BACKGROUND Diabetes mellitus (DM) is a syndrome characterized by chronic hyperglycaemia and disturbances of carbohydrate, fat, and protein metabolism associated with absolute or relative deficiencies in insulin secretion and/or insulin action. Worldwide, approximately 200 million people currently have type II diabetes mellitus (DM), a prevalence that has been predicted to increase to 366 million by 2030. MATERIALS AND METHODS All participants are selected from those who visited Diabetes Clinic, in Al
BACKGROUNDCardioembolic stroke accounts for 14-30% of all cerebral infarctions with a greater tendency of recurrence and it can be prevented. Cardioembolic stroke is a potentially devastating condition that causes frequent diagnostic and therapeutic difficulties and prompt diagnosis to define cardioembolic strokes is important for its secondary prevention.The objective of the study was to study the incidence, aetiology, clinical presentation and outcome of a cardioembolic stroke.
MATERIALS AND METHODSThe present observational study was conducted among a sample size of 100 cases of admitted to Intensive Care Unit in Al Ameen Medical College Hospital with an onset of acute neurological deficit in the age group of 30-85 years having first event of acute ischemic stroke after taking a written, informed consent. The study period was November 2015 to August 2017.
RESULTSThe mean age of our study population was 55.95±12.71 years with male dominance (62%). The incidence of cardioembolic stroke was 19% and mean age group among the cardioembolic stroke was 59.21±12.10 years. Non-valvular atrial fibrillation was found in majority of patients. The patients mostly presented with motor impairment followed by altered consciousness. Infarct involved the middle cerebral artery territory in majority of patients. The survival rate was 89.47%.
CONCLUSIONCardiac sources of embolism have to be carefully sought and echocardiography is the main diagnostic tool. The most frequent cardiac source of embolism is atrial fibrillation.
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