Study on Type of Stroke with Special Preference to Association of Modifiable Risk Factors in Kosi Zone

  • Shruti Sonal Post Graduate Trainee, Department of Medicine, Katihar Medical College, Katihar
  • Atul Kumar Associate Professor, Department of Medicine, Katihar Medical College, Katihar
  • Pramod Kumar Agrawal Professor, Department of Medicine, Katihar Medical College, Katihar
  • Y N Giri Professor, Department of Medicine, Katihar Medical College, Katihar
  • Taskeen A Reza Assistant Professor, Department of Medicine, Katihar Medical College, Katihar
  • Karan Bhargav Post Graduate Trainee, Department of Medicine, Katihar Medical College, Katihar
  • Saad Bin Saif Post Graduate Trainee, Department of Medicine, Katihar Medical College, Katihar
Keywords: Stroke, Modifiable Risk Factors, Hypertension.

Abstract

Background: Stroke is a global health problem and the second most common cause of death. It also entails a high socioeconomic burden due to increased mortality and morbidity. Despite substantial advances for treatment of stroke, effective primary stroke prevention remains the best means for reducing stroke burden.

Methods: It was a cross-sectional study including 100 cerebrovascular patients and hundred non-cerebrovascular accident controls(age-sex matched) who were studied to determine the  incidence of various types of stroke and association of various modifiable risk factors with stroke.

Results: Incidence of ischaemic stroke was more than haemorrhagic stroke. Also, strong correlation exists between smoking, hypertension, diabetes, dyslipidemia and stroke.

Conclusions: Effective management of these common risk factors can reduce the incidence, mortality and morbidity associated with stroke. Hence, primary prevention of stroke is of immense public health importance.

Downloads

Download data is not yet available.

References

1. M. Gold stein (Chairman) USA, HJM Barnett Canada, J.M. Orgogozo France et al Stroke, Recommendations on stroke prevention, diagnosis and therapy: report WHO task force on stroke and other cerebrovascular disordersa. Stroke 1989,20(10):1407-1431
2. Journal of Stroke, Jeyaraj Durai Pandian, Paulin Sudhan 2013,15(3) 128-134
3. Feigin V, Lawes C, Bennet D, Barker_Cellos, Parag V., Worldwide Stroke incidence and early case fatality in 56 Population based studies, a systematic review. Lancet neurology 2009,8(4) 355-369
4. Gupta R., Joshi P, Mohan V, Reddy S, Yusuf S, Epidemiology and causation of coronary heart disease and stroke in India, Heart 2008:94, 16-26
5. Golstein L, et al, Circulation 2001,103. 163-182
6. Broderick J et al stroke 1998,29:415-429
7. Brown WV. Clin Cornerstone 2004: 6( supple 3) s30-s34
8. Gorelick PB. Stroke prevention. Arch Neurol. 1995;52:347–355.
9. Goldstein LB, Adams R, Becker K, Furberg CD, Gorelick PB, Hademenos G, Hill M, Howard G, Howard VJ, Jacobs B, Levine SR,Mosca L, Sacco RL, Sherman DG, Wolf PA, delzoppo GJ. Primary prevention of ischemic stroke: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Stroke.2001;32:280 –299.
10. Pearson TA, Bazzarre TL, Daniels SR, Fair JM, Fortmann SP, Franklin BA, Goldstein LB, Hong Y, Mensah GA, Sallis JF Jr, Smith S Jr, Stone NJ, Taubert KA. American Heart Association guide for improving cardiovascular health at the community level: a statement for public health practitioners, healthcare providers, and health policy makers from the American Heart Association Expert Panel on Population and Prevention Science. Circulation. 2003;107:645– 651.
11. American Heart Association. Heart Disease and Stroke Statistics—2004 Update. Dallas, Tex: American Heart Association; 2003.
12. Broderick J, Brott T, Kothari R, Miller R, Khoury J, Pancioli A, Gebel J, Mills D, Minneci L, Shukla R. The Greater Cincinnati/Northern Kentucky Stroke Study: preliminary first-ever and total incidence rates of stroke among blacks. Stroke. 1998;29:415– 421.
13. Rosamond WD, Folsom AR, Chambless LE, Wang CH, mcgovern PG, Howard G, Copper LS, Shahar E. Stroke incidence and survival among middle-aged adults: 9-year follow-up of the Atherosclerosis Risk in Communities (ARIC) cohort. Stroke. 1999;30:736 –743.
14. Amarenco P. Hypercholesterolemia, lipid lowering agents, and risk for brain infarction. Neurology 2001;57 (supplement 2); 35-44.
15. Briel M, Studer M, Glass TR, Bucher HC(2004). Effects of statins on stroke prevention in patients with or withour coronary heart disease: a meta-analysis of randomized controlled trials. Am J Med 117(8); 596-606.
16. Hankey GJ, Eikelboom JW, van Bockxmeer FM, Lofthouse E, Staples N, Baker RI. Inherited thrombophilia in ischemic stroke and its pathogenic subtypes. Stroke. 2001;32:1793–1799.
17. Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke 1991;22:983–8. [pubmed: 1866765]
18. Go AS, Hylek EM, Chang Y, et al. Anticoagulation therapy for stroke prevention in atrial fibrillation:How well do randomized trials translate into clinical practice? JAMA 2003;290:2685–92. [pubmed:14645310]
19. Autret A, Pourcelot L, Saudeau D, et al. Stroke risk in patients with carotid stenosis. Lancet 1987;1:888–90. [pubmed: 2882292]
20. Chambers BR, Norris JW. Outcome in patients with asymptomatic neck bruits. N Engl J Med 1986;315:860–5. [pubmed: 3528855]
21. Sacco RL, Elkind M, Boden-Albala B, et al. The protective effect of moderate alcohol consumption on ischemic stroke. JAMA 1999;281:53–60. [pubmed: 9892451]
22. Caplan LR , Dyken ML, Easton JD. American Heart Association Family Guide to Stroke. New York, Random House, 1994;63
23. Shinton R, Sagar G. Lifelong exercise and stroke. BMJ 1993;307:231–4. [pubmed: 8369683] [published correction appears in BMJ. 1993;307:706]
Published
2016-12-28
How to Cite
1.
Sonal S, Kumar A, Agrawal PK, Giri YN, Reza TA, Bhargav K, Saif SB. Study on Type of Stroke with Special Preference to Association of Modifiable Risk Factors in Kosi Zone. Int Arch BioMed Clin Res [Internet]. 2016Dec.28 [cited 2019Dec.5];2(4):40-5. Available from: https://iabcr.org/index.php/iabcr/article/view/138
Section
ORIGINAL ARTICLES ~ General Surgery

Most read articles by the same author(s)