Clinical Outcome in Ischemic Stroke Patients with Hyperglycemia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Introduction Stroke is one of the leading causes of death and long term disability in India. Stroke is an important cause of premature death and disability in low-income and middle-income countries like India, largely driven by demographic changes and enhanced by the increasing prevalence of the key modifiable risk factors. Among all the neurological diseases of adult life, cerebrovascular accidents clearly rank first in frequency of importance. Almost fifty percent of neurological diseases in general hospital are due to stroke. Cerebrovascular accident includes ischemic stroke, hemorrhagic stroke and cerebrovascular anomalies such as intracranial aneurysm, AV malformation and cortical venous thrombosis. Stroke after heart disease, is the second most common cause of death among non-communicable diseases. With the introduction of effective treatment for hypertension, there has been a marked reduction in the frequency of stroke. Diabetes mellitus by virtue of its association with micro vascular and macro vascular disease is an important risk factor in the genesis of stroke. Most of the diabetic patients with stroke have raised glycosylated hemoglobin indicating that most of them have uncontrolled diabetes. Diabetics and Stress Hyperglycemics have severe strokes resulting in poor outcome. Stroke is twice more common in diabetics than in non diabetics. Hypertension is common in diabetes and accelerates atherosclerosis which promotes intracranial small vessel disease and heart disease leading to lacunar and embolic infarction respectively. There are several risk factors that determine the outcome of stroke. Hyperglycemia, fever, neuroprotective agents are those which are widely studied
Authors and Affiliations
Dr. V. Subramanian, Dr. S. Siva kumar, Dr. A. Abdul Rahim
Keywords
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