Publication: Vitamin D and Other Risk Factors among Stroke Patients
Date
2015
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Stroke is common neurological problems in Nepal. The common risk factors for
stroke are age, hypertension, diabetes, dyslipidemia and atrial fibrillation. Vitamin D
is an emerging risk factors for cardio-cerebrovascular disease.
Objective
This study is to find out Vitamin D and risk factors in stroke patient in Nepalese
population.
Method
We reviewed the record of 281 stroke patients, admitted to Neurology ward of College
of Medical Sciences, Bharatpur, Nepal from 1st January to 31st December 2013. The
records were analyzed on the basis of age, sex, hypertension (HTN), body mass index
(BMI), smoking habits, hemoglobin(Hb), diabetes mellitus(DM), Lipid profile, Atrial
fibrillation(AF) and vascular territory with clinical and radiological evidences. The
vitamin D analysis was done all stroke patients.
Result
Total patient were 281, with male 161 and age range from 18 - 87. Ischemic stroke
was noted in 86.8% and hemorrhagic stroke was noted in 13.2% of patients. Middle
cerebral artery (MCA) ischemia was noted in 51.5% of patients and anterior cerebral
artery (ACA) ischemia was noted in 3% of patients. Multiple infarcts were noted in
12.90% of patients. About half of them were smoker, hypertension 47.40%, Diabetes
mellitus 24.20% and 14.1% had atrial fibrillation. 174 (61.92%) of the stroke had less
than sufficient Vitamin D.
Conclusion
The common risk factors for stroke patients like smoking, hypertension, diabetes
mellitus and atrial fibrillations are present in Nepalese population. The level of
vitamin D was also low in stroke patients.
KEY WORDS
Cardiovascular risks, ischemia, stroke, vitamin D
Description
Pokharel BR,1 Kharel G,2 Thapa LJ,2 Rana PVS2
1Department of Medicine
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal
2Department of Neurology
College of Medical Science
Bharatpur, Chitwan, Nepal
Keywords
Cardiovascular risks, Ischemia, Stroke, Vitamin D