Background: Stroke is the clinical syndrome of rapid onset of cerebral deficit (usually focal) lasting more than 24 hours or leading to death, with no apparent cause other than a vascular one1. Stroke is a common medical emergency with an annual incidence of between 180 and 300 per 100000. The incidence rises steeply with age, and in many developing countries, the incidence is rising because of the adoption of less healthy lifestyle. This observational prospective study was carried out to assess the relationship of hypertension among the ischemic stroke patients. The study also revealed the biochemical parameters, associated risk factors and socio-demographic scenario stroke victims. Different risk factors were recorded and analyzed for their association with Ischemic stroke. Among the non-modifiable risk factors age and sex distribution were studied. Methodology: The study was carried out on 171 patients of stroke in medicine unit of Holy Family Red Crescent Medical College with a view to assess the relationship between hypertension and ischemic stroke patients and it also provides simple health education on management of stroke victims and measures for its recurrence. Data collected in prescribed protocol were analyzed in simple statistical percentage, and cases were selected irrespective of age and sex. Results: Elderly people are the most vulnerable group for developing stroke. In the present study, 59.9 years was found to be the mean age of the Ischemic stroke patients and the maximum patients were between the age group of 61 to 70 years. Maximum (36.0%) of Ischemic stroke was between the age group of 61 to 70 years. The male female ratio was 3:1. Most of the patients were housewife (24.0%) and unemployed (42.0%). Hypertension was found in 66.0% cases and 10.0% cases had DM. More than half (60.0%) of the Ischemic patients had left sided abnormality, 40.0% had right sided, and 10.0% had both sided abnormality. Almost 44.0% of the study patients had family history of stroke and 40.0% were smoker, 34.0% had cardiac problems and 10.0% found as obese. Regarding the life style of the study patients, 68.0% lead moderate stressful life, 12.0% of the respondents had hyperlipildaemia, 10.0% had H/O alcohol intake. Among 50 Ischemic stroke patients, 76.0% were improved, 18.0% were static during discharge and 6.0% died. Conclusion: Stroke affects the people at the prime of their lives at the age of more than 60 years. This has a devastating effect on the individual, the family, the community and the nation as a whole. Perception of the problem is probably low in our country. This problem cannot be solved by the medical profession or the government alone. Community participation is essential for solving this huge problem.