Correlation Between Lactate Dehydrogenase (LDH) Values and Aspects Score at the Beginning of Treatment in Acute Ischemic Stroke

Autori

  • Lathifatul Fikriyah Universitas Airlangga, Indonesia
  • M. Saiful Ardhi Universitas Airlangga, Indonesia
  • Sita Setyowatie Universitas Airlangga, Indonesia

##semicolon##

https://doi.org/10.59188/eduvest.v5i12.51911

##semicolon##

Acute ischemic stroke##common.commaListSeparator## ASPECTS Score##common.commaListSeparator## Lactat Dehidrogenase

Abstrakt

On a global scale, stroke ranks as the second biggest killer and the third most prevalent cause of disability. Metabolic acidosis occurs when oxygen is not present in the blood after an ischemic stroke. The purpose of this research was to show that acute ischemic stroke patients treated at Surabaya's Dr. Soetomo General Hospital had an association between their lactate dehydrogenase (LDH) serum level and their ASPECTS score before treatment began. Sampling was conducted using consecutive admissions methods. The ASPECTS score and LDH serum examination were assessed and taken upon admission. Thirty individuals were enrolled in the trial; sixteen (53.3%) were male and fourteen (46.7%) were female. The results demonstrate a relationship or correlation between LDH and ASPECT Score according to the Spearman test. The p-value is 0.003, which is less than 0.05, indicating a meaningful relationship or correlation between LDH and ASPECTS Score based on statistical tests. The r-value of -0.279 indicates a weak inverse relationship (27.9% strength) between the ASPECT score variable and LDH, according to the results of the correlation test. The relationship between LDH and ASPECT Score is negative, where if the ASPECT score value is high, the LDH value will be low, and vice versa. In conclusion, this study demonstrates a statistically significant (p = 0.003) but weak inverse correlation (r = -0.279) between serum LDH levels and ASPECT scores in acute ischemic stroke patients.

##submission.citations##

Elustondo, Pia A., White, Adrienne E., Hughes, Meghan E., Brebner, Karen, Pavlov, Evgeny, & Kane, Daniel A. (2013). Physical and functional association of lactate dehydrogenase (LDH) with skeletal muscle mitochondria. Journal of Biological Chemistry, 288(35), 25309–25317.

Eren, F., Demir, A., & Eren, G. (2021). Association between the initial blood lactate level and prognosis in patients with stroke treated with intravenous thrombolysis. Annals of Medical Research, 28(6), 996.

Esmael, A., Elsherief, M., & Eltoukhy, K. (2021). Predictive value of the Alberta Stroke Program Early CT Score (ASPECTS) in the outcome of the acute ischemic stroke and its correlation with stroke subtypes, NIHSS, and cognitive impairment. Stroke Research and Treatment, 2021, 5935170. https://doi.org/10.1155/2021/5935170

Forkasiewicz, Agata, Dorociak, Maja, Stach, Kamilla, Szelachowski, Piotr, Tabola, Renata, & Augoff, Katarzyna. (2020). The usefulness of lactate dehydrogenase measurements in current oncological practice. Cellular & Molecular Biology Letters, 25(1), 35.

Genc, S., Kurnaz, I. A., & Ozilgen, M. (2011). Astrocyte–neuron lactate shuttle may boost more ATP supply to the neuron under hypoxic conditions: In silico study supported by in vitro expression data. BMC Systems Biology, 5, 162. https://doi.org/10.1186/1752-0509-5-162

Hartings, J. A., Shuttleworth, C. W., Kirov, S. A., Ayata, C., Hinzman, J. M., Foreman, B., Andrew, R. D., Boutelle, M. G., Brennan, K. C., Carlson, A. P., Dreier, J. P., Fabricius, M., Farkas, E., Gyngell, M., Lauritzen, M., Miller, C., O’Brien, J. T., Strong, A. J., … Woitzik, J. (2017). The continuum of spreading depolarizations in acute cortical lesion development: Examining Leão’s legacy. Journal of Cerebral Blood Flow & Metabolism, 37(5), 1571–1594.

