Volume : VII, Issue : I, January - 2017

PROFILE OF THROMBOSIS IN YOUNG ADULTS– A PHYSICIAN’S PERSPECTIVE FROM A PERIPHERAL HOSPITAL

Dr I V Nagesh, Dr Vivek Aggarwal, Dr Pankaj Puri, Dr. Anuj Singhal

Abstract :

 Aim:  The aim of the study is to study the profile and outcomes of thrombosis and its complications in a peripheral hospital managed by a physician.

Background: Thrombotic complications whether arterial or venous per se are uncommon in younger  age group, and limited knowledge is available in literature about spectrum of  these complications in remote areas being managed by a physician.

 

Material and methods:  All the patients below 60 years and males who were admitted in the hospital from Jan 2011 to Jun 2013 with either an arterial or venous thrombosis were included in the study.

Results: A total of 277 patients had thrombotic complications out of which 76 had venous thrombosis, 157 had coronary syndromes and 42 had thrombotic stroke and 02 patients had acute limb ischaemia. The average age of venous thrombosis, coronary syndromes and stroke were 32±3.5, 38±2.6 and 41±2.8 years respectively. In the venous thrombosis group deep vein thrombosis (DVT) occurred in 65/76(85%), 4/76 (5%) sustained pulmonary embolism, 3/76 patients (4%) mesenteric vein thrombosis and 04/76(5%) patients had cereal venous thrombosis. In arterial thrombosis group  coronary syndrome constituted 157/201(78%), isachaemic stroke 42/201(21%) patients and 02 patients had acute limb ischaemia. Out of coronary syndromes 59/157 (37.5%) patients sustained ST elevation myocardial infarction, 96/157 (61%) presented with unstable angina/ angina pectoris and 2/157(1%) patients had Prinzmetal angina.  Mortality rates in coronary syndrome and stroke were 2.1% and 4.7% respectively and none in venous thrombosis group. 

 

Conclusion:  Thrombosis is known to occur in younger age groups and may lead to serious disabilities and loss of productive life. Effective and timely management of thrombosis and its complications by a physician  even in peripheral hospitals leads to results as comparable to other settings and prevention of disabilities . It is essential for the young physicians who are working in the periphery to be familiar with the thrombosis and its varied presentations.

 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr I V Nagesh, Dr Vivek Aggarwal, Dr Pankaj Puri, Dr. Anuj Singhal, PROFILE OF THROMBOSIS IN YOUNG ADULTS– A PHYSICIAN¥S PERSPECTIVE FROM A PERIPHERAL HOSPITAL, Indian Journal of Applied Research,Volume : 7 | Issue : 1 | JANUARY 2017

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