A Study of Clinical Profile of Haemorrhagic Stroke in Hypertensive Patients

Gopinath, V (2019) A Study of Clinical Profile of Haemorrhagic Stroke in Hypertensive Patients. Masters thesis, Tirunelveli Medical College, Tirunelveli.


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BACKGROUND: Intracerebral haemorrhage(ICH) is an important cause of morbidity and mortality in tertiary care centre hospitals especially among hypertensive patients. So it is imperative to study the clinical profile of the disease and factors responsible for poor outcome of the event. Also it is essential to asses the importance of drug compliance to have the blood pressure under control to prevent catastrophic events like intracerebral haemorrhage. AIM OF THE STUDY: To asses the clinical profile and factors responsible for clinically poor outcome in patients with intracerebral haemorrhage and the importance of drug compliance in hypertensives in preventing intracerebral haemorrhage. METHODS : It is a prospective study done for 1 year from June 2017 to June 2018 in Tirunelveli medical college. About 100 patients presented with intracerebral haemorrhage in whom Hypertension is the cause, were selected randomly and their clinical features and investigations were studied critically. RESULTS: Totally 100 patients were studied. ICH was more common among people above 50 years of age. Males were affected more than females. Rural population was affected more than urban population. 57% of patients were known case of hypertension with poor drug compliance.60% of patients had GCS less than 8 at the time of presentation. Hemiplegia was present in 62% of patients. About 91% of patients had systolic BP more than 180 and 75% of patients had diastolic BP more than 120. About 51% of patients had intraventricular haemorrhage. Most common site of bleed was putamen and internal capsule. There was a statistical significance noted between the presence of poor drug compliance for hypertension ( p value - 0.001), T2DM (p value - 0.001), Chronic kidney disease(p value - 0.001) & proteinuria (p value - 0.001) with poor GCS at the time of presentation. CONCLUSION: Haemorrhagic stroke is more prevalent among known hypertensives with poor drug compliance. Putamen and internal capsule is the most common site of intracerebral haemorrhage. Presence of Chronic kidney disease, T2DM and poorly controlled hypertension are associated with poor outcome in ICH patients.

Item Type: Thesis (Masters)
Additional Information: Reg.No.201611354
Uncontrolled Keywords: Haemorrhagic Stroke, Hypertensive Patients, Clinical Profile.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 25 Aug 2019 04:36
Last Modified: 25 Aug 2019 04:36
URI: http://repository-tnmgrmu.ac.in/id/eprint/11206

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