Title: Importance of Carotid Intima Media Thickness in Ischemic Stroke in a Tertiary Care Hospital

Authors: Dr Sachin Bongale, Dr Jithin George

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.135

Abstract

Background: Stroke is the third commonest cause of death worldwide. As a reflector of systemic atherosclerosis, increased carotid artery IMT has been associated with a higher risk for stroke. AIMS AND Objectives: 1. To find the carotid intima media thickness in ischemic stroke patients 2. To find out the correlation between carotid intima media thickness and lipid profile.

Observations and Results: Among 50 patients, 17 had carotid intima medial thickness less than 0.06, 15 had between 0.06 and 0.09. 18 had more than 0.09. Out of 50 cases, 13 cases had died. Among those who died, 6 had CIMT >0.09. 5 had CIMT 0.06 – 0.09. 2 had CIMT <0.06. Among ACA territory infarcts 1 patient had CIMT <0.06. 4 had CIMT 0.06-.009. 3 had CIMT >0.09. Among MCA territory infarcts 14 patients had CIMT <0.06. 7 had CIMT 0.06-0.09. 8 patients had CIMT >0.09. Among PCA territory infarcts 5 had CIMT <0.06. 4 had CIMT 0.06-0.09. 9 had CIMT >0.09.

Conclusion: it’s found to have more CIMT thickness for those having ischemic stroke. Among the 50 patients, 18 people had CIMT >0.09. Also it’s found to have, among strokes, posterior cerebral artery strokes had more CIMT (>0.09).Middle cerebral artery territory strokes had more patients with least CIMT (0.06). CIMT also can be used as a prognostic marker of ischemic stroke. 

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Corresponding Author

Dr Jithin George

Post Graduate, Department of General Medicine, SS Institute of Medical Sciences and Research Centre, Davangere, Karnataka, India