Association of Cardiac Risk Factors with Socio Demographic Profile in Young Stroke Patients in a Tertiary Care Hospital in Bangladesh. An Observation Study of 100 Patients.

Bangladesh Heart Journal Pub Date : 2023-07-08 DOI:10.3329/bhj.v38i1.67222

Sami Nazrul Islam, F. Zaman, Nazia Siddiqui, -. Atiquzzaman, Marufa Yasmin, Mushrefa Chowdhury, Sayeedur Rahman Khan

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Abstract

Background: Young people who avoid strokes live longer and have more productive lives than their senior counterparts. The prevalence of the main vascular risk factors in atherosclerosis patients rises with age, starting in early middle age, and declines beyond 70–80 years. The majority of studies on young people are small and single-center, which makes generalization challenging. Stroke risk factors differ between men and women, and vascular risk factors are more prevalent in older age groups of young adult stroke patients. Objective: The aim of the study is to find out the association of cardiac risk factors in young patients. Methods: This hospital-based cross-sectional study was carried out in the indoor patients in the Shaheed Suhrawardy Medical College Hospital, Dhaka, from April 2015 to October 2015. Young stroke patients (15-45 years old) admitted to the hospital were used as the study’s sample size. Results: According to this study, the majority of patients (36.0%) were between the ages of 41 and 45. The percentages of patients in the 26–30–year–old, 31–35– year–old, and 36–40–year–old age groups were fairly close to one another (18.0%, 20.0%, and 22.0%, respectively). Just 4.0% of the population was under 25. The majority of the patients (64.0%) suffered from valvular heart disease. In addition, 10.0% had ischemic heart disorders, 16.0% had myocardial infarction, and 8.0% had atrial fibrillation. More over 75.0% of stroke patients also had some type of heart illness, according to the Framingham Heart study risk calculation. Conclusion: Young adults from Bangladesh who suffered an ischemic stroke exhibited a high incidence of known cardiac risk factors, significant sex disparities, and alarmingly rising trends with age in both sexes. Regardless of where a person lives in the nation, preventive actions must be more aggressive and customized to each individual’s specific risk profile. Bangladesh Heart Journal 2023; 38(1): 81-87

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孟加拉国三级医院年轻中风患者心脏危险因素与社会人口统计学特征的关系100例患者的观察研究。

背景:与老年人相比，避免中风的年轻人寿命更长，生活更有成效。动脉粥样硬化患者中主要血管危险因素的患病率随着年龄的增长而上升，从中年早期开始，70-80岁以后下降。大多数针对年轻人的研究都是小规模和单中心的，这使得推广具有挑战性。男性和女性中风的危险因素不同，血管危险因素在年龄较大的年轻中风患者中更为普遍。目的:探讨年轻患者心脏危险因素的相关性。方法:选取2015年4月至2015年10月在达卡沙希德苏赫拉瓦迪医学院附属医院住院的室内患者进行横断面研究。入院的年轻中风患者(15-45岁)作为研究的样本量。结果:本组患者年龄以41 ~ 45岁居多(36.0%)。26 - 30岁、31-35岁和36 - 40岁年龄组的患者比例相当接近，分别为18.0%、20.0%和22.0%。只有4.0%的人口在25岁以下。大多数患者(64.0%)患有瓣膜性心脏病。此外，10.0%发生缺血性心脏疾病，16.0%发生心肌梗死，8.0%发生心房颤动。根据弗雷明汉心脏研究的风险计算，超过75.0%的中风患者同时患有某种类型的心脏病。结论:孟加拉国的年轻人缺血性中风表现出已知心脏危险因素的高发，显著的性别差异，并且随着年龄的增长，男女都有惊人的上升趋势。无论一个人住在美国的哪个地方，预防措施都必须更加积极，并根据每个人的具体风险状况进行定制。孟加拉国心脏杂志2023;38 (1): 81 - 87

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Bangladesh Heart Journal

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