Epidemiological Aspects of Cerebrovascular Accidents in the Diabetic: Experience of the Medical Clinic II of the Hospital Center Abass Ndao of Dakar

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DOI: 10.4236/ojemd.2018.81002    927 Downloads   1,921 Views  Citations

ABSTRACT

Introduction: The objective of our study was to describe the socio-demographic characteristics and cardiovascular risk factors (RVFs) of diabetic patients admitted for stroke in a department other than neurology. Methods: Retrospective cross-sectional study over a period of six (6) years (January 2010 and December 2016), performed at the Internal Medicine Department of the Abass Ndao Hospital Center in Dakar. Results: 79 adults with a mean age of 64.67 years, a female predominance (51.89%). The major risk factors found were arterial hypertension in 74.68% of cases, dyslipidemia in 32.35% of cases, smoking in 6.32% of cases. The reasons for consultation were a disorder of consciousness in 27.4% of cases, hemiplegia in 43.3% of cases, headache in 18.98% of cases, vertigo in 8.86% and dysarthria in 10.12% of the cases. Mean systolic blood pressure was 150 mmHg, mean diastolic blood pressure was 86 mmHg. The average blood glucose was 3 g/l. Strokes were associated with left ventricular hypertrophy in 30.55% of cases. Ischemic stroke accounted for 74.68%. The evolution was marked by a death in 20.25% (16) cases. Conclusion: Stroke is a major public health problem. Despite its predominance of women, they (stroke) affected 48.10% of men in our study when we know that in Africa the social activity is based on men. They remain a serious pathology in the diabetic by the high lethality.

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Sow, D. , Diédhiou, D. , Diallo, I. , Ndour, M. , Sarr, A. , Ndour-Mbaye, M. and Saïd, N. (2018) Epidemiological Aspects of Cerebrovascular Accidents in the Diabetic: Experience of the Medical Clinic II of the Hospital Center Abass Ndao of Dakar. Open Journal of Endocrine and Metabolic Diseases, 8, 9-18. doi: 10.4236/ojemd.2018.81002.

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