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Stroke in Bangladeshi patients and risk factor

Q D Mohammad1, M Habib, B A Mondal

  • 1Professor Quazi Deen Mohammad, Professor & Head, Department of Neurology, Dhaka Medical College (DMC), Dhaka, Bangladesh.

Mymensingh Medical Journal : MMJ
|September 3, 2014
PubMed

Insights

Stroke is common after age forty, with ischemic stroke being most frequent. Hypertension, smoking, tobacco use, diabetes, and ischemic heart disease are the leading risk factors in Bangladeshi patients.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a significant cause of disability and mortality worldwide.
  • Understanding the prevalence of stroke risk factors is crucial for targeted prevention strategies.
  • Limited data exists on the specific distribution of stroke risk factors in the Bangladeshi population.

Purpose of the Study:

  • To comprehensively evaluate the distribution of established stroke risk factors among Bangladeshi patients.
  • To identify the most prevalent modifiable and non-modifiable risk factors for stroke in this population.
  • To inform healthcare providers and policymakers about stroke risk in Bangladesh.

Main Methods:

  • An observational study was conducted involving 8400 stroke patients across various hospitals in Bangladesh.
  • Data was collected over sixteen years using a pre-designed questionnaire.
  • Key risk factors evaluated included age, sex, family history, hypertension, diabetes, ischemic heart disease, smoking, obesity, dyslipidemia, alcoholism, oral contraceptive pill use, and dietary habits.

Main Results:

  • The majority of stroke events (82.3%) occurred in patients over forty years of age.
  • Ischemic stroke was the most common type, accounting for 72% of cases.
  • The most frequent modifiable risk factor was hypertension (57.6%), followed by smoking (44.6%), tobacco use (24.3%), diabetes (23%), and ischemic heart disease (17.1%).
  • Oral contraceptive pill use was noted in 40% of female stroke patients.

Conclusions:

  • Stroke is highly prevalent in Bangladeshi adults over forty, with ischemic stroke being predominant.
  • Hypertension, smoking, tobacco use, diabetes, and ischemic heart disease represent the most significant modifiable risk factors.
  • This study highlights the need for focused interventions to manage these prevalent risk factors for stroke prevention in Bangladesh.

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