Association of white matter hyperintensities with lipoprotein (a) levels: insights from a cohort study
2024

Link Between Lipoprotein (a) Levels and White Matter Hyperintensities

Sample size: 153 publication Evidence: moderate

Author Information

Author(s): Alotaibi Fawaz F., Mohamed Gamal, Bakry Sawsan S., Alqahtani Mohammed, BinAmir Hussain, AlKawi Ammar, Alreshaid Abdulrahman A., AlZawahmaha Mohamed, Alhazzani Adel, Shuaib Ashfaq, Al-Ajlan Fahad S.

Primary Institution: Neuroscience Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

Hypothesis

Are elevated lipoprotein (a) levels associated with a higher burden of white matter hyperintensities?

Conclusion

Higher levels of lipoprotein (a) are associated with a greater burden of white matter hyperintensities in patients with acute ischemic stroke.

Supporting Evidence

  • High lipoprotein (a) levels were associated with higher periventricular and deep white matter hyperintensities.
  • The study included 153 patients with a mean age of 45.9 years.
  • Patients were stratified into low, moderate, and high lipoprotein (a) levels.
  • Statistical analysis showed significant associations between lipoprotein (a) levels and white matter hyperintensities.

Takeaway

This study found that people with higher lipoprotein (a) levels have more white spots in their brain, which can be a sign of damage.

Methodology

Retrospective analysis of 153 patients with acute ischemic stroke or transient ischemic attacks, assessing lipoprotein (a) levels and white matter hyperintensities using MRI.

Potential Biases

Potential selection bias from only including patients who presented to the hospital.

Limitations

The study may have selection bias due to recruiting patients in the acute stroke phase and cannot establish causality.

Participant Demographics

Mean age of 45.9 years; 35.9% women.

Statistical Information

P-Value

0.004

Confidence Interval

1.60–12.07

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fneur.2024.1476005

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication