Browsing by Author "Khadka, Milan"
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Publication Common Echocardiographic Diagnoses in Patients at Tertiary Care Center: An Observational Study(Nepal Medical Association, 2024) Koirala, Prabha Chapagain; Koirala, Richa; Karki, Lochan; Khadka, Milan; Amatya, Prasanna Bahadur; Gautam, Binayak; Poudel, Samir; Sherpa, Kunjang; Ghimere, Saroj; Bhandari, Rajendra; Koirala, PragyaAbstract Introduction: Echocardiography is an indispensable tool for the diagnosis and management of cardiac patients. It is important to know the spectrum of cardiac abnormalities detected by echocardiography for the proper management of patients. The aim of this study was to evaluate the echocardiographic diagnosis of patients at a multispecialty tertiary care hospital and find out the prevalence of various cardiac diseases diagnosed via echocardiography. Methods: This was a retrospective cross sectional study carried out at the Echocardiography lab of National Academy of Health Sciences. Records of all patients who had done Echocardiography from February 2024 to April 2024 were analyzed. Ethical approval was obtained from Institutional Review Committee (Reference Number:1231/2080/81). Results: Out of 3593 cases, there were 1750 (48.71%) female and 1843 (51.29%) male. Normal echocardiographic study was seen in 1184 (32.95%). Mean age was 56.13±17.38 years. Left ventricle diastolic dysfunction was seen among 1428 (39.74%), followed by tricuspid regurgitation 1026 (28.55%) and pulmonary hypertension 497 (13.83%). Other findings were, left ventricular hypertrophy 204 (5.67%), Left ventricular systolic dysfunction 165 (4.59%), rheumatic heart disease 102 (2.83%) and, congenital heart disease was the lowest documented finding, seen in 30 (0.83%). Conclusions: Most common diseases diagnosed by echocardiography in our study were, diastolic dysfunction, tricuspid regurgitation and pulmonary hypertension.Publication Correlation between Serum Albumin Level and Severity of Acute Ischemic Stroke: A Cross-Sectional Study(Nepal Medical Association, 2024) Pantha, Binod; Khadka, Milan; Karki, Lochan; Koirala, ParimalAbstract Introduction: Stroke is a leading cause of disability with devastating consequences. Serum albumin has emerged as a significant prognostic marker in various conditions, including stroke. This study aims to investigate the relationship between serum albumin levels and stroke severity and outcomes in patients with acute ischemic stroke (AIS). Methods: An observational, cross-sectional study was conducted over six months at Bir Hospital, among patients admitted in medicine ward after obtaining the ethical approval reference number 34/20081/82. Total population sampling was done. Serum albumin at the time of diagnosis was measured. Ischemic stroke severity was scored based on NIHSS score on admission and the functional outcome was evaluated as modified Rankin Scale (mRS). Finally, correlation of serum albumin with the severity and the outcome of stroke (mRS) was made. Results: The study of 37 patients showed significant correlation between serum albumin and NIHSS score. The study showed moderate to strong negative correlation between serum albumin levels and mRS scores. The mean serum albumin level was 3.5±0.40 mg/dl. Conclusion: Significant correlation of serum albumin level with clinical severity at the time of admission and with the outcome during discharge was found. Thus serum albumin has prognostic significance in acute ischemic stroke.