Small dense low-density lipoprotein cholesterol is strongly associated with NIHSS score and intracranial arterial calcification in acute ischemic stroke subjects.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
06 05 2020
Historique:
received: 09 01 2020
accepted: 16 04 2020
entrez: 8 5 2020
pubmed: 8 5 2020
medline: 1 12 2020
Statut: epublish

Résumé

Intracranial artery calcification (IAC) is an important risk factor for cerebral infarction and a key biomarker for intracranial artery stenosis. Small dense low-density lipoprotein cholesterol (sd-LDL-c) was independently associated with increased cardiovascular events and coronary calcification. Our study assessed whether sd-LDL-c is an independent factor for IAC in acute ischemic stroke (AIS) patients. This cross-sectional study involved a total of 754 patients with AIS (mean age: 65 ± 13.2 years). All the patients had received brain computed tomography angiography (CTA) examination to evaluate IAC. Serum sd-LDL-c levels and other biochemical parameters were analyzed. Admission NIHSS score and mRS score at discharge were collected. After 60-days 85 patients died during hospitalization and follow-up. Partial correlation analysis showed that serum sd-LDL-c levels were associated with admission NIHSS score and IAC score after adjusted age and gender. Logistic regression analysis showed that serum sd-LDL-c levels independently predicted NIHSS scores (β = 1.537, 95%CI: 0.134-2.878, p = 0.042) and IAC scores (β = 1.355, 95%CI: 0.319-2.446, p = 0.015). The average level of sd-LDL-c in patients who died was also significantly increased compared to survival patients (1.04 ± 0.59 vs 0.88 ± 0.44 mmol/L, p = 0.017). However, multivariate logistic regression analysis showed serum sd-LDL-c levels could not predict all-cause mortality and prognosis in AIS patients. Our study found that sd-LDL-c as a strong atherogenic lipid particle can independently predict admission NIHSS scores and the severity of cerebral artery calcification in AIS patients. However, its prognostic value in AIS patients still needs further study in the future.

Identifiants

pubmed: 32376851
doi: 10.1038/s41598-020-64715-9
pii: 10.1038/s41598-020-64715-9
pmc: PMC7203297
doi:

Substances chimiques

Biomarkers 0
Cholesterol, LDL 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

7645

Références

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Auteurs

Tao Yao (T)

Department of Neurology, Wuhan University, Renmin Hospital, Wuhan, China.

Qi Long (Q)

Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China.
Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China.

Jing Li (J)

Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China.
Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China.

Gang Li (G)

Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China. marty007@163.com.
Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China. marty007@163.com.

Yanbin Ding (Y)

Department of Neurology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China. 13886058258@163.com.

Qin Cui (Q)

Department of Neurology, Wuhan University, Renmin Hospital, Wuhan, China.

Zhichao Liu (Z)

Department of Neurology, Wuhan University, Renmin Hospital, Wuhan, China.

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