STUDY OF EVALUATION OF RISK FACTORS IN ACUTE STROKE

Dr. Kiran Yadav*

ABSTRACT

Introduction: Stroke is the second most common cause of death and major cause of disability worldwide. Approximately 20 million people each year suffer from stroke of which 5 million do not survive. Cerebral infarction is responsible for about 80% of all first ever in a lifetime strokes. There are many risk factors for cerebrovascular accidents (CVA) like hypertension, diabetes, aneurysm,smoking & coagulopathy . CVA can cause crippling morbidity in young as well as elderly individuals. Aims & Objectives: Identification of risk factors for cerebrovascular disease. Material and Methods: The present study was carried out in100 patients admitted in department of medicine, S.S. medical college and associated S.G.M.H hospital, Rewa (M.P.) from july 2014 to Jun. 2015. Inclusion Criteria: >16 years admitted to SGMH, Rewa. Neurodeficit lasting >24 hours. The stroke patients of both sexes aged. Exclusion Criteria: Head injury cases, neoplasm cases producing cerebrovascular disease were excluded. Detailed neurological examination including fundoscopy and cardiovascular examination was carried out in all the cases. All patients were subjected to routine Hematologic and Biochemical investigations. Result: Stroke was most common in 5th and 6th decade (55%). Males had higher preponderance among stroke patients (Male-female ratio 1.5:1). Hypertension was the most common risk factor in 45% of patients followed by smoking, diabetes mellitus. More common pathology was infarction. Conclusion: Common risk factors for acute stroke are hypertension, smoking, diabetes mellitus, alcoholism, obesity, cardiac disease. Stroke was confirmed by CT scan of brain.

Keywords: Cerebrovascular disease, risk factors ,hypertension ,diabetes, obesity.