SHJ VOL 6, NO 3

SHJ VOL 6, NO 3

 

CONTENTS

 

Table of Content

 

No abstract available for this article.   

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ORIGINAL ARTICLE

 

Potassium Abnormalities In Cardiac Patients Taking Angiotensin-converting enzyme inhibitors, Angiotensin II
Receptor Blockers and Diuretics

 

Abstract.

Background:
Potassium is an essential mineral for cardiac function. It is mostly an intracellular element.
Concomitant diseases, medications, and diet can affect potassium level.
Objective:
To determine the frequency of abnormalities in serum potassium level in cardiac patients taking
Angiotensin-Converting Enzyme Inhibitors (ACEIs), angiotensin II receptor blockers (ARBs),
and diuretics on a regular Sudanese diet.
Methods:
A descriptive prospective Hospital-based study was conducted in Ahmed Gasim Cardiac
Surgery & Renal Transplant Centre. Participants were cardiac patients taking ACEIs, ARBs,
and diuretics. Data was collected by using a structured questionnaire and analyzed by
computer software Statistical package for the social sciences program (SPSS version
18.0).
Results:
The study was conducted in 120 patients. Males were 67 (55.8%), and females were 53
(44.2%). 98 (81.7%) patients were ≥ 50years old. Patients with Ejection Fraction < 50% were
74 (61.7%). Abnormal serum creatinine was found in 31 (25.8%) patients. 90(75%) patients
were taking furosemide, 77(64.2%) were taking spironolactone, 81(68%) were taking ACEIs,
and 29 (24.2%) patients were taking ARBs.
Discussion & Conclusion:
Serum potassium changes are not common among cardiac patients taking ACEIs, ARBs, and
diuretics on a regular Sudanese diet. Hyperkalaemia due to ACEIs was only seen in patients
with abnormal renal function and was not seen with ARBs. Regular follow-up of serum
potassium is essential in patients with abnormal renal function taking these medications.

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21-29

Faisal AE Suliman^, Nagla FA Haggar, Abduelbagi DA Eltayb, Shaza AS
Abdoalraheem

^Corresponding Author, This email address is being protected from spambots. You need JavaScript enabled to view it.

Potassium, renal function, heart failure, ACEI, ARB, diuretic, Sudanese Diet
Hyperkalaemia, hypokalaemia.

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CASE REPORT

 

Thrombolysis for Submassive Pulmonary Embolism

 

Abstract.

We describe a case of Submassive Pulmonary Embolism treated with Alteplase. We discuss
the treatment plan and controversies in management of similar cases in our clinical setting.

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30-34

Dr. Mohamed Nadir, Dr. Shaimaa M. Elsunni, ^Dr. Salaheldin Abusin

^Corresponding Author, This email address is being protected from spambots. You need JavaScript enabled to view it.

Thrombolysis, Submassive, Pulmonary, Embolism

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