Clinical Profile of Acute Ischemic Cerebrovascular Stroke.

Introduction: Stroke is the common cause of severe disability and death worldwide. Study aimed to evaluate etiological, demographic, clinical course and identification of risk factors in acute ischemic cerebrovascular stroke. Material and methods: A prospective study of 46 patients of Ischemic cerebrovascular stroke conducted at Medical College, Vadodara during January 2014 to November 2014. All Patients were subjected to Personal biodata and detailed clinical assessment with written consent. All were sent for routine blood investigations including Lipid profile, chest x ray PA view, Electrocardiography, 2D Echo and CT Scan. All Data were analysed by using Microsoft excel software. Results: In our study, most common age group was 55 to 64 yrs (mean age 55.5yrs) with males predominance was observed (52%). Among males, 26 (56.53%) patients were smokers while 18 (39.13%) males were alcoholic. Amongst 46 patients, 55% and 35% found to be hypertensive and Diabetic respectively. 24% Patients had positive family history of Hypertension. In our study, 54.3% had normal serum cholesterol level between 150 to 199 mg/dl while Hypertriglyceridemia and low HDL was found in 17.4% and 26% respectively. Most common documented risk factors for stroke were age, smoking, hypertension and Diabetes Mellitus. Most of Patients presented with limb/motor weakness (86.9%) followed by speech disturbance and loss of consciousness at 41.3% and 34.7% respectively. Hospital outcome was good. Conclusion: Ischemic stroke entails high socioeconomic burden due to increased morbidity and mortality. Age, Smoking, Hypertension and Diabetes are important atherosclerotic risk factors in our study. Early Identification, treatment and prevention of risk factors can decline the incidence, complications and related mortality. So Physician have a important role in stroke prevention by encouraging the reduction in risk factors.