Journal of Medical Academics

Register      Login

VOLUME 2 , ISSUE 2 ( July-December, 2019 ) > List of Articles

Original Article

Risk Factor Profile, Clinical and Vascular Territory Involved in Patients of Stroke Presenting to a Tertiary Care Hospital in India Over 1 Year

Amit Sreen, Prafull Sharma, Vivek Guleria

Keywords : Risk factors, Stroke,Brain ischemia

Citation Information : Sreen A, Sharma P, Guleria V. Risk Factor Profile, Clinical and Vascular Territory Involved in Patients of Stroke Presenting to a Tertiary Care Hospital in India Over 1 Year. Journal of Medical Academics 2019; 2 (2):54-57.

DOI: 10.5005/jp-journals-10070-0037

License: CC BY-NC 4.0

Published Online: 00-12-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Recent rapid socioeconomic changes have led to a concomitant change in people\'s lifestyle, leading to work-related stress and altered food habits which leads to enhanced atherosclerosis and strokes. Aim: To analyze the risk factor profile, clinical, and vascular territory involved in all patients of stroke presenting to tertiary care hospital over 1 year. Materials and methods: All cases of fresh stroke reporting, referred, or transferred to this hospital (within 2 weeks of ictus) who were more than 15 years of age were included. A detailed history was obtained regarding time and mode of onset of symptoms and risk factor details following clinical evaluation, patients underwent complete hemogram, blood sugar levels (fasting and post prandial), lipid profile, and other metabolic parameters. All patients were subjected to chest radiography 12-lead electrocardiography (ECG) and two-dimensional (2D) echocardiography to detect cardiac abnormalities. Neuroimaging was performed in all in the form of noncontrast computed tomography (CT) head and magnetic resonance imaging (MRI) brain, while magnetic resonance angiography (MRA) brain was carried out in selected cases. Results: Ischemic strokes were higher (77.4%) when compared with hemorrhagic strokes (22.6%). The maximum number of patients was in the age group of 51–60 years (37.15%). Males were more affected than females, both in ischemic as well as hemorrhagic stroke. The most common risk factor was hypertension (65.35%), followed by smoking (46.26%) and diabetes (21.05%). Alcohol usage was more significant in cases of hemorrhagic stroke (11.14%). More number of patients reported stroke symptoms on awakening in ischemic stroke. Anterior vascular territory was more involved (76.8%). Left hemiparesis was more common (62.05%), and aphasia was seen in 27.97% of patients. Middle cerebral artery (MCA) territory was most commonly involved (78%), and gangliocapsular region was most commonly affected (41.54%) Lacunar infarcts were seen in 22% cases. In hemorrhagic stroke, the basal ganglia was most commonly involved (56.17%), followed by thalamus (26.03%). Conclusion: Developing countries like India are facing burden of lifestyle diseases. Stroke is leading cause of death and disability in India.


PDF Share
  1. World Health Organization. International Task Force for Prevention of Coronary Heart Disease and Stroke, Etiology and Epidemiology of Stroke. WHO, Geneva: WHO 1980.
  2. Das SK, Banerjee TK, Biswas A, et al. A prospective community-based study of stroke in Kolkata, india. Stroke 2007;38(3):906–910. DOI: 10.1161/01.STR.0000258111.00319.58.
  3. Bhattacharya S, Saha SP, Basu A, et al. A 5-year prospective study of incidence, morbidity and mortality profile of stroke in a rural community of eastern india. J Indian Med Assoc 2005;103(12):655–659.
  4. Banerjee TK, Mukherjee CS, Sarkhel A. Stroke in the urban population of Calcutta - an epidemiological study. Neuroepidemiology 2001;20(3):201–207. DOI: 10.1159/000054788.
  5. Lavados PM, Sacks C, Prina L, et al. Incidence, 30-day case-fatality rates, and prognosis of stroke in Iquique, chile: a 2-year community based prospective study (PISCIS project). Lancet. 2005;365(9478):2206–2215.
  6. Das K, Banerjee TK. Stroke: Indian scenario. Circulation 2008;118(25):2719–2724. DOI: 10.1161/CIRCULATIONAHA.107. 743237.
  7. Bogousslavsky J, Van Melle G, Regli F. The Lausanne stroke registry: Analysis of 1,000 consecutive patients with first stroke. Stroke 1988;19:1083–1092. DOI: 10.1161/01.STR.19.9.1083.
  8. Marti-Vilalta JL, Arboix A. The Barcelona stroke registry. Eur Neurol 1999;41(3):135–142. DOI: 10.1159/000008036.
  9. MacMahon S, Rodgers A. Primary and secondary prevention of stroke. Clin Exp Hypertens 1996;18(3–4):537–546. DOI: 10.3109/10641969609088983.
  10. Kumral E, Bayulkem G. Spectrum of single and multiple corona Radiata infarcts: clinical/MRI correlations. J Stroke Cerebrovasc Dis 2003;12:66–73. DOI: 10.1053/jscd.2003.11.
  11. Arboix A, Rodrìguez-Aguilar R, Oliveres M, et al. Thalamic haemorrhage vs internal capsule-basal ganglia haemorrhage: clinical profile and predictors of in-hospital mortality. BMC Neurol 2007;7:32. DOI: 10.1186/1471-2377-7-32.
  12. Burchfield CM, Curb JD, Rodriguz BL, et al. Glucose intolerance and 22-year stroke incidence: the Honolulu heart program. Stroke 1994;25(5):951–957. DOI: 10.1161/01.STR.25.5.951.
  13. Gill JS, Shipley MJ, Tsementzis SA, et al. Alcohol consumption – a risk factor for hemorrhagic and non-hemorrhagic stroke. Am J Med 1991;90(4):489–497. DOI: 10.1016/0002-9343(91)80090-9.
  14. Abreu TT, Mateus S, Correia J. Therapy implications of transthoracic echocardiography in acute ischemic stroke patients. Stroke 2005;36:1565–1566. DOI: 10.1161/01.STR.0000170636.08554.49.
  15. Mohr JP, Caplan LR, Melski JW, et al. The Harvard cooperative stroke registry: A prospective registry. Neurology 1978;28(8):754–762. DOI: 10.1212/WNL.28.8.754.
  16. Gross CR, Kase CS, Mohr JP, et al. Stroke in South Alabama: incidence and diagnostic features – a population based study. Stroke 1984;15(2):249–255. DOI: 10.1161/01.STR.15.2.249.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.