Closed relation between carotid and ascending aortic atherosclerosis in cardiac patients

Carotid atherosclerosis and aortic atherosclerosis are both associated with coronary artery disease and cerebral thromboembolism. However, the relationship between asymptomatic carotid and aortic atherosclerosis is not well known. Sixty-two consecutive cardiac patients (mean age 57 years) without a...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2000-11, Vol.102 (19), p.263-268
Main Authors: KALLIKAZAROS, Ioannis E, TSIOUFIS, Costas P, STEFANADIS, Christodoulos I, PITSAVOS, Christos E, TOUTOUZAS, Pavlos K
Format: Article
Language:English
Subjects:
Adult
Age Distribution
Aged
Aorta - diagnostic imaging
Aortic Diseases - complications
Aortic Diseases - diagnosis
Arteriosclerosis - complications
Arteriosclerosis - diagnosis
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Carotid Arteries - diagnostic imaging
Carotid Stenosis - complications
Carotid Stenosis - diagnosis
Echocardiography, Transesophageal
Female
Heart Diseases - complications
Humans
Logistic Models
Male
Medical sciences
Middle Aged
Risk Factors
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Summary:Carotid atherosclerosis and aortic atherosclerosis are both associated with coronary artery disease and cerebral thromboembolism. However, the relationship between asymptomatic carotid and aortic atherosclerosis is not well known. Sixty-two consecutive cardiac patients (mean age 57 years) without a history of atherosclerotic cardiovascular disease who were referred for transesophageal echocardiography were included. By means of a high-resolution ultrasound technique, normal carotid arteries were found in 12 patients (19.4%), whereas 15 patients (24. 2%) had increased intima-media thickness, and the remaining 35 patients (56.5%) had atherosclerotic plaques (intima-media thickness >/=1.3 mm). Transesophageal echocardiography characterized ascending aortic intimal morphology as normal in 1 patient (1.6%), as thickening in 22 patients (35.5%), and as atherosclerotic plaques in 39 patients (62.9%). Patients with both carotid and aortic plaques were older compared with patients without plaques; also, a higher percentage of patients with carotid and aortic plaques suffered from hypertension and diabetes mellitus compared with patients without plaques (P:
ISSN:0009-7322
1524-4539
DOI:10.1161/01.cir.102.suppl_3.iii-263