CAROTID INTIMA MEDIA THICKNESS IN PATIENTS WITH ACUTE ISCHAEMIC STROKE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
BACKGROUND Carotid intima media thickness reflects ongoing atherosclerosis in the body and can be measured by B-mode ultrasound. It is found to be a risk factor for cardiovascular diseases. Our study intends to find association of carotid intima media thickness with acute ischaemic stroke. Objectives- To study the association between common carotid artery intima media thickness in patients with acute ischaemic stroke. To study the pattern between carotid intima media thickness and subtypes of ischaemic stroke. To study the pattern between carotid intima media thickness and size of infarct. MATERIALS AND METHODS The study design was a case control study. After getting ethical clearance, 42 cases and 42 controls satisfying the inclusion criteria were enrolled in the study. The data on demographic characteristics, smoking and cardiovascular risk factors were collected as a structured questionnaire. B Mode ultrasound Doppler of both common carotid arteries with carotid intima media thickness measurement was done for all participants in the study. Data analysis was done by SPSS software. Tests of significance were done to find association between CIMT and acute ischaemic stroke, subtypes of brain infarction, while scattered plot for assessing size of infarct. RESULTS Carotid plaques were present in 40.5% of cases and 14.3% of controls. The mean carotid intima media thickness in the present study is 0.90 ± 0.1 among cases and 0.80 ± 0.1 among controls (p= 0.001). The risk for stroke was 57.1% among cases and 23.8% among controls (p= 0.002). Among infarct subtypes 52.3% had PACIs, 23.8% had LACIs, 16.6% had POCIs and 7% had TACIs. CIMT > 0.9 mm was found in 68.5% of PACI, 66.6% of TACI, 14.2% of POCI and 60% of LACI (p= 0.09). There was no correlation between CIMT and size of infarct (r= 0.132, p= 0.406). CONCLUSION There was significant association between CIMT and acute ischaemic stroke. No association was found between CIMT and brain infarction subtypes. No correlation was found between CIMT and size of infarct.
Authors and Affiliations
Suresh Muthezhathu Kesavadas, Amy Susan George, Roy N
Keywords
Related Articles
- EP ID EP399058
- DOI 10.14260/jemds/2018/208
- Views 79
- Downloads 0
STUDY OF INCIDENCE AND OUTCOME OF SEPSIS IN NEPHROTIC SYNDROME
BACKGROUND Nephrotic syndrome is a syndrome comprising signs of nephrosis, chiefly proteinuria, hypoalbuminaemia and oedema. It is a component of glomerulonephrosis in which different degrees of proteinuria occur, [1] of...
PROSPECTIVE EVALUATION OF THE CLINICAL RISK FACTORS IN TERMS OF PROGNOSIS IN ACUTE DIFFUSE PERITONITIS IN TRIBAL INDIA
BACKGROUND Throughout the evolution of surgery, peritonitis has been a continuous diagnostic and therapeutic challenge. Even in some centers, due to lack of armamentarium in tribal India, surgeons have to depend more on...
EFFICACY AND SAFETY OF MISOPROSTOL IN SECOND TRIMESTER MEDICAL TERMINATION OF PREGNANCY AT A TERTIARY LEVEL CENTRE IN KERALA
BACKGROUND Second trimester MTP is done by various methods. Most commonly used and studied in various regimens of Mifepristone and Misoprostol by oral and vaginal routes. FIGO recommended various regimens. In our institu...
DESCRIPTIVE STUDY OF ENTEROCOCCAL SPECIES WITH THEIR ANTIBIOTIC STEWARDSHIP IN TERTIARY CARE HOSPITAL
BACKGROUND Objectives of this study were 1. Isolation and speciation of enterococci from urine, pus sample, blood and other body fluids. 2. To identify the species of enterococci mostly isolated in ICU and non-ICU sample...
RESEARCH ON CORRELATION AMONG DIFFERENT OSSIFICATION CENTRES IN FEMALE
Medico-legal age estimation is one of the tasks in clinical forensic medicine. In many instances, the courts of law seek medical opinion on the age of an individual. The circumstances may be civil, like to find t...