MUHAMMAD ASLAM SOOMRO . SAYED IFTIKHAR ALI SHAH . GHULAM YASIN ABRO

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Objectives: To determine the frequency of metabolic syndrome in patients of stroke, to prevent or minimize the morbidity and mortality of stroke, cardiovascular disease and diabetes mellitus type 2.

Study Design: This was a cross-sectional study

Place and Duration: This study was conducted in Medical unit one of Chandka Medical College Teaching Hospital Larkana, over a period of one year from March 2009 to March 2010.

Method and Material: In this study, 131 cases of proved stroke of either sex from age of 20 to 85 year were included after getting verbal and written consent for assessment of metabolic syndrome by revised ATP III criteria.

Results: Out of 131 cases of stroke patients male were 76 (58.0%) and female were 55 (42.0%). Minimum and maximum age of patients was 28 and 85 years respectively, while mean age was 55.49 + 12.149. Out of 131 cases, 87(66.4%) were of ischemic type and 44(33.6%) were of hemorrhagic type. Out of 87 cases of ischemic stroke 51 and 36 were male and female, accounting 58.6% and 41.4%. Out of 44 cases of hemorrhagic stroke 25(56.8%) were male, and 19 (43.2%) were female. Metabolic syndrome was present in 49 (37.4%) cases out of 131, and out of 49 cases of metabolic syndrome 34(69.4%) cases were found in ischemic stroke type, and 15 (30.6%) were in hemorrhagic stroke type. Metabolic syndrome was found in 32.9% of all male stroke patients and 43.6% of all female stroke patients (p= 0.210).

Conclusion: In our study, quite high (37.4%) frequency of metabolic syndrome was found in patients of stroke, affecting mainly middle age group, with no significant difference of gender and stroke types.