Prevalence de la dyslipidemie, de l'hyperglycemie et de l'hyperuricemie chez les patients victimes d'accidents vasculaires cerebraux au Togo

Aim To study the prevalence of dyslipidemia, hyperglycemia and hyperuricemia in stroke patients to better direct the prophylactic strategies against the stroke. Methods It was a descriptive study carried out in the neurology department at Lome teaching hospital, from January 1st to December 31st 2007. It included 301 patients victims of stroke confirmed by the scanner. Respectively, 221, 280 and 165 reliable measurements of lipidemia, glycemia and uricemia realized on admission were considered. Results The mean glycemia was 1.29 g/l (0.45-5.09 g/l). Glycemia was > 1.25g/l in 86 patients (30.7%). The mean total cholesterolemia (C) was 2.19 g/l (1.09- 4.27 g/l). In 60 patients (27.14%), total C was > 2 g/l. The mean LDL C was 1.50 g/l (0.48-2.85 g/l). In 106 patients (47.96%), LDL C was > 1.50 g/l. The mean HDL was 0.42 g/l (0.15-1.17 g/l) in men and 0.43 g/l (0.10-1.17 g/l) in women. In 91 patients (41.17%), HDL C was < 0.40 g/l. The mean triglyceridemia was 1.19 g/l (0.30-3.35 g/l) in men and 1.21g/l (0.33- 4.05 g/l) in women. In 71 patients (32.12%), triglyceridemia was high. The mean uricemia was 68.52 mg/l (16-137 mg/l) in men and 56.54 mg/l (56-156 mg/l) in women. In 88 patients (53.33%), uricemia was high. Conclusion: There is a strong prevalence of the risk factors studied within stroke patients in Togo. A healthy lifestyle and diet must be the permanent sensitizing object in Togolese populations. © 2002-2012 African Journal of Neurological Sciences.