₦airaland Forum

lekki1444:
I gotta start lecturing some of you guys on the american syllabus. Thats an NCBI article on R wave progression and MI

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497185/

lekki1444:
brah if i had a female picture on my profile i would say you are obsessed and stalking me.

HBB1:
What did you train as?

Say it with your Chest!


Quack Quack Quack!

ALEX182:
Dude

I said I agree with you. You are very right. You are a cardiac expert. The rest of us are quacks. I don't even know what an R wave is

This isn't a pissing contest. It is a thread about how to protect your heart.

You have proven you know every. What else do you want

lekki1444:
why so you can track me down ?i am not giving you any personal details about me unless you are a potential client

JhyMedex:
Great thread OP.
it's doesn't take more than 20mins to become an expert in CPR..More and more people should be learning this simple but life saving procedure..

HBB1:
I just asked what you trained as, no personal info.

Is it so special?
Are there so few of you in the World?

You talk like a Quack, you reason like a Quack and I am sure you walk like a Quack!

You are a Quack!

HBB1:
I just asked what you trained as, no personal info.

Is it so special?
Are there so few of you in the World?

You talk like a Quack, you reason like a Quack and I am sure you walk like a Quack!

You are a Quack!

BENARI:
It is with a sense of dismay that I create this thread. I don't know about you, but I've observed particularly in the last decade or two that more and more Nigerians are dying suddenly; either they slump, sleep and not wake up, or simply let out a shout(my head my head my head), and next thing you know, they are gone. These 3 scenarios are typical of Heart attacks, Cardiac arrest, and Hemorrhagic Strokes.

Sad to say, a lot of the people I know, even seemingly very literate ones tend to blame such deaths on spiritual attacks, and for that reason I believe we miss the opportunity to fashion out a way to prevent as much as possible, a recurrence.

I've often wondered why everyone I learnt had a heart attack in Nigeria or a Hemorrhagic stroke ends up dying. Perhaps I've not been very observant, but I've never met a survivor of any of these medical emergencies. Mind you, I'm not talking about the less severe stroke that usually partially paralyze a part of the body.
Ironically, in the western world, statistics shows that only a third of victims end up dying from these emergencies. Some persons have even survived repeated heart attacks.

Well, I know some will say we don't have the facilities and emergency response, yes, but even those who do make it to the hospital end up dying. On the part of the populace, we are usually helpless when such emergencies occur which I find rather unfortunate. Now let me say this, the reason why people end dying from heart attacks particularly in Nigeria, is not only due to inadequate facilities, but also due to ignorance. A simple CPR(chest compress) which can be performed by anybody can and have saved many lives(a CPR is by no means a solution to heart attacks, but can help to keep the victim alive till medical professionals take over management). I simply cannot understand why both the government and we the people have not yet seen the need to educate ourselves about this simple live saving procedure. Personally I've tried to train loved ones on this procedure, but often they laugh it off or don't take it seriously. They're usually quick to label me a coward, pessimist or faithless person. I'm certain I'll do whatever I can to help a heart attack victim if I encounter any such emergencies, but I sometimes worry that no one will be able to come to my aid if I were to be a victim some day.

I think we need a change of attitude toward this sudden killers. More and more are dying needless deaths, and we can do more that just blowing breeze or pouring water on victims while we wait for them to die. We need to educate ourselves, our spouses, children, friends, and relatives. Your effort can save a loved ones life including yours. This emergencies can befall anyone irrespective of age or gender(although men 30 years and above are disproportionately affected, but women over 45 years of age are at increased risk)

Doctors and Medical professionals in the house please throw more light on this topic; how to prevent the conditions that leads to this medical emergencies and what to do when such emergencies do occur. I'm however aware of the ignorance and debate that exist in the medical field as to what causes the disease that leads to these emergencies.

The sudden death trend is an alarming one in Nigeria that should be declared a national emergency in my view. Looks like 2 in every 3 deaths this days are sudden.

Personally I'm taking the time to know the cause of the disease that eventually leads to this emergencies and also taking steps that could likely help prevent things from getting so bad, and I think the time has come for each and everyone to begin doing the same. Because I'm not a medical professional, I cannot recommend what people should or shouldn't do to reduce their risk, however, I'll gladly share materials that can educate people on lifestyle choices that can help them.

