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Integrated Photoacoustic, Ultrasound, and Angiographic Tomography (PAUSAT) for NonInvasive Whole-Brain Imaging of Ischemic Stroke
Published on: June 2, 2023
Stroke in Pakistan
Bhojo A Khealani1, Bilal Hameed, Uzma U Mapari
1Department of Medicine, Aga Khan University Hospital, Karachi.
Insights
Stroke incidence is rising in Asia, with Pakistan facing a high burden of risk factors like diabetes and hypertension. Many patients are unaware of their conditions, leading to uncontrolled hypertension and significant health consequences.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Stroke is a primary cause of long-term disability and mortality globally.
- While stroke incidence declines in Western countries, it is increasing in Asia.
- Pakistan faces a substantial burden of stroke risk factors, including a high prevalence of diabetes and hypertension, with many individuals unaware of their diagnosis.
Purpose of the Study:
- To review the available literature on stroke and its associated risk factors in Pakistan.
- To highlight the epidemiological differences and challenges in stroke management within the Pakistani context.
Main Methods:
- A comprehensive review of existing literature on stroke and its risk factors in Pakistan was conducted.
- Analysis focused on reported case series and epidemiological data to identify trends and patterns.
Main Results:
- Data on stroke incidence and prevalence in Pakistan is limited but suggests significant variations compared to Western countries.
- High rates of undiagnosed and uncontrolled hypertension and diabetes contribute to the stroke burden.
- The absolute number of stroke cases in Pakistan is estimated to be in the millions, with profound individual and societal impacts.
Conclusions:
- Pakistan faces a growing stroke problem due to a high prevalence of modifiable risk factors and challenges in diagnosis and management.
- Urgent public health interventions are needed to address the escalating burden of stroke and its consequences in Pakistan.
Abstract:
Stroke is the most common cause of disability and a leading cause of mortality world wide. Though the incidence is falling in West but probably is rising in Asia. The burden of stroke risk factors in Pakistan is enormous e.g. by 2020 Pakistan will be 4th most populous country in terms of diabetic patients. Similarly every 3rd person above age of 45 years has hypertension. Ironically a great majority of these patients are unaware of their diagnosis. This is further complicated by the fact that most of diagnosed patients have uncontrolled hypertension, as a result of poor compliance on patients part and poor updated knowledge on physicians part. Data on stroke incidence and prevalence from Pakistan is scarce, however, there are several reported case series in literature highlighting significant differences in terms of stroke epidemiology, risk factors and stroke subtypes/patterns. Considering a high population, absolute number of stroke in our country would be in millions. Its consequences are myriad ranging form physical disability to death, to psychologic, social and economic consequences. These consequences do not only affect the individual or his/her family but also society as a whole. We reviewed available literature on stroke and its risk factors from Pakistan.
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