Background: Stroke is currently the second leading cause of death worldwide and is one of the leading causes of long-term disability . Mood disorders are prevalent after a stroke and may hinder physical, functional, and cognitive recovery; hence, it is undeniably necessary to recognize them early. Stroke mortality is generally higher in Asia as most of the countries therein are in economic transition . Socioeconomic status is a major contributor to stroke burden as greater odds of disability are found in patients with lower educational status and income. Objectives: The primary objective of this study is to identify the psychiatric morbidities commonly seen after a stroke in Asia. Search Methods: The following databases were utilized for extensive literature search: PubMed (January 2002 to June 2022), Cochrane Library (January 2002 to June 2022), and EBSCO (January 2002 to June 2022). The search made use of keyword combinations, Boolean operators "AND" and "OR," truncations, and field tags last October 2022. Selection Criteria: Articles on the prevalence and cross-sectional studies were included if they involved stroke survivors who developed post-stroke psychiatric morbidities in Asia. Additional inclusion criteria consisted of studies that have to be written in the English language and having free full texts available. Data Collection and Analysis: This systematic review made use of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards and guidelines. The JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data was used in the assessment for the quality of articles to be included in this systematic review. Results and Conclusion Affective disorders and generalized anxiety disorder were the common psychiatric morbidities identified post-stroke. The Hospital Anxiety and Depression Scale (HADS) may be used to diagnose post-stroke depression and anxiety. Males in their middle to late adulthood with higher National Institutes of Health Stroke Scale (NIHSS) scores and poor stroke outcomes (higher scores in the Modified Rankin Scale) were associated with a higher likelihood of developing the aforementioned psychiatric morbidities.
Depression ; Anxiety ; Mania ; Psychotic Disorders ; Asia

Background and Objective: The prevalence of aspirin resistance amongst patients with cardiovascular disease and in the healthy population has been reported to range from 5% to 45%. Lately, rapid platelet function analyzer (RPFA) a point-of-care determination of platelet aggregability has been introduced for rapid determination of aspirin resistant patients. The purpose of this paper is to report the prevalence of aspirin resistance among patients with recurrent non cardioembolic ischemic stroke as detected by RPFA (Ultegra®). Methods: Seventy-seven patients with mean age of 61.2 + 10.4 (range 33-87 years) who developed recurrent non-cardioembolic ischemic stroke were consecutively included in the study. Fifty-seven (74%) were males. Aspirin resistance was determined using the RPFA (Ultegra®) machine. Patients with an aspirin reaction unit (ARU) value above 550 were identified as aspirin resistant. Results: Following this method, the prevalence of aspirin resistance was determined to be 10.4% (95% CI: 1% to17%). Comparison of baseline characteristics between aspirin resistant and aspirin responsive patients did not show any significant difference. Conclusion: The prevalence of aspirin resistance in this study was 10.4% amongst patients with recurrent non-cardioembolic ischemic stroke. The study has shown the feasibility of utilizing RPFA (Ultegra®) machine in detecting aspirin resistance.

BACKGROUND

Identification of the type of stroke upon presentation at the emergency room is paramount. The initiation of prompt treatment may pay dividends in the eventual outcome of strokes. This is a retrospective study. The aim of this paper is to determine if there is a correlation berween an elevared blood pressure and rhe occurrence of either an ischemic infarcr or a hemorrhagic infarct. It aims to determine if a systolic blood pressure of >160 mm Hg or a diastolic blood pressme of >110 mmHg may be correlated to an incidence of hemorrhagic strokes.

METHODS

A series of 273 consecutive patients hospitalized in our institution berween January 2006 and December 2006 with a diagnosis of stroke were reviewed from the stroke database of our institution. Analysis was carried out using the SPSS software package (version 10.0.1; SPSS Inc., Chicago, Illinois, USA).

RESULTS

There was no correlation among the key variables: a) none berween type of stroke and presence of severe systolic HTN, p > .05 (exact value = .075), b) none berween rype of stroke and presence of severe diastolic HTN, p > .05 (exact value= .240), and c) none between type of stroke and age (young-middle versus older), p > .05 (exact value= .088).

CONCLUSION

The study was not able to establish a correlation between elevated hypertension and stroke type. There was no significant correlation between either systolic hypertension or diastolic hypertension in the occurrence of intracerebral hemorrhage.

Human ; Stroke ; Ischemic Stroke ; Hemorrhagic Stroke ; Hypertension