Prospective Cross Sectional Study of Incidence and Correlation of Dyslipidemia in Predicting Outcome of Patients Diagnosed with Cerebrovascular Accident
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: Lipid abnormality has been described as one of the risk factor for ischemic stroke. However, there are limited studies comparing stroke pattern (infarction and hemorrhage) with lipid profile of patients. Study aimed to study incidence and correlation of lipid abnormality in cerebrovascular accident (CVA) patients. Material and Methods: Hundred and twenty seven subjects were studied after dividing in to Cases (n=102, with CVA) and Control (n=25, without CVA) in the Department of Medicine G R Medical College and JA Group of Hospitals, Gwalior between April 2015 to August 2016. Detailed history and lipid profile was recorded for each subject. Stroke pattern was analyzed using brain CT/MRI for each patient. Results: Most of the subjects among Cases and Control belong to the age groups of 61-85 years (45.09%) followed by 41-60 years (44%) respectively. Among Cases, maximum patients were males (61.76%) whereas among Control, maximum patients were females (84%). Most of the cases were smokers (53.92%). Among smokers of Case group, infarction (55%) was more common compared to hemorrhage (51%). Dyslipidemia was more common among cases (56.86%) compared to control (28%) (p=0.009). Majority of patients (63.07%) with infarct had dyslipidemia as compared to patients with hemorrhage (45.94%). Decreased high density lipoprotein (HDL) level (74%) was the main culprit among Cases followed by decreased total cholesterol (64%). Out of 14 expired patients in Cases, 71.42% had dyslipidemia. Conclusion: Decreased level of HDL was most commonly reported among ischemic compared to hemorrhagic stroke. Dyslipidemia was most commonly reported in patients who died because of stroke.
Authors and Affiliations
Jagat Pal Singh, Sapna Nagvanshi
Keywords
Related Articles
- EP ID EP427197
- DOI -
- Views 124
- Downloads 0
Evaluation of Spinal Tuberculosis by Plain X-Rays and Magnetic Resonance Imaging in a Tertiary Care Hospital in Northern India -A Prospective Study
Introduction: Plain X-ray remains the primary imaging modality to evaluate spinal tuberculosis. MRI additionally detects spinal canal narrowing, cord compression / cord oedema and can also pick up clinically/X-ray occult...
Clinical Presentations and Risk Factors of Malignant Otitis Externa in a Tertiary Care Hospital
Introduction: Malignant otitis externa (MOE) is one of the aggressive infections involving the external auditory canal, temporal bone and extending to skull base. A descriptive study was conducted to find out the clinica...
Cirrhotic Cardiomyopathy
Introduction: Liver cirrhosis is a major health problem both in the developed and developing countries. The natural history of cirrhosis depends on both the cause and treatment of underlying cause(s). Some of these patie...
Serum Human Chorionic Gonadotropin Level in Pre-Eclamptic and Normotensive Pregnant Women: A Prospective Study
Introduction: Pre-eclampsia causes the various fetal and maternal complications. Can cause 8-10% maternal deaths in india and 5-10% in western countries. Human Chorionic Gonadotropin is composed of alfa and beta subunit,...
Study For Prevalence of Urinary Tract Infection (UTI) in Febrile Children and to Assess the Validity of Microscopic Urine Analysis in the Diagnosis of UTI
Introduction: This study was undertaken to find out the prevalence of urinary tract infection in febrile children and to assess the validity of microscopic urine analysis in the diagnosis of urinary tract infection. Sinc...