Résumé
Background: The cerebrovascular stroke is one of the leading causes of morbidity & mortality in adult life. Indian studies have shown a stroke prevalence of 471.58/100000 population. Stroke mostly occurs in elderly people. Risk factors for stroke differ between young and elderly patients. The aim was to study the clinical presentation, risk factors, types, topography as per CT scan findings in ≤45 years and >45 years patients from GMERS medical college and hospital Gandhinagar. Methods: This is a retrospective study of all new patients managed for stroke in the medical ward of GMERS medical college and hospital, Gandhinagar, Gujarat from January1, 2012 to December 31, 2013. Results: Incidence of stroke in elderly (≥45 years) was than young (<45 years) patients with male predominance in both the groups. Most common clinical presentation from both age groups was hemiplegia (75% in young vs. 72.1% in elderly). Common risk factors in were HT and past h/o CVD (25%) and smoking (16.6%) in young and HT (37.1%), dyslipidemia and smoking (14.3%) in elderly. Most common type of stroke in both age groups was ischemic (83.3% in young vs. 73.2% in elderly), followed by Hemorrhagic. Common sites of hemorrhage in young and elderly were lobar and thalamoganglionic. Most common infarction site in both age groups is MCA territory. Conclusion: The cerebrovascular stroke was more in elderly with hypertension and smoking was the most common risk factor in both age groups and most common type was ischemic.
Résumé
The cerebrovascular stroke is one of the leading causes of morbidity & mortality in adult life. After coronary heart disease & cancer of all types, stroke is the third commonest cause of death worldwide. Indian studies have shown a stroke prevalence of 471.58/100000 population. The objective was to study the clinical presentation, risk factors, neurological presentation, pattern of brain strokes, areas of brain affected as per CT scan findings in pts GMERS medical college and hospital Gandhinagar. Methods: This is a retrospective study of all new patients managed for stroke in the medical ward of GMERS medical college and hospital, Gandhinagar, Gujarat from January1, 2012 to December 31, 2013. Results: The cerebrovascular strokes are more common in males (59.7%) than females (40.3%). Most common age group was 61-70 years (32.8%). Most common clinical feature was hemiplegia (72.6%). Most common risk factor was Hypertension (34%) followed by past h/o cerebrovascular stroke (15%), smoking (14%), dyslipidemia (13%). Most common type of stroke was ischemic (74.6%) & hemorrhagic was 2nd (22.9%). In ischemic stroke most common involved areas were parietal (33.7%), frontal (16.7%). In hemorrhagic stroke most common site was thalamus (24.7%) followed by ventricular (17.5%). Conclusions: The cerebrovascular stroke cases were having male predominance with Hypertension was the most common risk factor and most common type of stroke was ischemic.
Résumé
Acute myocardial infarction is the most common and potentially life-threatening cardiac emergency presenting to a hospital. Having significant mortality and morbidity, the emergency requires early recognition, efficient triage and prompt therapeutic, interventions for maximum benefit. The objective was to study the age & sex distribution, clinical features, risk factors, ECG findings, complications, outcome of pts admitted with acute ST elevation myocardial infarction pts admitted in GMERS medical college and hospital, Gandhinagar, Gujarat. Methods: This is a retrospective study of all new patients managed for acute ST elevation myocardial infarction in the I.C.C.U. of GMERS medical college and hospital, Gandhinagar, Gujarat from January1 2012 to December 31, 2013. Results: Acute ST elevation myocardial infarction was more common in males (71.7%). Male to female ratio was 3.6:1. Mean age was 55.72 years & most pts were in age group of 51-60. most common clinical feature was chest pain (96.9%). Most of the pts (22.8%) presented in the hospital after onset of chest pain in 0>6 hrs duration. Most pts were having anterior wall infarction (47.5%). Most common risk factor was smoking or any form of tobacco consumption (28.3%). Most common complication was congestive cardiac failure (42.9%). In hospital mortality was 13.2%. Conclusion: Acute ST elevation myocardial infarction was having male predominance with anterior wall myocardial infarction most common and most common risk factor was smoking and most common complication was congestive cardiac failure.