cholesterol level was 175.2±37.5 vs. 149.6±23.8 mg/dl, mean triglyceride was 132.5±35.3 vs. 154.7±34 mg/dl and mean low density lipoprotein was 104.0±34.6 vs.79.7±25.5 (mg/dl), respectively (p-value <0.05). There was an increase in total cholesterol with increasing age (OR = 4.53, 95% CI = 3.55-9.52) and economic status between the areas (p<0.05, OR = 1.88, 95% CI = 0.89-2.37). Total cholesterol was found to be high among urban participants and triglyceride level was found to be high among rural population (p<0.05). Factors significantly associated with dyslipidemia were blood pressure, fasting blood sugar and food habits (p<0.05).Conclusion: The result will be used for lifestyle intervention program to maintain the normal level of lipid profile and to achieve primary prevention of coronary artery disease and associated non communicable diseases in the entire population.Cardiovasc. j. 2016; 8(2): 128-134