Carotid Artery Wall Changes as a Prognostic Indicator of Coronary Artery Disease
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2009, Vol 2, Issue 2
Abstract
Aim. The aim of this study is to investigate the prevalence of coronary and carotid arteries atherosclerotic abnormalities, and exactly to examine the predictive value of ultrasonography of carotid artery on the basis of intima - media thickness in coronary artery disease (CAD) evaluation. Material and metods. The study involved sixty patients (aged 40 to 70 years) who had been referred to our clinical hospital for evaluation of chest pain. Results. Fifty one patients had increased intima media thickness (IMT) (>0.8). Involvement of coronary arteries regarding one, two or three vessels was 28, 12, 7 and 4%, respectively for left main stenosis- coronary artery disease (LMS- CAD). A significant correlation (p<0.05) was demonstrated between coronary and carotid arteries atherosclerosis. Conclusion. A great carotid disease sensitivity (85%), acceptable specificity (39%) and positive predictive value (79%) for presence of CAD, make this measurement of IMT and myocardial perfusion imaging (MPI), predictive parameter for CAD presence, useful for noninvasive determination of CAD.
Authors and Affiliations
Simeon Siljanovski| Clinical Hospital, Radiology Department, Bitola, Republic of Macedonia, Petar Avramovsk| Clinical Hospital, Internal Medicine Department, Bitola, Republic of Macedonia
Keywords
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- EP ID EP8686
- DOI 10.3889/MJMS.1857-5773.2009.0046
- Views 341
- Downloads 19
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