Electrolytes Status in Different Type of Acute Stroke Patients and Their Correlation with Some Common Clinical Presentation

Authors

  • Mahmudur Rahman Siddiqui Consultant, Medicine, Anwer Khan Modern Medical College
  • Quazi Tarikul Islam Professor, Dept. of Medicine, DMC
  • Md Azharul Haque Associate Professor, Dept. of Neurology, DMC
  • Md Jabed Iqbal Student, FCPS Medicine P-II Course, DMC
  • Ahmed Hossain Assistant professor, Dept. of Medicine, DMC
  • Yousuf Ur Rahman Student, FCPS Medicine P-II Course, DMC
  • Md Shahriar Mahbub Assistant register, Dept. of Neurology, DMCH
  • Asif Alam Sazzad Intern medical officer, Dept. of Medicine, DMCH

DOI:

https://doi.org/10.3329/jom.v13i2.12740

Keywords:

Stroke, dyselectrolytaemia, electrolytes imbalance

Abstract

Background: In our country, there are many studies on stroke, its associated conditions and their effect on stroke patients outcome, but a few studies on electrolytes status in stroke patients have been done in our country, even outside.

Method: A total number of 100 randomly selected, clinically and CT proven acute stroke patients were studied at medicine units of Dhaka Medical College Hospital. Electrolytes status in different type of acute stroke patients and their association with some common clinical presentation were identified and correlated.

Result: Out of 100 patients, 29% were in between 51-60 years age group & 72% were male and 28% were female patients. Majority 53% patients had Ischaemic stroke, 45% Intracerebral haemorrhage (ICH) and only 2% had Subarachnoid haemorrhage (SAH). 53% of total acute stroke patient had dyselectrolytaemia. Among 100 acute stroke patients, 66.66% haemorrhagic stroke and 28.30% ischaemic stroke patients had headache (p<0.05). 70.66% haemorrhagic and 30.23% ischaemic stroke patients had vomiting (p<0.05). 53% of total acute stroke patient had dyselectrolytaemia. Among 100 acute stroke patient 49 (49%) presented with vomiting from which 73.46% had dyselectrolytaemia (p<0.01). 54 (54%) presented with headache from which 74.07% had dyselectrolytaemia (p<0.001). 62.22% of haemorrhagic stroke (p<0.05) & 43.39% of ischaemic stroke (p>0.05) patients had dyselectrolytaemia. Total 36% of all stroke patients had serum sodium imbalance & 31% had serum potassium imbalance. In haemorrhagic stroke & ischaemic stroke patients, hyponatraemia (17% & 13%), hypernatraemia (1% & 3%), hypokalaemia (19% & 11%), hyperkalaemia (0% & 1%), hypochloraemia (9% & 6%) respectively.

Conclusion: In haemorrhagic stroke, the incidence of electrolytes imbalance was more than ischaemic stroke and which were mostly hyponatraemia and hypokalaemia.

DOI: http://dx.doi.org/10.3329/jom.v13i2.12740

J Medicine 2012; 13 : 133-137

Downloads

Download data is not yet available.
Abstract
492
PDF
233

Downloads

Published

2012-11-25

How to Cite

Siddiqui, M. R., Islam, Q. T., Haque, M. A., Iqbal, M. J., Hossain, A., Rahman, Y. U., Mahbub, M. S., & Sazzad, A. A. (2012). Electrolytes Status in Different Type of Acute Stroke Patients and Their Correlation with Some Common Clinical Presentation. Journal of Medicine, 13(2), 133–137. https://doi.org/10.3329/jom.v13i2.12740

Issue

Vol. 13 No. 2 (2012)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).