Faika Usman, Ali Hassan, Arsalan Ahmad, Waqas Ahmed.
Prevalence of cardiac risk factors in acute ischemic stroke.
Pak J Cardiol Jan ;18(3-4):55-9.

Objective: To determine the prevalence of cardiac risk factors in patients presenting with acute ischemic stroke. Method: We collected retrospective data of all stroke patients more than 16-years of age seen by the neurology section over a two year period (January 1, 2004-December 31, 2005). Charts having complete history and relevant investigations were reviewed. Results: There were a total of 250 stroke patients with a mean age of 63.3 years. 222 (88.8%) patients had ischemic stroke. 57/222 (25.6%) patients had at least one of the cardiac risk factors for ischemic stroke: 29 (50.8%) had a hypokinetic /akinetic left ventricular segment, 12 (21%) had atrial fibrillation, 7 (12.2%) had mitral annular calcification, 5 (8.7%) had a history of recent myocardial infarction, 3(5.2%) had cardiomyopathy and 1 (1.7%) patient had a mechanical valve. Conclusion: Hypokinetic/akinetic left ventricular segment with or without compromised systolic function was the most prevalent cardiac risk factor of ischemic stroke followed by atrial fibrillation.

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