scholarly journals Visualization of Carotid Doppler in Patients with Ischemic Stroke at Dr. Hasan Sadikin General Hospital Bandung Year 2016-2019

2021 ◽  
Vol 8 (3) ◽  
pp. 159-163
Author(s):  
Olivia Olivia ◽  
Ahmad Rizal Ganiem ◽  
Syarief Hidayat
Keyword(s):  
Ischemic Stroke ◽  
General Hospital ◽  
Carotid Doppler

scholarly journals CAROTID DOPPLER AS A BIOMARKER TO DETERMINE STENOSIS IN ISCHEMIC STROKE AND MANAGEMENT OF ICU PATIENT

2020 ◽  
Vol 8 (10) ◽  
pp. 375-380
Author(s):  
Samia Perwaiz Khan ◽  
◽  
Sabeeh Jaffrey ◽  
Safia Izhar ◽  
Khwaja Zafar Ahmed ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
General Hospital ◽  
Color Doppler ◽  
Invasive Procedure ◽  
Intima Media Thickness ◽  
Cerebrovascular Diseases ◽  
Consent Form ◽  
Plaque Morphology ◽  
Media Thickness ◽  
Carotid Doppler

Atherosclerosis is common cause of cerebrovascular diseases. Carotid Doppler is tool to determine atherosclerotic risk in patients leading to stroke. Carotid sonography isa invasive procedure and is most commonly being used. Proper management of atherosclerotic plaque and thickness could be reducing morbidity and mortality.All those patients with stroke admitted to Medicare cardiac and general hospital will be included in the study. All those patients with stroke due to intracerebral hemorrhage will be excluded from the study .Consent form was filled by the relatives of patients. Carotid Doppler was carried out external, middle and internal carotid arteries. Performa and consent form was filled by patient/ attendant. Pre and post antiplatelet and antithrombotic therapy color Doppler was done.Out of a total of 25 patients with stroke admitted or attending the walk-in clinic of medicare cardiac 7 general hospital . Intima media thickness was increased in 25 (100%) above 0.1mm ,calcified plaques were found in 20 ( 90%) patients and stenosis was less than 40% in 19 patients and above 50% in 6 patients. Control shown to have normal intima media thickness 0.1-0.6 mm , no plaques or stenosis. Carotid Doppler is found to be most useful biomarker to determine stenosis in ischemic stroke and plaque morphology also to management of intensive care unit patient.

scholarly journals Delay in presentation of acute ischemic stroke in Lahore General Hospital, Lahore

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Rafiq A Basharat ◽  
Kamran Rashid Mirza ◽  
Muhammad Yousuf Qamar
Keyword(s):  
Emergency Department ◽  
Ischemic Stroke ◽  
Ct Scan ◽  
Acute Ischemic Stroke ◽  
General Hospital ◽  
Clinical History ◽  
Clinical Findings ◽  
Study Data ◽  
Time Interval ◽  
Time Required

Objectives: To find out the time interval from onset of the symptoms to admission in the hospital of patients suffering from acute ischemic stroke, in order to assess the feasibility of thrombolytic therapy in Lahore General Hospital. Design: Hospital-based, prospective and observational study Setting: Lahore General Hospital Lahore. Duration: Six months from January - June 2004. Patients: Seventy two patients with acute ischemic stroke diagnosed on basis of clinical findings and CT scan. Methods: Patients o f a cute ischemic stroke including cerebral infarct, T IA, venous infarct and lacunar infarct were diagnosed on basis of clinical history, examination and CT scan and enrolled in the study. Data was collected on a Performa. Time taken by patients to reach hospital after onset of symptoms, distance of patients` residences from hospital, education level of patients and time required to do a CT scan after arrival of patient in hospital were studied. Results: 54.2% were male and mean age of patients was 60 years. 58 patients had cerebral infarction, TIA`s and venous infarction were 8 and 6 respectively. Delay in presentation was divided in three groups. Within three hours (hrs) 15 (21%) patients arrived. 54 and 18 patients arrived in 3-- 24 hrs group and >24 firs group. Mean distance was roughly 44 km. Mean distance for 0-3hrs, 3-24hrs and >24hrs group was 14, 35, and 85 Km respectively. Average time required to do CT scan was nine hours after arrival of patient in emergency department. Sixty-five percent of patients coming were illiterate. Conclusion: Majority of the patients with ischemic stroke present late to. emergency department. Many factors including distance from hospital, illiteracy, non-availability of ambulance services responsible for it. Evaluation-of patients and provision of urgent CT scan is required. in hospitals.

scholarly journals Lipid Profile in New and Recurrent Ischemic Stroke Patients at Haji General Hospital of North Sumatra Indonesia

2019 ◽  
Vol 3 (3) ◽  
pp. 146
Author(s):  
Meizly Andina ◽  
Lisa Nabila Pratiwi ◽  
Fadhilah Ramadhan Aribowo
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Lipid Profile ◽  
General Hospital ◽  
Recurrent Stroke ◽  
Secondary Data ◽  
Ischemic Stroke Patient ◽  
Stroke Patients ◽  
Average Value ◽  
North Sumatra

