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The relationship between carotid and coronary artery disease.

By Σκεύος Σιδέρης

Abstract

PREVIOUS CLINICAL AND EPIDEMIOLOGICAL STUDIES REVEALED AN ASSOCIATION BETWEEN CEREBROVASCULAR AND CORONARY ATHEROSCLEROSIS.THIS ASSOCIATION WAS FOUND FOR SYMPTOMATIC AND ALSO FOR ASYMPTOMATIC CAROTID VESSEL DISEASE.RECENT STUDIES USING ULTRASOUND HAVE SHOWN THAT INTIMA-MEDIA WALL THICKNESS COULD BE USED AS A MARKER OF CORONARY ARTERY ATHEROSCLEROSIS.HOWEVER,THE PREDICT VALUE OF CAROTID ARTERY DISEASE FOR THE SEVERITY OF CORONARY ARTERY DISEASE(NUMBER OF VESSEL DISEASE) HAS NOT BEEN DEFINETELY RESOLVED.AIM OF OUR STUDY IS TO EVALUATE THE PREDICT VALUE OF CAROTID ARTERY DISEASE FOR THE PRESENCE AND THE SEVERITY OF CORONARY ARTERY DISEASE(CAD).DUPLEX ECHOCARDIOGRAPHY AND CORONARY ANGIOGRAPHY WERE USED TO ASSESS CAROTID AND CORONARY ARTERY ATHEROSCLEROSIS IN 225 CONSECUTIVE PATIENTS WHO HAD BEEN REFERRED TO OUR HOSPITAL FOR CARDIAC CATHETERIZATION.CORONARY ARTERY DISEASE(DIAMETER LUMEN STENOSIS >=50%) WAS PRESENT IN 197 PATIENTS.57 PATIENTS HAD ONE VESSEL DISEASE(1-VD),52 HAD 2-VD, 53 HAD 3-VD AND 35 HAD LEFT MAIN CORONARY ARTERY DISEASE(LMCAD).39 PATIENTS HAD CAROTID ARTERY DISEASE (DIAMETER LUMEN STENOSIS>=50%).CAROTID ARTERY DISEASE WAS FOUND TO BE RELATED WITH THE PRESENCE AND THE SEVERITY OF CORONARY ARTERY DISEASE.THE DISTRIBUTION OF CAROTID DISEASE ACCORDING TO THE EXTENT OF CORONARY DISEASE WAS 3.6% IN PATIENTS WITH NO VESSEL DISEASE(0-VD), 5.3% WITH 1-VD, 15.4% WITH 2-VD,24.5% WITH 3-VD AND 40% IN PATIENTS WITH LMCAD.STEPWISE MULTIPLE LOGISTIC REGRESSION ANALYSIS REVEALED THAT AGE, HYPERTENSION, HYPERCHOLESTEROLEMIA, WERE INDEPENDENT RISK FACTORS FOR CAROTID ARTERY DISEASE.FOR CAD INDEPENDENT RISK F

Topics: Νόσος καρωτιδική, Στεφανιαία νόσος, Αθηροσκλήρυνση, Καθετηριασμός καρδιάς, Άλγος προκάρδιο, Εξέταση καρωτίδων, Εξέταση καρωτίδων υπερηχογραφική, Duplex, Carotid disease, Coronary disease, Atherosclerosis, Catheterization cardiac, Pain precordial, Ultrasound examination, Ultrasound examination of carotid
Publisher: National and Kapodistrian University of Athens
Year: 1998
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