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Evaluation of AVNRT & AVRT by Different Criteria: Old & New

World Journal of Cardiovascular Surgery 2024年第7期14卷 95-106页

作者： Abdul Hamid tahmina alam sonali Rizwan Rehan Pijous Biswas Subas Caandro Datta Asif Zaman Department of Cardiology Chattagram Medical College Hospital Chattagram Bangladesh Chattagram Medical College Hospital Chattagram Bangladesh Department of Cardiology National Institute of Cardiovascular Disease Dhaka Bangladesh Department of Cardiology Bangamata Sheikh Fozilatunnesa Mujib General Hospital Sirajganj Bangladesh Department of Cardiology Evercare Hospital Dhaka Bangladesh

The two most frequent causes of paroxysmal SVT are atrioventricular tachycardia (AVRT) and atrioventricular nodal re-entrant tachycardia (AVNRT). The purpose of this study was to assess the diagnostic efficacy of traditional and newly proposed ECG criteria in the identification of Avnrt and Avrt. Aim of the Study: The aim of this study was to evaluate Atrioventricular Nodal Reentrant Tachycardia (AVNRT) and Atrioventricular Re-entrant Tachycardia (AVRT) using both traditional and novel criteria. Methods: This prospective observational study was conducted at the Electrophysiology Unit, Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD) in Dhaka, from February 2019 to January 2020. A total of 62 patients with Supraventricular Tachycardia (SVT) undergoing electrophysiology study (EPS) were included. Standard ECG criteria were applied for the differential diagnosis, and electrophysiological diagnoses were made using established criteria. Statistical analysis, including descriptive statistics and appropriate tests, was performed using SPSS 23.0. Result: In our study of 62 patients with Supraventricular Tachycardia (SVT), we found that 66.1% had AVNRT and 33.9% had AVRT. The mean age in AVNRT was higher than AVRT (41.3 ± 9.7 vs. 38.5 ± 14.3, p = 0.36) with statistically no significant difference, with similar gender distribution between AVNRT and AVRT groups. Classical AVNRT criteria were present in 30.6% of patients, and 45.2% showed a Pseudo R' wave in aVR. Additionally, 30.6% had an RP interval ≥100ms, more prevalent in AVRT patients (66.7%). Conclusion: Integrating traditional and novel criteria, including lead aVR analysis, enhances the electrocardiographic diagnosis of AVNRT and AVRT, offering a pathway to refined patient care.

关键词： SVT (Supraventricular Tachycardia) AVNRT (Atrioventricular Nodal Re-Entrant Tachycardia) AVRT (Atrioventricular Re-Entrant Tachycardia) ECG Criteria Electrophysiology

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Does higher tax rate affect tobacco usage?Unravelling the nexus between tobacco regulatory control and public health concern

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Global Health Journal 2023年第4期7卷 212-221页

作者： Mominur Rahman Bishawjit Chandra Deb Jahid Hasan Mahabubul alam tahmina Begum H.M.Miraz Mahmud Mohammad Shamimul Islam Muhammad Shajib Rahman Major in Accounting&Information Systems Research WingBangldesh Institute of Governance and Management Dhaka 1207Bangladesh Department of Accounting&Information Systems Comilla UniversityCumilla 3506Bangladesh Department of Management Studies Comilla UniversityCumilla 3506Bangladesh Department of Accounting Bhasha Soinik Ajit Guha CollegeComilla 3500Bangladesh Bangladesh Center for Communication Programs Dhaka 1216Bangladesh

Objectives:Bangladesh stands as a prominent global consumer of tobacco,with alarming consequences on public *** Global Adult Tobacco Survey reported that tobacco consumption claimed over 126000 lives in 2018,contributing to 13.5%of all deaths in the *** study aims to explore the effectiveness of higher tax rates and tobacco use regulation as control mechanisms in mitigating tobacco consumption and health care cost burden,with a particular emphasis on its implications for public ***:This study is based on the annual time series data over the period *** study employs the ordinary least square method to analyze the quantitative confirming the stationarity of data at *** research uses different models to investigate individual effects and combined effects on both tobacco consumption and tobacco health care cost ***:The study finds a negative relationship between tobacco tax rate and tobacco *** specifically,the higher tax rate of tobacco(low(β=-0.3495),medium(β=-0.2319),high(β=-0.9033),premium(β=-0.7322),filtered(β=-0.2114),and non-filtered(β=-0.3452)categories)is significant to reduce tobacco use at 1%level of *** study finds similar results when it applied tobacco retail price instead of tobacco tax rate as the independent ***,the study investigates the impact on health care cost through tobacco consumption,tobacco control law,growth rate,export-import,and tobacco *** results indicate that tobacco consumption,export-import,and tobacco production increases health care cost burden while tobacco use regulatory decreases *** reducing tobacco consumption,higher taxes and tobacco use regulation contribute to alleviating the burden on the healthcare system,promoting healthier lifestyles,and aligning with global health ***:Higher tax rate on tobacco products is necessary to increase the retail price so that tobacco users cannot consume ***

关键词： Tobacco tax Taxation Tobaccouse Public health Tobacco control Health care cost

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