Denovo and uncontrolled stroke risk factors and triggers in a tertiary care hospital

Kaul S, Reddy KN, Deekshitha S, Banavath H, Lolla S, Beevi SS, Verma VK

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Subhash Kaul^1,3, Kasireddy Navneeth Reddy², Sunkari Deekshitha², Hasini Banavath², Sidhartha Lolla², Syed Sultan Beevi^3,* and Vinod Kumar Verma^3,*

¹Department of Neurology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India.

²Department of Pharmacy Practice, Pulla Reddy Institute of Pharmacy, Domadugu, Annaram, Gummadidala, Telangana 502313, India

³KIMS Foundation and Research Centre, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding authors: Dr. Syed Sultan Beevi, PhD., and Dr. Vinod Kumar Verma PhD., KIMS Foundation and Research Centre, KIMS Hospitals, Minister Road, Secunderabad 500 003, Telangana, India, Tel.: +91 40 44885056; Fax: +91 40 27840980; Email: drsyedsultan.b@kfrc.co.in; drvinod.v@kfrc.co.in

Received 20 September 2024; Revised 28 November 2024; Accepted 6 December 2024; Published 16 December 2024

Citation: Kaul S, Reddy KN, Deekshitha S, Banavath H, Lolla S, Beevi SS, Verma VK. Denovo and uncontrolled stroke risk factors and triggers in a tertiary care hospital. J Med Sci Res. 2025; 13(1):1-5. DOI: http://dx.doi.org/10.17727/JMSR.2024/13-1

Copyright: © 2025 Kaul S et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Background: Stroke, the second leading cause of death and a major cause of disability worldwide, results in over 12.2 million new cases annually. This study investigates the impact of various risk factors and triggers on stroke incidence, with a focus on denovo and uncontrolled hypertension and diabetes mellitus.

Methods: The study cohort consisted of 100 stroke patients. Data on demographic characteristics, lifestyle factors, medical history, and socioeconomic status were collected using a structured questionnaire and medical records

Results: Ischemic stroke was predominant, occurring almost four times more frequently than hemorrhagic strokes. A significant finding was the role of denovo hypertension and diabetes mellitus, in contributing to stroke among patients who were unaware of their health status. Stress, in its various forms—financial, work-related, emotional, and familial—was identified as a major trigger, although many patients reported no discernible triggers. The study also highlighted the knowledge gap in stroke awareness, underscoring the need for targeted educational initiatives.

Conclusion: Our findings emphasize the importance of early detection, effective management of chronic conditions, and stress reduction to mitigate stroke risk. Future studies with larger sample sizes are recommended to further explore these associations and develop comprehensive prevention strategies.

Keywords: prevalence; hypertension; diabetes mellitus; stress; ischemic stroke; hemorrhagic stroke