Medical Conditions Related to Ischemic And Haemorrhagic Stroke: A Hospital Based Study

Objective: To evaluate the distribution of common medical conditions related to stroke among Bangladeshi patients.Methods: This is an observational study. It involved 336 stroke patients from different medicine words in Dhaka Medical College Hospital over a period of twelve months. We evaluated some common established medical conditions observed among stroke patients e.g. age, sex, family history, hypertension, diabetes, ischemic heart disease, smoking, obesity, dyslipidaemia, alcoholism, use of oral contraceptive pill, lack of fresh fruit consumption etc. A predesigned check list was used for data collection.Result: Among the 336 patients, Most of the stroke events occurred after the age of forty (82.3%) and the ischemic stroke (72%) being the most common. Other than the non modifiable risk factors (advancing age, sex, Family history of stroke) hypertension was the most common factor found in relation to stroke patients (57.6%) followed by smoking (44.6%), tobacco use (24.3%), OCP use in female (40% of female stroke), diabetes (23%), ischemic heart disease (17.1%), obesity (10.6%) and dyslipidaemia (5.3%).Conclusion: Stroke is common after the age of forty. Ischemic events are commonest type of stroke. Hypertension, smoking, diabetes, tobacco use, and ischemic heart disease were five most common conditions related to stroke.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 167-174

Download Full-text

Factors Related to Stroke: A Hospital Based Study

Community Based Medical Journal ◽

10.3329/cbmj.v4i2.53817 ◽

2015 ◽

Vol 4 (2) ◽

pp. 13-19

Author(s):

Mohammad Murad Hossain ◽

Sardar Mohammad Hafiz ◽

ATM Hasibul Hasan ◽

Mohammad Anwarul Bari ◽

Mirza Manjurul Haque

Keyword(s):

Heart Disease ◽

Family History ◽

Ischemic Heart Disease ◽

Tobacco Use ◽

Common Factor ◽

Oral Contraceptive Pill ◽

Ischemic Heart ◽

Medical Conditions ◽

Stroke Patients ◽

College Hospital

To determine the distribution of common medical conditions related to stroke among Bangladeshi patients. This is an observational study. It involved 336 stroke patients from different medicine wards in Dhaka Medical College Hospital from July 2012 to June 2013. We assessed some common established medical conditions observed among stroke patients e.g. age, sex, family history, hypertension, diabetes, ischemic heart disease, smoking, obesity, dyslipidaemia, alcoholism, use of oral contraceptive pill, etc. A predesigned check list was used for data collection. Among 336 patients, most of the stroke events occurred after the age of forty (82.3%) and the ischemic stroke (72%) being the most common. Other than the non-modifiable risk factors (advancing age, sex, Family history of stroke) hypertension was the most common factor found in relation to stroke patients (57.6%) followed by smoking (44.6%), tobacco use (24.3%), OCP use in female (40% of female stroke), diabetes (23%), ischemic heart disease (17.1%), obesity (10.6%) and dyslipidaemia (5.3%). Stroke is common after the age of forty. Ischemic events are the commonest type of stroke. Hypertension, smoking, diabetes, tobacco use, and ischemic heart disease were five most principal conditions associated with stroke. CBMJ 2015 July: Vol. 04 No. 02 P: 13-19

Download Full-text

Clinical and Etiological Profile of Patients with Atrial Fibrillation (AF): Analysis and implications

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v4i1.16379 ◽

2017 ◽

Vol 4 (1) ◽

pp. 5-12

Author(s):

Ram Narayan Mandal ◽

Ajay Kumar Mishra ◽

Elena Leonidovna Mandal

Keyword(s):

