THE CLINICAL AND SUBCLINICAL CHARACTERISTICS OF ISCHEMIC STROKE AT THE GERIATRIC DEPARTMENT OF NATIONAL HOSPITAL OF TRADITIONAL MEDICINE

Thanh Hằng Nguyễn , Thị Thúy Quỳnh Trần , Thị Thanh Tú Nguyễn, Thanh Thủy Nguyễn

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Abstract

Objective: The study was performed to investigate the clinical and subclinical characteristics of ischemic stroke at Geriatric Department - National Hospital of Traditional Medicine. Subjects and Method: A Cross-sectional, Descriptive and Retrospective Study was conducted on 234 patients who were diagnosed with ischemic stroke and treated from 1/2022 to 12/2022. Results and Conclusion: the average age of patient's was 73.6 ± 9.7 (years), female/male ratio was 1.6. The common clinical symptoms: Hemiplegia (97.0%), sensory disorders (61.5%), speech disorders (31.2%). The most common clinical pattern according to Traditional Medicine: the liver-kidney yin vacuity (81.2%). CT-scanner image characteristics: Multifocal infarction accounts for a higher rate (55.6%) than single one; the rate of subcortical location is the highest at 75.3%. Small infarcts were often found, which were <15mm in size have the highest rate (70.3%). The average total cholesterol, blood triglycerides, and blood glucose indexes were 5.1 ± 1.3, 2.1 ± 1.5 and 7.5 ± 3.1 (mmol/l), respectively.

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References

1. Bộ Y tế. Hướng dẫn chẩn đoán và phục hồi chức năng cho bệnh nhân đột quỵ. 2018, 1-7.
2. Hoàng Khánh. Tăng huyết áp và đột quỵ. Tạp chí Tim mạch học Việt Nam. 2014, 66(2):43-56.
3. Đỗ Đức Thuần, Phạm Ngọc Thảo, Phạm Phúc Đức. Nghiên cứu đặc điểm triệu chứng lâm sàng khởi phát nhồi máu hệ tuần hoàn não sau. Tạp chí y học Việt Nam. 2023;525(2).
4. Feigin VL, Stark BA, Johnson CO, et al. Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021;20(10):795-820.
5. Carr C, Kahn L, Mathkour M, Biro E, Bui CJ, Dumont AS. The shifting burden of neurosurgical disease: Vietnam and the middle-income nations. Neurosurg Focus. 2018;45(4): E12.
6. Mai DT, Dao XC, Luong NK, Nguyen TK, Nguyen HT, Nguyen TN. Current State of Stroke Care in Vietnam. Stroke Vasc Interv Neurol. 2022;2(2):e000331.
7. Yamanashi H, Ngoc MQ, Huy TV, et al. Population-Based Incidence Rates of First-Ever Stroke in Central Vietnam. Wang X, ed. PLOS ONE. 2016;11(8):e0160665.
8. Tsao CW, Aday AW, Almarzooq ZI, et al. Heart Disease and Stroke Statistics-2022 Update: A Report From the American Heart Association. Circulation. 2022;145(8):e153-e639.