BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS

Objective: To determine the burden of carotid artery disease among the patients of ischemic stroke and to analyze the relationship of associated socio demographic factors including the diabetes mellitus (DM). Study Design: Cross sectional analytical study. Place and Duration of Study: Pak Emir...

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Autores principales:	Saeed Arif, Khurram Haq Nawaz, Asif Hashmat, Wasim Alamgir, Wasim Wali Muhammad
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	carotid artery stenosis diabetes mellitus Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/db188f6ef9b54ad39a878af5b56d0a64
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spelling	oai:doaj.org-article:db188f6ef9b54ad39a878af5b56d0a642021-11-11T05:38:01ZBURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS0030-96482411-8842https://doaj.org/article/db188f6ef9b54ad39a878af5b56d0a642019-08-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3226/2334https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the burden of carotid artery disease among the patients of ischemic stroke and to analyze the relationship of associated socio demographic factors including the diabetes mellitus (DM). Study Design: Cross sectional analytical study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from 10th May 2017 to 10th Nov 2017. Material and Methods: The sample population comprised of 190 patients of ischemic stroke presenting at a tertiary care hospital in Rawalpindi, Pakistan. CT-scan brain was performed to confirm the presence of acute ischemic stroke. Ultrasound Doppler was done by a consultant radiologist to assess the presence of clinically significant carotid artery stenosis. Relationship of age, gender, diabetes mellitus and duration of disease, education status, dyslipidemias and tobacco smoking was assessed with the presence of carotid artery stenosis among the patients of ischemic stroke. Results: Out of 190 patients of stroke assessed through ultrasound doppler, 53.7% showed the presence of significant carotid artery stenosis while 46.3% had no clinically significant stenosis. Hundred patients were nsuffering from DM. After applying the logistic regression we found that presence of DM and long duration of DM had significant association with the presence of carotid artery stenosis among the patients of ischemic stroke. Conclusion: This study showed a high frequency of carotid artery stenosis among the patients of ischemic stroke in Pakistan. Special attention should be paid to the patients who have been suffering from a metabolic disorder like DM. Long duration of DM also emerged as independent risk factor for carotid artery stenosis in our study population.Saeed ArifKhurram Haq NawazAsif HashmatWasim AlamgirWasim Wali MuhammadArmy Medical College Rawalpindiarticlecarotid artery stenosisdiabetes mellitusMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 4, Pp 926-930 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	carotid artery stenosis diabetes mellitus Medicine R Medicine (General) R5-920
spellingShingle	carotid artery stenosis diabetes mellitus Medicine R Medicine (General) R5-920 Saeed Arif Khurram Haq Nawaz Asif Hashmat Wasim Alamgir Wasim Wali Muhammad BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
description	Objective: To determine the burden of carotid artery disease among the patients of ischemic stroke and to analyze the relationship of associated socio demographic factors including the diabetes mellitus (DM). Study Design: Cross sectional analytical study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from 10th May 2017 to 10th Nov 2017. Material and Methods: The sample population comprised of 190 patients of ischemic stroke presenting at a tertiary care hospital in Rawalpindi, Pakistan. CT-scan brain was performed to confirm the presence of acute ischemic stroke. Ultrasound Doppler was done by a consultant radiologist to assess the presence of clinically significant carotid artery stenosis. Relationship of age, gender, diabetes mellitus and duration of disease, education status, dyslipidemias and tobacco smoking was assessed with the presence of carotid artery stenosis among the patients of ischemic stroke. Results: Out of 190 patients of stroke assessed through ultrasound doppler, 53.7% showed the presence of significant carotid artery stenosis while 46.3% had no clinically significant stenosis. Hundred patients were nsuffering from DM. After applying the logistic regression we found that presence of DM and long duration of DM had significant association with the presence of carotid artery stenosis among the patients of ischemic stroke. Conclusion: This study showed a high frequency of carotid artery stenosis among the patients of ischemic stroke in Pakistan. Special attention should be paid to the patients who have been suffering from a metabolic disorder like DM. Long duration of DM also emerged as independent risk factor for carotid artery stenosis in our study population.
format	article
author	Saeed Arif Khurram Haq Nawaz Asif Hashmat Wasim Alamgir Wasim Wali Muhammad
author_facet	Saeed Arif Khurram Haq Nawaz Asif Hashmat Wasim Alamgir Wasim Wali Muhammad
author_sort	Saeed Arif
title	BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
title_short	BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
title_full	BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
title_fullStr	BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
title_full_unstemmed	BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS
title_sort	burden of carotid artery disease in ischemic stroke patients with and without diabetes mellitus
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/db188f6ef9b54ad39a878af5b56d0a64
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BURDEN OF CAROTID ARTERY DISEASE IN ISCHEMIC STROKE PATIENTS WITH AND WITHOUT DIABETES MELLITUS

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