Atrial Fibrillation ◽

Heart Disease ◽

Ischemic Heart Disease ◽

Dilated Cardiomyopathy ◽

Rheumatic Heart Disease ◽

Ischemic Heart ◽

Systemic Hypertension ◽

Clinical Hospital ◽

Medical College ◽

Rheumatic Heart

Background and Objectives: Atrial fibrillation (AF) is a frequently encountered cardiac arrhythmia which may be either symptomatic or asymptomatic. So, this study was conducted to know clinical presentation and to find out possible clinical and etiological profile of patients with AF.Material and Methods: This cross sectional study was conducted at Osh Regional Integrated Clinical Hospital, Osh Territorial City Clinical Hospital, The Kyrgyz Republic in collaboration with Janaki Medical College Teaching Hospital, Janakpurdham, Nepal. Sixty consecutive patients with AF were taken. Presenting complaints, past history, personal history was recorded. A thorough clinical examination was done, electrocardiogram, chest X-Ray posterio-anterior view, echocardiogram, thyroid function test and relevant test were done and analyzed.Results: Forty percent of the patients complained palpitation. Systemic thrombo-embolism was found in 15% of the patients. Other presenting complaints were cough, chest pain, shortness of breath, dizziness, swelling of the legs, tremors. Eighteen percent of patients presented with features of congestive cardiac failure and 30% of the patients gave history of rheumatic heart disease, 16.6% and 11.6% hypertension and ischemic heart disease respectively. Etiology-wise, rheumatic heart disease was the most common (46.6%) followed by hypertension (21.6%), ischemic heart disease (11.6%), dilated cardiomyopathy (6.6%), hyperthyroidism (5%), pneumonia (5%).Conclusion: Rheumatic heart disease, especially mitral stenosis is the most common cause of AF in this study. Systemic hypertension was next common etiology of AF, followed by ischaemic heart disease, dilated cardiomyopathy, thyroid disease. Heart failure, Systemic thromboembolism, decreased exercise tolerance are a major determinants for development of significant morbidity and mortality.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (1): 5-12

Download Full-text

Spectrum of heart diseases on Echocardiography in a Rural tertiary care Medical college hospital in Bangladesh

KYAMC Journal ◽

10.3329/kyamcj.v3i1.13657 ◽

2013 ◽

Vol 3 (1) ◽

pp. 223-234

Author(s):

Md Saiful Islam ◽

Md Annaz Mus Sakib ◽

Ranjan Talukder ◽

Sheikh Mohammed Taslim Yusuf

Keyword(s):

Heart Disease ◽

Ischemic Heart Disease ◽

Heart Diseases ◽

Hypertensive Heart Disease ◽

Medical College Hospital ◽

Ischemic Heart ◽

Cardiac Diseases ◽

College Hospital ◽

Medical College ◽

Pericardial Diseases

Background: Echocardiography is a non-invasive, on-injurious, relatively cheap and useful imaging technique for the evaluation of cardiac diseases. The procedure has reliable levels of accuracy. Echocardiography commenced at the Cardiology Department of Khawja Yunus Ali Medical College Hospital,Enayetpur Sirajgonj,Bangladesh since 2004.The aim of this study is to report our experience with the procedure, and to define the clinical cases seen in our setting.Methods: This is a retrospective analysis of a prospectively collected data. Echocardiography was performed using Aloka Prosound-SSD 5500 SV echocardiograph equipped with 2.5-5.0 MHz transducer. Results: During the period of 6 months under review (July 2011-December 2011), 1883 procedures were performed. Those reports were reviewed for demographic parameter, indications for the procedure and the main echocardiographic diagnoses. The mean age of the 1883 individuals studied was 50 +/- 18.67 years (10-90). There were 1221 men and 662 women. Four hundred ninety eight(498) (26.45%) had Ischemic Heart Disease, 229(12.16%) subjects were Hypertensive Heart disease,160 subjects (8.5%) had rheumatic heart disease while 62,(3.3%) had cardiomyopathy. Pericardial diseases, corpulmonale, congenital heart diseases, were present in 36(1.92%), 35 (1.85%), 88(4.67%), respectively. Seven hundred and Seventy Five (41.1%) subjects had normal study. Conclusion: Ischemic heart disease was found to be the most prevalent cardiac condition in this study. The relatively frequent diagnoses of Hypertensive heart Disease, valvular heart disease, cardiomyopathies and pericardial diseases reflect the impact of infections on the cardiovascular health of adult Bangladeshis. We suggest that prevention and treatment of cardiac diseases in our setting should among other things focus on life style modification, Ceasation of smoking,regular exercise, blood pressure and blood glucose control and early treatment of infections causing heart diseases.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13657KYAMC Journal Vol. 3, No.-1, June 2012 p.223-224

Download Full-text

Increased Zinc Serum Level: New Clues in Babol Stroke Patients, Northern Iran

Stroke Research and Treatment ◽

10.1155/2018/7681682 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Alijan Ahmadi Ahangar ◽

Payam Saadat ◽

Sona Niroomand ◽

Shayan Alijanpour ◽

Reza Sohrabnezhad ◽

...