[/quote]quote author=lekki1444 post=96896894]
3.2. Poor R-wave progression and infarct size
Among 53 patients with prior anterior MI, 33 patients had PRWP, and the remaining 20 patients did not (Table 2). ECG and SPECT images in cases of the presence or absence of PRWP are shown in Fig. 1. Patients with PRWP had larger sum of defect score (17.5 ± 8.6 vs 7.6 ± 10.3, p < 0.001) and lower LVEF (46.1 ± 9.8% vs 55.2 ± 12.9%, p < 0.01) than those without. The sum of R-wave in lead V1 to V6 inversely correlated with the sum of defect score (r = − 0.56, p < 0.001), and positively correlated with left ventricular ejection fraction (r = 0.45, p < 0.001) (Fig. 2).

Poor R-wave progression and myocardial infarct size after anterior myocardial infarction in the coronary intervention era
Satoshi Kurisu,⁎ Toshitaka Iwasaki, Noriaki Watanabe, Hiroki Ikenaga, Takashi Shimonaga, Tadanao Higaki, Ken Ishibashi, Yoshihiro Dohi, Yukihiro Fukuda, and Yasuki Kihara
Author information Article notes Copyright and License information Disclaimer
Go to:
Abstract
Background
Regeneration of R-wave or disappearance of Q-wave sometimes occurs after myocardial infarction (MI) especially in the coronary intervention era. We assessed the impact of poor R-wave progression (PRWP) or residual R-wave in precordial leads on myocardial infarct size in patients with prior anterior MI treated with coronary intervention.

Methods
Fifty-three patients with prior anterior MI and 20 age- and sex-matched patients without underwent electrocardiogram (ECG), myocardial perfusion single photon emission tomography (SPECT) and echocardiography. Poor R-wave progression (PRWP) was defined as RV3 ≤ 3 mm.

Results
R-wave was significantly lower in all precordial leads in patients with prior anterior MI than those without. Among 53 patients with prior anterior MI, 33 patients had PRWP, and the remaining 20 patients did not. Patients with PRWP had larger sum of defect score (17.5 ± 8.6 vs 7.6 ± 10.3, p < 0.001) and lower left ventricular ejection fraction (LVEF) (46.1 ± 9.8% vs 55.2 ± 12.9%, p < 0.01) than those without. The sum of R-wave in lead V1 to V6 inversely correlated with the sum of defect score (r = − 0.56, p < 0.001), and positively correlated with LVEF (r = 0.45, p < 0.001).

Conclusion
Our data suggested that residual R-wave during the follow-up period reflected myocardial infarct size and left ventricular systolic function well in patients with prior anterior MI treated with coronary intervention.

Keyword: Electrocardiogram, Defect score, Poor R progression

lekki1444:
3.2. Poor R-wave progression and infarct size
Among 53 patients with prior anterior MI, 33 patients had PRWP, and the remaining 20 patients did not (Table 2). ECG and SPECT images in cases of the presence or absence of PRWP are shown in Fig. 1. Patients with PRWP had larger sum of defect score (17.5 ± 8.6 vs 7.6 ± 10.3, p < 0.001) and lower LVEF (46.1 ± 9.8% vs 55.2 ± 12.9%, p < 0.01) than those without. The sum of R-wave in lead V1 to V6 inversely correlated with the sum of defect score (r = − 0.56, p < 0.001), and positively correlated with left ventricular ejection fraction (r = 0.45, p < 0.001) (Fig. 2).

Poor R-wave progression and myocardial infarct size after anterior myocardial infarction in the coronary intervention era
Satoshi Kurisu,⁎ Toshitaka Iwasaki, Noriaki Watanabe, Hiroki Ikenaga, Takashi Shimonaga, Tadanao Higaki, Ken Ishibashi, Yoshihiro Dohi, Yukihiro Fukuda, and Yasuki Kihara
Author information Article notes Copyright and License information Disclaimer
Go to:
Abstract
Background
Regeneration of R-wave or disappearance of Q-wave sometimes occurs after myocardial infarction (MI) especially in the coronary intervention era. We assessed the impact of poor R-wave progression (PRWP) or residual R-wave in precordial leads on myocardial infarct size in patients with prior anterior MI treated with coronary intervention.

Methods
Fifty-three patients with prior anterior MI and 20 age- and sex-matched patients without underwent electrocardiogram (ECG), myocardial perfusion single photon emission tomography (SPECT) and echocardiography. Poor R-wave progression (PRWP) was defined as RV3 ≤ 3 mm.

