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Side Differences of Carotid Intima-Media Thickness in Predicting Cardiovascular Events Among Patients With Coronary Artery Disease
Population-based studies have demonstrated differences in intima—media thickness (IMT) measured from the left and right common carotid arteries (CCAs). However, its prognostic implications among patients with established coronary artery disease (CAD) remain unknown. Correlations between the left and...
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| Published in: | Angiology 2011-04, Vol.62 (3), p.231-236 |
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| container_title | Angiology |
| container_volume | 62 |
| creator | Lee, Stephen Wai-luen Siu Han Hai, Jo Jo Kong, Shun-ling Lam, Yui-ming Lam, Simon Chan, Pak-hei Chan, Ki-wan Wong, Ka-lam Tam, Chor-cheung Chan, Raymond Hon-wah |
| description | Population-based studies have demonstrated differences in intima—media thickness (IMT) measured from the left and right common carotid arteries (CCAs). However, its prognostic implications among patients with established coronary artery disease (CAD) remain unknown. Correlations between the left and right CCAs and the composite end point of cardiac death or nonfatal acute coronary syndrome among 149 patients with angiographically confirmed stable CAD were studied. A total of 22 patients had cardiovascular events during the 32.1 ± 10.9 months follow-up. Multivariate analysis revealed that prior ischemic stroke (hazard ratio [HR]: 15.36, 95% confidence interval [CI]: 4.49-52.59, P < .001), extent of CAD (HR: 1.56, 95%CI: 1.01-2.42, P = .046), and right CCA IMT (HR: 17.07, 95%CI: 2.16-134.69, P = .007) but not the left CCA IMT, independently predicted cardiovascular events. The right CCA IMT independently predicted event-free survival among patients with established CAD, suggesting that the left and right CCA may exhibit different prognostic values in our population. |
| doi_str_mv | 10.1177/0003319710379109 |
| format | article |
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However, its prognostic implications among patients with established coronary artery disease (CAD) remain unknown. Correlations between the left and right CCAs and the composite end point of cardiac death or nonfatal acute coronary syndrome among 149 patients with angiographically confirmed stable CAD were studied. A total of 22 patients had cardiovascular events during the 32.1 ± 10.9 months follow-up. Multivariate analysis revealed that prior ischemic stroke (hazard ratio [HR]: 15.36, 95% confidence interval [CI]: 4.49-52.59, P < .001), extent of CAD (HR: 1.56, 95%CI: 1.01-2.42, P = .046), and right CCA IMT (HR: 17.07, 95%CI: 2.16-134.69, P = .007) but not the left CCA IMT, independently predicted cardiovascular events. The right CCA IMT independently predicted event-free survival among patients with established CAD, suggesting that the left and right CCA may exhibit different prognostic values in our population.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/0003319710379109</identifier><identifier>PMID: 20688786</identifier><identifier>CODEN: ANGIAB</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Carotid Artery Diseases - diagnostic imaging ; Carotid Artery Diseases - pathology ; Chi-Square Distribution ; Coronary Angiography ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - pathology ; Coronary heart disease ; Disease-Free Survival ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Follow-Up Studies ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Predictive Value of Tests ; Prognosis ; Proportional Hazards Models ; Tunica Intima - diagnostic imaging ; Tunica Intima - pathology ; Tunica Media - diagnostic imaging ; Tunica Media - pathology ; Ultrasonography</subject><ispartof>Angiology, 2011-04, Vol.62 (3), p.231-236</ispartof><rights>The Author(s) 