Document Detail


Prevalence of concomitant atherosclerotic arterial diseases in patients with significant cervical carotid artery stenosis in Taiwan.
MedLine Citation:
PMID:  17120098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Atherosclerotic stenosis of extracranial carotid arteries is an important cause of ischemic stroke in Taiwan, an ethnic Chinese population. Concurrent atherosclerotic arterial disease is an important issue in the management of patients with carotid stenosis, but its prevalence and extent are unknown. METHODS: One hundred and sixty-three consecutive patients with angiographically proven significant cervical carotid artery stenosis (>or=50% stenosis) were enrolled in this study. Angiography was done to document concurrent coronary, renal, and limb artery stenosis. Clinical symptoms and signs were also correlated with the angiographic findings. RESULTS: One or more significant concurrent arterial stenotic disease was found in 73% of the patients. The most frequent were coronary artery disease, found in 68% of the patients, while renal artery stenosis and limb artery stenosis were found in 20% and 21% of the patients, respectively. Age, diabetes, history of angina pectoris, intermittent claudication, and asymmetric arm blood pressures were significantly associated with the presence of concurrent arterial stenosis. However, 41% of the patients with concurrent coronary artery disease did not have any clinical symptoms or history of myocardial infarction. CONCLUSIONS: Our data indicated that concurrent advanced and extensive arterial disease is common in patients with significant cervical carotid stenosis, and also suggest the importance of global evaluation of systemic atherosclerosis in these patients to achieve optimal management.
Authors:
Yen-Wen Wu; Mao-Shin Lin; Yen-Hung Lin; Chia-Lun Chao; Hsien-Li Kao
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Publication Detail:
Type:  Journal Article     Date:  2006-11-22
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  23     ISSN:  1569-5794     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-16     Completed Date:  2007-09-21     Revised Date:  2010-03-29    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  433-9     Citation Subset:  IM    
Affiliation:
Cardiology Section, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Rd, Taipei 10002, Taiwan, ROC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arteries / pathology
Asian Continental Ancestry Group / statistics & numerical data*
Atherosclerosis / complications,  epidemiology*,  etiology,  radiography
Carotid Stenosis / complications,  epidemiology*,  etiology,  radiography
Cerebral Angiography
Coronary Angiography
Coronary Artery Disease / complications,  epidemiology*,  etiology,  radiography
Extremities / blood supply*
Female
Humans
Male
Middle Aged
Prevalence
Renal Artery Obstruction / complications,  epidemiology*,  etiology,  radiography
Risk Assessment
Risk Factors
Severity of Illness Index
Taiwan / epidemiology

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