STROKE IN ELDERLY; IDENTIFICATION OF RISK FACTORS

Authors

  • ASMAT KAMAL ANSARI
  • ISRAR AHMED AKHUND
  • ABDUL QADIR SHAIKH

Abstract

Background: This study was undertaken to identify stroke risk factors prevalent in our elderly population. Methods:The subjects included 100 consecutive stroke patients with recent stroke, at or above the age of fifty years, both sexesinclusive, who presented at medical units of Liaqat Medical College Hospital Hyderabad. A detailed history of thepatients was taken, thorough clinical examination was done and various laboratory tests were carried out to identifyall the possible risk factors for stroke in the subjects. Results: Most important risk factors prevalent in our populationwere found to be hypertension (64%), diabetes mellitus (29%), smoking (29%), heart disease (23%), obesity (17%)and hypercholesterolemia (15%). Conclusion: It is concluded that in elderly stroke patients, many risk factors areidentified. Awareness of these risk factors, their early and effective treatment and adaptation of various preventivemeasures is warranted.

References

Kumar-P., Clark, M. Neurological diseases and

diseases of voluntary muscles. Clinical Medicine,

3rd ed: Billiere Tindall-London U K. pp:904.

Cull, RE., Will, RG. Diseases of the nervous system.

In: Edward, CRW; Bouchier 1AD; Haslett-C (eds).

Davidsons principles and practice of medicine, 1995

th ed. 43-56

Shuaib, A., Boyle, C Stroke in elderly. Curr-OpinNeurol, 1994; 7(1): 41-7.

Aronow, W.S. Risk factor, for geriatric stroke:

Identification and fallow-up. Geriatrics, 1990, 45 (9):

-40.

Manolio, TA., Kronmal, RA., Burke-GL. Short term

predictors of incident stroke in older adults. The

cardiovascular health study Stroke, 1996, 27(9)1479-

Yoshida. M. Nakamura.Y., Higashikawa, M

Predictor of ischemic stroke in non-rheumatic atrial

fibrillation Int-J-Cardiol, 1996; 56 (1): 61-70.

Loh, E., Sutton, MS. Wun, CC Ventricular

dysfunction and risk of stroke after myocardial

infarction N-Engl-J- Med, 1997; 23 336(4)251-7.

Benfante. R. Yano, K. Hwang. J Elevated serum

cholesterol is a risk factor for both coronary heart

disease and thromboembolic stroke in Hawaiian

Japanese men. Implication of shared risk. Stroke,

; 25 (4): 814-20.

Yoshinari, M., Koku, R., Iwasc, M. Development of

ischemic stroke in normotensive and hypertensive

diabetic patients with or without antihypertensive

treatment. A 8 years follow-up study. J-DabetComplic, 1997; 11 (1): 9-14. -

Taira. S. Kuniyoshi, H. Mckishi. M cl al. A case

control study of risk factors for cerebral haemorrhage

in Hirarn city; Okinawa prefecture. Nippon-KoshuEisei-Zoshi, 1992; 41(12): 1142-51.

Qureshi, AL Suri, MA. Safdar. K Intracerebral

haemorrhage in blacks. Risk factors, subtypes and

outcome.

Stroke, 1997; 28 (5): 961-4. Kennel-WB, Wolf-PA.,

Verter J, MCN. Epidemiologic assessment of role of

blood pressure in strokes the Framingham study.

JAMA. 1996; 276 (15): 1269-78.

Bell, DS. Stroke in the diabetic patient. DiabeticCare. 1994; 17 (3): 213-9

Burchfiel, CM., Curb. JD. Rodriguez, BL. Glucose

intolerance and 22 years stroke incidence. The

Honolulu heart programme. Stroke, 1994; 25 (5):

-7

Kuusisto, J., Mykkanen, L., Pyorala, K. Lackso, M

Non-insulin dependent diabetes and its metabolic

control arc important predictor of stroke in elderly

subjects. Stroke, 1994; 25 (6): 1157-64. Von-K.F.,

Horgarbrugga-N., Naerding-P et al. Hyperglycemia

in the acute phase of stroke is not caused by stress.

Stroke, 1993; 24 (8): 1129-32.

De-Falco-F.A., Sepe V.O., Fucc-GM Ceruso-G.

Correlation between hyperglycemia and cerebral

infarct size in patients with stroke; A clinical and C.T.

study in 104 patients. Schueiz-Arch-Neurol-Psych,

; 144 (3): 233-9.

Agewall-S., Wiksfrand J., Samuelsson-0 et al The

efficacy of multiple risk factor intervention in treated

hypertensive man during long term follow-up. Risk

factor intervention study group. J-Intern-Med, 1994,

(6): 651-9.

Abbott, RD., Behrens, GR., Sharp, DS. Body mass

index and thromboembolic stroke in non-smoking

man in older middle age. The Honolulu heart

programme. Stroke, 1994; 25 (12): 2370-6.

Rexrode, KM., Hennekens, CH., Willett, WC. A

prospective study of body mass index, weight

changes and risk of stroke in women. JAMA. 1997,

st 277(19): 1539-45.

Rodriguez, AF., Guallar, CP., Gutierrez, F. Socioeconomic level, sedentary life style, and wine

consumption as possible explanation for geographic

distribution of cerebrovascular disease mortality in

Spain. Stroke, 1997; 28 (5): 922-8.

Dipietro-L., Ostfeld AM., Rosner GL. Adiposity and

stroke among older adults of low socio-economic

status the chieago stroke study. Am J Public health,

; 84 (1): 14-9.

22 Diaz, MC, Matias, GJ. Stroke in young people.

Rev- Neurol,1996; 24 (126): 148-52.

Mooe, T., Eriksson, P., Stegmayr, B. Ischemic stroke

after acute myocardial infarction; a population based

Study. Stroke, 1997; 28 (4): 762-7.

Loh, E., Sutton, MS., Wun, CC. Ventricular

dysfunction and risk of stroke after myocardial

infarction. N-Engl-J-Med, 1997; 336 (4): 251-7.

Jenson-R., Olsen-TS., Winther-BB. Severe nonocclusive ischemic stroke in young heroin addicts

Acta- Neurol-Scand, 1990 ; 81 (4): 354-7.

Czlonkowska, A., Ryglewicz, D, Le Chowicz, W.

Basic analytical parameters as predictive factors for

day case fatality rate in stroke. Acta-NeurolScand, 1997; 95 (2): 121-4.

Woo, J., Lau, E„ Kay. R; et al. A case control study

of some haematological and biochemical variable in

acute stroke and their prognostic value

Neuroepidemiotogy, 1990; 9 (6): 315-20

Downloads