Aims
Angiopoietinâlike protein 4 (ANGPTLâ4) had been reported to be associated with the risk of ischemic stroke, but its prognostic value remained unclear. The aim of this study was to investigate the association between plasma ANGPTLâ4 concentrations and prognosis of ischemic stroke.
Methods
Baseline plasma ANGPTLâ4 concentrations were measured in 3379 acute ischemic stroke patients. The primary outcome was a combination of death or major disability (modified Rankin Scale score, â„3) at 3Â months after ischemic stroke.
Results
At 3Â months after ischemic stroke, 850 (26.16%) participants experienced major disability or died (750 major disabilities and 100 deaths). After adjusting for important covariates, odds ratios for the highest tertile of plasma ANGPTLâ4 concentrations were 1.59 (1.22â2.06) for primary outcome, 1.53 (1.18â1.97) for major disability, and 2.03 (1.03â4.00) for death when compared with the lowest tertile of plasma ANGPTLâ4 concentrations. For 1âSD increase in logâANGPTLâ4 concentrations (0.44Â ng/mL), the adjusted odds ratios were 1.24 (1.11â1.38), 1.14 (1.03â1.27), and 1.72 (1.32â2.23), respectively. Adding ANGPTLâ4 to a model containing conventional risk factors improved risk prediction for composite outcome of death and major disability.
Conclusion
Higher plasma ANGPTLâ4 concentration was associated with poor prognosis in acute ischemic stroke patients, suggesting that ANGPTLâ4 might be a prognostic marker for ischemic stroke.