We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Particularities of the cardiovascular risk factors patterns and cervical arterial ultrasound findings related to the coronary angiography lesions significance in patients with ischemic heart disease.
- Authors
Stoia, Mirela-Anca; Olinic, Dan Mircea; Homorodean, Calin; Farcas, Anca Daniela
- Abstract
Background – Carotid artery stenosis (CAS) is related to the extent of coronary artery disease (CAD) and multi-vessel CAD is an independent predictor for CAS. Simultaneous ATS lesions of the carotid arteries (carotid intima-media thickness-CIMT) increases and extracranial cervical stenosis due to carotid plaques) and coronary circulation indicates the extent of ATS burden. Aim – study of comparative cardiovascular risk factors (CVRF) profi le, CIMT, CAS, and CAD patterns in acute coronary syndrome (ACS) and in stable CAD patients. Method – laboratory tests for CVRF, arterial cervical US parameters measurements, and coronary angiography evaluation. Results – ACS patients had more diabetes mellitus (72.2% DM) and hypertriglyceridemia (56.4% HTgl), while stable CAD patients were more smokers (53.5%) and hypertensive (78.7% HT). ACS patients had increases CIMT (1.07±0.26 mm vs. 0.7±0.2 mm). Stable CAD patients had more CAS (63.7% vs. 33.3%), but in ACS patients, the severity of CAS increases with the number of coronary artery lesions. Conclusions – CAD patients have particular CVRF profile, different for ACS patients and stable CAD patients and these could be related to their specifi c CAS-CAD patterns. In ACS patients, increased CIMT, and carotid stenosis are associated with the presence, the extent, and the severity of coronary stenosis, and might be useful in estimating ATS burden in patients with multi-vessel disease, in particular with left anterior descending coronary artery lesion.
- Subjects
CORONARY disease; CORONARY angiography; CARDIAC patients; DISEASE risk factors; CORONARY artery stenosis
- Publication
Romanian Journal of Cardiology, 2019, Vol 29, Issue 1, p18
- ISSN
1220-658X
- Publication type
Article