DOI: 10.36347/sjams.2019.v07i11.022

Pages: 3597-3601

Dyselectrolytaemia is one the most common complication of acute stroke that to be corrected immediately, otherwise it may lead to death. As there are predominant contributions of studies analyzing electrolyte abnormalities in acute stroke were reported worldwide, very few studies were reported in India. This study aims to quantify the hyponatremia in acute ischemic stroke patients and to observe the association of co morbidities like hypertension and diabetes with hyponatremia in acute ischemic stroke patients. So, in this regard we designed a cross sectional study in King George Hospital Visakhapatnam on 50 acute ischemic stroke patients. Diagnosis was confirmed by both neurological examination and radiological basis. Detailed patient history and serum sodium levels were taken from case sheets of the patients with their prior concern in 24 hours of stroke attack. The data was analyzed using Chi squared test using SPSS software version 21. The study revealed that there is strong association of hyponatremia among acute ischemic stroke patients in relation to gender (p=0.03), out of 50 patients, 13 male and 5 female patients had hyponatremia. Majority of the patients had mild hyponatremia (24%), few had moderate hyponatremia (6%) and few had severe hyponatremia (6%). 11 out of 50 patients who were hypertensive had hyponatremia. 10 out of 50 patients who had other risk factors like previous history of heart disease and stroke, alcohol and smoking presented with hyponatremia. 5 out of 50 who were diabetes had hyponatremia. This study also found that most of the patients with hyponatremia were males in the age range of 56-80 years. Hyponatremia was common in patients with acute ischemic stroke, but only with mild alteration in sodium levels.