Evidence map›Paper›PMID 42256577›Full record

ArticleFrontiers in neurology

The association of ApoB/ApoA-I ratio with intracranial atherosclerotic stenosis in young patients with ischemic stroke.

Meijuan Yan, Lihui Shao

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Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Meijuan YanDepartment of Neurology, The Affiliated Municipal Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Lihui ShaoDepartment of Rehabilitation, Xinyi Traditional Chinese Medicine Hospital Rehabilitation, Xuzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, the incidence of ischemic stroke among young adults has increased significantly. Identifying risk factors associated with ischemic stroke in this demographic is crucial for effective prevention. This study aimed to investigate the relationship of the serum apolipoprotein B (ApoB)/apolipoprotein A-I (ApoA-I) ratio with intracranial atherosclerotic stenosis (ICAS) in young patients with ischemic stroke. We collected data from patients with ischemic stroke aged 18 to 45 years. ICAS was assessed using computed tomography angiography (CTA), and serum levels of total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, ApoA-I, and ApoB were measured. The ApoB/ApoA-I ratio was subsequently calculated. Demographic and clinical characteristics were compared between the ICAS group and the non-ICASs group. Multivariate logistic regression analysis was employed to identify independent risk factors for ICAS in young ischemic stroke patients. A total of 161 young ischemic stroke patients were included, with 89 in the ICAS group and 72 in the non-ICAS group. In a univariate analysis, patients with ICAS had a higher prevalence of diabetes mellitus, smoking, and hyperlipidemia, as well as higher levels of ApoB and a higher ApoB/ApoA-I ratio, but lower levels of HDL-C and ApoA-I compared to those without ICAS. After adjustment for age, sex, smoking, hypertension, diabetes mellitus, and HDL-C, multivariable analyses indicated that ICAS had a dose-response relationship with apoB/apoAI ratio quartiles: the second quartile, OR, 3.051 (95% CI, 1.185 to 7.855); the third quartile, 3.516 (1.504 to 8.219); and the fourth quartile, 4.743 (2.109 to 10.667), when referenced to the first quartile. Our study showed that a higher apoB/apoAI ratio is independently associated with ICAS in young stroke patients, after careful exclusion of alternative arteriopathies and adjustment for confounders. However, findings should be confirmed with vessel wall imaging in future studies.

Indexed as

ApoA-IApoBApoB/ApoA-I ratioICAsischemic strokeyoung adults

Identifiers

PMID42256577
PMCPMC13233340

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