1. Introduction Results Methods Conclusions
The impact of some risk factors such as Arterial hypertension
and diabetes on ischemic stroke vs miocardial infarction
Authors: Dr. Jora Xhaxho1, Dr. Sokrat Xhaxho1, Dr. Brunilda Xhaxho1, Dr. Bekim Jata2, Prof. Dr. Jera Kruja1, Dr. Rudina Preci3
1-Department of Neurology CUH “Mother Theresa” Tirana, Albania 2-Department of Cardiology, American Hospital, Tirana 3- Department of Emergency Services, CUH Mother Theresa, Tirana
Introduction
Results
Arterial hypertension and diabetes have been established as important risk factors for coronary and cerebral artery damage. One of the most important mechanisms of this damage is the process of atherosclerosis.
The purpose of this study:
To compare arterial hypertension and diabetes as risk factor and evaluate if they are more likely to damage the arteries of the heart or the arteries of the brain.
Arterial hypertension as a risk factor:
In the above graphics we notice that 77% of the patients with stroke and 70% of the patients with myocardial infarction suffer from arterial hypertension and only 48% of the persons from the group of control suffer from arterial hypertension. We have a difference of 7% between stroke and myocardial infarction and a difference of 29% between stroke and the group of control. According to the statistic test p<>0.05 when we compare stroke and myocardial infarction. We may conclude that the difference in % between those 2 groups is statistically important. So, arterial hypertension damages mostly the blood vessels located of the brain comparing with the blood vessels located on the heart. When we compare stroke with the group of control p<0.05 so we may conclude that the difference between patients with stroke and the individuals from the group of control is statistically important. (the statistic test used is test Z)
Methods
In this study we included 200 patients. 100 of them were diagnosed with ischemic stroke and 100 of them were diagnosed with myocardial infarction. For each patient evaluated risk factors such as arterial hypertension and diabetes. We compared these data to those of 100 randomly selected healthy individuals.
Diabetes as a risk factor:
In the above graphics we see that 23% of the patients with stroke and 30% of the patients with myocardial infarction suffer from diabetes and only 9% of the persons from the group of control suffer from diabetes. We have a difference of 7% between patients with stroke and patients with myocardial infarction and a difference of 14% between patients with stroke and the persons from the group of control. According to the statistic test p <0.05 when we compare the patients with stroke and the patients with myocardial infarction. We may conclude that the difference in % between those 2 groups is statistically important. So, diabetes damages mostly the blood vessels located on the heart comparing with the blood vessels located on the brain. When we compare stroke with the group of control p<0.05 so we may conclude that the difference between patients with stroke and the individuals from the group of control is statistically important. (the statistic test used is test Z)
Conclusions
1. Arterial hypertension and diabetes are 2 important risk factors for stroke and myocardial infarction
2. Diabetic patients should be more predisposed to be affected by myocardial infarction and hypertensive patients should be more predisposed to be affected by ischemic stroke.
3. Arterial hypertension damages mostly the blood vessels located in the brain and diabetes damages mostly arterial vessels located on the heart.