FREQUENCY OF ISCHEMIC AND HEMORRHAGIC STROKE IN HYPERTENSIVE PATIENTS PRESENTING WITH STROKE

Objective: To determine the frequency of ischemic and hemorrhagic stroke in patients with Hypertension presenting with stroke Material and Methods: The design of this study is Descriptive Cross-Sectional Study and the duration of this study was from August 2017 to February 2018. 180 consecutive patients satisfying the inclusion and exclusion criteria were offered to enroll in the study. The study was conducted at Department of Medicine, Bolan Medical Complex Hospital Quetta. Age, Gender, factors like smoking, diabetes, hypertension and hypercholesterolemia were recorded on a proforma. CT scan was done in all the patients and the type of stroke according to CT findings was then entered into the proforma. The data were entered and analyzed by using SPSS v23.0. Effect modifiers like age, gender, DM, smoking (5 packs per year), atrial fibrillation (pulse >300/min) and obesity (BMI >30 kg/m2) were controlled through stratification by applying Chi-Square test. Results: In this study, 180 patients with hypertension were enrolled. Among these patients, 105(58.3%) were males, while 75(41.7%) were females. Most of the patients 130(72.2%) had ischemic stroke, while 50(27.8%) had hemorrhagic stroke. Among 180 patients, 30(16.7%) were obese, while 23(12.8%) were diabetic. 18(10%) were smoker and 6(3.3%) had atrial fibrillation. Conclusion: Hypertension is an important risk factor for ischemic and hemorrhage stroke. An effort should be placed to control blood pressure and other modifiable risk factors to reduce incidence of ischemic and hemorrhage stroke and improve patient outcomes. KEY WORDS: Stroke, Hypertension, Ischemic, Hemorrhagic, Intracerebral, Angiopathy