A cross‐sectional study: Is there any effects of cholesterol ratios on acute ischemic stroke severity?
Öz
Aim: The aim of prevention of stroke and stroke related complications is to control and eliminate modifiable risk factors. Since hypercholesterolemia is one of these risk factors, we aimed to compare the low density lipoprotein cholesterol (LDL-C) / high density lipoprotein cholesterol (HDL-C) and total cholesterol / HDL-C ratios with NIHSS scores and to evaluate the effects of these ratios on the severity of stroke.
Material and Methods:This retrospective cross-sectional study included 207 patients with ischemic stroke. Demographic characteristics, total cholesterol, triglycerides, LDL-C and HDL-C levels of patients who did not use any lipid-lowering drug and NIHSS scores were recorded in a data collection form.
The
effects of LDL-C / HDL-C and total cholesterol / HDL-C ratios on NIHSS scores
were investigated.
Results:The mean age of the patients
was 69.3 years. The mean LDL-C / HDL-C ratio was 2.93 and the total cholesterol
/ HDL-C ratio was 4.68. The mean score of NIHSS was 7.05 at admission. No statistically
significant difference or correlation was observed between all these
parameters.
Conclusion:There was no statistically significant relationship between HDL-C / LDL-C and total cholesterol / HDL-C ratios and NIHSS scores. Considering the risk of ischemic stroke, prospective multicentric studies are needed to find proper parameters.
Anahtar Kelimeler
Kaynakça
- 1. Katan M, Luft A. Global Burden of Stroke. Semin Neurol 2018; 38: 208-11
- 2. Imamura T, Doi Y, Arima H et al. LDL cholesterol and the development of stroke subtypes and coronary heart disease in a general Japanese population: the Hisayama study. Stroke 2009; 40: 382-88.
- 3. Kurth T, Everett BM, Buring JE, Kase CS, Ridker PM, Gaziano JM. Lipid levels and the risk of ischemic stroke in women. Neurology 2007; 68: 556-62.
- 4. Tanne D, Yaari S, Goldbourt U. High-density lipoprotein cholesterol and risk of ischemic stroke mortality: a 21-year follow-up of 8586 men from the Israeli ischemic heart disease study. Stroke 1997; 28: 83-87.
- 5. Sacco RL, Benson RT, Kargman DE et al. High-density lipoprotein cholesterol and ischemic stroke in the elderly: the Northern Manhattan Stroke Study. J Am Med Assoc 2001; 285: 2729-35
- 6. Amarenco P, Bogousslavsky J, Callahan 3rd A, Goldstein LB, Hennerici M, Rudolph AE, et al. High-dose atorvastatin after stroke or transient ischemic attack. N Engl J Med 2006; 355: 549-59
- 7. Navab M, Ananthramaiah GM, Reddy ST et al. The oxidation hypothesis of atherogenesis: the role of oxidized phospholipids and HDL. J Lipid Res 2004; 45: 993-1007.
- 8. Barter PJ, Nicholls S, Rye KA, Anantharamaiah GM, Navab M, Fogelman AM. Antiinflammatory properties of HDL. Circ Res 2004; 95: 764-72.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Bilgin Öztürk
Bu kişi benim
0000-0002-8899-9925
Türkiye
Yayımlanma Tarihi
31 Aralık 2019
Gönderilme Tarihi
6 Temmuz 2019
Kabul Tarihi
9 Ekim 2019
Yayımlandığı Sayı
Yıl 2019 Cilt: 10 Sayı: 4