Clinical Profile of Acute Ischemic Cerebrovascular Stroke.

ABSTRACT

Introduction: Stroke is the common cause of severe disabilityand death worldwide. Study aimed to evaluate etiological,demographic, clinical course and identification of risk factorsin acute ischemic cerebrovascular stroke.Material and methods: A prospective study of 46 patientsof Ischemic cerebrovascular stroke conducted at MedicalCollege, Vadodara during January 2014 to November 2014.All Patients were subjected to Personal biodata and detailedclinical assessment with written consent. All were sent forroutine blood investigations including Lipid profile, chest xray PA view, Electrocardiography, 2D Echo and CT Scan. AllData were analysed by using Microsoft excel software.Results: In our study, most common age group was 55 to64 yrs (mean age 55.5yrs) with males predominance wasobserved (52%). Among males, 26 (56.53%) patients weresmokers while 18 (39.13%) males were alcoholic. Amongst46 patients, 55% and 35% found to be hypertensive andDiabetic respectively. 24% Patients had positive familyhistory of Hypertension. In our study, 54.3% had normalserum cholesterol level between 150 to 199 mg/dl whileHypertriglyceridemia and low HDL was found in 17.4% and26% respectively. Most common documented risk factors forstroke were age, smoking, hypertension and Diabetes Mellitus.Most of Patients presented with limb/motor weakness (86.9%)followed by speech disturbance and loss of consciousness at41.3% and 34.7% respectively. Hospital outcome was good.Conclusion: Ischemic stroke entails high socioeconomicburden due to increased morbidity and mortality. Age,Smoking, Hypertension and Diabetes are importantatherosclerotic risk factors in our study. Early Identification,treatment and prevention of risk factors can decline theincidence, complications and related mortality. So Physicianhave a important role in stroke prevention by encouraging thereduction in risk factors.