Keyword(s):

Heart Disease ◽

Serum Level ◽

Ischemic Heart Disease ◽

Serum Levels ◽

Ischemic Heart ◽

Control Group ◽

Stroke Patients ◽

Northern Iran ◽

The Difference

Background. Stroke is the second leading cause of death worldwide. The role of zinc as a new predictor of stroke was considered. Methods. This prospective study was conducted in Ayatollah Rouhani Hospital within a year on 100 stroke and 100 control patients. Findings. The difference in zinc serum level in two groups was significant (deficiency: 3 (3%) in patients versus 20 (20%) in control group, normal: 25 (25%) versus 54 (54%), and increased level: 72 (72%) versus 26 (26%); p<0.001). Difference in zinc serum levels was statistically significant with ischemic heart disease (deficiency: 0 cases (0%), normal: 8 cases (24%), increased level: 24 cases (75%), p=0.003). Increases in zinc serum level were significantly correlated with the frequency of hemorrhagic and ischemic patients (deficiency: 3 (3.3%) hemorrhagic versus 0 (0%) ischemic; normal: 19 (21%) versus 6 (60%), increased level: 68 (75.6%) versus 4 (40%); p=0.025). Regression logistics showed that ischemic heart disease (p<0.001; OR = 28.29, %95 CI: 5.53; 144.87), hyperlipidemia (p<0.001; OR = 0.26, %95 CI: 0.12; 0.56), and zinc serum level (p<0.001, OR = 15.53, %95 CI: 4.03; 59.83) each had a significant role. Conclusions. Babol stroke patients are prone to increased zinc serum level as a new parameter. Ischemic heart disease, increased levels of zinc, and hyperlipidemia were found to be probable predictor factors for stroke in Babol.

Download Full-text

THE VASCULAR RISK FACTORS ASSOCIATED WITH ANTIPLATELET RESISTANCE IN ISCHEMIC STROKE PATIENTS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2020.v13i12.38591 ◽

2020 ◽

pp. 144-147

Author(s):

RIZALDY TASLIM PINZON ◽

BULAN MARCHELLIA WIJAYA

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Ischemic Stroke ◽

Ischemic Heart Disease ◽

Vascular Risk Factors ◽

Ischemic Heart ◽

Vascular Risk ◽

Stroke Patients ◽

Elderly Age ◽

Factors Associated

Objectives: This research is to measure the prevalence rate of antiplatelet resistance in ischemic stroke patients and measure the vascular risk factors associated with antiplatelet resistance in patients with ischemic stroke. Methods and Subjects: This was a cross-sectional study with the number of respondents in this study amounted to 155 patients who all had ischemic stroke disease at Bethesda Hospital in Yogyakarta Indonesia used stroke registry to complete the data of the risk factors. VerifyNow method is used to measure the responsiveness of antiplatelet therapy. Results: Among the 155 patients with ischemic stroke, 45 were women (29%), 110 were men (71%), and the elderly (age more than 60 years old) in 81 patients. In total 155 patients with ischemic stroke, 106 of them have hypertensive, with diabetes are 19 patients, dyslipidemia is 90 patients, and ischemic heart disease in 13 patients. The prevalence of antiplatelet resistance in risk factors, for age more than 60 years, is 21 patients (25%, RR=1.06, *p=0.96), in diabetes is 7 patients (36%, RR=1.17, **p=0.74), dyslipidemia is 19 patients (21%, RR=0.68, ***p=0.24), and ischemic heart disease is four patients (30%). Among 127 patients, 22% (28 patients) had aspirin resistance, while from 42 patients, 26.2% (11 patients) were resistant to clopidogrel. Conclusion: Antiplatelet resistance is common in ischemic stroke patients. One of five patients treated with antiplatelet showed non-responsiveness. Vascular risk factors do not increase the risk of antiplatelet resistance in ischemic stroke patients.

