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ZENODO
Article . 2023
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
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A Study of Cardiac Dysfunction and its Association with Outcome in Acute Pancreatitis

Authors: Mohan Lal Gurjar; Rajmani; Sourabh Soni; Amit Kant; Anil Samaria; Anil Kumar; Deepak Dewat;

A Study of Cardiac Dysfunction and its Association with Outcome in Acute Pancreatitis

Abstract

Background: Pancreatitis by itself is a disease, which is unique, protean and extrudes into the diagnostic arena. Acute pancreatitis (AP) is an acute inflammatory process of the pancreas with variable involvement Cardiovascular and pulmonary system. Methods: The study was conduct in the Department of medicine J.L.N. Medical College & Hospitals, Ajmer. After taking informed consent eligible acute pancreatitis patients were enrolled according to the inclusion and exclusion criteria. Result: In our study, maximum patients (96.00%) were male and (80%) were from 31-50 years of age group. Patients with CTSI ≥7 (severe pancreatitis) had significantly higher CRP score of 125.29±6.84 mg/dl. positive S. CRP Value were present with sensitivity 100% and specificity 16.13%. The mean CKMB was found to be 33.52 ± 19.51 IU/L. and in Patients with CTSI ≥7 (severe pancreatitis) was 52.57±26.97 IU/l. In case of severe pancreatitis positive CKMB value were present with sensitivity 85.71% and specificity 51.61%. Abnormal ECG changes were seen in 42% patients (42/100), all patients had Sinus tachycardia. Abnormal ECG finding were present with sensitivity 100% and specificity 62.37%. 20% of the studied patients, were found to be having abnormalities in 2D echo and mostly have diastolic dysfunction. Conclusion: In our study association of high S. CRP and S. CKMB levels with severe Pancreatitis had high sensitivity. Association of 2D ECHO abnormalities with severe pancreatitis was highly specific. Association of ECG changes with Severe pancreatitis had 100% sensitivity. Most common ECG abnormalities was sinus tachycardia.

Background: Pancreatitis by itself is a disease, which is unique, protean and extrudes into the diagnostic arena. Acute pancreatitis (AP) is an acute inflammatory process of the pancreas with variable involvement Cardiovascular and pulmonary system. Methods: The study was conduct in the Department of medicine J.L.N. Medical College & Hospitals, Ajmer. After taking informed consent eligible acute pancreatitis patients were enrolled according to the inclusion and exclusion criteria. Result: In our study, maximum patients (96.00%) were male and (80%) were from 31-50 years of age group. Patients with CTSI ≥7 (severe pancreatitis) had significantly higher CRP score of 125.29±6.84 mg/dl. positive S. CRP Value were present with sensitivity 100% and specificity 16.13%. The mean CKMB was found to be 33.52 ± 19.51 IU/L. and in Patients with CTSI ≥7 (severe pancreatitis) was 52.57±26.97 IU/l. In case of severe pancreatitis positive CKMB value were present with sensitivity 85.71% and specificity 51.61%. Abnormal ECG changes were seen in 42% patients (42/100), all patients had Sinus tachycardia. Abnormal ECG finding were present with sensitivity 100% and specificity 62.37%. 20% of the studied patients, were found to be having abnormalities in 2D echo and mostly have diastolic dysfunction. Conclusion: In our study association of high S. CRP and S. CKMB levels with severe Pancreatitis had high sensitivity. Association of 2D ECHO abnormalities with severe pancreatitis was highly specific. Association of ECG changes with Severe pancreatitis had 100% sensitivity. Most common ECG abnormalities was sinus tachycardia.

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Keywords

Acute Pancreatitis (AP), CRP, CKMB CTSI, APACHEII, ECG, 2DECHO

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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