A CROSS SECTIONAL STUDY OF LIPID PROFILE IN NON-DIABETICS WITH STROKE IN URBAN CHITRADURGA

S. Vijeth, V. Mangasuli, A. Amrutha, N. Bhoovanchandra, B. Sidenur
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Abstract

Background. The amount of evidence regarding the relation between serum lipids, lipoproteins and cerebrovascular accident is not adequate. The atherogenecity of diabetics and non-diabetics are different. Therefore, non-diabetic patients were included in the study. Objective. To study lipid abnormalities in non-diabetic stroke patients in our setup. Methods. The study was carried out at the Department of General Medicine, BMCH, Chitradurga, during the period from June 2020 to December 2020. The lipid profile and the fasting blood sugar rates of 50 stroke patients without diabetes were studied. Their serum samples were assessed for fasting blood glucose (FBG), total cholesterol (TC), triglycerides (TG), low density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL) by using standard biochemical methods. Results. The age distribution of the subjects was from 19 to 72 years with a mean age of patients 54.8±15.75 years. Among patients 31 (62%) were males and 19 (38%) were females. Among the study subjects 58% were hypertensive, 76% were smokers, 32% were alcoholics and 34% had family history of cerebrovascular accident. Among ischemic stroke group, the most common deranged value in the ischemic group was decreased HDL deranged in 54.1% of patients; the second most common deranged value – increased VLDL deranged in 40.5%. Among the hemorrhagic group the most common deranged value was also decreased HDL, which was deranged in 46.1% of patients and the second most common deranged value – increased total cholesterol, which was deranged in 53.8% patients. Conclusion. Lipid profile should be considered while predicting the risk of stroke.
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CHITRADURGA城市非糖尿病脑卒中患者血脂水平的横断面研究
背景。关于血脂、脂蛋白与脑血管意外之间关系的证据还不够充分。糖尿病患者和非糖尿病患者的动脉粥样硬化程度不同。因此,非糖尿病患者被纳入研究。目的:研究非糖尿病性脑卒中患者血脂异常。该研究于2020年6月至2020年12月期间在Chitradurga BMCH普通医学部进行。对50例无糖尿病的脑卒中患者的血脂及空腹血糖进行了研究。采用标准生化方法测定各组血清的空腹血糖(FBG)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL)和高密度脂蛋白胆固醇(HDL)。年龄分布19 ~ 72岁,平均年龄54.8±15.75岁。其中男性31例(62%),女性19例(38%)。研究对象中58%为高血压,76%为吸烟者,32%为酗酒者,34%有脑血管意外家族史。在缺血性卒中组中,54.1%的患者最常见的精神错乱值为HDL下降;第二常见的紊乱值- VLDL紊乱增加40.5%。在出血性组中,最常见的紊乱值也是HDL降低,46.1%的患者出现紊乱,第二常见的紊乱值是总胆固醇升高,53.8%的患者出现紊乱。在预测中风风险时应考虑血脂。
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