Comparative evaluation of triglyceride/high density lipoprotein cholesterol and C-reactive protein between ischemic stroke and healthy control group
DOI:
https://doi.org/10.18203/2320-6012.ijrms20243459Keywords:
Acute ischemic stroke, Lipid profile, Dyslipidemia, Triglycerides, C-reactive proteinAbstract
Background: Triglyceride to high-density lipoprotein cholesterol ratio (TG/HDL-C) are predictive of the start of cardiovascular disease and metabolic syndrome. Dyslipidemia is a multifactorial disorder that exacerbates the vascular pathology associated with stroke. C-reactive protein (CRP) levels are elevated in people with a higher prevalence of stroke risk factors, such as hypertension, diabetes, and dyslipidemia. This study aims to compare and analyze the values of lipid ratio such as TG/HDL-C and inflammatory marker, CRP in acute ischemic stroke (AIS).
Methods: This study was conducted at Jubilee Mission Medical College and Research Institute in Thrissur, Kerala. The duration of the research period was 2022 September to 2024 July. It was a prospective comparative cross sectional study. Data collection included physical, medical examinations and laboratory investigations. Statistical analysis was performed using statistical package for the social sciences (SPSS) version 26.
Results: The comparison of inflammatory marker, CRP and lipid profile ratio such as TG/HDL-C showed an increased level in AIS than control. No correlation was observed between CRP and TG/HDL-C in AIS group.
Conclusions: Our study observed that inflammatory markers especially CRP have strong predictive potential in diagnosing AIS. The lipid profile ratio such as TG/HDL-C have moderate predictive potential in AIS.
Metrics
References
Deb P, Sharma S, Hassan KM. Pathophysiologic mechanisms of acute ischemic stroke: An overview with emphasis on therapeutic significance beyond thrombolysis. Pathophysiology. 2010;17(3):197-218.
Alloubani A, Saleh A, Abdelhafiz I. Hypertension and diabetes mellitus as a predictive risk factors for stroke. Diabetes Metabolic Syndrome Clin Res Rev. 2018;12(4):577-84.
Zhang L, Li X, Wolfe CD, O’Connell MD, Wang Y. Diabetes as an independent risk factor for stroke recurrence in ischemic stroke patients: an updated meta-analysis. Neuroepidemiology. 2021;55(6):427-35.
Qureshi AI, Ezzeddine MA, Nasar A, Suri MF, Kirmani JF, Hussein HM, et al. Prevalence of elevated blood pressure in 563,704 adult patients with stroke presenting to the ED in the United States. Am J Emerg Med. 2007;25(1):32-8.
Broderick J, Brott T, Barsan W, Haley EC, Levy D, Marler J, et al. Blood pressure during the first minutes of focal cerebral ischemia. Ann Emerg Med. 1993;22(9):1438-43.
Leonardi-Bee J, Bath PMW, Phillips SJ, Sandercock PAG. Blood pressure and clinical outcomes in the international stroke trial. Stroke. 2002;33(5):1315-20.
Wohlfahrt P, Krajcoviechova A, Jozifova M, Mayer O, Vanek J, Filipovsky J, et al. Low blood pressure during the acute period of ischemic stroke is associated with decreased survival. J Hypertens. 2015;33(2):339-45.
Arenillas JF, Cortijo E, García-Bermejo P, Levy EI, Jahan R, Liebeskind D, et al. Relative cerebral blood volume is associated with collateral status and infarct growth in stroke patients in SWIFT PRIME. J Cereb Blood Flow Metab. 2018;38(10):1839-47.
Puhr-Westerheide D, Tiedt S, Rotkopf LT, Herzberg M, Reidler P, Fabritius MP, et al. Clinical and imaging parameters associated with hyperacute infarction growth in large vessel occlusion stroke. Stroke. 2019;50:2799-804.
Mechtouff L, Bochaton T, Paccalet A, Da Silva CC, Buisson M, Amaz C, et al. Matrix metalloproteinase-9 and monocyte chemo attractant protein-1 are associated with collateral status in acute ischemic stroke with large vessel occlusion. Stroke. 2020;51:2232-5.
Wufuer A, Xiaoning Z. Blood pressure and collateral circulation in acute ischemic stroke. Herz. 2019;44:455-9.
Rusanen H, Saarinen T, Sillanpää N. The association of blood pressure and collateral circulation in hyperacute ischemic stroke patients treated with intravenous thrombolysis. Cerebrovasc Dis. 2015;39:130-7.
Jiang B, Churilov L, Kanesan L, Dowling R, Mitchell P, Dong Q. Blood pressure may be associated with arterial collateralization in anterior circulation ischemic stroke before acute reperfusion therapy. J Stroke. 2017;19(2):222-8.
Raychev R, Liebeskind DS, Yoo AJ, Rasmussen M, Arnaudov D, Brown S, et al. Physiologic predictors of collateral circulation and infarct growth during anesthesia–detailed analyses of the GOLIATH trial. J Cereb Blood Flow Metab. 2020;40(6):1203-12.
Christoforidis GA, Saadat N, Kontzialis M, Karakasis CJ, Slivka AP. Predictors for the extent of pial collateral recruitment in acute ischemic stroke. Neuroradiol J. 2020;33(2):98-104.
Hong L, Cheng X, Lin L, Bivard A, Ling Y, Butcher K, et al. The blood pressure paradox in acute ischemic stroke. Ann Neurol. 2019;85(3):331-9.
Kloska A, Malinowska M, Gabig-Cimińska M, Jakóbkiewicz-Banecka J. Lipids and Lipid Mediators Associated with the Risk and Pathology of Ischemic Stroke. Int J Mol Sci. 2020;21(10):3618.
Berger JS, McGinn AP, Howard BV, Kuller L, Manson JE, Otvos J, et al. Lipid and lipoprotein biomarkers and the risk of ischemic stroke in postmenopausal women. Stroke. 2012;43(4):958-66.
Tanne D, Koren-Morag N, Graff E, Goldbourt U. Blood lipids and first-ever ischemic stroke/transient ischemic attack in the Bezafibrate Infarction Prevention (BIP) Registry: high triglycerides constitute an independent risk factor. Circulation. 2001;104(24):2892-7.