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Category: Volume 08 Issue 12 December 2020
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Title: Study of Ischemic Stroke at Young Age (<25 years) of 50 Patients Admitted at SBMCH, Barisal

Authors: Dr Anwar Hossain, Dr Kamruzzaman Md. Zahir, Dr Muhammad Obidul Haque, Dr Muhammed Arshad Ul Azim

 DOI: https://dx.doi.org/10.18535/jmscr/v8i12.15

Abstract

Background: Stroke is a leading cause of death and a major cause of adult disability in developed countries. The risk of ischemic stroke in children and young adults with CHD is significantly higher than in the general population. Cardiovascular comorbidities ie congestive hypertension, atrial fibrillation and heart failure increased the risk of ischemic stroke.

Objective: This study was done to the etiology of ischemic stroke, to determine the incidence and prevalence of ischemic stroke and to set up a management plan.

Methods & Materials: It is a prospective study conducted at SBMCH, Barisal. during the times of 2015-2017. Total number of population is 50. Stroke was diagnosed by CT Scan of Brain. Either sex group and all aged patient were included this study.

Results: It was observed that majority 19(38.0%) patients belonged to age 16-20 years. The mean age was found 18.7±5.3 years. Male was found 29(58.0%) and female was 21(42.0%). Male female ratio was 1.4:1. It was observed that majority 13(26.0%) patients had hypertension, 11(22.0%) had diabetes mellitus, 6(12.0%) had smoker, 17(34.0%) had hypercholesterolaemia and 1(2.0%) had coronary artery disease. It was observed that majority 13(26.0%) patients had cardioembolism, 11(22.0%) had stroke due to determined etiology, 10(20.0%) had large artery artherosclerosis, 8(16.0%) had small vessel disease and 8(16.0%) had stroke due to undetermined etiology. 

Conclusion: Modifiable risk factors for stroke, such as dyslipidemia, smoking, and hypertension, are highly prevalent in the young stroke population.

Keywords: Stroke, ischemic, risk, hypertension, population.

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Corresponding Author

Dr Md. Anwar Hossain

Associate Professor, Department of Medicine, Sher-e-Bangla Medical College, Barisal, Bangladesh