Background: Stroke or cerebrovascular accident is one of the leading causes of morbidity and mortality in adult life. Ischemic strokes are most common type of strokes and they account for 80-85% of cerebrovascular accidents worldwide. Hypertension, diabetes, dyslipidemia and smoking have been identified as major risk factors. Present study was undertaken to evaluate the clinical and investigation profile of different types of strokes.Methods: A total of 100 patients with brain stroke from November 2015 to October 2016 were included. Adult patients with stroke who attended the emergency department within 24 hours of attack were included. Patients with known chronic liver or kidney diseases, transient ischemic attack, active infections, history of neoplasia and alcoholic patients were excluded from the study. A thorough physical examination was conducted and stroke was defined as per World Health Organization criteria. Blood investigations were done including Magnetic resonance imaging and computed tomography scan. The data obtained was coded and entered into Microsoft excel worksheet. The data was analyzed using SPSS statistics software version 20.0. Results: Majority of the patients (71.00%) were males and 29.0% of the patients were females. Most of the patients were aged between 61 to 70 years (27.00%). Most of the patients had ischaemic stroke (80.00%) followed by haemorrhagic stroke (20%).Conclusions: Ischemic stroke is the more common as compared to hemorrhagic stroke. Detection of vascular risk factors and primary prevention measures should be initiated during late adolescence or early adulthood.
Background: Metabolic syndrome is described by the clustering of several risk factors for cardiovascular disease such as hypertension, dyslipidemia, obesity, Insulin resistance, and high fasting plasma glucose. Objective of this study was to determine the frequency and evaluate the components of metabolic syndrome in post-menopausal women.Methods: This Descriptive study was conducted in OPD as well as IPD of Department of Medicine, Sri Siddhartha Medical college Hospital and Research Centre, Tumkur After obtaining written informed consent. Period of study was 24 months. Purposive sampling was used.Results: Mean age of post-menopausal women was 54.19±8.454 years. Mean age of menopause was 45.41±2.428. Majority of patients between were between 45-50 years (33.7%). There were high number of women (34.6%) whose postmenopausal duration ranged between 6-10 years. In our study 10(9.6%) postmenopausal women had type 2 DM and 15(14.4%) postmenopausal women had HTN. Metabolic syndrome was present in 65(62.5%) postmenopausal women and absent in 39(37.5%) postmenopausal women. Waist circumference >80 cm (68.3) was the most prevalent component of metabolic syndrome followed by HDL <50 mg/dl (53.8%), BP>130/80 mmHg (51%) triglycerides >150 mg/dl (44.2%)/ and FBS>100 mg/dl (39.4%). There was statistical significance observed between the components of metabolic syndrome and metabolic syndrome in postmenopausal women.Conclusions: The prevalence of metabolic syndrome was high in our study. The components of metabolic syndrome such as waist circumference, FBS, blood pressure, triglycerides were significantly raised and HDL levels were significantly reduced in post-menopausal women with metabolic syndrome.
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