Evaluation of Burden of Carotid Artery Disease In Ischemic Stroke Patients With And Without Hypertension

Hamad Khan; Khurram Haq Nawaz; Asif Hashmat; Hamid Mukhtar; Fawad Ahmad; Muhammad Anjum

doi:10.51253/pafmj.v74i2.6630

Authors

Hamad Khan Department of Medicine, Pak Emirates Military Hospital / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Khurram Haq Nawaz Department of Neurology, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Asif Hashmat Department of Neurology, Pak Emirates Military Hospital / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Hamid Mukhtar Department of Neurology, Sims Services Hospital, Lahore Pakistan
Fawad Ahmad Department of Neurology, Pak Emirates Military Hospital / National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muhammad Anjum Department of Neurology, Pak Emirates Military Hospital / National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i2.6630

Keywords:

carotid artery disease, Hypertension, Ischemic stroke, Smoking

Abstract

Objective: To evaluate the burden of carotid artery stenosis in ischemic stroke patients and its association with socio-demographic aspects of Hypertension.

Place and Duration of Study: Tertiary Care Hospital, Rawalpindi Pakistan, from Jan to Jun 2020. Study Design: Cross-sectional study

Methodology: A total of 226 acute ischemic stroke patients, confirmed on CT/MRI brain, were subjected to ultrasound Doppler to look for significant carotid artery stenosis. The association of Hypertension was evaluated with the presence of carotid artery stenosis in such patients.

Results: Hypertension was recorded in 133(58.8 %) patients and clinically significant carotid artery stenosis was seen in 96(42.5%) patients. The presence of Hypertension and increasing age were significantly associated with carotid artery stenosis (p-value respectively).

Conclusion: The frequency of clinically significant carotid artery stenosis in hypertensive stroke patients remains higher in Pakistan. Prolonged Hypertension in advanced age may be a contributory factor in developing stroke.

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