Browsing by Author "Mandal, A."

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    Burden of undiagnosed and uncontrolled hypertension and its associated factors among rural populations in South Andaman Islands, India
    (Medip Academy, 2023-06) Ramu, M.; Fatema, A.; Ghosal, S. R.; Biji, S.; Saida, K.; Mandal, A.
    Background: Elevated BP is an important risk factor of cardiovascular diseases; undiagnosed and uncontrolled hypertension is a dangerous situation where target organ damage can occur leading morbidity and mortality in apparently healthy individuals. Therefore, with an aim to study the burden of undiagnosed and uncontrolled hypertension, this study with a cross sectional study design is undertaken in rural areas of South Andaman Islands. Methods: A community based cross sectional study. A total of 405 participants (Men: 175, Women: 230) were involved, mean age 48.36�.16 years (Men: 50.69�.01 years, Women: 46.58�.26 years). Results: 30.4% of the participants reported that they are known hypertensives, and out of them only 63.41% were on regular treatment. 17.8% of the participants were first time diagnosed with hypertension during this study. Overall, 48.1% of participants are having hypertension (known hypertensives眓ewly diagnosed hypertensives), and only 63.20% of them know their status on hypertension. A large proportion are in Pre-hypertension status (52.04%). Conclusions: Almost half of the population are having burden of hypertension, and nearly 1/3rd of them do not know that they have hypertension; and among those who know the status, only 2/3rd of them are on regular treatment; and a large proportion of population is in pre-hypertension. We need to undertake rigorous efforts to unmask, diagnose and treat hypertension in the community.
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    Role of ultrasonography in evaluation of right iliac fossa mass compared to CT scan
    (Medip Academy, 2024-05) Roy, A.; Mallik, R.; Mandal, A.; Nandy, D.; Mandal, S. K.
    Background: With the demonstration of origin and nature of RIF mass by high-resolution ultrasound and multidetector CT scan, the patients presenting with clinically palpable mass in RIF need not to undergo time consuming, uncomfortable and unpalatable barium study. The objective is to evaluate the diagnostic precision of CT and ultrasonography in the diagnosis of right iliac fossa masses and to assess the effectiveness of USG in diagnosing various right iliac fossa masses in comparison with CT scan in terms of sensitivity, specificity, and predictive accuracy. Methods: The study was conducted on 35 patients presenting with right iliac fossa mass who were stable enough to undergo USG followed by CT scan. The time gap between these studies had kept to minimum to make the studies comparable. USG and CT scan was performed by 2 expert radiologists, who had been blinded of each other findings. Results: More than 50% cases were related to appendicular pathology. Ultrasound abdomen had a sensitivity and specificity of 88.9% and 94.11% in diagnosis of appendicular mass, 71.42% and 96.42% in diagnosis of appendicular abscess, 66.7% and 96.6% in diagnosis of ileo-caecal tuberculosis, 50% and 100% in diagnosis of carcinoma caecum respectively as compared to CT scan. Conclusions: USG is the most easily available bed side investigation and excellent screening test for RIF mass. However, CECT whole abdomen remains the gold standard investigation for etiological diagnosis of RIF mass.
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    Wolff-Parkinson-White syndrome: the supreme master of camouflage
    (Medip Academy, 2023-10) Mandal, A.
    Wolff-Parkinson-White (WPW) syndrome is a condition in which there is an aberrant conduction pathway between the atria and ventricles, resulting in tachycardia. Most of the patients remain asymptomatic throughout their lives; however, approximately half of the patients with WPW syndrome experience symptoms secondary to tachyarrhythmias, like paroxysmal supraventricular tachycardia, atrial fibrillation, atrial flutter, and, rarely, ventricular fibrillation and sudden death. Patients with WPW syndrome may present with a multitude of symptoms such as unexplained anxiety, palpitations, fatigue, light-headedness or dizziness, loss of consciousness, and shortness of breath and rarely with ischemic chest pain. We report a case of a 38-year-old male presented with various vague symptoms like feelings of constipations and anxiety accompanied by psychosocial stressors, lack of sleep with episodes of palpitations which was attributed to underlying anxiety and depressive disorder and stated on various antidepressive medication, but without any relief of symptoms. He was later diagnosed with WPW syndrome. Keeping cardiac dysrhythmia within the differentials would help in early diagnosis and appropriate treatment.