Carotid atherosclerosis in diabetic patients with Ischemic Stroke: an experience at BIRDEM

Autor: Nirmalendu Bikash Bhowmik, Md Azizul Haque, Md Saifuddin, Md Rashedul Islam, Rumana Habib, Aminur Rahman, Zahid Hassan, Md Amirul Haque
Rok vydání: 2013
Předmět:
Zdroj: Bangladesh Journal of Neuroscience. 29:24-30
ISSN: 2408-8382
1023-4853
DOI: 10.3329/bjn.v29i1.56168
Popis: Background and objectives: Carotid atherosclerosis constitutes an important cause of ischemic stroke. Type 2 diabetes mellitus is known to be an independent risk factor for stroke and its recurrence. This study was aimed to explore relationship between carotid atherosclerosis and ischaemic stroke in patients with diabetes and its association with other risk factors. Materials and Methods: A total number of 50 ischemic stroke patients, as confirmed by CT/MRI, patients with type 2 diabetes mellitus, of both sexes, age range 40-79 years, were recruited in the study from in-patient Neurology department, BIRDEM. Carotid duplex study was done. Ischemic Stroke patients were sub grouped into normal, mild (4) on the basis of ICA/CCA flow velocity ratio. Blood glucose and fasting lipid levels and blood pressure were recorded. Lipid abnormality ,LDL 130mg/dl, total cholesterol 200 mg/dl was defined following NCEP and AHA guidelines. Data were collected in a pre-formed printed case record form and analyzed using SPSS software. Results: Of the 50 cases only 9 (18%) had normal ICA/CCA flow velocity ratio. Their mean age was 48.0±4.4 years. Three (6%) cases had severe form of ICA/CCA flow velocity ratio 47.67±2.08. Subjects with stroke having mild to moderate compromised flow velocity ratio were significantly older (p
Databáze: OpenAIRE