Radiological Imaging and Analysis of Laboratory Values in Case of Acute Ischemic Stroke

Mustafa Alpaslan; Necmi Baykan

Makale detayları

Radiological Imaging and Analysis of Laboratory Values in Case of Acute Ischemic Stroke

Yazarlar:

Mustafa Alpaslan | Necmi Baykan

Yayıncı:

Selcuk University

Ana Başlıklar:

Acil Tıp | Radyoloji ve Organ Görüntüleme | Tanı Radyografisi | Klinik Tıp Bilimleri (Diğer)

Dergi:

Genel Tıp Dergisi Vol.34 Issue 2, pp.171-180

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001316097

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 Background: The rate of death and disability due to acute ischemic stroke ranks second in the world. In this study it was planned to analyze the demographic characteristics and additional diseases in the etiology as well as radiological imaging and laboratory values in patients with ischemic stroke. Materials and Methods: This study was conducted retrospectively by analyzing the patients hospitalized with the diagnosis of ischemic stroke from the emergency department between 01.01.2022 and 31.12.2022. Routine laboratory values, lipids, vitamin levels, radiological imaging and tests for etiology were analyzed in the patients. Results: One hundred seventy seven patients were analyzed in the study. 53.1 of the patients were male. The mean age was 7512.75 years. The most common comorbidities were hypertension, diabetes and hyperlipidemia. As ischemic infarction, involvement was most common in the areas fed by the middle cerebral artery. In the carotid andor vertebral doppler ultrasonography performed in the patients, plaque was observed in the vessels at a rate of 83.1. According to the transthoracic echocardiographic findings, 79.3 of the patients were found to have heart valve pathology. Pathologically the majority of patients had hyperglycemia, vitamin D deficiency and low HDL cholesterol levels. Thrombolytic therapy was applied in six patients and three patients benefited and one patient died due to bleeding. 13.6 of the patients were treated in the intensive care unit. Conclusion: The risk of ischemic stroke increases in advanced age. Hypertension and diabetes are among the most important risk factors. Vitamin D and vitamin B12 deficiency and folic acid deficiency pose a risk in terms of atherosclerosis. At the same time, low HDL cholesterol levels increase the risk of stroke. These factors which are considered as preventable causes in etiology should be controlled with treatment.

 Background: The rate of death and disability due to acute ischemic stroke ranks second in the world. In this study it was planned to analyze the demographic characteristics and additional diseases in the etiology as well as radiological imaging and laboratory values in patients with ischemic stroke. Materials and Methods: This study was conducted retrospectively by analyzing the patients hospitalized with the diagnosis of ischemic stroke from the emergency department between 01.01.2022 and 31.12.2022. Routine laboratory values, lipids, vitamin levels, radiological imaging and tests for etiology were analyzed in the patients. Results: One hundred seventy seven patients were analyzed in the study. 53.1 of the patients were male. The mean age was 7512.75 years. The most common comorbidities were hypertension, diabetes and hyperlipidemia. As ischemic infarction, involvement was most common in the areas fed by the middle cerebral artery. In the carotid andor vertebral doppler ultrasonography performed in the patients, plaque was observed in the vessels at a rate of 83.1. According to the transthoracic echocardiographic findings, 79.3 of the patients were found to have heart valve pathology. Pathologically the majority of patients had hyperglycemia, vitamin D deficiency and low HDL cholesterol levels. Thrombolytic therapy was applied in six patients and three patients benefited and one patient died due to bleeding. 13.6 of the patients were treated in the intensive care unit. Conclusion: The risk of ischemic stroke increases in advanced age. Hypertension and diabetes are among the most important risk factors. Vitamin D and vitamin B12 deficiency and folic acid deficiency pose a risk in terms of atherosclerosis. At the same time, low HDL cholesterol levels increase the risk of stroke. These factors which are considered as preventable causes in etiology should be controlled with treatment.

 Background: The rate of death and disability due to acute ischemic stroke ranks second in the world. In this study it was planned to analyze the demographic characteristics and additional diseases in the etiology as well as radiological imaging and laboratory values in patients with ischemic stroke. Materials and Methods: This study was conducted retrospectively by analyzing the patients hospitalized with the diagnosis of ischemic stroke from the emergency department between 01.01.2022 and 31.12.2022. Routine laboratory values, lipids, vitamin levels, radiological imaging and tests for etiology were analyzed in the patients. Results: One hundred seventy seven patients were analyzed in the study. 53.1 of the patients were male. The mean age was 7512.75 years. The most common comorbidities were hypertension, diabetes and hyperlipidemia. As ischemic infarction, involvement was most common in the areas fed by the middle cerebral artery. In the carotid andor vertebral doppler ultrasonography performed in the patients, plaque was observed in the vessels at a rate of 83.1. According to the transthoracic echocardiographic findings, 79.3 of the patients were found to have heart valve pathology. Pathologically the majority of patients had hyperglycemia, vitamin D deficiency and low HDL cholesterol levels. Thrombolytic therapy was applied in six patients and three patients benefited and one patient died due to bleeding. 13.6 of the patients were treated in the intensive care unit. Conclusion: The risk of ischemic stroke increases in advanced age. Hypertension and diabetes are among the most important risk factors. Vitamin D and vitamin B12 deficiency and folic acid deficiency pose a risk in terms of atherosclerosis. At the same time, low HDL cholesterol levels increase the risk of stroke. These factors which are considered as preventable causes in etiology should be controlled with treatment.

