A Study of Risk Factors of Cerebrovascular Accident at a Tertiary Care Centre in Western UP

ABSTRACT

A stroke or CVA is defined by the abrupt onset of a neurologic deficit that is attributable to a focal vascular cause. Important modifiable risk factors include diabetes, hypertension, smoking, alcohol intake, sedentary life style, dyslipidemia, heart disease and OCP intake in females and non-modifiable risk factors include old age, gender predisposition and family history. The aim of study is to determine the types of stroke and presenting clinical features and modifiable and non-modifiable risk factors associated with development of stroke. Methods: The present study is a prospective observational study conducted in Teerthanker Mahaveer Medical College over a period of one year i.e January 2017 to January 2018.Total 110 cases presenting with stroke were included in the study. Results: The study shows that ischemic stroke is commoner than hemorrhagic stroke.The risk of stroke increases with age and common in males.Diabetes mellitus was seen in 29.1% cases presenting with stroke, 39.1% cases had hypertension.43.6% and 22.7 were smokers and alcoholic respectively. Dyslipidemia was present in 37.3% cases.15.4% cases had history of heart disease.17.2% cases had previous history of stroke. Conclusion: The modifiable risk factors pose a huge burden by increasing the morbidity and mortality due to stroke. Proper control of these risk factors can reduce the burden of disease.