Study of Correlation of Intimal Thickness of Carotid Artery in Patient With Ischemic CVA Stroke.

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(B), Issue. (2)
First page: (49) Last page: (62)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Study of Correlation of Intimal Thickness of Carotid Artery in  Patient With Ischemic CVA Stroke. 
Brinda Mevada1, Trupti M Patel2*, Hiren  Bhadja3
1Assistant Professor, 22nd year Resident ,33rd year Resident Department Of Medicine, AMC MET COLLEGE, Maninagar,  Ahmedabad. 
Corresponding author email id: u trptipatel447@gmail.com

Online Published on 02-Jul-2019

ABSTRACT

BACKGROUND: Stroke, both ischemic and hemorrhagic is a common and devastating disorder.There has been 100% incease in incidence of stroke in low and middle income countries including India. The cumulative incidence of stroke ranged from 105 to152/lac persons per year in India.4 Currently stroke is the leading cause of mortality and morbidity worldwide and more than 80% of deaths occurring in low and middle income countries. The incidence of stroke increases with increasing age and with elderly population worldwide.1,2 METHODOLOGY : This case control observational study was done on Indoor patients of Department of Medicine, L.G. Hospital, Ahmedabad which had a sample size of 50 cases and 50 controls .
RESULTS: According to our study, CIMT is higher in 5thdecade of life, with male: female ratio of 4:1,in which Mean CIMT is higher in female cases as compared to male and control group. Mean CIMT is high in cases and controls with plaques when compared to without plaques. Cases with diabetes+hypertension and hypertension+smoker have higher CIMT compared to other risk factor. Even in the patient with hemiparesis / hemiplegia type of ischemic cerebrovascular stroke, it has high average CIMT compare to other neurological defecites. CONCLUSION: People with risk factors like Diabetes mellitus, Hypertension and Dyslipidemia should undergo screening for CIMT measurement by Carotid Doppler which is non invasive and cost effective and if their CIMT is above 0.06 mm; it should be prevented with early medical intervention and lifestyle modifications, so these patients can be prevented from ischemic CVA in future.

Keywords

Intimal Thickness .carotid Artery .ischemic CV Stroke

[pms-restrict subscription_plans=”10827″]
[/pms-restrict]