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- Title
ASSESMENT OF CAROTID ATHEROSCLEROTIC DISEASE AND RISK FACTORS IN PATIENTS WITH ISCHEMIC STROKE.
- Authors
Cerei, Larisa-Georgiana; Mutu, Cosmin
- Abstract
Background: Ischemic stroke (IS) is a heterogeneous disease, with different subtypes and various risk factors. Large vessel atherosclerotic disease is the most frequent IS causing pathology, followed by cerebral microangiopathy and cardioembolic events. Objective: Impact assessment of risk factors of ischemic stroke on large vessel atherosclerotic disease severity in patients with IS evaluated in CVASIC Research Center of Academic Emergency Hospital of Sibiu. Materials and methods: We conducted an observational, retrospective study of all patients with acute IS admitted in our department during 2018 year to which was performed doppler carotid ultrasound evaluation. We observed the degree of carotid stenosis, presence of atherosclerotic risk factors and their influence. Results: A total of 174 patients with acute IS were evaluated with Doppler carotid ultrasonography. The mean age of patients was 71.3 years (36 to 92 years range). 16 (9.19%) patients presented occlusion of internal carotid artery on the same side as stroke, 37 (21.26%) had severe carotid stenosis (>70%), 31 (17.81%) presented moderate stenosis (50-70%), the remaining patients had mild or no stenosis. 136 (78.16%) patients presented arterial hypertension, 51 (29.31%) patients had diabetes mellitus, 14 (8.04%) were smokers, 81 (46.56%) had dyslipidemia. Conclusions: It can be noticed the large number of patients with severe carotid stenosis and occlusion. The most common risk factor was arterial hypertension, followed by dyslipidemia and diabetes mellitus. Continuous medical education of population at risk regarding good nutrition principles and healthy life style are needed to reduce the social costs of ischemic stroke.
- Subjects
DISEASE risk factors; DYSLIPIDEMIA; INTERNAL carotid artery; STROKE patients; DOPPLER ultrasonography; RISK assessment
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p38
- ISSN
2068-3324
- Publication type
Article