RESUMEN
Objective: To determine the frequency of intracerebral hemorrhage in hypertensive patients. Study design: Cross sectional study. Setting: This study was conducted at Medical department of Peoples Medical College and Hospital Nawabshah, from 01-01-2012 to 31-12-2012
Material and Methods: Admitted patient through emergency department with history of hypertension more than two years, meeting the inclusion criteria taken consent from attendant. Patient was referred for C.T scan brain presence of hyperdense area was considered as intracerebral hemorrhage. Inclusive criteria were age >20 years, either sex and patients with history of hypertension more than two year with any two or more sign and symptoms like sudden unconsciousness or with hemiplegia, hemiparesis, dysarthria. Aphasia, cranial nerve palsies. Exclusion criteria were age less than 20 years, normotensive patients with cerebral hemorrhage and patients with traumatic hemorrhage
Results: Among 281 patients that had stroke, there were 147 males and 134 females with a sex ratio males: female 1:1. Mean age of patients admitted with intracerebral hemorrhage was 37.89 +/- 7.33 years with an average age among males and females was same. Duration of hypertension was greater than 20-25 years in most of the patients nearly 63.7%. Patients with long duration of diabetes and hypertension presented with intracerebral hemorrhage. Nearly all the patients with intracerebral hemorrhage were smokers 145, only 2 patients were non smokers and nearly all had long history of smoking. The 127 patients who presented with intracerebral hemorrhage were obese. All risk factors were statistically significant and were responsible for intracerebral hemorrhage
Conclusions: Hypertension is a risk factor for intra cerebral hemorrhage. An effort should be made to control blood pressure and other modifiable risk factors to reduce incidence of intra cerebral hemorrhage and improve patient outcomes