Ischemic Stroke

Abstract

Stroke is characterized by the sudden loss of blood circulation to an areaof the brain, resulting in a corresponding loss of neurologic function. It is also called ascereberovascular accident (CVA) or stroke syndrome. Objectives: To determine frequencyof hypertension, diabetes mellitus and smoking in patients with ischemic stroke. Patientsand methods: This cross sectional study of six months was carried out in the department ofmedicine, Liaquat University of Medical and Health Sciences. Patients aged 20-70 years of agewith ischemic stroke on CT were enrolled in the study after taking consent from caretaker ofpatients. Detailed history focusing on hypertension, diabetes and smoking and their durationwas taken. Blood pressure was recorded and fundoscopy was done to find out diabetic orhypertensive retinopathy. Thorough neurological examination was done and blood sugar(fasting and random) was evaluated. Data was entered and analyzed using SPSS version 16.Results: A total of 100 patients were included in the study during study period. 64% of patientswere in ≥ 50 years of age group with mean age of 52±11 years. A total of 66 (66%) were male;with male to female ratio was 2:1. Hypertension was present in 61% of cases, Diabetes wasfound in 32% cases and 40 patients were cigarette smokers. Conclusions: It was concludedthat high blood pressure, diabetes mellitus and smoking are associated with ischemic stroke.

Assessing Stroke Patients' Treatment and Prognosis to Enhance Therapeutic Strategies

“…The vast majority of strokes (87%) are ischemic, yet most epidemiological data classify both ischemic and haemorrhagic (including intracerebral and subarachnoid haemorrhages) strokes under the umbrella term stroke (2). A common cause of stroke is carotid artery stenosis (CAS) (3,4). A haemorrhagic stroke is often linked to uncontrolled and persistent hypertension, The clinical presentation of haemorrhagic strokes varies with the site, kind, and bleeding position of the stroke usual symptoms include irritability, nausea, central neurological deficit, and diminished consciousness, and this rapidly progresses to coma (5).…”