Lipid Profile in Stroke Patients Presenting in Emergency Department: Lipid Profile in Stroke Patients

Syeda Nida Batool; Aqsa Abdul Qader; Khurram Mehmood; Syeda Fatimah Zareen; Hamd Ullah Khan; Hammad Shafique

doi:10.61919/jhrr.v4i3.1624

Authors

Syeda Nida Batool Postgraduate Trainee Emergency Medicine, Department of Emergency Medicine, Combined Military Hospital (CMH), Rawalpindi, Pakistan
Aqsa Abdul Qader House Officer, Department of Emergency Medicine, Combined Military Hospital (CMH), Rawalpindi, Pakistan
Khurram Mehmood House Officer, Department of Emergency Medicine, Pakistan Emirates Military Hospital, Rawalpindi, Pakistan
Syeda Fatimah Zareen Assistant Professor Internal Medicine and Head of the Department, Department of Emergency Medicine, Combined Military Hospital (CMH), Rawalpindi, Pakistan
Hamd Ullah Khan Training Medical Officer, Department of Medicine, Capital Hospital, Islamabad, Pakistan
Hammad Shafique Medical Officer, Medical ICU, Safari Hospital, Rawalpindi, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i3.1624

Keywords:

Dyslipidemia, Stroke, Ischemic Stroke, Hemorrhagic Stroke, Lipid Profile, Emergency Department, Stroke Prevention, Cardiovascular Risk Factors.

Abstract

Background: Dyslipidemia is a significant modifiable risk factor associated with stroke, contributing to increased morbidity and mortality worldwide. The high prevalence of lipid abnormalities in stroke patients highlights the need for targeted preventive strategies.
Objective: To investigate the prevalence of dyslipidemia and its association with different stroke types among patients presenting in the emergency department.
Methods: A prospective cross-sectional study was conducted on 440 acute stroke patients at the Emergency Department of CMH Rawalpindi from January 2022 to December 2023. Stroke was confirmed using CT imaging, and lipid profiles were assessed through serum analysis. Participants were categorized into ischemic and hemorrhagic stroke groups. Data were analyzed using SPSS version 25, with p < 0.05 considered statistically significant.
Results: Of 440 patients (mean age: 50.83 ± 11.97 years), 314 (71.4%) were male and 126 (28.6%) females. Ischemic stroke was found in 347 (78.9%), and hemorrhagic stroke in 93 (21.1%) patients. Hypertriglyceridemia was more prevalent in ischemic stroke (66.3%) than in hemorrhagic stroke (46.2%) (p < 0.001). Hypertension was significantly higher in hemorrhagic stroke (86%) compared to ischemic stroke (43.2%) (p < 0.001).
Conclusion: Dyslipidemia is highly prevalent among stroke patients, with distinct patterns in ischemic and hemorrhagic stroke, needing early lipid management for stroke prevention.

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Lipid Profile in Stroke Patients Presenting in Emergency Department