74 32nd World Congress of Internal Medicine (October 24-28, 2014) WCIM 2014
PS 0109 Cardiology
The Prevalence, Awareness, and Treatment of Smoking after an Acute Cardiac Event
Vilma DZENKEVICIUTE1, Vytautas MEDUTIS2, Jolita BADARIENE1, Virginijus SAPOKA2 Vilnius University Hospital, Lithuania1, Vilnius University, Medical Faculty, Lithuania2
Background: Smoking is one of the major risk factors that affects occurrence and progression of cardiovascular diseases. The aim of this study was to investigate the prevalence, awareness and treatment of smoking at the time of, and one year after, the acute cardiac event.
Methods: A total of 331 smoking patients after an acute coronary event were ran- domly enrolled in the study and fully fi lled out a questionnaire on smoking habits.
Results: The study population consisted of 76.1% males with an average age of 61.28
± 10.4 years. The average experience of smoking was 28.5 ± 13.39 years. After one year by 19.4% decreased smoking (p<0.01). 2.4% of patients stopped smoking within the last 6 months, the other - more than 6 months ago. 2.7% of smoking patients did not think to quit smoking, 3.6% of smoking patients were undecided, 6.0% of smok- ing patients thought to quit smoking in the next 30 days and 8.2% of these patients thought to quit smoking in the next 6 months, 12.4% patients tried to quit smoking at least 24 hours. 25.7% received awareness of smoking cessation methods at the time of, 6.3% (n=21) – before and 13% one year after, the acute cardiac event. Most pop- ular smoking sensation method was abstinence - 20.5% or gradual reduction methods - 16.0%. Only 36% patients were referred to a smoking cessation clinic/course, of these only 2.1% patients took nicotine replacement therapy, 0.6% of patients took bupropion, and 0.6% - verenicline.
Conclusion: Insuffi cient percentage (19.4%) of cardiac patients adhere to quit smok- ing, and those who quit smoking often do not seek professional help. These fi ndings underscore the need for an effective patient information and education system about smoking sensation.
PS 0111 Cardiology
Infective Endocarditis
Rohayat BILMAHDI1, Akmal HANIF2
M.Djamil General Hospital, Indonesia1, M.Djamil General Hospital, Indonesia2
Background: Infective endocarditis (IE) is a microbial infection of the endothelial sur- face of the heart. Infection mostly affects the heart valves. Lesions are typically found on echocardiography in the form of vegetation. Diagnosis is established according to the Duke criteria.
Case Description: An Indonesian citizen aged 24 years old, with a medical history of shortness of breath, high fever. Physical examinations were found JVP 5+2 cmH2O, M1>M2, P2>A2, diastolic murmur, highpitch, blowing, punctum maximum at apex, and hepatomegaly. Leukocytosis in blood, sterile blood culture results in three places of vascular, throat swab cultures found Streptococcus pneumoniae, CRP(+), ASTO(+).
ECG is sinus tachycardia. The fi ndings on echocardiography are defective valves (MS severe, AR severe, TR severe, mild AS), the presence of vegetation in AML with size 1.06 cm2 and 0.76 cm2, and in aorta with size 0,24 cm2.
Discussion: This case illustration suggests that surgery in the form of removal of vegetation is important because there has been a mass of congestive heart failure and major vegetation which is useful to prevent systemic emboli.
PS 0112 Cardiology
Arterial Stiffness Parameters are Affected by Volume Status in Women
Hakan SARLAK1, Fatih BULUCU1, Erol ARSLAN1, Muharrem AKHAN1, Nuket UNSAL1, Seref DEMIRBAS1
Internal Medicine, Gulhane Military Medical Academy, Turkey1
Background: Studies showed that arterial stiffness is an independent predictor of car- diovascular morbidity and mortality. Bioelectrical impedance analysis (BIA) is a method to assess body composition and is used in diet plans. In this study we aimed to inves- tigate the relationship between arterial stiffness parameters and body composition.
Methods: A total of 151 subjects (86 females, 65 males) were included into the study.
The subjects were the patients having arterial stiffness and BIA measurements applied in the internal medicine outpatient clinics for chronic diseases and control reasons.
Results: The mean pulse wave velocity (PWV), central aortic pressure (CAP), total body water percentage (TBW%), extracellular water percentage (ECW%), intracellular water (ICW), 3rd space volume measurements of the patients were 9.33±1.81 m/
s, 144.97±24.47 mmHg, 46.01±4.89 %, 21.62±2.18 %, 19.58±3.23 Lt, -1.07±1.21 Lt in women and 9.29±1.72 m/s, 137.75±26.32 mmHg, 54.69±5.52 %, 22.86±2.62 %, 27.08±3.67 Lt, 0.28±1.07 Lt in men, respectively (Table 1). The PWV was signifi cantly associated with TBW%, ECW%, ICW and 3rd space volume (r=-0.231, -0.286, 0.230 and -0.232 respectively; p<0.05) and the CAP was significantly associated with TBW%, ECW%, ICW and 3rd space volume (r=-0.437, -0.417, 0.262 and -0.350 re- spectively; p<0.05) in women. There was no signifi cant correlation between arterial stiffness parameters and volume status indices determined by BIA in men.
Conclusions: These results show that arterial stiffness parameters seem to be affected by volume status in women. The fact that the men had no such correlations in the present study suggests that these observed correlations in the women might be asso- ciated with gender hormones.
