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Ratio of apoB/LDL: a potential clinical index for vascular cognitive impairment
1Department of Neurology, Shengjing hospital of China Medical University, NO.53 Huangxiang Road, Shenyang, China.
Insights
The ratio of apoprotein B (apoB) to low-density lipoprotein (LDL) may indicate vascular cognitive impairment (VCI) risk. Lower hyperlipidemia rates were observed in dementia patients with brain infarcts.
Area of Science:
- Neurology
- Cardiology
- Gerontology
Background:
- Vascular cognitive impairment (VCI) is linked to vascular disease and stroke.
- Not all brain infarct patients develop VCI, suggesting unique risk factors.
- Identifying these risk factors is crucial for understanding VCI progression.
Purpose of the Study:
- To identify potential risk factors for VCI in patients with brain infarcts.
- To compare risk factor prevalence between VCI patients and those with brain infarcts but no VCI.
Main Methods:
- Study included 37 dementia patients and 74 brain infarction patients, all with basilar ganglia infarcts.
- Compared frequencies of risk factors like age, hypertension, and hyperlipidemia between groups.
Main Results:
- Hyperlipidemia incidence was significantly lower in dementia patients (35.14%) than infarction patients (59.46%).
- A positive correlation was found between the apoB/LDL ratio and Mini Mental State Examination (MMSE) scores in the dementia group.
Conclusions:
- The apoB/LDL ratio may serve as a potential clinical marker for VCI.
- Further research is needed to validate apoB/LDL as a predictive index for VCI.
Background:
Vascular cognitive impairment (VCI), compared to vascular dementia (VD), has a broader definition and highlights the effect of vascular disease in dementia, and stroke seems play an important role in the development of VCI. However, not all patients with brain infarcts suffer from VCI; unique risk factors appear to cause such progression. This study aimed to find potential risk factors of vascular cognitive impairment among patients with brain infarcts.
Methods:
Thirty-seven dementia patients and 74 brain infarction patients were included; all had infarcts in both basilar ganglia. The frequencies of risk factors, such as age, hypertension, and hyperlipidemia, were compared between the two groups.
Results:
The incident rate of hyperlipidemia in the patients with dementia was 35.14%, which was significantly lower than that in the patients with infarction (59.46%, P = 0.015). In the dementia group, there was a positive correlation between the ratio of apoprotein B (apoB)/low density lipoprotein (LDL) and the Mini Mental State Examination (MMSE) score (R = 0.411, P = 0.011).
Conclusion:
Our study indicated that the ratio of apoB/LDL may be a potential clinical index for vascular cognitive impairment.
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