Prevalence and Profile of Metabolic syndrome following Stroke in patients admitted in Hospital

Abstract

Introduction- Stroke manifests by various neurological signs and symptoms depending on extent, area of involvement and the underlying cause. These include coma, hemiplegia, paraplegia, monoplegia, cranial nerve palsy, speech disturbance and sensory impairment, etc. Of these, hemiplegia is the most common presentation, seen in about 90% of patients. Objectives-1.To study the incidence of metabolic syndrome in stroke patients.2.To study the role of various components of metabolic syndrome in association of stroke. Methods- All patients with stroke age more 30 years and less than 60 years admitted in Chalmeda Hospital attached to Chalmeda Anand Rao Medical College, Karimnagar,Telangana during the study period from November 2013 to August 2015.Minimum of 50 subjects of stroke aged more than 30 years andless than 60 years. Simple random sampling was used. SPSS (22.0) was used for analysis. A detailed history of all subjects especially family history of hypertension, diabetes mellitus, history of weight gain, alcohol use and History of other cerebrovascular disease risk factors (including obesity, smoking, hyperlipidemia, diabetes) will be taken. Results-Out of 50 patients of stroke, 28 patients had metabolic syndrome. Incidence of metabolic syndrome in stroke was 56%.70% were males and 30% were females. The incidence of metabolic syndrome was more common in female when compared to males. However it is not statistically significant.the most common mode of presentation in both stroke with metabolic syndrome and stroke without metabolic syndrome was weakness followed by deviation of angle of mouth, aphasia and loss of consciousness. Conclusion-Long-term follow-up population-based studies have demonstrated that healthy individuals with the Metabolic syndrome are at a markedly increased risk for major cardiovascular events, including stroke, and cardiovascular mortality.