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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...

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Autores principales: Baroncini, Liz Andréa Villela, de Oliveira, Aguinaldo, Vidal, Enrique Antonio, França, Graciliano José, Stahlke, Paulo Sérgio Dalla Bona, Alessi, Alexandre, Précoma, Dalton Bertolim
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
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.
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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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