Results
R-wave was significantly lower in all precordial leads in patients with prior anterior MI than those without. Among 53 patients with prior anterior MI, 33 patients had PRWP, and the remaining 20 patients did not. Patients with PRWP had larger sum of defect score (17.5 ± 8.6 vs 7.6 ± 10.3, p < 0.001) and lower left ventricular ejection fraction (LVEF) (46.1 ± 9.8% vs 55.2 ± 12.9%, p < 0.01) than those without. The sum of R-wave in lead V1 to V6 inversely correlated with the sum of defect score (r = − 0.56, p < 0.001), and positively correlated with LVEF (r = 0.45, p < 0.001).

Conclusion
Our data suggested that residual R-wave during the follow-up period reflected myocardial infarct size and left ventricular systolic function well in patients with prior anterior MI treated with coronary intervention.

Keyword: Electrocardiogram, Defect score, Poor R progression

HBB1:
What the heck did you just quote?


You have no understanding whatsoever, you are even worse than I though!!!!

lekki1444:
brah just read it. is it so hard to try and read something ? it corroborates everything I have been telling you guys from the start about R wave progression and MI. Its an NCBI article. The premier medical Journal of America

imagrg:
I'm stuck. Can't comprehend no more!quote author=lekki1444 post=96896894]
3.2. Poor R-wave progression and infarct size
Among 53 patients with prior anterior MI, 33 patients had PRWP, and the remaining 20 patients did not (Table 2). ECG and SPECT images in cases of the presence or absence of PRWP are shown in Fig. 1. Patients with PRWP had larger sum of defect score (17.5 ± 8.6 vs 7.6 ± 10.3, p < 0.001) and lower LVEF (46.1 ± 9.8% vs 55.2 ± 12.9%, p < 0.01) than those without. The sum of R-wave in lead V1 to V6 inversely correlated with the sum of defect score (r = − 0.56, p < 0.001), and positively correlated with left ventricular ejection fraction (r = 0.45, p < 0.001) (Fig. 2).

Poor R-wave progression and myocardial infarct size after anterior myocardial infarction in the coronary intervention era
Satoshi Kurisu,⁎ Toshitaka Iwasaki, Noriaki Watanabe, Hiroki Ikenaga, Takashi Shimonaga, Tadanao Higaki, Ken Ishibashi, Yoshihiro Dohi, Yukihiro Fukuda, and Yasuki Kihara
Author information Article notes Copyright and License information Disclaimer
Go to:
Abstract
Background
Regeneration of R-wave or disappearance of Q-wave sometimes occurs after myocardial infarction (MI) especially in the coronary intervention era. We assessed the impact of poor R-wave progression (PRWP) or residual R-wave in precordial leads on myocardial infarct size in patients with prior anterior MI treated with coronary intervention.

Methods
Fifty-three patients with prior anterior MI and 20 age- and sex-matched patients without underwent electrocardiogram (ECG), myocardial perfusion single photon emission tomography (SPECT) and echocardiography. Poor R-wave progression (PRWP) was defined as RV3 ≤ 3 mm.

Results
R-wave was significantly lower in all precordial leads in patients with prior anterior MI than those without. Among 53 patients with prior anterior MI, 33 patients had PRWP, and the remaining 20 patients did not. Patients with PRWP had larger sum of defect score (17.5 ± 8.6 vs 7.6 ± 10.3, p < 0.001) and lower left ventricular ejection fraction (LVEF) (46.1 ± 9.8% vs 55.2 ± 12.9%, p < 0.01) than those without. The sum of R-wave in lead V1 to V6 inversely correlated with the sum of defect score (r = − 0.56, p < 0.001), and positively correlated with LVEF (r = 0.45, p < 0.001).

Conclusion
Our data suggested that residual R-wave during the follow-up period reflected myocardial infarct size and left ventricular systolic function well in patients with prior anterior MI treated with coronary intervention.

Keyword: Electrocardiogram, Defect score, Poor R progression

HBB1:
It corroborates what?

Did you read what you just quoted?

Christ!

lekki1444:
oh its basically how the R wave progression is one of the greatest way to monitor myocardial infarction ( in lay mans terms )

lekki1444:

ALEX182:
I'm in Nephrology. Have a little cardiac knowledge so na the one wey I know, na hin I dey talk o.

