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Browsing by Person "Jamal, Q."

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    Comparison of Siriraj Stroke Score with Computerized Tomography in Establishing the Type of the Stroke among Pakistani Population
    (2015-09) Jamal, Q.; Rahman, A. S.; Razzaque, S.; Siddiqui, Muhammad A.; Ara, J.; Altaf, A.
    Computed Tomography (CT) Scan is an accurate and a routinely done imaging technique to diagnose and differentiate haemorrhagic and ischaemic stroke. Siriraj Stroke Score (SSS) is weighted clinical score and European recognized for clinical and bedside differentiation between ischemic and haemorrhagic stroke. This study aimed to establish the accuracy of SSS in the bedside diagnosis of cerebral haemorrhage in comparison with CT scan to avoid delay in treatment. Total 152 patients were included in the study. Out of which 39.5% were male. Overall, mean age was 59.2811.91, 56.32 12.69 in haemorrhagic group and 62.3210.28 in non-haemorrhagic group. Sensitivity, specificity, PPV, and NPV of SSS for haemorrhagic stroke was 71.4%, 81.3%, 79.7% and 73.5% respectively. Overall accuracy for haemorrhagic stroke was found to be 76.3%. SSS had higher sensitivity for haemorrhagic stroke and is more sensitive in Asian population, but still not accurate enough to replace CT scan as investigation of choice but can plays a role to avoid delay in the management where CT scan is delayed or not available. 2015, TIP ARASTIRMALARI DERNEGI. All rights reserved.
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    Ischaemic stroke and peripheral artery disease
    (Pakistan Medical Association, 2017-08-01) Rahman, A. S.; Akhtar, S. W.; Jamal, Q.; Sultana, N.; Siddiqui, Muhammad A.; Hassan, Z.
    Objective: To determine the frequency of atherosclerosis by ankle brachial index in patients with an ischaemic stroke and to assess the association of carotid artery stenosis and ankle brachial index in ischaemic stroke. Methods: This cross-sectional study was conducted at Abbasi Shaheed Hospital, Karachi, from July 2011 to May 2014, and comprised patients with ischaemic stroke. The patients were classified according to the Asian stroke criteria for classification of brain infarction. Primary outcome measures included carotid artery stenosis and ankle brachial index. The other independent variables were age, gender, body mass index and waist circumference. SPSS 20 was used for data analysis. Results: A total of 327 patients were enrolled. The overall mean age was 57.612.8 years. Besides, 168(51.3%) participants were males. Peripheral artery disease was found in 60(18.3%) patients. Mild carotid artery stenosis was found in 182(55.6%) patients, moderate in 140(42.8%), severe in 3(0.9%) and complete occlusion in 2(0.6%) patients. In patients having mild carotid artery stenosis, 32(17.5%) had peripheral artery disease, whereas in patients with moderate carotid artery stenosis, 25(17.8%) had peripheral artery disease. Conclusion: Abnormally low ankle brachial index suggesting subclinical peripheral artery disease was 18%. Keywords: Ischaemic stroke, Peripheral artery disease, Ankle brachial index, Carotid artery stenosis. (JPMA 67: 1138; 2017)