Download Full-text

Long-Term Outcomes of Ischemic Stroke Patients with Concurrent Intracranial and Extracranial Stenoses and Ischemic Heart Disease

Cerebrovascular Diseases ◽

10.1159/000267847 ◽

2010 ◽

Vol 29 (3) ◽

pp. 236-241 ◽

Cited By ~ 10

Author(s):

B.L. Man ◽

Y.P. Fu ◽

Y.Y. Chan ◽

W. Lam ◽

C.F. Hui ◽

...

Keyword(s):

Heart Disease ◽

Ischemic Stroke ◽

Ischemic Heart Disease ◽

Ischemic Heart ◽

Stroke Patients ◽

Long Term Outcomes

Download Full-text

Comparison of Family History of Sudden Cardiac Death in Nonischemic and Ischemic Heart Disease

Circulation Arrhythmia and Electrophysiology ◽

10.1161/circep.112.971465 ◽

2012 ◽

Vol 5 (4) ◽

pp. 757-761 ◽

Cited By ~ 4

Author(s):

Eeva Hookana ◽

M. Juhani Junttila ◽

Kari S. Kaikkonen ◽

Olavi Ukkola ◽

Y. Antero Kesäniemi ◽

...

Keyword(s):

Heart Disease ◽

Family History ◽

Sudden Cardiac Death ◽

Ischemic Heart Disease ◽

Cardiac Death ◽

Ischemic Heart ◽

History Of

Download Full-text

Association of Diabetes and Hypertension as risk factors with Ischemic Heart Disease among patients visiting a Public Sector Tertiary Care Hospital of Karachi, Pakistan

Pakistan Journal of Public Health ◽

10.32413/pjph.v10i4.509 ◽

2021 ◽

Vol 10 (4) ◽

pp. 215-219

Author(s):

Zulfiqar Ali Shaikh ◽

Javeria Shamim ◽

Akmal Khurshid Bhatti ◽

Sahar Soomro ◽

Zareen Kiran ◽

...

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Family History ◽

Public Sector ◽

Ischemic Heart Disease ◽

Sedentary Lifestyle ◽

Tertiary Care ◽

Ischemic Heart ◽

P Value ◽

Care Hospital

Background: Ischemic Heart Disease (IHD) is a leading cause of morbidity and mortality worldwide. IHD results from myocardial ischemia, and occurs whenever perfusion outgrows the demand. Though lethal, but can be prevented by modification of predisposing conditions, most important are diabetes and hypertension. Almost fifty percent of IHD patients are found hypertensive with or without being diabetic. The objective of the study was to determine association of diabetes and hypertension as risk factors for IHD patients Methods: This was a hospital-based cross-sectional study that included 199 IHD patients of 35-70 years age, visiting Civil Hospital Karachi, a tertiary care public sector hospital, from September 2017 to January 2018 by using non-probability convenient sampling technique. The patients were approached in the hospital and briefed about the purpose of the study. A pre-tested, structured close ended questionnaire was used to collect the data. Data entry and analysis were done by using SPSS version 20.0. A p-value of <0.05 was considered as statistically significant. Results: Out of 199 participants, 156 (78%) were males while 43 (22%) were females; 119 60%) were 56-65 years of age. Family history of ischemic heart diseases was unremarkable in 126 (63%) patients. In total, 122 (61%) were diabetic; among them, 24 were of less than 40years and 98 of more than 40years of age. The older age of the diabetics had a direct association with the risk of IHD (p-value <0.05). About 83% had a non-significant family history for diabetes; and 83% of the total study participants were having a sedentary lifestyle. Out of 199, 166 (83%) had never checked their blood pressures earlier. The lifestyle, diet, addiction, and duration of hypertension had a strong association with IHD (p-value <0.05). Conclusion: IHD occurs more frequently in males of 56-65 years age, with insignificant family history for IHD and diabetes. The IHD is associated with hypertension and diabetes along with sedentary lifestyle, unhealthy diet and smoking/tobacco addiction.

Download Full-text