Carotid Intima-Media Thickness Can Predict Coronary Atherosclerosis in Diabetic Elderly Patients
| Autor: | Amal E Elawam, Hala S Sweed, Motassem S Amer, Omar Hussein Omar, Randa A. Reda, Mohsen M Maher |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Case-control study General Medicine medicine.disease Coronary artery disease Stenosis Intima-media thickness Internal medicine Diabetes mellitus medicine Cardiology cardiovascular diseases Lipid profile business Coronary atherosclerosis Lipoprotein |
| Zdroj: | Volume: 7, Issue: 3 245-249 European Journal of General Medicine |
| ISSN: | 2516-3507 1304-3889 1304-3897 |
| DOI: | 10.29333/ejgm/82863 |
| Popis: | Aim: To evaluate the relationship between coronary risk and carotid vessels as revealed by duplex study in diabetic elderly patients. Method: Case control study was designed. Participants were recruited from Geriatric department Ain Shams University Hospital, Cairo-Egypt. The cases were subdivided into two groups (group 1: diabetic with coronary artery diseases (CAD), group 2: diabetic without CAD). The diabetic group (cases) included 60 patients (25 males and 35 females). The control group included 30 elderly subjects matched for age and sex. All groups were subjected to: comprehensive geriatric assessment, laboratory measurements including: fasting blood sugar, lipid profile, lipoprotein (a), and carotid duplex for measurement of the intima-media thickness and the degree of stenosis. Result: On analysis of the collected data, diabetic patients did have atherosclerosis in the carotid arteries more than the non diabetic subjects, and among the diabetic patients group, it was revealed that those who had CAD, had their carotid arteries more atherosclerotic than the others without CAD. Multinomial logistic regression done showed significant independent association between the presence of thickened carotid intima-media and coronary artery disease among diabetic patients (p=0.042, OR 1.71(0.52-5.6) Conclusion: Thickened carotid intima-media can predict risk to have coronary artery disease among elderly diabetic patients. |
| Databáze: | OpenAIRE |
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