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Category: Volume 10 Issue 05 May 2022
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Title: Risk Factors and Cardiac Abnormalities Associated with Stroke in Young Patients: An Observational Study in a Tertiary Care Hospital in Bangladesh

Authors: Dr Sami Nazrul Islam, Dr Mohammad Khurshadul Alam, Dr Fatama Sharmin, Dr Amanat Hasan, Dr Farhana Zaman, Dr Mashrufa Sultana

 DOI: https://dx.doi.org/10.18535/jmscr/v10i5.02

Abstract

Background: There are various risk factors for both coronary artery and cerebrovascular disease. It is well known that coronary artery disease increases the risk of stroke and TBI. Contrary to this, the incidence of these risk factors varies across coronary artery disease and ischemic stroke, as well as between stroke subtypes, due to the more complex aetiology.

Objective: The aim of the study is to find out the is k Factors and cardiac abnormalities associated with Stroke in young patients.

Methods: This hospital based cross-sectional study was conducted from April 2015 to October 2015 in the indoor patients in Department of Medicine of Shaheed Suhrawardy Medical College Hospital, Dhaka. Patients of young age (15-45 years) with stroke admitted in the hospital were considered as the sample size of the study.

Results: This study showed that among the patients majority were in 41 to 45 years age group (36.0%). The proportion of 26 to 30 years, 31 to 35 years and 36 to 40 years age group patients were very close (18.0%, 20.0% and 22.0% respectively). Only 4.0% were less than 25 years age. Majority of the patients had valvular heart disease (64.0%). Among others 16.0% had myocardial infarction, 10.0% had ischemic heart diseases and 8.0% had atrial fibrillation. The Framingham Heart study risk equation revealed that over 75.0% of stroke patients also had some form of cardiac diseases.

Conclusion: Heart disease in young people can cause stroke, which is a serious complication that needs to be taken seriously. Stroke is a leading cause of death and disability. Ischemic strokes in young individuals are more likely to be heart-related than cerebral when the exact cause is unknown.

Keywords: Stroke, Young patients, Cardiac diseases, Ischemic stroke, Risk Factors.

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Corresponding Author

Dr Sami Nazrul Islam

Assistant Professor Cardiology, US Bangla Medical College and Hospital, Dhaka, Bangladesh