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-f104b8a4737babc5d2db7577dfaa4b7feea4be4c58a779633b4efdd9b00b783c3</citedby><cites>FETCH-LOGICAL-c366t-f104b8a4737babc5d2db7577dfaa4b7feea4be4c58a779633b4efdd9b00b783c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24081026$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20688786$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Stephen Wai-luen</creatorcontrib><creatorcontrib>Siu Han Hai, Jo Jo</creatorcontrib><creatorcontrib>Kong, Shun-ling</creatorcontrib><creatorcontrib>Lam, Yui-ming</creatorcontrib><creatorcontrib>Lam, Simon</creatorcontrib><creatorcontrib>Chan, Pak-hei</creatorcontrib><creatorcontrib>Chan, Ki-wan</creatorcontrib><creatorcontrib>Wong, Ka-lam</creatorcontrib><creatorcontrib>Tam, Chor-cheung</creatorcontrib><creatorcontrib>Chan, Raymond Hon-wah</creatorcontrib><title>Side Differences of Carotid Intima-Media Thickness in Predicting Cardiovascular Events Among Patients With Coronary Artery Disease</title><title>Angiology</title><addtitle>Angiology</addtitle><description>Population-based studies have demonstrated differences in intima—media thickness (IMT) measured from the left and right common carotid arteries (CCAs). However, its prognostic implications among patients with established coronary artery disease (CAD) remain unknown. Correlations between the left and right CCAs and the composite end point of cardiac death or nonfatal acute coronary syndrome among 149 patients with angiographically confirmed stable CAD were studied. A total of 22 patients had cardiovascular events during the 32.1 ± 10.9 months follow-up. Multivariate analysis revealed that prior ischemic stroke (hazard ratio [HR]: 15.36, 95% confidence interval [CI]: 4.49-52.59, P < .001), extent of CAD (HR: 1.56, 95%CI: 1.01-2.42, P = .046), and right CCA IMT (HR: 17.07, 95%CI: 2.16-134.69, P = .007) but not the left CCA IMT, independently predicted cardiovascular events. The right CCA IMT independently predicted event-free survival among patients with established CAD, suggesting that the left and right CCA may exhibit different prognostic values in our population.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Carotid Artery Diseases - diagnostic imaging</subject><subject>Carotid Artery Diseases - pathology</subject><subject>Chi-Square Distribution</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - pathology</subject><subject>Coronary heart disease</subject><subject>Disease-Free Survival</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Tunica Intima - diagnostic imaging</subject><subject>Tunica Intima - pathology</subject><subject>Tunica Media - diagnostic imaging</subject><subject>Tunica Media - pathology</subject><subject>Ultrasonography</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp1kMFrFDEUh4Modq3ePUku0tNospmZZI7LtmqhYsGKx-EleWlTZ5OaZAq9-pebcVcFwdOPl9_3XuAj5CVnbziX8i1jTAg-SM6EHDgbHpEVH1rW8E62j8lqqZulPyLPcr6tY8dZ_5QcrVmvlFT9ivz47C3SU-8cJgwGM42ObiHF4i09D8XvoPmI1gO9uvHmW8CcqQ_0MtU3U3y4XmDr4z1kM0-Q6Nk9hpLpZhdrdwnF_xq_-nJDtzHFAOmBblLBGqc-I2R8Tp44mDK-OOQx-fLu7Gr7obn49P58u7lojOj70jjOWq2glUJq0Kaza6tlJ6V1AK2WDrEGtqZTIOXQC6FbdNYOmjEtlTDimJzs796l-H3GXMadzwanCQLGOY-qSlOiG9aVZHvSpJhzQjfepSoiPYycjYv48V_xdeXV4fisd2j_LPw2XYHXB6CagsklCMbnv1zLFGfrhWv2XIZrHG_jnEKV8v-PfwKnUZnK</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Lee, Stephen Wai-luen</creator><creator>Siu Han Hai, Jo Jo</creator><creator>Kong, Shun-ling</creator><creator>Lam, Yui-ming</creator><creator>Lam, Simon</creator><creator>Chan, Pak-hei</creator><creator>Chan, Ki-wan</creator><creator>Wong, Ka-lam</creator><creator>Tam, Chor-cheung</creator><creator>Chan, Raymond Hon-wah</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Side Differences of Carotid Intima-Media Thickness in Predicting Cardiovascular Events Among Patients With Coronary Artery Disease</title><author>Lee, Stephen Wai-luen ; Siu Han Hai, Jo Jo ; Kong, Shun-ling ; Lam, Yui-ming ; Lam, Simon ; Chan, Pak-hei ; Chan, Ki-wan ; Wong, Ka-lam ; Tam, Chor-cheung ; Chan, Raymond