A comparative study of serum electrolytes and lipid levels in ischaemic and haemorrhagic stroke

Abstract

Disorders of serum electrolytes i.e. sodium and potassium are the commonest electrolyte abnormalities found in stroke patients. 5 Electrolyte disturbances such as ABSTRACT Background: Stroke or cerebrovasular accident is a major cause of disability worldwide and the second most common cause of death after ischaemic heart disease. There has been a steady increase in incidence of stroke; recent data shows that stroke incidence decreased by 42% in high-income countries and by 100% in low to middle income countries. Aim of the study was to know the association of serum electrolytes and lipid levels in stroke. Methods: This was a retrospective study conducted in June 2014 at tertiary care hospital in South India. Data was obtained from the medical records departments from June 2011 to August 2012. An adult Treatment Panel III criterion was used to classify plasma lipid levels. The serum urea, serum creatinine, serum electrolytes and urinary electrolyte levels were measured by flame photometry. Descriptive statistics has been carried out in the present study. Student 't' test used to test the significance, between the groups and P value of <0.05 were considered as moderately significant, P values of <0.01 was considered highly significant. Results: There was no statistically significant difference in electrolyte levels between ischaemic and haemorrhagic stroke patients. Most common electrolyte imbalance in ischaemic stroke was hyponatremia and most common electrolyte imbalance in Haemorrhagic stroke was hypokalemia. Statistically significant alteration were seen in total cholesterol, LDL and VLDL levels between haemorrhagic and ischaemic stroke. Conclusions: In the present study total cholesterol and HDL levels were higher in haemorrhagic stroke whereas triglycerides, LDL and VLDL were high in ischaemic stroke. Regular monitoring of lipid levels in patients with high risk factors for stroke patients will help in decreasing the mortality and morbidity. Future studies should be prospective, multi-centric and include a large sample size which will help in determining the association between electrolytes and lipid levels in stroke patients.

The Investigation of Nurses’ Knowledge according to Their Level of Education regarding The Pathological Electrolyte Disturbances of Patients During Their Hospitalization in A Rehabilitation Center

“…It is a possible cause of death of the patient unless corrected in time. Disturbances of sodium (Na) and potassium (K) balance are recognized as the most frequent electrolyte abnormalities in patients with acute stroke [1]. Patients with hemorrhagic stroke present symptoms such as headache and vomiting, which in turn are a possible cause of electrolyte imbalance [2].…”

Akut Serebrovasküler Hastalık Tanısı ile Takip Edilen Hastalardaki Sıvı Elektrolit Dengesizliklerinin Analizi

“…Ayrıca tek yaşamak, semptomların evde başlamış olması, gece saatlerinde inme görülmesi ve özellikle referans hastanelere doğrudan başvurmak yerine sağlık merkezlerine veya aile hekimliklerine başvurulması en önemli geç başvuru nedenleri olarak gösterilmiştir 30 . SVH sonrası ortaya çıkan inflamatuar süreç, SVH'nin neden olduğu hasar seviyesini belirleyen faktördür 31 39 . Diğer çalışmalar ise , %52 ila %70 arasında değişen diselektrolitemi bildirmiştir [40][41][42] .…”