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Lipid profile in Jordanian patients with first ever ischemic stroke
1Department of Neurology, Faculty of Medicine, Jordan University, PO Box 23076, Amman 11115, Jordan.
Insights
This study found that patients experiencing their first ischemic stroke (IS) had significantly lower high-density lipoprotein (HDL) levels compared to controls. Other lipid profiles like total cholesterol, LDL, and triglycerides did not show significant differences.
Area of Science:
- Cardiovascular Medicine
- Neuroscience
- Clinical Biochemistry
Background:
- Ischemic stroke (IS) is a leading cause of disability and mortality worldwide.
- Lipid profiles, including total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides (TG), are established risk factors for cardiovascular diseases.
- Understanding the specific lipid profile alterations in IS patients is crucial for risk stratification and targeted interventions.
Purpose of the Study:
- To investigate the association between lipid profiles (TC, LDL, HDL, TG) and first-ever ischemic stroke (IS) in Jordanian patients.
- To compare the lipid profiles of IS patients with a control group admitted to a teaching hospital.
- To identify potential lipid-related biomarkers for ischemic stroke in this population.
Main Methods:
- A retrospective case-control study was conducted involving IS patients and controls admitted to Jordan University Hospital between January 2004 and December 2006.
- Fasting lipid profiles were analyzed within 48 hours of admission for all participants.
- Demographic data and prevalence of risk factors such as hypertension, diabetes mellitus, and ischemic heart disease (IHD) were compared between groups.
Main Results:
- The study included 98 IS patients and 98 controls, with no significant differences in age, gender, hypertension, diabetes, IHD, or smoking prevalence.
- IS patients exhibited significantly lower high-density lipoprotein (HDL) levels compared to the control group (p-value not specified).
- No significant differences were observed in total cholesterol (TC), low-density lipoprotein (LDL), or triglycerides (TG) between the IS patients and controls. The control group had higher statin usage.
Conclusions:
- The findings suggest a significant association between lower high-density lipoprotein (HDL) levels and ischemic stroke (IS) in the studied Jordanian population.
- Despite limitations of the retrospective design, the results highlight HDL as a potential indicator in IS.
- Further prospective studies are warranted to confirm these findings and elucidate the role of HDL in IS pathogenesis.
Objective:
To study the relationship between lipid profile, total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), and triglycerides (TG) in Jordanian patients admitted with first ever ischemic stroke (IS) to a teaching hospital over a 3-year-period, and compared them to a control group.
Methods:
A retrospective case control study of all patients with diagnosis of IS who were admitted to the Jordan University Hospital, Amman, Jordan from January 2004 to December 2006 and had a documented fasting lipid profile within 48 hours of their admission. They were compared to controls without IS.
Results:
Ninety-eight patients with IS were studied and compared to 98 control subjects. Both patients and control groups were similar regarding age, gender distribution, prevalence of hypertension, diabetes mellitus, ischemic heart disease (IHD), and smoking. The lipid profile showed a significantly lower HDL level in IS patients compared to the control group. There were no significant differences between the patients and control regarding TC, LDL, or TG levels. Control group used statins more frequently than patients (28% versus 10%, p=0.002). Both groups had high prevalence of risk factors.
Conclusion:
Though this study is limited by its retrospective design, it suggests that IS patients have significantly lower levels of HDL.
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