 Giriş: Akut iskemik inmeye bağlı ölüm ve sakatlık oranı dünyada ikinci sırada yer almaktadır. Bu çalışmada, iskemik inme geçiren hastalarda demografik özellikler ve etiyolojide yer alan ek hastalıklar ile yapılan radyolojik görüntüleme ve laboratuvar değerlerinin analizinin yapılması planlandı. Gereç ve Yöntem: Bu çalışma retrospektif olarak 01.01.2022-31.12.2022 tarihleri arasında acil servisten iskemik inme teşhisi ile hastaneye yatırılan hastaların analizi ile yapılmıştır. Hastalarda rutin laboratuvar değerleri, lipitler, vitamin düzeyleri, radyolojik görüntülemeler ve etiyolojiye yönelik testler analiz edilmiştir. Bulgular: Çalışmada 177 hasta analiz edildi. Hastaların 53,1i erkekti. Yaş ortalaması 7512,75 oldu. Ek hastalık olarak en sık hipertansiyon, diyabet ve hiperlipidemi olduğu görüldü. İskemik infarkt olarak en sık orta serebral arterin beslediği alanlarda tutulum görüldü. Hastalarda yapılan karotis veveya vertebral doppler ultrasonografide damarlarda 83,1 oranında plak olduğu görüldü. Transtorasik ekokardiyografi bulgularına göre hastaların 79,3ünde kalp kapak patolojisi olduğu saptandı. Hastalarda patolojik olarak çoğunlukta hiperglisemi, D vitamini eksikliği ve HDL kolesterol seviyesinde düşüklük olduğu gözlendi. Altı hastada trombolitik tedavi uygulandı ve üç hasta fayda görürken bir hasta kanama gelişerek öldü. Hastaların 13,6sı yoğun bakımda tedavi edildi. Sonuç: İskemik inme görülme riski ileri yaşlarda artmaktadır. Hipertansiyon ve diyabet en önemli risk faktörlerindendir. Vitamin D ve vitamin B12 eksikliği ile folik asit eksikliği ateroskleroz açısından risk arz etmektedir. Aynı zamanda düşük HDL kolesterol düzeyi de inme riskini artırmaktadır. Etiyolojide önlenebilir nedenler olarak değerlendirilen bu faktörler tedavi ile kontrol altına alınmalıdır.

Makale detayları

Radiological Imaging and Analysis of Laboratory Values in Case of Acute Ischemic Stroke

Yazarlar:

Mustafa Alpaslan | Necmi Baykan

Yayıncı:

Selcuk University

Ana Başlıklar:

Acil Tıp | Radyoloji ve Organ Görüntüleme | Tanı Radyografisi | Klinik Tıp Bilimleri (Diğer)

Dergi:

Genel Tıp Dergisi Vol.34 Issue 2, pp.171-180

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001316097

pISSN:

2602-3741

Emergency department

Acute ischemic stroke

Cerebrovascular diseaseacil servis

Akut iskemik inme

serebrovasküler hastalık

Sayı

Makale detayları

Radiological Imaging and Analysis of Laboratory Values in Case of Acute Ischemic Stroke

Yazarlar: Mustafa Alpaslan | Necmi Baykan

Yayıncı: Selcuk University

Ana Başlıklar: Acil Tıp | Radyoloji ve Organ Görüntüleme | Tanı Radyografisi | Klinik Tıp Bilimleri (Diğer)

Dergi: Genel Tıp Dergisi Vol.34 Issue 2, pp.171-180

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001316097

pISSN: 2602-3741

Emergency department

Acute ischemic stroke

Cerebrovascular diseaseacil servis

Akut iskemik inme

serebrovasküler hastalık

Sayı

Yazarlar:

Mustafa Alpaslan | Necmi Baykan

Yayıncı:

Selcuk University

Ana Başlıklar:

Acil Tıp | Radyoloji ve Organ Görüntüleme | Tanı Radyografisi | Klinik Tıp Bilimleri (Diğer)

Dergi:

Genel Tıp Dergisi Vol.34 Issue 2, pp.171-180

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001316097

pISSN:

2602-3741