BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
Objective: To determine the burden of carotid artery disease among the patients of ischemic stroke and to analyze the relationship of associated socio demographic factors including the diabetes mellitus (DM). Study Design: Cross sectional analytical study. Place and Duration of Study: Pak Emir...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2019-08-01
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| Series: | Pakistan Armed Forces Medical Journal |
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| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/3226/2334 |
| _version_ | 1818754490513227776 |
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| author | Saeed Arif Khurram Haq Nawaz Asif Hashmat Wasim Alamgir Wasim Wali Muhammad |
| author_facet | Saeed Arif Khurram Haq Nawaz Asif Hashmat Wasim Alamgir Wasim Wali Muhammad |
| author_sort | Saeed Arif |
| collection | DOAJ |
| description | Objective: To determine the burden of carotid artery disease among the patients of ischemic stroke and to analyze the relationship of associated socio demographic factors including the diabetes mellitus (DM).
Study Design: Cross sectional analytical study.
Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from 10th May 2017 to 10th Nov 2017.
Material and Methods: The sample population comprised of 190 patients of ischemic stroke presenting at a tertiary care hospital in Rawalpindi, Pakistan. CT-scan brain was performed to confirm the presence of acute ischemic stroke. Ultrasound Doppler was done by a consultant radiologist to assess the presence of clinically significant carotid artery stenosis. Relationship of age, gender, diabetes mellitus and duration of disease, education status, dyslipidemias and tobacco smoking was assessed with the presence of carotid artery stenosis among the patients of ischemic stroke.
Results: Out of 190 patients of stroke assessed through ultrasound doppler, 53.7% showed the presence of significant carotid artery stenosis while 46.3% had no clinically significant stenosis. Hundred patients were nsuffering from DM. After applying the logistic regression we found that presence of DM and long duration of DM had significant association with the presence of carotid artery stenosis among the patients of ischemic stroke.
Conclusion: This study showed a high frequency of carotid artery stenosis among the patients of ischemic stroke in Pakistan. Special attention should be paid to the patients who have been suffering from a metabolic disorder like DM. Long duration of DM also emerged as independent risk factor for carotid artery stenosis in our study population. |
| first_indexed | 2024-12-18T05:24:05Z |
| format | Article |
| id | doaj.art-db188f6ef9b54ad39a878af5b56d0a64 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-18T05:24:05Z |
| publishDate | 2019-08-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-db188f6ef9b54ad39a878af5b56d0a642022-12-21T21:19:35ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422019-08-01694926930BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUSSaeed Arif0Khurram Haq Nawaz1Asif Hashmat2Wasim Alamgir3Wasim Wali Muhammad4Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanObjective: To determine the burden of carotid artery disease among the patients of ischemic stroke and to analyze the relationship of associated socio demographic factors including the diabetes mellitus (DM). Study Design: Cross sectional analytical study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from 10th May 2017 to 10th Nov 2017. Material and Methods: The sample population comprised of 190 patients of ischemic stroke presenting at a tertiary care hospital in Rawalpindi, Pakistan. CT-scan brain was performed to confirm the presence of acute ischemic stroke. Ultrasound Doppler was done by a consultant radiologist to assess the presence of clinically significant carotid artery stenosis. Relationship of age, gender, diabetes mellitus and duration of disease, education status, dyslipidemias and tobacco smoking was assessed with the presence of carotid artery stenosis among the patients of ischemic stroke. Results: Out of 190 patients of stroke assessed through ultrasound doppler, 53.7% showed the presence of significant carotid artery stenosis while 46.3% had no clinically significant stenosis. Hundred patients were nsuffering from DM. After applying the logistic regression we found that presence of DM and long duration of DM had significant association with the presence of carotid artery stenosis among the patients of ischemic stroke. Conclusion: This study showed a high frequency of carotid artery stenosis among the patients of ischemic stroke in Pakistan. Special attention should be paid to the patients who have been suffering from a metabolic disorder like DM. Long duration of DM also emerged as independent risk factor for carotid artery stenosis in our study population.https://www.pafmj.org/index.php/PAFMJ/article/view/3226/2334carotid artery stenosisdiabetes mellitus |
| spellingShingle | Saeed Arif Khurram Haq Nawaz Asif Hashmat Wasim Alamgir Wasim Wali Muhammad BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS Pakistan Armed Forces Medical Journal carotid artery stenosis diabetes mellitus |
| title | BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS |
| title_full | BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS |
| title_fullStr | BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS |
| title_full_unstemmed | BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS |
| title_short | BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS |
| title_sort | burden of carotid artery disease in ischemic stroke patients with and without diabetes mellitus |
| topic | carotid artery stenosis diabetes mellitus |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/3226/2334 |
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