1. Serum C-Reactive Protein and Sex Hormone Levels in the Early Hyperacute Phase of Stroke
- Author
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Ahmet Kansu, Faruk Karandere, Vildan Yayla, Alev Kural, Abdulbaki Kumbasar, Bülent Yaprak, Halim Issever, Nilgun Isiksacan, Gülçin Şahingöz Erdal, Hacı Ali Erdoğan, Mehmet Hursitoglu, Musa Cirak, and Gulhan Yildirim
- Subjects
Male ,medicine.medical_specialty ,Disease ,Hemorrhagic strokes ,General Biochemistry, Genetics and Molecular Biology ,Early admission ,Brain Ischemia ,Sex hormone-binding globulin ,Internal medicine ,medicine ,Humans ,Prospective Studies ,cardiovascular diseases ,Gonadal Steroid Hormones ,Stroke ,Testosterone ,Aged ,Aged, 80 and over ,biology ,business.industry ,Ischemic strokes ,C-reactive protein ,Middle Aged ,medicine.disease ,Hemorrhagic Stroke ,C-Reactive Protein ,Cardiology ,biology.protein ,Female ,business - Abstract
BACKGROUND To see the relationship of early admission parameters with the type of stroke and/or with the 30-days mortality from this disease. METHODS Stroke patients at their early hyperacute phase (n = 180) were enrolled in this study (156 ischemic strokes and 24 hemorrhagic strokes). Blood levels of C-reactive protein (CRP), testosterone, and estradiol were determined at admission, before any specific intervention. Patients' clinical data, including the above-mentioned laboratory parameters, were compared between the above two stroke types (in total and between sexes). RESULTS The mean age of the patients was 69.55 ± 12.03 years old (69.92 ± 11.94 years old in ischemic stroke and 67.12 ± 12.54 years old in hemorrhagic stroke). Serum estradiol levels of both males of ischemic stroke and females of hemorrhagic stroke patients were significantly higher than the females of the ischemic stroke. Serum CRP levels of both females and males of the hemorrhagic group were higher than their peers of the opposite group. Early admission serum CRP level ≥ 0.74 mg/dL in males helped predict hemorrhagic stroke while a serum estradiol level ≥ 14.07 ng/mL helped predict the same type of stroke in females. CONCLUSIONS Our study results show that simple early laboratory measures (such as CRP and estradiol) may help in the early phase management of stroke. Further studies are needed to confirm our findings.
- Published
- 2021
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