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. 2005 Jan;15(1):22-5.

Predictors of ischemic versus hemorrhagic strokes in hypertensive patients

Bhojo A Khealani  1 , Nadir A Syed, Sabeen Maken, Uzma U Mapari, Bilal Hameed, Sajjad Ali, Rizwana Qureshi, Naveed Akhter, Ali Hassan, Aziz B Sonawalla, Shahid M Baig, Mohammed Wasay
Affiliations
  • PMID: 15670519

Predictors of ischemic versus hemorrhagic strokes in hypertensive patients

Bhojo A Khealani et al. J Coll Physicians Surg Pak. 2005 Jan.

Abstract

Objective: To identify the factors that predispose to ischemic versus hemorrhagic stroke in hypertensive patients.

Design: Cohort study.

Place and duration of study: The study was conducted at the Aga Khan University Hospital (AKUH), Karachi, from August 1999 to May 2001.

Materials and methods: All the hypertensive patients, who were registered in AKUH acute stroke outcome data base, over a period of 22 months, were identified and from this cohort the patients with first ever stroke were selected. The data regarding demographics, stroke type (ischemic vs. hemorrhagic), pre-existing medical problems, laboratory and radiological investigations was recorded and analyzed.

Results: Five hundred and nineteen patients with either ischemic stroke or parenchymal hemorrhage were registered over a period of 22 months. Three hundred and forty-eight patients (67%) had hypertension and of these, 250 had first ever stroke at the time of admission. Presence of diabetes mellitus (OR: 3.76; CI:1.67-8.46) and ischemic heart disease (OR: 6.97; CI:1.57-30.98) were found to be independent predictors of ischemic strokes.

Conclusion: Presence of diabetes mellitus and ischemic heart disease predict ischemic stroke in a patient with hypertension.

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