Predictors of ischemic versus hemorrhagic strokes in hypertensive patients

Bhojo A. Khealani; Nadir A. Syed; Sabeen Maken; Uzma U. Mapari; Bilal Hameed; Sajjad Ali; Rizwana Qureshi; Naveed Akhter; Ali Hassan; Aziz B. Sonawalla; Shahid M. Baig; Mohammed Wasay

Predictors of ischemic versus hemorrhagic strokes in hypertensive patients

Bhojo A. Khealani, Nadir A. Syed, Sabeen Maken, Uzma U. Mapari, Bilal Hameed, Sajjad Ali, Rizwana Qureshi, Naveed Akhter, Ali Hassan, Aziz B. Sonawalla, Shahid M. Baig, Mohammed Wasay

Department of Medicine, Medical College, Pakistan

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

Objective: To identify the factors that predispose to ischemic versus hemorrhagic stroke in hypertensive patients. Design: Cohort study. Place and Duration of Study: The study was conducted at the Aga Khan University Hospital (AKUH), Karachi, from August 1999 to May 2001. Materials and Methods: All the hypertensive patients, who were registered in AKUH acute stroke outcome data base, over a period of 22 months, were identified and from this cohort the patients with first ever stroke were selected. The data regarding demographics, stroke type (ischemic vs. hemorrhagic), pre-existing medical problems, laboratory and radiological investigations was recorded and analyzed. Results: Five hundred and nineteen patients with either ischemic stroke or parenchymal hemorrhage were registered over a period of 22 months. Three hundred and forty-eight patients (67%) had hypertension and of these, 250 had first ever stroke at the time of admission. Presence of diabetes mellitus (OR: 3.76; CI:1.67-8.46) and ischemic heart disease (OR: 6.97; CI:1.57-30.98) were found to be independent predictors of ischemic strokes. Conclusion: Presence of diabetes mellitus and ischemic heart disease predict ischemic stroke in a patient with hypertension.

Original language	English
Pages (from-to)	22-25
Number of pages	4
Journal	Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Volume	15
Issue number	1
Publication status	Published - Jan 2005

Keywords

Hypertension
Intracerebral hemorrhage
Ischemic strokes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Cite this

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title = "Predictors of ischemic versus hemorrhagic strokes in hypertensive patients",

abstract = "Objective: To identify the factors that predispose to ischemic versus hemorrhagic stroke in hypertensive patients. Design: Cohort study. Place and Duration of Study: The study was conducted at the Aga Khan University Hospital (AKUH), Karachi, from August 1999 to May 2001. Materials and Methods: All the hypertensive patients, who were registered in AKUH acute stroke outcome data base, over a period of 22 months, were identified and from this cohort the patients with first ever stroke were selected. The data regarding demographics, stroke type (ischemic vs. hemorrhagic), pre-existing medical problems, laboratory and radiological investigations was recorded and analyzed. Results: Five hundred and nineteen patients with either ischemic stroke or parenchymal hemorrhage were registered over a period of 22 months. Three hundred and forty-eight patients (67%) had hypertension and of these, 250 had first ever stroke at the time of admission. Presence of diabetes mellitus (OR: 3.76; CI:1.67-8.46) and ischemic heart disease (OR: 6.97; CI:1.57-30.98) were found to be independent predictors of ischemic strokes. Conclusion: Presence of diabetes mellitus and ischemic heart disease predict ischemic stroke in a patient with hypertension.",

keywords = "Hypertension, Intracerebral hemorrhage, Ischemic strokes",

author = "Khealani, {Bhojo A.} and Syed, {Nadir A.} and Sabeen Maken and Mapari, {Uzma U.} and Bilal Hameed and Sajjad Ali and Rizwana Qureshi and Naveed Akhter and Ali Hassan and Sonawalla, {Aziz B.} and Baig, {Shahid M.} and Mohammed Wasay",

year = "2005",

month = jan,

language = "English",

volume = "15",

pages = "22--25",

journal = "Journal of the College of Physicians and Surgeons--Pakistan : JCPSP",

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number = "1",

}

TY - JOUR

T1 - Predictors of ischemic versus hemorrhagic strokes in hypertensive patients

AU - Khealani, Bhojo A.

AU - Syed, Nadir A.

AU - Maken, Sabeen

AU - Mapari, Uzma U.

AU - Hameed, Bilal

AU - Ali, Sajjad

AU - Qureshi, Rizwana

AU - Akhter, Naveed

AU - Hassan, Ali

AU - Sonawalla, Aziz B.

AU - Baig, Shahid M.

AU - Wasay, Mohammed

PY - 2005/1

Y1 - 2005/1

N2 - Objective: To identify the factors that predispose to ischemic versus hemorrhagic stroke in hypertensive patients. Design: Cohort study. Place and Duration of Study: The study was conducted at the Aga Khan University Hospital (AKUH), Karachi, from August 1999 to May 2001. Materials and Methods: All the hypertensive patients, who were registered in AKUH acute stroke outcome data base, over a period of 22 months, were identified and from this cohort the patients with first ever stroke were selected. The data regarding demographics, stroke type (ischemic vs. hemorrhagic), pre-existing medical problems, laboratory and radiological investigations was recorded and analyzed. Results: Five hundred and nineteen patients with either ischemic stroke or parenchymal hemorrhage were registered over a period of 22 months. Three hundred and forty-eight patients (67%) had hypertension and of these, 250 had first ever stroke at the time of admission. Presence of diabetes mellitus (OR: 3.76; CI:1.67-8.46) and ischemic heart disease (OR: 6.97; CI:1.57-30.98) were found to be independent predictors of ischemic strokes. Conclusion: Presence of diabetes mellitus and ischemic heart disease predict ischemic stroke in a patient with hypertension.

AB - Objective: To identify the factors that predispose to ischemic versus hemorrhagic stroke in hypertensive patients. Design: Cohort study. Place and Duration of Study: The study was conducted at the Aga Khan University Hospital (AKUH), Karachi, from August 1999 to May 2001. Materials and Methods: All the hypertensive patients, who were registered in AKUH acute stroke outcome data base, over a period of 22 months, were identified and from this cohort the patients with first ever stroke were selected. The data regarding demographics, stroke type (ischemic vs. hemorrhagic), pre-existing medical problems, laboratory and radiological investigations was recorded and analyzed. Results: Five hundred and nineteen patients with either ischemic stroke or parenchymal hemorrhage were registered over a period of 22 months. Three hundred and forty-eight patients (67%) had hypertension and of these, 250 had first ever stroke at the time of admission. Presence of diabetes mellitus (OR: 3.76; CI:1.67-8.46) and ischemic heart disease (OR: 6.97; CI:1.57-30.98) were found to be independent predictors of ischemic strokes. Conclusion: Presence of diabetes mellitus and ischemic heart disease predict ischemic stroke in a patient with hypertension.

KW - Hypertension

KW - Intracerebral hemorrhage

KW - Ischemic strokes

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Predictors of ischemic versus hemorrhagic strokes in hypertensive patients

Abstract

Keywords

UN SDGs

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