Electrocardiographic changes in Chronic Obstructve Pulmonary Disease patents with elevated Pulmonary Artery Systolic Pressure

Background Chronic Obstructve Pulmonary Disease (COPD) is a common global problem and most common medical problem in Nepal having signifcant morbidity and mortality. One of the pathogenesis of COPD in long run is the e...

Editorial

Initial Experience of Transesophageal Echocardiography in NAMS Bir Hospital

A retrospective study of patients undergoing trans esophageal echocardiogram was conducted in Bir Hospital, from April 2008 to March 2010. A total of 51 patients were included in the study. Among the 51 patients 29 (56...

Acute Rheumatic Activity in a 49 year old Nepalese adult with established Rheumatic heart Disease: a case report

Rheumatic fever presenting late in adult beyond 25 years of age is a rare but common phenomena and noted in various case reports .The diagnosis of rheumatic activity is based on the same modifed Jones criteria for rheu...

Review of Ischemic Heart Disease Patients admitted in Dhulikhel Hospital

The ischaemic heart disease is one of the most common cause of preventable deaths. The number of deaths due to ischaemic heart disease has been reported to be on the rise in the low and mid­dle income countries. Data on...