Clinical Presentation and Risk Factors of Stroke-A Study of 100 Hospitalized Stroke Patients in Bangladesh

Abstract

Abstract:Stroke is one of the most common medical emergency. A total number of 100 randomly selected clinically and CT proven acute stroke patients were studied at medicine and neurology ward of Faridpur Medical College Hospital (FMCH), Faridpur from January to July, 2014 with a view to study the clinical features and risk factors of Stroke. Among 100 patients, stroke was found most commonly in 59-70 years age group. Ischaemic stroke was 56%, haemorrhagic stroke was 39% and haemorrhagic infarct was 5%. Most of the patients were male with male-female ratio was 1.6:1. The commonest risk factor was hypertension found in 60%, diabetes mellitus found in 17%, smoking was present in 54% patients and dyslipidaemia was present in 22% cases. History of heart disease (Myocardial infarction was present in 2% patients, valvular heart disease was present in 4% patients) was present in 6% patients. The commonest presentation in both ischaemic and haemorrhagic stroke was hemiplegia (61%). Headache (14%) and vomiting (10%) were found to be more common accompaniment in haemorrhagic stroke. Loss of consciousness was present in 34% patients. Alcohol intake was not found in any patient.

Risk Factors Analysis in Various Subtypes of Ischemic Stroke According to TOAST Criteria in a Tertiary Care Hospital

“…A slightly higher male predominance was observed in this study with male to female ratio of 1.2:1. This finding was similar with the other study conducted by Saha et al, 20 with a male to female ratio of 1.6:1 and by Lange et al, 21 who found male to female ratio 1.5:1.The lower percentage of female stroke patients indicates either a low prevalence of stroke among females or a lower access of female stroke patients to the tertiary care hospital.…”

Association between Chlamydia Pneumonia Seropositivity and Ischemic Stroke: A Case-Control Study

“…Those studies showed that hypertension was more frequently present in case than control group which was similar to this study. According to Saha, et al (2016)17 hypertension was the commonest risk factor among the stroke patients which was found all of these studies. Diabetes mellitus was found 59.5% of case and 33.3% of control patient in this study.…”