Abstract

Background and Aims:
Stroke is a major public health problem worldwide. The risk of recurrence is highest in the first year after the stroke, majority of the recurrent cases are due to atherosclerosis of the large arteries. The present study was conducted to evaluate clinico-bio-demographic profile of recurrent stroke patient in respect of risk factor and secondary prevention of stroke.

Methods:
A hospital-based cross-sectional study was conducted on 300 recurrent ischemic/hemorrhagic stroke (age 18-85 yrs.) from August 2015 to March 2017. Stroke mimic were excluded. Risk factors studied were hypertension, diabetes mellitus, hyperlipidemia, cardiac causes and cigarette smoking.

Results:
Mean age of recurrent stroke was 60±13 years with male preponderance (M: F=5.3). Ischemic stroke was found in 93% cases. About one third (33%) patients had their first recurrence within three months of index stroke. Active smoking, uncontrolled hypertension and diabetes were found in 71%, 62%, and 65 % cases respectively. There was association between first ever stroke and recurrence showing P value > .05,

Key words: Atherosclerosis, Drug adherence, Extra cranial stenosis, Risk factors, Recurrent stroke