Prevalence and Significance of Carotid Plaques in Patients With Coronary Atherosclerosis

Autor: Taek-Geun Kwon, Ji-Hyun Jeong, Keumwon Kim, Jang Ho Bae, Ki Young Kim, Hyunwoong Park
Rok vydání: 2009
Předmět:
Zdroj: Korean Circulation Journal
ISSN: 1738-5520
DOI: 10.4070/kcj.2009.39.8.317
Popis: Background and Objectives Carotid artery intima-media thickness (CIMT) has recently been recommended as a non-invasive tool for primary prevention of cardiovascular events; the association between CIMT and adverse cardiovascular events is well-known. We sought to evaluate the prevalence and significance of carotid artery plaque, especially in patients with coronary atherosclerosis. Subjects and Methods The study population consisted of 1,705 consecutive patients {933 males (54.7%); mean age, 59.7±10.9 years} who underwent coronary angiography and carotid artery scanning using high-resolution ultrasonography. Carotid plaque was defined as a focal structure encroaching into the arterial lumen by at least 50% of the surrounding IMT value or a thickness >1.2 mm. Results Carotid plaque was identified in 30.3% (516/1,705) of the patients. Of patients in whom the plaque location could be evaluated (n=1,027), carotid plaque was located at the common carotid artery {n=64/267 (24.0%)}, carotid bulb {n=194/267 (72.7%)}, and at both sites {n=9/267 (3.4%)}. The prevalence of hypertension (58.5% vs. 45.2%, p
Databáze: OpenAIRE