ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH NHỒI MÁU NÃO Ở BỆNH NHÂN CÓ HỘI CHỨNG CHUYỂN HÓA TẠI BỆNH VIỆN ĐA KHOA ĐỐNG ĐA NĂM 2024

Abstract

Objective: The aim of this study is to describe the characteristics of metabolic syndrome components. And analyze the relationship between components of metabolic syndrome and ischemic stroke. Subjects and methods: This is a cross-sectional study of 65 patients with ischemic stroke who had metabolic syndrome treated at Dong Da General Hospital from April 2024 to October 2024. Results: The rate of metabolic syndrome components were high: Systolic hypertension ≥ 130 mmHg (87,7%), diastolic hypertension ≥ 85 mmHg (84,6%), increased triglyceride (72,3%). The rate of number of metabolic syndrome components: 3 components 49,2%, 4 components 33,9% và 5 components 16,9%. The three components composed of hypertension + hyperglycemia + increased waist circumference had the highest ratio. The most common structure of four components was hypertension + hyperglycemia + increased triglycerid + low blood HDL – C (18.5%). There is a relationship between low blood HDL-C, the number of metabolic symdrome components and a history of ischemic stroke. There is a relationship between fasting hyperglycemia, the number of metabolic syndrome components and clinical severity (NIHSS ≥ 5), large infarct size (p < 0,05). Conclusions: The one of components (fasting hyperglycemia) and increase in the number of metabolic syndrome components are risk factors for more severe ischemic stroke.