Ultrasound characteristics of carotid arteries in patients with coronary diseases

Session

Medicine and Nursing

Description

Cardiovascular disease is a national and international problem. They are the leading cause of death worldwide. Among them, 85% of deaths occur due to coronary artery disease and stroke. The aim of the study was to identify by ultrasound the atherosclerotic changes in the carotid arteries in patients with coronary heart disease.Material and methods: A sample of 215 subjects with coronary artery disease underwent ultrasound evaluation of the carotid arteries. They are classified into two groups: Group A, 130 (60.47%) with positive exercise test and Group B 85 (39.53%) with previously experienced myocardial infarction. They were assessed for the thickness of the CIMT, the presence and echographic characteristics of atherosclerotic plaques, and for the presence of significant stenoses (> 50%). Results: The average age of all subjects was 57.05 ± 8.63. In Group A, the thickness of CIMT was 0.78 (± 0.27) mm, while in Group B 0.80 (± 0.11) mm. No significant difference was observed between the groups (p> 0.1). The largest number of atherosclerotic plaques are found in the bulbus of the carotid arteries and in the ACI (53% and 35%), which is significantly higher than in the ACC and ACE (8% and 4%, p <0.01). Sonolucent atherosclerotic plaques were observed more frequently in Group B than in Group A (60.49% vs. 35.29%, p <0.01). With significant stenoses are identified 16.15% of individs in Group A, and in this case the difference was not significant (p> 0.1).Conclusions: Ultrasound evaluation of carotid arteries for CIMT, plaque morphology, and degree of stenosis may provide valuable additional information on preexisting cardiovascular risk and silent coronary artery disease in asymptomatic patients.

Keywords:

Ultrasound, carotid arteries, CIMT, atherosclerotic pllaques, stenosis of carotid arteries, coronary artery disease

Session Chair

Ferat Sallahu

Session Co-Chair

Haki Jashari

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-437-96-7

Location

Lipjan, Kosovo

Start Date

31-10-2020 1:30 PM

End Date

31-10-2020 3:00 PM

DOI

10.33107/ubt-ic.2020.418

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Oct 31st, 1:30 PM Oct 31st, 3:00 PM

Ultrasound characteristics of carotid arteries in patients with coronary diseases

Lipjan, Kosovo

Cardiovascular disease is a national and international problem. They are the leading cause of death worldwide. Among them, 85% of deaths occur due to coronary artery disease and stroke. The aim of the study was to identify by ultrasound the atherosclerotic changes in the carotid arteries in patients with coronary heart disease.Material and methods: A sample of 215 subjects with coronary artery disease underwent ultrasound evaluation of the carotid arteries. They are classified into two groups: Group A, 130 (60.47%) with positive exercise test and Group B 85 (39.53%) with previously experienced myocardial infarction. They were assessed for the thickness of the CIMT, the presence and echographic characteristics of atherosclerotic plaques, and for the presence of significant stenoses (> 50%). Results: The average age of all subjects was 57.05 ± 8.63. In Group A, the thickness of CIMT was 0.78 (± 0.27) mm, while in Group B 0.80 (± 0.11) mm. No significant difference was observed between the groups (p> 0.1). The largest number of atherosclerotic plaques are found in the bulbus of the carotid arteries and in the ACI (53% and 35%), which is significantly higher than in the ACC and ACE (8% and 4%, p <0.01). Sonolucent atherosclerotic plaques were observed more frequently in Group B than in Group A (60.49% vs. 35.29%, p <0.01). With significant stenoses are identified 16.15% of individs in Group A, and in this case the difference was not significant (p> 0.1).Conclusions: Ultrasound evaluation of carotid arteries for CIMT, plaque morphology, and degree of stenosis may provide valuable additional information on preexisting cardiovascular risk and silent coronary artery disease in asymptomatic patients.