Introduction: Stroke refers to any sudden neurological disorder that occurs due to the cessation of blood flow through the arterial supply system of the brain. The etiology obstructions are atherosclerosis. There was an imbalance of lipid profiles in patients with ischemic stroke There was an imbalance of lipid profiles in patients with ischemic stroke. The objective of this research is to determine differences between lipid profile in new ischemic stroke patients with recurrent stroke at Haji General Hospital of North Sumatra Indonesia in 2015-2016.Methods: This is a cross-sectional study using total sampling method with a total of 64samples. Secondary data obtained from General hospital Haji Medan. Secondary data collected were data on lipid profile in patients with acute stroke and recurrent stroke by collecting medical records.Results: The result from the acute stroke patients found HDL levels of 33.97 mg/dl, recurrent stroke patients found HDL levels of 35.25 mg/dl. LDL levels in acute stroke patients were 109.56 mg/dl and recurrent stroke patients were 123.16 mg/dl. In new ischemic stroke patient, the average value of triglyceride levels was 143 mg/dl and the average value of total cholesterol was 205.8 mg/ dl. In recurrent ischemic stroke patient, the average value of triglyceride levels was 165.2 mg/dl and the mean total cholesterol level was 180.8 mg/dl.Discussion: There are no differences of lipid profile in new and recurrent ischemic stroke patients at Haji General Hospital of North Sumatra Indonesia in 2015-2016 (p>0.05)International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 146-149

scholarly journals Gambaran dislipidemia pada pasien stroke akut di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau periode Januari-Desember 2019

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dimas Pramita Nugraha ◽  
Eka Bebasari ◽  
Sahwal Sahputra
Keyword(s):  
Ischemic Stroke ◽  
High Density Lipoprotein ◽  
Acute Stroke ◽  
General Hospital ◽  
Normal Level ◽  
Hemorrhagic Stroke ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Low Density ◽  
Cross Sectional

Abstrak. Stroke adalah penyakit gangguan fungsional otak yang timbul mendadak dan berlangsung lebih dari 24 jam atau berakhir dengan kematian tanpa diketahui penyebab yang jelas selain gangguan vaskuler. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah dislipidemia. Tujuan penelitian ini adalah untuk mengetahui gambaran dislipidemia pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif  dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di  RSUD Arifin Achmad Provinsi Riau  Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 103 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada jenis kelamin laki-laki yaitu 63 orang (61,2%). Usia terbanyak terjadi pada rentang usia 51-65 tahun sebanyak 54 (52,4%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 59 orang (57,3%). Kadar kolesterol total terbanyak pada  rentang normal yaitu sebanyak 46 orang (44,7%). Kadar High Density Lipoprotein (HDL)  terbanyak pada rentang normal yaitu sebanyak 49 orang (47,6%). Kadar Low Density  Lipoprotein (LDL) terbanyak pada kategori tinggi sebanyak 26 orang (25,2%) dan normal tapi berisiko sebanyak 26 orang (25,2%). Kadar trigliserida terbanyak pada kategori normal sebanyak 65 orang (63,1%). Terdapat 17 orang (16,5%) pasien dislipidemia, sebanyak 9 orang (52,9%) adalah stroke iskemik. Kesimpulan dari penelitian ini adalah dislipidemia lebih banyak terjadi pada stroke iskemik disbanding stroke hemoragik.Kata kunci:  dislipidemia, stroke, stroke non hemoragikAbstract. Stroke is a disease of the brain functional disorders that arises suddenly and lasts more than 24 hours or ends in death situation without a known cause other than vascular disorders. Strokes are generally classified into ischemic stroke (non-hemorrhagic) and hemorrhagic stroke, One of the risk factors of stroke is dyslipidemia. The aim of this study was to describe dyslipidemia in acute stroke patients at Arifin Achmad Regioal General Hospital of Riau Province in January to December 2019. This was a descriptive study design with cross sectional study method by using secondary data of the acute stroke patient's medical record at Arifin Achmad Regional General Hospital of Riau Province in January to December 2019 with a total sample of 103 cases. The results show that stroke is more common in male that is 63 (61.2%) cases, and the majority happened within the 51-65 years age groups with 54 (52.4%) cases. Most of the stroke’s type in patients were hemorrhagic stroke in 59 (57.3%) cases. Highest total of cholesterol level remains normal in 46 (44.7%) cases. The majority of patients still presented with normal level of High Density Lipoprotein (HDL) in 49 (47.6%) cases. In contrary, most patients presented with high level of Low Density Lipoprotein (LDL) in 26 (25.2%) cases and also with normal level but considered as high-risk group in  26 (25.2%) cases. Most patients still presented with normal level of triglyceride in 65 (63.1%) cases. There were 17 (16.5%) cases of patient with dyslipidemia, 9 of them were considered as ischemic stroke (52.9%). The conclusion of this study is that dyslipidemia commonly occurs in ischemic stroke types compared to a hemorrhagic stroke.Keywords: dyslipidemia, stroke, non hemorrhagic stroke

