Clinical trial NCT06628700: Burden Fatty Liver Among Acute Ischemic Cerebral Stroke Patients
Official title: Burden Fatty Liver Among Acute Ischemic Cerebral Stroke Patients
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Fatty Liver
Acute Ischemic Cerebral Stroke
Keywords: Fatty liver
Acute ischemic cerebral stroke
Hepatic steatosis
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2024-10-08
Enrollment: 97
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Newly diagnosed ischemic cerebral stroke patients exceeding of window phase without obvious risk factors.

Brief summary: 1. Assess frequency of hepatic steatosis among patients in patients with Ischemic stroke without previous risk factors
2. Assess outcomes morbidity and mortality ischemic stroke in correlation with hepatic steatosis .

Detailed description: Fatty liver disease, encompassing both alcoholic and non-alcoholic variants, is a growing health concern worldwide, with prevalence rates soaring in parallel with obesity and diabetes epidemics. The estimated global incidence of NAFLD alone is 47 cases per 1,000 people, with a higher rate observed in males than females. Among adults worldwide, the estimated prevalence of NAFLD is 32%, with a higher prevalence in males (40%) compared to females (26%), making it the most common liver disorder. The hazards of fatty liver disease extend beyond the liver itself .The condition is characterized by the accumulation of excess fat in liver cells, which can progress to more severe liver diseases, such as steatohepatitis, fibrosis, cirrhosis, and hepatocellular carcinoma.

Early assessment and diagnosis of liver steatosis are crucial for managing and mitigating the risks associated with FLD. Non-invasive methods, such as elastography combined with the Controlled Attenuation Parameter (CAP) score, have emerged as effective tools for detecting and quantifying liver fat content. These methods offer a less invasive alternative to liver biopsies, providing reliable data to guide clinical decisions.

NAFLD is characterized by a proinflammatory and proatherogenic state that causes vascular inflammation and neurodegeneration, potentially leading to both clinical and subclinical cerebrovascular disease. Increasing epidemiological evidence links NAFLD to a higher risk and greater severity of stroke, independent of other vascular risk factors.Additionally, studies suggest NAFLD is involved in subclinical cerebrovascular diseases, such as carotid atherosclerosis which is characterized by the build-up of plaques in the carotid arteries. Patients with NAFLD exhibited greater carotid atherosclerosis .

Eligibility criteria: Inclusion Criteria:

* Newly diagnosed ischemic cerebral stroke exceeding of window phase without obvious risk factors.
* patients above 18 years.
* patients below 60 years.

Exclusion Criteria:

* patients have obvious risk factors including: smoking, DM , Hypertension ,renal patients , cardiovascular diseases (AF , valvular disease ,reduced systolic function ,chronic HCV ,HBV).
* patients below 18 years.
* patients above 60 years.
* patients refused to contribute to this study.

Primary outcomes:
measure: Assess frequency of hepatic steatosis among patients in patients with Ischemic stroke without previous risk factors
timeFrame: Baseline
Secondary outcomes:
measure: Assess outcomes morbidity and mortality ischemic stroke in correlation with hepatic steatosis .
timeFrame: Baseline
Other outcomes:
Locations:
Study officials:
affiliation: Assiut University
name: Mostafa A Gamal
role: PRINCIPAL_INVESTIGATOR
affiliation: Assiut University
name: Noureldine A Abdelazeem
role: STUDY_DIRECTOR
affiliation: Assiut University
name: Bahaa A Osman
role: STUDY_DIRECTOR
References:
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citation: Mughal MM, Khan MK, DeMarco JK, Majid A, Shamoun F, Abela GS. Symptomatic and asymptomatic carotid artery plaque. Expert Rev Cardiovasc Ther. 2011 Oct;9(10):1315-30. doi: 10.1586/erc.11.120.
citation: Tahmasebpour HR, Buckley AR, Cooperberg PL, Fix CH. Sonographic examination of the carotid arteries. Radiographics. 2005 Nov-Dec;25(6):1561-75. doi: 10.1148/rg.256045013.