Jin, H., Bi, R., Hu, J., Liu, H., Jin, J., Liu, Y., & Zhang, Q. (2022). Elevated serum lactate dehydrogenase predicts unfavorable outcomes after rt-PA thrombolysis in ischemic stroke patients. Frontiers in Neurology, 13, 1–10.

Jin, H., Zhou, J., Dong, F., & Tan, J. (2020). A combination of serum lactate dehydrogenase and sex is predictive of severe disease in patients with COVID-19. Medicine, 99(42), e22774.

Jin, X. X., Fang, M. D., Hu, L. L., Zhu, Y., Wang, Y. Q., & Zhang, Q. (2022). Elevated lactate dehydrogenase predicts poor prognosis of acute ischemic stroke. PLOS ONE, 17(10), e0275651.

Khoshnam, S. E., Winlow, W., Farzaneh, M., Farbood, Y., & Moghaddam, H. F. (2017). Pathogenic mechanisms following ischemic stroke. Neurological Sciences, 38(7), 1167–1186.

Lampl, Y., Paniri, Y., Eshel, Y., & Sarova-Pinhas, I. (1990). Cerebrospinal fluid lactate dehydrogenase levels in early stroke and transient ischemic attacks. Stroke, 21(6), 854–857.

Mansour, A. M., Zaki, H. F., El Deen, M. A. N., & El Ghaffar, H. M. A. (2020). Serum lactate dehydrogenase as a predictive marker in acute ischemic stroke. Neurological Sciences. https://doi.org/10.1007/s10072-020-04534-z

Schröder, J., & Thomalla, G. (2017). A critical review of Alberta Stroke Program Early CT Score for evaluation of acute stroke imaging. Frontiers in Neurology, 7, 1–7.

Tan, Y., Yang, Y., Zhang, Z., & Li, J. (2021). Lactate dehydrogenase: A novel biomarker in stroke pathology and prognosis. Neurochemical Research, 46(3), 562–573. https://doi.org/10.1007/s11064-020-03100-x

Valvona, C. J., Fillmore, H. L., Nunn, P. B., & Pilkington, G. J. (2016). The regulation and function of lactate dehydrogenase A: Therapeutic potential in brain tumor. Brain Pathology, 26(1), 3–17.

Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … Tsao, C. W. (2020). Heart disease and stroke statistics—2020 update: A report from the American Heart Association. Circulation, 141(9), e139–e596. https://doi.org/10.1161/CIR.0000000000000757

Wang, A., Tian, X., Zuo, Y., Chen, S., Meng, X., Wu, S., … Wang, Y. (2021). High lactate dehydrogenase was associated with adverse outcomes in patients with acute ischemic stroke or transient ischemic attack. Annals of Palliative Medicine, 10(10), 10185–10195.

Wang, Y., Zhang, Q., Hu, J., & Jin, H. (2022). Elevated lactate dehydrogenase predicts poor prognosis of acute ischemic stroke: A population-based cohort study. PLOS ONE, 17(10), e0275651.

World Health Organization. (2021). The top 10 causes of death. World Health Organization.

Zhang, Q., Hu, J., Wang, Y., & Jin, H. (2023). Serum level of lactate dehydrogenase is associated with stroke severity and prognosis in acute ischemic stroke. Frontiers in Neurology.

Zhao, H., Li, Y., Wang, X., Zhang, Q., & Liu, G. (2021). Combined use of serum biomarkers and ASPECTS score improves prediction of clinical outcomes after acute ischemic stroke. Journal of Stroke and Cerebrovascular Diseases, 30(12), 105682.

Klein, Robert, Nagy, Oskar, Tóthová, Csilla, & Chovanová, Frederika. (2020). Clinical and diagnostic significance of lactate dehydrogenase and its isoenzymes in animals. Veterinary Medicine International, 2020(1), 5346483.

##submission.downloads##

Publikované

2025-12-16