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Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice
OBJECTIVES: To describe the findings and evaluate appropriateness of a carotid artery study including the measurement of IMT, the presence of atherosclerotic plaque, and their correlation with cardiovascular risk factors. METHODS: 555 patients (220 men; 67.06 ± 12.44 years) were included in the stud...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576162/ https://www.ncbi.nlm.nih.gov/pubmed/18925960 http://dx.doi.org/10.1186/1476-7120-6-52 |
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author | Baroncini, Liz Andréa Villela de Oliveira, Aguinaldo Vidal, Enrique Antonio França, Graciliano José Stahlke, Paulo Sérgio Dalla Bona Alessi, Alexandre Précoma, Dalton Bertolim |
author_facet | Baroncini, Liz Andréa Villela de Oliveira, Aguinaldo Vidal, Enrique Antonio França, Graciliano José Stahlke, Paulo Sérgio Dalla Bona Alessi, Alexandre Précoma, Dalton Bertolim |
author_sort | Baroncini, Liz Andréa Villela |
collection | PubMed |
description | OBJECTIVES: To describe the findings and evaluate appropriateness of a carotid artery study including the measurement of IMT, the presence of atherosclerotic plaque, and their correlation with cardiovascular risk factors. METHODS: 555 patients (220 men; 67.06 ± 12.44 years) were included in the study. 120 patients (21.62%) presented carotid plaque: 108 (19.45%) in patients with at least one risk factor and 12 (2.1%) in patients without risk factors. With respect to appropriateness of the present studies: 65% were appropriate, 22% were uncertain and 13% were inappropriate. The IMT medians were higher in males (0.0280; 95% CI, 00.82 to 0.478; p = 0.0057) and in hypertensive patients (0.391; 95% CI, 0.0190 to 0.0592; p = 0,001). There was a linear increase in mean IMT for each year increased in age (0.0059; 95% CI; 0.0050 to 0.0067). Carotid plaque was more frequent in patients with CAD (p = 0.0002), diabetes (p = 0.024) and hypertension (p = 0.036). CONCLUSION: Assessment of carotid arteries identified increased incidence of plaque in patients with CAD, diabetes and hypertension. IMT was increased in older patients, hypertensive patients and males. Forty-five percent of the patients were studied based on uncertain and inappropriate reasons. |
format | Text |
id | pubmed-2576162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-25761622008-10-31 Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice Baroncini, Liz Andréa Villela de Oliveira, Aguinaldo Vidal, Enrique Antonio França, Graciliano José Stahlke, Paulo Sérgio Dalla Bona Alessi, Alexandre Précoma, Dalton Bertolim Cardiovasc Ultrasound Research OBJECTIVES: To describe the findings and evaluate appropriateness of a carotid artery study including the measurement of IMT, the presence of atherosclerotic plaque, and their correlation with cardiovascular risk factors. METHODS: 555 patients (220 men; 67.06 ± 12.44 years) were included in the study. 120 patients (21.62%) presented carotid plaque: 108 (19.45%) in patients with at least one risk factor and 12 (2.1%) in patients without risk factors. With respect to appropriateness of the present studies: 65% were appropriate, 22% were uncertain and 13% were inappropriate. The IMT medians were higher in males (0.0280; 95% CI, 00.82 to 0.478; p = 0.0057) and in hypertensive patients (0.391; 95% CI, 0.0190 to 0.0592; p = 0,001). There was a linear increase in mean IMT for each year increased in age (0.0059; 95% CI; 0.0050 to 0.0067). Carotid plaque was more frequent in patients with CAD (p = 0.0002), diabetes (p = 0.024) and hypertension (p = 0.036). CONCLUSION: Assessment of carotid arteries identified increased incidence of plaque in patients with CAD, diabetes and hypertension. IMT was increased in older patients, hypertensive patients and males. Forty-five percent of the patients were studied based on uncertain and inappropriate reasons. BioMed Central 2008-10-16 /pmc/articles/PMC2576162/ /pubmed/18925960 http://dx.doi.org/10.1186/1476-7120-6-52 Text en Copyright © 2008 Baroncini et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Baroncini, Liz Andréa Villela de Oliveira, Aguinaldo Vidal, Enrique Antonio França, Graciliano José Stahlke, Paulo Sérgio Dalla Bona Alessi, Alexandre Précoma, Dalton Bertolim Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
title | Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
title_full | Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
title_fullStr | Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
title_full_unstemmed | Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
title_short | Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
title_sort | appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576162/ https://www.ncbi.nlm.nih.gov/pubmed/18925960 http://dx.doi.org/10.1186/1476-7120-6-52 |
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