Risk factors and subtypes of ischemic strokes in young adults: A tertiary care hospital study from southern part of India
Background: In the last few decades ischemic stroke in young adults (15-45 years) has been increasingly reported. This study was aimed to evaluate the epidemiological features, risk factors and mechanisms of ischemic stroke in young adults. Methods: From June 2018 to February 2020, patients diagn...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KIMS Foundation and Research Center
2025-06-01
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| Series: | Journal of Medical and Scientific Research |
| Subjects: | |
| Online Access: | https://jmsronline.com/archive-article/Risk-factors-subtypes-ischemic-strokes-young-adults-India |
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| Summary: | Background: In the last few decades ischemic stroke in young adults (15-45 years) has been increasingly reported. This study was aimed to evaluate the epidemiological features, risk factors and mechanisms of ischemic stroke in young adults.
Methods: From June 2018 to February 2020, patients diagnosed with ischemic stroke in the age group of 15-45 years from a tertiary care referral hospital in Hyderabad, India, were consecutively enrolled to study their risk factors, mechanisms and outcome.
Results: Out of 971 patients of ischemic strokes 164 (16.8%) were young adults, among whom 113 (69%) were in the age group 36-45 years. Males constituted 71.3% of cohort. Risk factors were alcohol abuse (39.63%), dyslipidemia (39.02%), hypertension (32.32%), smoking (27.44%), diabetes (25.61%), family history of stroke (23.78%) and past history of stroke (12.20%). As regards subtypes, large artery atherosclerosis constituted 26.22%, lacunar stroke 15.24%, cardio- embolic strokes 15.85%, stroke of other etiology 18.9% and stroke of unknown etiology 23.78%. At the time of discharge, death and dependency in younger adults was 8.53% and 45.12% respectively.
Conclusion: About 90% of young adults with ischemic stroke had at least 1 established modifiable vascular risk factor. Large artery atherosclerosis both intra and extra-cranial was the most frequent mechanism. Stroke due to other etiologies unique to young adults constituted about one fifth of all ischemic strokes.
Keywords: acute ischemic stroke; stroke in young; cerebrovascular accident; etiologies |
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| ISSN: | 2321-1326 2394-112X |