scholarly journals HUBUNGAN PENINGKATAN KADAR LDL KOLESTEROL PADA PASIEN STROKE ISKEMIK DI RUMAH SAKIT UMUM HAJI MEDAN

2019 ◽  
Vol 1 (2) ◽  
pp. 104-109
Author(s):  
Zaim Anshari
Keyword(s):  
Ischemic Stroke ◽  
General Hospital ◽  
Medical Records ◽  
Ldl Cholesterol ◽  
Stroke Patients ◽  
Chi Square ◽  
Inconsistent Result ◽  
Chi Square Test ◽  
High Level ◽  
Test Result

Introduction: The causes of ischemic stroke by the high level of ldl cholesterol is still uncertain or can not be confirmed yet. The researches regarding the correlation of the high level of ldl cholestrol on the ischemic stroke patients only in small numbers with inconsistent result. Purpose: to know the correlation of high level of idl cholestrol on ischemic stroke patients. Method: this research is an analytic research by using restrospective study method on ischemic stroke patients whom hospitalized in Haji Medan General Hospital period January to Maret 2019. The datas were taken from patient medical records. Those datas will be analyzed by using chi square test. Result: there were 40 subjects whom are in ages of 61-70 years old. There was no correlation of high level of ldl cholestrol on ischemic stroke patients (p=0.943) which means (p>0.05) H○ is unaccepted. Discussion: there is no correlation of high level of ldl cholestrol on ischenic stroke patients

scholarly journals HUBUNGAN PENINGKATAN KADAR LDL KOLESTEROL PADA PASIEN STROKE ISKEMIK DI RUMAH SAKIT UMUM HAJI MEDAN

2019 ◽  
Vol 1 (2) ◽  
pp. 104-109
Author(s):  
Zaim Anshari
Keyword(s):  
Ischemic Stroke ◽  
General Hospital ◽  
Medical Records ◽  
Ldl Cholesterol ◽  
Stroke Patients ◽  
Chi Square ◽  
Inconsistent Result ◽  
Chi Square Test ◽  
High Level ◽  
Test Result

Introduction: The causes of ischemic stroke by the high level of ldl cholesterol is still uncertain or can not be confirmed yet. The researches regarding the correlation of the high level of ldl cholestrol on the ischemic stroke patients only in small numbers with inconsistent result. Purpose: to know the correlation of high level of idl cholestrol on ischemic stroke patients. Method: this research is an analytic research by using restrospective study method on ischemic stroke patients whom hospitalized in Haji Medan General Hospital period January to Maret 2019. The datas were taken from patient medical records. Those datas will be analyzed by using chi square test. Result: there were 40 subjects whom are in ages of 61-70 years old. There was no correlation of high level of ldl cholestrol on ischemic stroke patients (p=0.943) which means (p>0.05) H○ is unaccepted. Discussion: there is no correlation of high level of ldl cholestrol on ischenic stroke patients

Ischemic Stroke and its Association with Risk Factors at Nepalgunj Medical College Teaching Hospital Kohalpur

2021 ◽  
Vol 18 (2) ◽  
pp. 48-50
Author(s):  
Shyam Kumar BK ◽  
Sushil Baral ◽  
Nabin Paudel ◽  
Hitesh Neupane
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Carotid Artery ◽  
College Teaching ◽  
Intima Media Thickness ◽  
Cerebrovascular Diseases ◽  
Media Thickness ◽  
Number Of Patients ◽  
Carotid Doppler

Introduction: Incidence of stroke increases with age and growing elderly population worldwide, the number of patients with stroke are likely to increase. It is the third most common cause of death in world in that 85% are ischemic in nature. Atherosclerosis is a major risk factor in cerebrovascular diseases. Carotid Intima Media thickness (CIMT) is a surrogate marker of atherosclerosis and provides a non-invasive method for the risk assessment of cerebrovascular diseases. Aims: To study the atherosclerotic risk profile of patients admitted with ischemic stroke in medical ward with study of the carotid artery intima-media thickness in patients with acute ischemic stroke. Methods:  92 patients with ischemic strokes were studied in this observational study. Carotid Doppler was performed in all patients with emphasis on carotid artery stenosis and intima thickening. Analysis of Association of various risk factors was done in detail. Study period was from June 2019 to May 2020. Results: Higher degree of stenosis was associated with hypoechoic plaques and cortical strokes. Hypertension was the most common and most significant risk factor. Multiple risk factors also appear to have synergistic actions. Conclusion: Various modifiable risk factors provide valuable target for primary and secondary prevention of stroke. Carotid Doppler is a very cheap and highly effective tool for further management of stroke patients. Most of the asymptomatic patients, risk factors may warrant precautionary carotid Doppler, and may result in significant reduction in disease burden on the families and the community and should be encouraged.

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