OBJECTIVE: Frequency of ischemic stroke subtypes is influenced by ethnic and geographic variables. Our objective was to identify various stroke subtypes and its determinants at a tertiary care hospital. METHODS: We prospectively collected data on ischemic stroke subtypes admitted to The Aga Khan University Hospital in Karachi. RESULTS: A total of 596 patients were enrolled in 22 months in the Aga Khan Universtiy Stroke Registry. These included 393 patients with Ischemic stroke, 126 patients with intracerebral hemorrhage, 50 patients with subarachnoid hemorrhage and others. The ischemic stroke group was classified according to the TOAST criteria and comprised of lacunar 168/393 (42.7%); large artery atherosclerosis 106/393 (26.9%); cardioembolic 24/393 (6.1%); undetermined 80/393 (20.3%); and other determined types 15/393 (3.8%). The high proportion of lacunar strokes in our population may be due to high burden of inadequately treated hypertension and diabetes. Clear cut cardioembolic stroke was relatively infrequent in our population. CONCLUSION: Lacunar stroke is the most common subtype of stroke in our patient population. This is most likely secondary to uncontrolled hypertension.
OBJECTIVE: Frequency of ischemic stroke subtypes is influenced by ethnic and geographic variables. Our objective was to identify various stroke subtypes and its determinants at a tertiary care hospital. METHODS: We prospectively collected data on ischemic stroke subtypes admitted to The Aga Khan University Hospital in Karachi. RESULTS: A total of 596 patients were enrolled in 22 months in the Aga Khan Universtiy Stroke Registry. These included 393 patients with Ischemic stroke, 126 patients with intracerebral hemorrhage, 50 patients with subarachnoid hemorrhage and others. The ischemic stroke group was classified according to the TOAST criteria and comprised of lacunar 168/393 (42.7%); large artery atherosclerosis 106/393 (26.9%); cardioembolic 24/393 (6.1%); undetermined 80/393 (20.3%); and other determined types 15/393 (3.8%). The high proportion of lacunar strokes in our population may be due to high burden of inadequately treated hypertension and diabetes. Clear cut cardioembolic stroke was relatively infrequent in our population. CONCLUSION: Lacunar stroke is the most common subtype of stroke in our patient population. This is most likely secondary to uncontrolled hypertension.
Authors: Marcio Francisco Lehmann; Ana Paula Kallaur; Sayonara Rangel Oliveira; Daniela Frizon Alfieri; Franciele Delongui; Johnathan de Sousa Parreira; Maria Caroline Martins de Araújo; Carolina Rossato; Jéssica Tavares de Almeida; Larissa Moliterno Pelegrino; Erick Frank Bragato; Ana Lucia Cruz Fürstenberger Lehmann; Helena Kaminami Morimoto; Marcell Alysson Batisti Lozovoy; Andrea Name Colado Simão; Damácio Ramon Kaimen-Maciel; Edna Maria Vissoci Reiche Journal: Metab Brain Dis Date: 2015-09-11 Impact factor: 3.584
Authors: Fred S Sarfo; Bruce Ovbiagele; Onoja Akpa; Albert Akpalu; Kolawole Wahab; Reginald Obiako; Morenikeji Komolafe; Lukman Owolabi; Godwin Ogbole; Benedict Calys-Tagoe; Adekunle Fakunle; Taofeek Sanni; Gebregziabher Mulugeta; Salaam Abdul; Adeseye A Akintunde; Samuel Olowookere; Ezinne O Uvere; Philip Ibinaiye; Joshua Akinyemi; Kelechukwu Uwanuruochi; Balogun Olayemi; Olufemi A Odunlami; Esther Abunimye; Oyedunni Arulogun; Suleiman Y Isah; Sani A Abubakar; Adebayo Oladimeji; Philip Adebayo; Vincent Shidali; Innocent I Chukwuonye; Josephine Akpalu; Moyinoluwalogo M Tito-Ilori; Osahon J Asowata; Emmanuel O Sanya; Ganiyu Amusa; Ugochukwu Onyeonoro; James A Ogunmodede; Abdullateef G Sule; Cynthia Akisanya; Yaw Mensah; Olalekan I Oyinloye; Lambert Appiah; Atinuke M Agunloye; Godwin O Osaigbovo; Eunice Olabinri; Philip M Kolo; Obiora Okeke; Abiodun M Adeoye; Olabamiji Ajose; Carolyn Jenkins; Daniel T Lackland; Adedeji A Egberongbe; Olaleye Adeniji; Osimhiarherhuo Ohifemen Adeleye; Hemant K Tiwari; Donna Arnett; Ruth Y Laryea; Taiwo Olunuga; Kazeem S Akinwande; Lucius Imoh; Okechukwu S Ogah; Ezinne S Melikam; Adeyemo Adebolaji; Wisdom Oguike; Olumayowa Ogunronbi; Wasiu Adeniyi; Obiabo Y Olugbo; Abiodun H Bello; Kenneth A Ohagwu; Luqman Ogunjimi; Francis Agyekum; Henry Iheonye; Julius Adesina; Samuel Diala; Hamisu A Dambatta; Joyce Ikubor; Arti Singh; Sheila Adamu; Vida Obese; Nathaniel Adusei; Dorcas Owusu; Michael Ampofo; Raelle Tagge; Richard Efidi; Bimbo Fawale; Joseph Yaria; Rufus Akinyemi; Mayowa Owolabi Journal: Stroke Date: 2021-09-30 Impact factor: 7.914
Authors: Nadia A Khan; Hude Quan; Michael D Hill; Louise Pilote; Finlay A McAlister; Anita Palepu; Baiju R Shah; Limei Zhou; Hong Zhen; Moira K Kapral Journal: BMC Neurol Date: 2013-07-05 Impact factor: 2.474
Authors: Therese Tillin; Alun D Hughes; Jamil Mayet; Peter Whincup; Naveed Sattar; Nita G Forouhi; Paul M McKeigue; Nish Chaturvedi Journal: J Am Coll Cardiol Date: 2013-02-28 Impact factor: 24.094