1.Supine bicycle of stress echocardiography (SBSE) for detecting coronary artery disease (CAD)
Journal of Practical Medicine 2005;530(11):22-26
The study was conducted in 47 patients (34 males, 13 females) with coronary artery disease or suspected coronary artery disease who were underwent SBSE from May 2002 to October 2004 at 115 People Hospital. Results: CAD was presented in 22 patients: among which, 7 cases with lesion of one major branch, 7 cases with two branches and 8 case with three branches of coronary artery. SBSE test was positive in 20/22 patients, overall sensitivity of 91%, specificity of 80% and accuracy of 85%. The sensitivity was greatest for the font interventricle artery (81%), compared to sensitivity for right coronary artery and the left coronary artery was 56% and 31%, respectively (p<0.005). For identifying patients with multivessels CAD, sensitivity 55%, specificity 97% and accuracy 83%. SBSE is a useful tool for evaluating CAD, and identifying both the location and extent of disease.
Coronary Artery Disease
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Diagnosis
2.Research on diagnosis and treatment of pulmonary tuberculosis \r\n', u'at Department of Respiratory of Bach Mai Hospital \r\n', u'
Hoi Thanh Nguyen ; Chau Quy Ngo ; Hanh Thi My Luong
Journal of Medical Research 2007;53(5):103-109
Background: Pulmonary tuberculosis is a contagious bacterial infection that mainly involves the lungs, but may spread to other organs. Most people who develop symptoms of a tuberculosis infection first became infected in the past. However, in some cases, the disease may become active within weeks after the primary infection. Objective: To evaluate the diagnosis and treatment of pulmonary tuberculosis. Subjects and method: A retrospective study included 196 patients with pulmonary tuberculosis hospitalized in Department of Respiratory of Bach Mai Hospital in 2 years (2002 - 2003). Patients\ufffd?information of medical records was collected. Results and conclusions: 60.7% of patients were male and 39.3% were female. Tuberculous pleurisy was 59%, parenchymal lung tuberculosis 36%, and the others 5%. Clinical signs and symptoms included chest pain 67.9%, dyspnea 61.2%, cough 72.9% (nonproductive cough: 42.3%; productive cough: 30.6%), fever 61.2%. Dull to flat percussion, decreased to absent breath sound and fremitus 65.3% (89% tuberculous pleurisy). 27.6% of patients had positive AFB evident (smear, bronchial lavage fluid). The first line drugs were usually used in treatment of tuberculosis.
Tuberculosis
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Pulmonary/ diagnosis
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therapy