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Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 20-24

Metabolic syndrome among patients who had acute stroke in Hadramout, Republic of Yemen

Department of Medicine, College of Medicine and Medical Sciences (HUCOM), Hadramout University, Mukalla, Hadramout, Republic of Yemen

Correspondence Address:
Dr. Rasheed M Bamekhlah
P.O. Box No. 8892, Mukalla, Hadramout
Republic of Yemen
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjo.sjo_1_18

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Background and Objectives: Stroke is a major community problem with a high incidence, causing major neurological disability. Among the related risk factors, metabolic syndrome (MetS) is gaining a concern. Its relation to stroke has been suggested. We measured its frequency and described its following components among patients who had acute stroke: hypertension (HTN), diabetes mellitus (DM), waist circumference (WC), raised levels of serum triglycerides (TGs), and low levels of serum high-density lipoproteins. Materials and Methods: A prospective hospital-based case series study was conducted from October 2014 to April 2015. A total of 130 patients who had acute stroke, admitted in the medical department at Ibnseena Hospital, were recruited to this study. Clinical data, the results of investigations, and final diagnosis were collected. The patients were considered positive for MetS when they had ≥3 of the components according to the Adult Treatment Panel III. Results: The MetS frequency was 46.9% among all patients who had stroke, and 52.3% when restricted to patients who had ischemic stroke only. There were neither significant age nor gender differences. HTN was the most common component of the syndrome (98.4% of MetS among patients who had stroke), but without significant difference between patients with MetS and those who were non-MetS [OR 3.69 (95%CI 0.4–33.97), P = 0.22], followed by significantly higher WC measurements and levels of TGs among patients with MetS (77% each) than in those who were non-MetS [OR 112.5 (95%CI 24.41–518.5), P < 0.0001 and OR 29.73 (95%CI 11.12–79.5), P < 0.0001, respectively]. Forty-four percent of the patients with MetS had three MetS components, 31.1% had four, and 24.6% had all the five MetS components. Conclusion: MetS was present in a considerable percentage of patients who had stroke; it was more related to ischemic stroke. HTN was the most prevalent MetS components. There was a high frequency of patients having all the five MetS components.

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