As you open mouth, I know say you be expert for that area na why I close mouth

HBB1:
Babalawo!

BENARI:
It is with a sense of dismay that I create this thread. I don't know about you, but I've observed particularly in the last decade or two that more and more Nigerians are dying suddenly; either they slump, sleep and not wake up, or simply let out a shout(my head my head my head), and next thing you know, they are gone. These 3 scenarios are typical of Heart attacks, Cardiac arrest, and Hemorrhagic Strokes.

Sad to say, a lot of the people I know, even seemingly very literate ones tend to blame such deaths on spiritual attacks, and for that reason I believe we miss the opportunity to fashion out a way to prevent as much as possible, a recurrence.

I've often wondered why everyone I learnt had a heart attack in Nigeria or a Hemorrhagic stroke ends up dying. Perhaps I've not been very observant, but I've never met a survivor of any of these medical emergencies. Mind you, I'm not talking about the less severe stroke that usually partially paralyze a part of the body.
Ironically, in the western world, statistics shows that only a third of victims end up dying from these emergencies. Some persons have even survived repeated heart attacks.

Well, I know some will say we don't have the facilities and emergency response, yes, but even those who do make it to the hospital end up dying. On the part of the populace, we are usually helpless when such emergencies occur which I find rather unfortunate. Now let me say this, the reason why people end dying from heart attacks particularly in Nigeria, is not only due to inadequate facilities, but also due to ignorance. A simple CPR(chest compress) which can be performed by anybody can and have saved many lives(a CPR is by no means a solution to heart attacks, but can help to keep the victim alive till medical professionals take over management). I simply cannot understand why both the government and we the people have not yet seen the need to educate ourselves about this simple live saving procedure. Personally I've tried to train loved ones on this procedure, but often they laugh it off or don't take it seriously. They're usually quick to label me a coward, pessimist or faithless person. I'm certain I'll do whatever I can to help a heart attack victim if I encounter any such emergencies, but I sometimes worry that no one will be able to come to my aid if I were to be a victim some day.

I think we need a change of attitude toward this sudden killers. More and more are dying needless deaths, and we can do more that just blowing breeze or pouring water on victims while we wait for them to die. We need to educate ourselves, our spouses, children, friends, and relatives. Your effort can save a loved ones life including yours. This emergencies can befall anyone irrespective of age or gender(although men 30 years and above are disproportionately affected, but women over 45 years of age are at increased risk)

Doctors and Medical professionals in the house please throw more light on this topic; how to prevent the conditions that leads to this medical emergencies and what to do when such emergencies do occur. I'm however aware of the ignorance and debate that exist in the medical field as to what causes the disease that leads to these emergencies.

The sudden death trend is an alarming one in Nigeria that should be declared a national emergency in my view. Looks like 2 in every 3 deaths this days are sudden.

Personally I'm taking the time to know the cause of the disease that eventually leads to this emergencies and also taking steps that could likely help prevent things from getting so bad, and I think the time has come for each and everyone to begin doing the same. Because I'm not a medical professional, I cannot recommend what people should or shouldn't do to reduce their risk, however, I'll gladly share materials that can educate people on lifestyle choices that can help them.

Favemmzar200:
I love this write up so much



Just two weeks ago my dad slumped at the church. Its still by Gods grace he recovered in less than a week

dynicks:
Na only wealthy Nigerians fit experience that one.....or have u ever heard of a poor Nigerian that have died of either of those attacks before?.....the level of suffering a poor man suffers in this country pass heart attack still yet they survive it......abeg none of them get level for where street niggars dey.........That thing dey observe face/condition first before it attacks

paulolee:
nice post..love d contents

HUSTLER001:
My dad died of stroke and now your post is bringing back memories. We did everything to make him make good use of his limbs again but then death strikes.RIP Dad.

InvertedHammer:
/
If you perform CPR and the patient dies later, how do you explain yourself to the police and the family members? To be a good Samaritan in Nigeria is an invitation to trouble.

If you take an accident victim or armed robbery victim to the hospital, your problems have just multiplied.

/

Sonnobax15:
. Op, Nigerians have been wired to survive any kind of heart attack,no matter how hard it may be.... There's no amount of heart break that can disfigure me.....

Chelsea just gave me a heart attack yesterday

common ordinary over 2.5 Dem no fit play Lampard just go use my money take cook draw soup yesterday