Serum Vascular Endothelial Growth Factor (Vegf) Levels and Alberta Stroke Program Early CT Score (Aspects) in Ischemic Stroke Patients

Authors

  • Faisal Fakhri M Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia
  • Ashari Bahar Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia
  • Andi Kurnia Bintang Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia
  • Nirwana Fitriani Walenna Departemen Anatomi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia
  • Jumraini Tammasse Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia
  • Abdul Muis Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

DOI:

https://doi.org/10.36590/jika.v6i3.679

Keywords:

acute ischemic stroke, vegf, aspects

Abstract

Stroke is the second leading cause of death and disability worldwide. Where the most common occurrence of ischemic stroke is 85% of all stroke cases. Vascular Endothelial Growth Factor (VEGF) is a dimeric glycoprotein with angiogenic and neuroprotective effects. Alberta Stroke Program Early CT Score (ASPECTS) can be used to assess the extent of acute ischemic stroke in the middle cerebral artery territory as a simple semiquantitative instrument. Method a cross-sectional study in acute ischemic stroke patients with an onset of 3-14 days. The VEGF assessed was serum VEGF and ASPECTS assessment to determine the extent of the lesion. Total ASPECT score is 10 points (normal), score > 7 (lesion area < 1/3 MCA), score < 7 (lesion area > 1/3 MCA). Of the 37 patients, the majority of patients were women (62,2%) with hypertension being the most common comorbid. All risk factors had no significant relationship to VEGF levels (p-value>0,005). There was a significant difference between the two ASPECTS categories on serum VEGF levels (p-value=0,001), A significant correlation occurred in serum VEGF levels with ASPECTS (p-value=0,000; r-0,600). Conclusion higher VEGF levels increase cerebral infarction.

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Author Biographies

Faisal Fakhri M, Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Ashari Bahar, Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

https://scholar.google.co.id

Andi Kurnia Bintang, Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

https://scholar.google.co.id

Nirwana Fitriani Walenna, Departemen Anatomi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Departemen Anatomi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

https://scholar.google.com

Jumraini Tammasse, Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

https://scholar.google.com

Abdul Muis, Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia

References

Amalia L., Parwati I., Rizal A., Panigoro R., Gamayani U., Rasyid A., Atiik N. 2019. Hypoxia Inducible Factor (HIF) 1-? dan Vascular Endothelial Growth Factor (VEGF) pada Stroke Iskemik Fase Akut. Jurnal Neuroanestesi Indonesia, 8(3): 226–232. https://doi.org/10.24244/jni.v8i3.218

Babkina AS., Yadgarov MY., Ostora IV., Zakharchenko VE., Kuzovlev An., Maxim, Goluveb AM. 2022. Serum Levels of VEGF-A and Its Receptors in Patients in Different Phases of Hemorrhagic and Ischemic Strokes. Molecular Biology, 44(10): 4888-4901. https://doi.org/10.3390/cimb44100332.

Demaerschalk BM., Silver B., Wong E., Merino JG., Tamayo A., Hachinski V. 2006. ASPECT Scoring To Estimate >1/3 Middle Cerebral Artery Territory Infarction. Can Journal Neurol Science, 33(2): 200–204. https://doi.org/10.1017/s0317167100004972

Geiseler SJ., Morland C. 2018. The Janus Face of VEGF in Stroke. Intenational Jounal of Molecular Sciences, 19(5): 1-20. doi.org/10.3390/ijms19051362

Greenberg DA., Jin K. 2013. Vascular Endothelial Growth Factors (VEGFs) and Stroke. Cellular and Molecular Life Sciences, 70(10): 1753-1761.

Kemenkes. 2018. Laporan Nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan. Kementerian Kesehatan Republik Indonesia.

Lindsay MP., Norrving B., Sacco RL., Brainin M., Hacke W., Martins S., Pandian J., Feigin V. 2019. World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. International journal of stroke : official journal of the International Stroke Society, 14(8): 806-817. https://doi.org/10.1177/1747493019881353

Pan Z., Ma G., Kong L., Du G. 2022. Hypoxia-Inducible Factor-1: Regulatory Mechanisms and Drug Development in Stroke. Pharmacological Research, 170: 105742. https://doi.org/10.1016/j.phrs.2021.105742

Philip-Ephraim E. 2019. Emergency Management of Acute Ischaemic Stroke. Essentials Accid Emergency Med. doi:10.5772/intechopen.75305.

Pop NO., Mirela D., Diaconu C., Munteanu MA., Babes E., Stoicesnu M., Popescu ML., Bugau S. 2021. The Alberta Stroke Program Early CT Score (ASPECTS): A Predictor of Mortality in Acute Ischemic Stroke. Experimental and Theraupetic medicine, 22(6): 1-8. https://doi.org/10.3892/etm.2021.10805

Prodjohardjono A., Vidyanti AN., Susianti NA., Sudarmanta, Sutarni S., Setyopranoto I. 2020. Higher Level of Acute Serum VEGF and Larger Infarct Volume are More Frequently Associated with Post-Stroke Cognitive Impairment. PLoS One, 15(10): 1-16. https://doi.org/10.1371/journal.pone.0239370

Puspitasari V., Wahid S., Suhadi B., Kaelan C., As’ad S., Patellongi I., Purba J., Wahjoepramono E. 2015. Serum Vascular Endothelial Growth Factor as a Predictor of Clinical Outcomes in Anterior Circulation Ischemic Stroke. Media Journal of Indonesia, 24(2): 109–114. https://doi.org/10.13181/mji.v24i2.1196

Roy-O’Reilly M., McCullough LD. 2018. Age and Sex are Critical Factors in Ischemic Stroke Pathology. Endocrinology, 159(8): 3120–3131. https://doi.org/10.1210/en.2018-00465

Sacco RL., Kasner S., Broderic J., Connors B., Culebras A. 2013. An Updated Definition of Stroke for the 21st Century: A Statement for Healthcare. American Stroke Association. Stroke, 44(7): 2064-2089. https://doi.org/10.1161/str.0b013e318296aeca

Tian Y., Niu HT., Li MH., Wang YZ. 2023. Effect of VEGF on Neurological Impairment and Prognosis of Acute Cerebral Infarction Patients: A Retrospective Case-Control Study. Medicine, 102(6): 1-5. https://doi.org/10.1097/MD.0000000000029835

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Published

2024-12-31

How to Cite

Fakhri M, F., Bahar, A., Bintang, A. K., Walenna, N. F., Tammasse, J., & Muis, A. (2024). Serum Vascular Endothelial Growth Factor (Vegf) Levels and Alberta Stroke Program Early CT Score (Aspects) in Ischemic Stroke Patients. Jurnal Ilmiah Kesehatan (JIKA), 6(3), 434–442. https://doi.org/10.36590/jika.v6i3.679

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