Impact of Atherosclerotic Carotid Artery Disease in Patients of Stroke and Recent TIA Using Colour Doppler Sonography- A Prospective Study in Eastern India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Cerebral ischemic stroke is life-threatening and debilitating neurological disease, it is the second leading cause of death in the world. Previous many studies emphasise on significant importance of atherosclerotic carotid diseases on development of ischemic stroke. Material and Methods: This prospective non randomised clinical study done in a teaching hospital in Eastern India from December 2016 to February 2018.95 indoor patients of Ischemic CVA and symptomatic or recent history (<3months) of TIA were selected based on inclusion and exclusion criteria. Other established risk factors like hypertension, diabetes mellitus, smoking, age, family history etc documented properly. Result: Age variation, Sex variation, Distribution of risk factors, risk of Major stroke in first 3 months after TIA (ABCD2 score) were calculated. Collected data were analyzed and presented in the form of tables, figures, graphs and diagrams wherever necessary. Frequency distribution graphical representations done accordingly. In our study we had total 95 patients of which 61 patients had CVA and 34 patients had recent TIA. Male population between 55 to 65 years were found to have highest incidence of stroke. 23(24%) found to have significant stenosis of >60% of which 13 (58%) had cortical infarct.70 patients (74%) found to have atherosclerotic plaque most commonly (42%) found in Common Carotid bifurcation. Conclusion: Ischaemic CVA being one of the leading causes of mortality and morbidity specially in the elderly have modifiable and non modifiable risk factors. Of them carotid atherosclerotic plaque is a predictable correlation in both TIA and CVA patients. Color doppler study being an available, non-invasive and cost-effective tool to evaluate visible carotid disease can be an extremely useful modality to describe and predict the causality of CVA and outline a treatment guideline in a large number of patients with TIA or stroke
Authors and Affiliations
Anirban Sarkar, Faizanul Haque2, Rimi Som Sengupta, Samir Chakraborty, Tapas Kumar Mondal, Snehasish Ghosh
Keywords
Related Articles
- EP ID EP430429
- DOI -
- Views 111
- Downloads 0
Role of Ascorbic Acid in Male Fertility and its Relation with Free Testosterone
Introduction: Ascorbic acid is present at approximately ten fold higher concentration in seminal plasma as compared to blood and is mostly secreted from seminal vesicles. The present study aimed to assess the influence o...
Assessment of Vitamin D and its Correlation with Lipid Markers among Adult Female during the Course of Pregnancy in and Around Dhanbad, Jharkhand
Introduction: Vitamin D deficiency is one of the common health issue and is widespread throughout the world. It’s dietary supplementation is generally advised in the general population, including pregnant women. However,...
Comparative Evaluation of Efficacy of Plain Lignocaine 0.5%(3mg/ kg) with Lignocaine 0.5%(3mg/kg) + Buprenorphine (3μg/kg) in IV Regional Anaesthesia
Introduction: The main objective of the anaesthesiologist is to provide analgesia for surgery. Even though general anaesthesia was the earliest technique adopted to provide analgesia for surgery, the search for an altern...
Immunohistochemical Staining by TTF-1 and P63 Markers for Typing of Non Small Cell Lung Carcinomas: A Three Year Study of A Tertiary Care Health Centre
Introduction: Studies have shown that selection of therapies such as vascular endothelial growth receptor (VEGR) and epithelial growth factor receptor (EGFR) inhibitors may depend on the correct differentiation of squamo...
Evaluation of the Effectiveness of Two Different Local Injection Types for Treatment of Patients of Chronic Tennis Elbow
Introduction: Tennis elbow or Lateral epicondylitis is a frequently diagnosed elbow condition in orthopaedic practice characterised by pain on resisted wrist extension and tenderness on palpation of the common extensor o...