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This study analyzed the relationship between various blood lipid parameters
and the risk of ischemic stroke in patients under 45 years of age.
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There was no relation found between risk of ischemic stroke
and total cholesterol, LDL cholesterol, or triglycerides.
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Only low HDL cholesterol levels were shown to increase risk.
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Other increased risk factors included the use of oral contraceptives,
high blood pressure, smoking, and male sex.
These risk factors remained, regardless of any apparent atherosclerosis.
The authors state that although the relation between serum lipids
and ischemic stroke remains controversial, low HDL cholesterol should
be considered in the care of young patients regardless of the detectable
presence of atherosclerosis.
Journal of Neurology and Neurosurgical
Psychiatry June 2000;69:29-33.
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