The Presence of a Calcific Plaque in the Common Carotid Artery as a Predictor of Coronary Atherosclerosis

Many contradictory reports have been published investigating the relationship between coronary artery disease (CAD) and the increased intima-media thickness (IMT) in the common carotid artery (CCA). However, only a limited number of studies evaluate the relationship between CAD and CCA disease as re...

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Bibliographic Details
Published in:Angiology 2006-10, Vol.57 (5), p.585-592
Main Authors: Kanadaşı, Mehmet, Çaylı, Murat, Şan, Mustafa, Aikimbaev, Kairgeldy, Alhan, C. Cumhur, Demir, Mesut, Demirtaş, Mustafa
Format: Article
Language:English
Subjects:
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Carotid Artery Diseases - complications
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - pathology
Carotid Artery, Common - diagnostic imaging
Carotid Artery, Common - pathology
Coronary Angiography
Coronary Artery Disease - complications
Coronary Artery Disease - diagnosis
Coronary Artery Disease - diagnostic imaging
Coronary heart disease
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Tunica Intima - diagnostic imaging
Tunica Intima - pathology
Tunica Media - diagnostic imaging
Tunica Media - pathology
Ultrasonography
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Summary:Many contradictory reports have been published investigating the relationship between coronary artery disease (CAD) and the increased intima-media thickness (IMT) in the common carotid artery (CCA). However, only a limited number of studies evaluate the relationship between CAD and CCA disease as reflected by both the plaque morphology (fibrous and calcific plaques) and IMT. We have studied the associations between CAD and the wall morphology of CCA by B-mode ultrasound (US). One hundred and forty-four subjects, whose angiography was planned on the basis of suspected CAD, were included into the study. The patients were divided into 4 groups on the basis of B-mode US findings; Group I: normal, Group II: increased IMT (IMT ≥ 0.8 mm and plaque absent), Group III: fibrous plaque, Group IV: calcific plaque. Coronary artery disease was diagnosed in 63 patients. A statistically significant correlation was found between CAD and CCA wall morphology (r =0.42, CI (95%) = 0.30-0.51, p
ISSN:0003-3197
1940-1574
DOI:10.1177/0003319706293123