RESUMEN
Unilateral diaphragmatic paralysis, resulting from nerve or muscle injuries, is an uncommon phenomenon often missed due to its asymptomatic nature. This condition can lead to decreased pulmonary function, particularly in patients with underlying comorbidities or cardiopulmonary issues. Identification and understanding of the underlying cause of the paralysis are essential for effective management and improved patient outcomes. Here, we present a case of a 49-year-old male who presented with left flank pain and complained of dyspnea on exertion. Further workup and a sniff test confirmed the diagnosis of left hemidiaphragm paralysis.
RESUMEN
Acute myocardial infarction (AMI) is a serious and fatal cardiovascular emergency. Previous studies linked an elevated leukocyte count with increased short-term and long-term risks of ischemic events and death in patients with acute coronary syndromes. Present study was aimed to study the role of neutrophil-to-lymphocyte ratio (NLR) in predicting the prognosis of acute myocardial infarction. MATERIAL: Present study was retrospective, case record study, conducted in patients age >18 years, hospitalized & diagnosed as acute MI. OBSERVATION: 145 cases were considered for present study. Majority of patients were from 51-60 years age group (35.17 %) followed by 61-70 years age group (27.59 %). Majority were male (84.14 %). High risk factors such as Smoking (69.66 %), Hypertension (57.24 %), Alcoholic (30.34 %) & Diabetes (22.07 %) were noted in study patients. On Admission Elevated TROP I levels were noted in 92.41 % patients. In hospital mortality was noted in 24 cases (16.55 %). In majority of cases ECG findings were Anterior Wall MI (28.28 %), Non ST Elevation MI (26.21 %) & Inferior Wall MI (17.93 %). In study cases majority had ST Elevated MI (61.38 %) followed by Non ST Elevated MI (26.21 %), Unstable Angina (6.9 %) & Stable Angina (5.52 %).Mean NLR of study cases was 5.48 ± 2.01. Significant relationship was noted with NSTEMI, STEMI & In-hospital Mortality in patients with high NLR (>4.7) (p<0.05). CONCLUSION: Neutrophil to lymphocyte ratio is readily available clinical laboratory value and an independent predictor of prognosis in acute myocardial infarction as well as mortality related to acute myocardial infarction.