Document Detail


Study of carotid disease in patients with peripheral artery disease.
MedLine Citation:
PMID:  25467094     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To study the stenosis of the carotid arteries in patients with symptomatic peripheral arterial disease.
METHODS: we assessed 100 consecutive patients with symptomatic peripheral arterial disease in stages of intermittent claudication, rest pain or ulceration. Carotid stenosis was studied by echo-color-doppler, and considered significant when greater than or equal to 50%. We used univariate analysis to select potential predictors of carotid stenosis, later taken to multivariate analysis.
RESULTS: The prevalence of carotid stenosis was 84%, being significant in 40% and severe in 17%. The age range was 43-89 years (mean 69.78). Regarding gender, 61% were male and 39% female. Half of the patients had claudication and half had critical ischemia. Regarding risk factors, 86% of patients had hypertension, 66% exposure to smoke, 47% diabetes, 65% dyslipidemia, 24% coronary artery disease, 16% renal failure and 60% had family history of cardiovascular disease. In seven patients, there was a history of ischemic cerebrovascular symptoms in the carotid territory. The presence of cerebrovascular symptoms was statistically significant in influencing the degree of stenosis in the carotid arteries (p = 0.02 at overall assessment and p = 0.05 in the subgroups of significant and non-significant stenoses).
CONCLUSION: the study of the carotid arteries by duplex scan examination is of paramount importance in the evaluation of patients with symptomatic peripheral arterial disease, and should be systematically conducted in the study of such patients.
Authors:
Leonardo Ghizoni Bez; Túlio Pinho Navarro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista do Colégio Brasileiro de Cirurgiões     Volume:  41     ISSN:  1809-4546     ISO Abbreviation:  Rev Col Bras Cir     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809515     Medline TA:  Rev Col Bras Cir     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  311-8     Citation Subset:  IM    
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