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The role of carotid ultrasound in assessing carotid atherosclerosis in individuals at low-to-intermediate cardiovascular risk.
- Source :
-
Revista espanola de cardiologia (English ed.) [Rev Esp Cardiol (Engl Ed)] 2013 Dec; Vol. 66 (12), pp. 929-34. Date of Electronic Publication: 2013 Oct 26. - Publication Year :
- 2013
-
Abstract
- Introduction and Objectives: Detection of carotid atherosclerosis might help to better identify individuals susceptible to cardiovascular events. We aimed to quantify the number of participants with carotid atherosclerosis and low-to-intermediate cardiovascular risk according to the traditional risk factor scoring, and therefore with an elevated risk of cardiovascular events.<br />Methods: Cross-sectional, observational study performed during a cardiovascular screening program. From a total of 3778 volunteers, low-to-intermediate cardiovascular risk individuals (N=2354) were identified and studied. Physical examination, blood test, and carotid ultrasound followed standard procedures. Common, bulb, and internal carotid arteries were examined and common carotid intima-media thickness was measured. SCORE risk value was calculated for all participants. Univariate and multivariate statistical analysis was performed.<br />Results: Mean age of participants was 58.9 (15) years, 43.8% were men, 23.7% had hypertension, and 20.5% had hypercholesterolemia. The mean SCORE value was 1.47 (1.4). Both carotid intima-media thickness and the prevalence of carotid plaques increased steadily and significantly (P<.005) as advanced decades of life were analyzed. Variables significantly related with the presence of carotid atherosclerosis were age, male sex, and systolic blood pressure. Interestingly, 592 (25.1%) individuals were reclassified to a higher risk due to the presence of carotid atherosclerosis.<br />Conclusions: There was a clear dissociation between cardiovascular risk scoring and the presence of atherosclerosis, because 1 of 4 study participants at low-to-intermediate cardiovascular risk had carotid atherosclerosis.<br /> (Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.)
- Subjects :
- Adult
Age Distribution
Aged
Analysis of Variance
Cardiovascular Diseases diagnostic imaging
Cardiovascular Diseases prevention & control
Carotid Artery Diseases physiopathology
Carotid Intima-Media Thickness
Comorbidity
Cross-Sectional Studies
Female
Humans
Logistic Models
Male
Mass Screening methods
Middle Aged
Predictive Value of Tests
Prevalence
Prognosis
Risk Assessment
Role
Severity of Illness Index
Sex Distribution
Survival Analysis
Cardiovascular Diseases epidemiology
Carotid Artery Diseases diagnostic imaging
Carotid Artery Diseases epidemiology
Ultrasonography, Doppler methods
Subjects
Details
- Language :
- English
- ISSN :
- 1885-5857
- Volume :
- 66
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Revista espanola de cardiologia (English ed.)
- Publication Type :
- Academic Journal
- Accession number :
- 24774105
- Full Text :
- https://doi.org/10.1016/j.rec.2013.05.030