5 / 18
VOLUME 18 NUMBER 1 • JULY 2021
3
SA JOURNAL OF DIABETES & VASCULAR DISEASE
From the Editor’s Desk
From the Editor’s Desk
Correspondence to: FA Mahomed
Head of Internal Medicine, Madadeni Hospital
Newcastle, KwaZulu-Natal
WHEN ALL THE PARTS FIT...
EFFICACY
2
SAFETY
2
PROVEN OUTCOMES
3
PERFECTLY.
AMLOC 5, 10 mg.
Each tablet contains amlodipine maleate equivalent to 5, 10 mg amlodipine respectively.
S3 A38/7.1/0183, 0147. NAM NS2 06/7.1/0011, 0012. BOT S2 BOT 0801198, 0801199. For full prescribing information,
refer to the professional information approved by SAHPRA, 29 September 2017.
1)
IQVIA MAT Units, Aug 2020.
2)
Dahlof B, Sever PS, Poulter NR,
et al.
for the Ascot investigators. Prevention of cardiovascular events with an
antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide
as required, in the Anglo-Scandinavian Cardiac Outcomes Trial - Blood Pressure Lowering Arm (ASCOT-BPLA): a
multicentre randomised controlled trial.
Lancet
2005;366:895-906.
3)
Nissen SE,
et al.
Effect of antihypertensive
agents on cardiovascular events in patients with coronary disease and normal blood pressure. The CAMELOT study:
A randomised controlled trial.
JAMA
2004;292:2217-2226.
ACJ706/01/2021.
CUSTOMER CARE LINE
0860 PHARMA (742 762)
www.pharmadynamics.co.zaF
erreira and colleagues (page ) examined bradycardia in the
setting of diabetic ketoacidosis (DKA). They focused on the
entity of atrial standstill. The emphasis is on rapid diagnosis
and management. The usefulness of early ECG testing assists with
the diagnosis of arrythmia, the possible underlying metabolic
cause and possible underlying myocardial ischaemia. A number
of arrythmias are described in DKA, including bradycardia,
atrial fibrillation, supraventricular tachycardia and ventricular
tachycardia.
1
Phiri and co-workers (page ) researched gestational diabetes
mellitus in Blantyre, Malawi. They examined the associated factors
and also compared the World Health Organisation (WHO) criteria
to the more stringent International Association of Diabetes in
Pregnancy Study Group (IADPSG) criteria. They compared private
and public health facilities as well.
The WHO and Malawian Ministry of Health did a general survey
in 2009 in Malawi of non-communicable diseases and found a
prevalence of diabetes of 5.6% in a group of patients from 25 to
64 years old. This is lower than in developed countries. However,
hypertension was found in about a third of this group and 95%
of these were undiagnosed. Phiri
et al.
found a hypertension
prevalence of 3–4%, although their patients were mainly in their
third trimester. A full hypertension survey in pregnant patients,
in all trimesters and across different age ranges, would also be
important to do.
References
1.
Faruqi TA, Hanhan UA, Orlowski JP, Laun KS, Williams AL, Fiallos MR.
Supraventricular tachycardia with underlying atrial flutter in a diabetic
ketoacidosis patient.
Clin Diabetes
2015;
33
(3): 146–149.
2. Malawi National STEPS Survey for Chronic Non-Communicable Diseases and their
Risk Factors.
https://www.who.int/ncds/surveillance/steps/Malawi_2009_STEPS_Report.pdf. Accessed 30/06/2021.