Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice.

Abstract:

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.

journal_name

Cardiovasc Ultrasound

authors

Baroncini LA,de Oliveira A,Vidal EA,França GJ,Stahlke PS,Alessi A,Précoma DB

doi

10.1186/1476-7120-6-52

subject

Has Abstract

pub_date

2008-10-16 00:00:00

pages

52

issn

1476-7120

pii

1476-7120-6-52

journal_volume

6

pub_type

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