[Diabetes and atherosclerosis: a follow-up echographic study of atherosclerotic carotid lesions].

Abstract:

:A two years follow up on 105 diabetic patients and 50 normal subjects was carried out by high resolution real time echotomography, aiming to evaluate the prevalence and the evolutionary trends of carotid atherosclerotic plaques. The prevalence of atherosclerotic lesions was higher in diabetic patients than in normal subjects, and the most part of them showed an "intermediate" echographic pattern, minimal stenosis and regular surface. The results of the two years follow up indicate that the "soft" and the "hard" plaque types were those showing a more significant progression toward to the "mixed" type. "Hard" and "mixed" plaques, particularly those showing irregular surface, resulted most associated with higher degree of vessel stenosis. Four diabetic patients experienced three minor and one major ischemic events during the follow up; however all the patients had shown plaques with "intermediate" pattern, regular surface, and no signs of vessel stenosis progression. Further studies, performed for longer period of time with a higher number of patients are needed to evaluate the evolutionary trends of carotid plaques in diabetic patients and their relationship with clinical ischemic events.

journal_name

Minerva Cardioangiol

authors

Oliviero U,Cocozza M,Picano T,Cillo N,Lamaida N,Monti A,Cacciatore F,Lucariello A,Coto V

keywords:

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

335-40

issue

9

eissn

0026-4725

issn

1827-1618

journal_volume

40

pub_type

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