DYSLIPIDEMIA IN ELDERLY PATIENTS WITH CEREBROVASCULAR ACCIDENTS:  A CROSS-SECTIONAL STUDY.

Rachita  Sinha; Bharat  Dhareshwar; Sucheeth  Avanti

doi:10.51168/sjhrafrica.v5i12.1435

Authors

Rachita Sinha JR2, Department of Geriatrics, MGM IHS Navi Mumbai, Maharashtra, India
Bharat Dhareshwar Professor & HOD, Department of Geriatrics, MGM IHS Navi Mumbai, Maharashtra, India
Sucheeth Avanti Associate Professor, Department of Geriatrics, MGM IHS Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1435

Keywords:

Dyslipidemia, Elderly, Cerebrovascular Accident, Hypertension, Diabetes, Lipid Management

Abstract

Background

Dyslipidemia is a significant risk factor for cerebrovascular accidents (CVA), especially among the elderly, due to age-related metabolic changes. This demographic is more vulnerable to lipid abnormalities, which increase the risk and severity of ischemic strokes. Despite established guidelines, dyslipidemia remains poorly controlled in elderly populations, underlining the need for targeted lipid management. This study aimed to examine the prevalence of dyslipidemia in elderly CVA patients.

Methods

A study was conducted at MGM Institute of Health Sciences, Navi Mumbai, over 1.5 years, involving 150 elderly CVA patients. Participants underwent lipid profile assessments, and data were collected on demographic, clinical, and lifestyle factors. Statistical analyses were performed using SPSS version 22.0, with chi-square tests and logistic regression applied to determine associations between dyslipidemia and risk factors.

Results

Of the 150 participants, 74.7% had dyslipidemia, with high LDL levels in 60% and low HDL levels in 70.7% of cases. Dyslipidemia was significantly associated with hypertension (OR 2.58, p < 0.01) and diabetes (OR 1.98, p = 0.02). Patients with severe CVA had significantly higher LDL and total cholesterol levels than those with milder CVA presentations (p < 0.05).

Conclusion

The study reveals a high prevalence of dyslipidemia in elderly CVA patients, particularly among those with hypertension and diabetes. Dyslipidemia is associated with increased CVA severity, suggesting that lipid abnormalities may exacerbate stroke outcomes in elderly individuals.

Recommendations

Regular lipid screenings and targeted lipid management should be prioritized in elderly patients with CVA, especially those with hypertension and diabetes. Implementing effective lipid management strategies may reduce morbidity and improve outcomes in this high-risk population.

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