Hon-wah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-f104b8a4737babc5d2db7577dfaa4b7feea4be4c58a779633b4efdd9b00b783c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Carotid Artery Diseases - diagnostic imaging</topic><topic>Carotid Artery Diseases - pathology</topic><topic>Chi-Square Distribution</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - pathology</topic><topic>Coronary heart disease</topic><topic>Disease-Free Survival</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Tunica Intima - diagnostic imaging</topic><topic>Tunica Intima - pathology</topic><topic>Tunica Media - diagnostic imaging</topic><topic>Tunica Media - pathology</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Stephen Wai-luen</creatorcontrib><creatorcontrib>Siu Han Hai, Jo Jo</creatorcontrib><creatorcontrib>Kong, Shun-ling</creatorcontrib><creatorcontrib>Lam, Yui-ming</creatorcontrib><creatorcontrib>Lam, Simon</creatorcontrib><creatorcontrib>Chan, Pak-hei</creatorcontrib><creatorcontrib>Chan, Ki-wan</creatorcontrib><creatorcontrib>Wong, Ka-lam</creatorcontrib><creatorcontrib>Tam, Chor-cheung</creatorcontrib><creatorcontrib>Chan, Raymond Hon-wah</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Stephen Wai-luen</au><au>Siu Han Hai, Jo Jo</au><au>Kong, Shun-ling</au><au>Lam, Yui-ming</au><au>Lam, Simon</au><au>Chan, Pak-hei</au><au>Chan, Ki-wan</au><au>Wong, Ka-lam</au><au>Tam, Chor-cheung</au><au>Chan, Raymond Hon-wah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Side Differences of Carotid Intima-Media Thickness in Predicting Cardiovascular Events Among Patients With Coronary Artery Disease</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>62</volume><issue>3</issue><spage>231</spage><epage>236</epage><pages>231-236</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><coden>ANGIAB</coden><abstract>Population-based studies have demonstrated differences in intima—media thickness (IMT) measured from the left and right common carotid arteries (CCAs). However, its prognostic implications among patients with established coronary artery disease (CAD) remain unknown. Correlations between the left and right CCAs and the composite end point of cardiac death or nonfatal acute coronary syndrome among 149 patients with angiographically confirmed stable CAD were studied. A total of 22 patients had cardiovascular events during the 32.1 ± 10.9 months follow-up. Multivariate analysis revealed that prior ischemic stroke (hazard ratio [HR]: 15.36, 95% confidence interval [CI]: 4.49-52.59, P < .001), extent of CAD (HR: 1.56, 95%CI: 1.01-2.42, P = .046), and right CCA IMT (HR: 17.07, 95%CI: 2.16-134.69, P = .007) but not the left CCA IMT, independently predicted cardiovascular events. The right CCA IMT independently predicted event-free survival among patients with established CAD, suggesting that the left and right CCA may exhibit different prognostic values in our population.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20688786</pmid><doi>10.1177/0003319710379109</doi><tpages>6</tpages></addata></record> |
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| ispartof | Angiology, 2011-04, Vol.62 (3), p.231-236 |
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| subjects | Aged Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Carotid Artery Diseases - diagnostic imaging Carotid Artery Diseases - pathology Chi-Square Distribution Coronary Angiography Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - pathology Coronary heart disease Disease-Free Survival Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Follow-Up Studies Heart Humans Male Medical sciences Middle Aged Predictive Value of Tests Prognosis Proportional Hazards Models Tunica Intima - diagnostic imaging Tunica Intima - pathology Tunica Media - diagnostic imaging Tunica Media - pathology Ultrasonography |
| title | Side Differences of Carotid Intima-Media Thickness in Predicting Cardiovascular Events Among Patients With Coronary Artery Disease |
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