Key result
Elevated serum total cholesterol was significantly associated with non-diabetic stroke, present in 45% of stroke patients compared to 0% of healthy controls (p<0.0001).
Why the study?
Are elevated serum lipid levels correlated with the risk of stroke in non-diabetic patients?
Case-Control (n=130)
No
Are elevated serum lipid levels correlated with the risk of stroke in non-diabetic patients?
Absolute Event Rate: 45% vs 0%
p-value: p=<0.0001
Elevated serum total cholesterol, triglycerides, and LDL levels are positively correlated with the risk of stroke in non-diabetic patients, particularly for ischaemic stroke.
Supports cholesterol-stroke link in non-diabetics; hypothesis-generating and requires prospective validation before practice change.
Background: To study serum lipid profile in non-diabetic patients with stroke and to determine whether there is any significant correlation between them and to compare the serum lipid profile between ischaemic and haemorrhagic group. Design: Case control study.Methods: The current study was done in the Department of Medicine VIMSAR, Burla, Odisha. Total 100 patients of completed stroke (Ischaemic63 and haemorrhagic37) and 30 controls were included in the study. All cases were adult (more than 14 years of age). Patients with suspected embolic stroke, diabetes (Type 1 and 2) and patients on lipid lowering drugs were excluded from the study. Routine investigations and fasting serum lipid profile was done.Results: 45 patients had elevated serum total cholesterol levels out of which 75.56% had Ischaemic stroke and 24.49% had haemorrhagic stroke. 24 cases had elevated serum Triglyceride levels of which 66.67% had Ischaemic stroke and 29.17% had haemorrhagic stroke. 76.47% of cases having elevated serum LDL cholesterol suffered from Ischaemic stroke where as 20.59% had haemorrhagic stroke.Conclusions: A statistically positive correlation was found between serum total cholesterol, Triglyceride, LDL levels and the risk of stroke.
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Kar et al. (2018) conducted a case-control in Non-diabetic stroke (n=130). Dyslipidemia vs. Healthy controls was evaluated on Elevated total cholesterol (>240 mg/dL) (p=<0.0001). Elevated serum total cholesterol was significantly associated with non-diabetic stroke, present in 45% of stroke patients compared to 0% of healthy controls (p<0.0001).
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