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Prognostic significance of serum cystatin C in acute ischemic stroke patients according to lipid component levels

Atherosclerosis May 23, 2018

Zhu Z, et al. - Researchers performed this study including ischemic patients from China Antihypertensive Trial in Acute Ischemic Stroke, to determine the association between serum cystatin C (CysC) and functional outcome in ischemic stroke patients and to determine the impact of lipid component level on this link. The focus was on poor functional outcome (modified Rankin Scale score ≥3) at one year after ischemic stroke as well as on death, stroke recurrence, vascular events and combination of the aforementioned outcomes. Using serum CysC, estimated glomerular filtration rate was calculated (eGFRCysC) at baseline. They found that multivariable-adjusted odds ratio of poor functional outcome related to low eGFRCysC was 3.94 (1.04–14.98). They also observed a positive linear dose-response link between them among patients with low-density lipoprotein cholesterol (LDL-C) ≥4.14 mmol/l. These links were corroborated in subgroup analyses. Overall, the 1-year poor functional outcome in ischemic stroke patients with LDL-C ≥4.14 mmol/l may be independently predicted by low eGFRCysC.
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