Gender, age and carotid plaque morphology.

Abstract:

OBJECTIVES:To examine the relationship between patients gender, age and the development of different types of internal carotid artery plaque. DESIGN:Prospective open clinical study. METHODS:455 carotid duplex scans with a greater than 50% stenosis were analysed in terms of gender, age, degree of stenosis symptoms and plaque morphology. RESULTS:There were 238 males (52.3%) and 217 females. Of 120 patients with type I plaque 86 were male (71.7%, chi 2 = 23.4, p = 0.000002). This high incidence of type I (haemorrhagic) plaque in men was accompanied by a higher degree of stenosis (chi 2 = 11.7 p = 0.0006) but was independent of the age of the patients and the presence of symptoms. CONCLUSIONS:Although this study supports the view that men have more severe carotid artery disease, it does not to affect a younger age group. The higher degree of stenosis and its association with haemorrhagic plaque is not translated into an increase in symptoms in men.

journal_name

Minerva Cardioangiol

authors

Holdsworth RJ,Bryce JS,Harrison DK,McCollum PT

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

363-7

issue

7-8

eissn

0026-4725

issn

1827-1618

journal_volume

45

pub_type

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