The effects of lipoprotein(a) and homocysteine on prognosis and risk factors in acute ischemic stroke


Unal E., Mungan S., Bilen S., Karadag Y., Oztekin N., BAKIR F., ...Daha Fazla

International Journal of Neuroscience, cilt.123, sa.8, ss.532-536, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 123 Sayı: 8
  • Basım Tarihi: 2013
  • Doi Numarası: 10.3109/00207454.2013.772609
  • Dergi Adı: International Journal of Neuroscience
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.532-536
  • Anahtar Kelimeler: ischemic stroke, lipoprotein(a), homocysteine, prognosis, PLASMA HOMOCYSTEINE, CEREBROVASCULAR-DISEASE, CEREBRAL-ISCHEMIA, ACUTE-PHASE, ATHEROSCLEROSIS, HOMOCYST(E)INE, THROMBOSIS, MORTALITY, JAPANESE, LIPIDS
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

The role of atherosclerosis in ischemic stroke has been intensively investigated in recent years, and homocysteine (Hcy) and lipoprotein(a) Lp(a) were found to have roles during the process. This study aims to investigate the relationship between acute ischemic stroke and Lp(a) and Hcy levels and to determine the prognosis and functional disability. Forty-one patients with acute ischemic stroke and 33 controls were included in the study. Lp(a) and Hcy levels were examined in both groups. The modified Rankin scale (MRS) scores at discharge and in the first and third months were determined to establish the functional disability and prognosis of stroke patients. In patients with acute ischemic stroke, Hcy levels were significantly higher than the controls (p = 0.003). There was no significant difference between Lp(a) levels in patients with acute ischemic stroke and controls (p = 0.150). Because there was a significant difference in terms of Hcy levels between the groups, it will be suitable to routinely monitor the Hcy levels of individuals who are known to have risk factors for stroke. Neither Lp(a) nor Hcy levels had any correlations with functional disability; therefore, it can be concluded that the Lp(a) and Hcy levels are inexpressive in predicting the functional disability and prognosis for ischemic stroke patients. Copyright © 2013 Informa Healthcare USA, Inc.