Frequency of Hyponatremia in Ischemic Stroke Patients Admitted in Medical Unit, MTI DHQ Dera Ismail Khan
DOI:
https://doi.org/10.54112/bcsrj.v6i5.2312Keywords:
Hyponatremia, ischaemic stroke, serum sodium, electrolyte disturbanceAbstract
Hyponatremia is a common electrolyte disturbance in acute stroke and may influence clinical monitoring and management. Early identification of low serum sodium is relevant in ischemic stroke patients admitted to medical units. Objective: To determine the frequency of hyponatremia in ischemic stroke patients admitted to the medical unit. Methods: This study included 121 patients aged 35 to 80 years, of either gender, presenting with ischemic stroke from 24 November 2024 to 24 March 2025 at the Department of Medicine, MTI DHQ Teaching Hospital, Dera Ismail Khan. Patients with previous stroke, hemorrhagic stroke, brain tumor, cerebral abscess, tuberculomas, those on medications including diuretics, steroids, antidepressants, antipsychotics, carbamazepine, or non-steroidal anti-inflammatory drugs, and patients with renal failure or severe hyperglycaemia > 300 mg/dl were excluded. Blood samples were collected from all patients to assess hyponatremia, defined as a serum sodium level < 135 mmol/L. Data were analyzed using SPSS 25. Results: The mean age of 121 patients in this study was 57.02±12.56 years. Male patients were 81 (66.9%), while female patients were 40 (33.1%). The mean duration of stroke was 33.26±4.51 hours, and the mean serum sodium level was 136.98±7.24 mmol/L. Hyponatremia was observed in 40 (33.1%) cases. Conclusion: It is concluded that the frequency of hyponatremia in patients presenting with ischemic stroke was 33.1%. Routine screening of serum sodium at admission is recommended for all ischemic stroke patients.
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Copyright (c) 2025 Saeed Anwar, Abdur Rehman, Taimoor Khan Sikandari, Muhammad Shafiq, Amir Inayat Khan
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