Lipid Profile of Patients with Ischemic Stroke Involving Anterior Circulation Admitted in a Tertiary Care Hospital.

Abstract

Stroke is a global health problem. It is the leading cause of disability and the second leading cause of mortality worldwide. This observational study was carried out in the Department of Medicine and Department of Neurology, Mymensingh Medical College Hospital, Bangladesh a tertiary-level academic and treatment-based hospital in Bangladesh from 1st July 2013 to 31st December 2013, to find out the abnormalities of lipid profile of patients of ischemic stroke involving anterior circulation. Patients having a history of stroke were enrolled in the study after getting informed written consent from the patient or attendant. One hundred hospitalized adult patients with stroke were selected for the study based on inclusion and exclusion criteria. Fifty-one percent (51.0%) of patients were accustomed to leading a sedentary lifestyle. The majority of the patients hailed from urban areas of Bangladesh and seventy-eight percent had a habit of experiencing active lifestyle patterns. Among the risk factors, it was observed that hypertension was a major (72.0% cases) risk factor for stroke. Diabetes mellitus was detected in 15.0% of cases. The majority were Type-2 Diabetes mellitus. Forty percent (40.0%) of the patients were smokers in various forms. The majority of patients (52.0%) have normal serum cholesterol within normal limits (<200 mg/dl), but in more cases 48.0% above the normal limit (>200 mg/dl), 12.0% cases have raised Low Density Lipoprotein (LDL) Cholesterol (>190 mg/dl), only 6.0% cases have low (<100 mg/dl) High Density Lipoprotein (HDL) Cholesterol and 20.0% cases have raised serum triglyceride (TG) level (>200 mg/dl). So, we should think about known dietary habits, lifestyle and risk factors of stroke, proper control of which plays an important role in the primary prevention of the disease.