CAROTID AEROSCLEROSIS
EPIDEMIOLOGICAL PROFILE OF CARRIERS FROM THE SOUTHERN MARANHÃO REGION
DOI:
https://doi.org/10.29237/2358-9868.2020v8i1.p136-141Keywords:
Doppler ultrasonography. Carotid atheromatosis. Comorbidities. Risk factors.Abstract
Objective: Considering the epidemiological importance of carotid atherosclerosis (CA), as well as the impact of its complications, it was decided to analyze the epidemiological profile of patients who underwent a doppler ultrasound examination of the carotid arteries, using parameters such as age, sex, smoking and systemic diseases (high blood pressure, diabetes mellitus and stroke). Methods: Data were obtained from the analysis of care records provided by a private institution in Imperatriz – MA, which offers the carotid doppler ultrasound service, from January to December 2017. The ultrasound examination aimed to location and quantification of atheromatous lesions of the carotid arteries. Results: 274 individuals were studied, whose age range varied between 18 and 99 years, with an average age of 59.63 years (± 11.78), of which 198 (72.3%) were female and 76 (27, 7%) male. Of these, 183 (66.8%) claimed to be hypertensive, 47 (17%) diabetic, 26 (9.5%) smokers and 58 (21.2%) had a previous history of stroke (stroke). Conclusions: There was a higher prevalence of atheromatous plaques in the examinations of male patients and the significance tests revealed a strong association between alterations in the examination and arterial hypertension (p = 0.0004), diabetes myellitus (p <0.0001), previous stroke (p <0.0001) and advanced age (p <0.0001). Smoking was not associated with a greater number of abnormal tests (p = 0.8239), however the sample of smoking patients was not sufficient.
References
2. Santos C, Vieira J, César B, Novaes M. Hábitos e perfil socioeconômico do paciente aterosclerótico no Brasil. Com. Ciências Saúde. 2011; 22(3):247-256.
3. Baldassarre D, Amato M, Bondioli A, Sirtori CR, Tremoli E. Carotid artery intima-media thickness measured by ultrasonography in normal clinical practice correlates well with atherosclerosis risk factors. Stroke, v. 31, n. 10, p. 2426–30, 2000.
4. Yoon B, Bae H, Kang D, Lee S, Hong K, Kim K et al. Intracranial Cerebral Artery Disease as a Risk Factor for Central Nervous System Complications of Coronary Artery Bypass Graft Surgery. Stroke, v. 32, n. 1, p. 94–99, 2001.
5. Borelli F, Pinto I, Amodeo C, Smanio P, Kambara A, Petisco A et al. Analysis of the Sensitivity and Specificity of Noninvasive Imaging Tests for the Diagnosis of Renal Artery Stenosis. Arq Bras Cardiol. 2013;101(5):423-433.
6. Godoi E. Avaliação do acometimento arterial por ultra-sonografia Doppler em pacientes com esclerose sistêmica no Hospital das Clínicas da Universidade Federal de Pernambuco. J. vasc. bras. vol.7 no.2 Porto Alegre June 2008.
7. Callegari-jacques SM. Bioestatística - princípios e aplicações. 1 ed. Porto Alegre: Artmed; 2003.
8. Malgor R, Wood E, Iavarone O, Labropoulos N. Stratifying risk: asymptomatic carotid disease. J. vasc. bras. vol.11 no.1 Porto Alegre Mar. 2012.
9. Packard R, Libby P. Inflammation in atherosclerosis: from vascular biology to biomarker discovery and risk prediction. Clin Chem. 2008;54:24-38.
10. Kotsis V, Stabouli S, Papamichael C, Zakopoulos N. Impact of obesity in intima media thickness of carotid arteries. Obesity. 2006;14:1708-15.
11. Rosa M, Portal V. Prevalência de Estenose Carotídea em Pacientes com Indicação de Cirurgia de Revascularização Miocárdica. Arq Bras Cardiol 2010; 94(2): 182-187.
12. Silva T, Pimentel L, Barbosa R, Santos M, Carvalho F, Santos L et al. Aterosclerose de carótida: associação entre o lado acometido com fatores de risco e doenças sistêmicas. Rev. Educ. Saúde 2018; 6 (2): 82-88.
13. Lorenz M, Kegler S, Steinmetz H, Markus H, Sitzer M. Carotid Intima-Media Thickening Indicates a Higher Vascular Risk Across a Wide Age Range. Stroke. 2006;37:87–92.
14. Flórez-Cardona J, Flores-Silva F, Chiquete E, Reyes-Melo I, Cantú-Brito C. Prevalencia de enfermedad carotidea en un hospital de tercer nivel de atención en el Distrito Federal, México. Acta Neurol Colomb. vol.28 no.4 Bogotá Oct./Dec. 2012.
15. González L, Arrieta H, Solís A, Pérez P, Ramírez S. Estudio con ultrasonido doppler color en la caracterizacion de la enfermedad aterosclerotica carotidea oclusiva sintomática. Revista Chilena de Radiología. Vol. 15 Nº 3,2009:110-121.
16. Flumignan C, Flumignan R, Navarro T. Estenose de carótida extracraniana: revisão baseada em evidências. Rev. Col. Bras. Cir. vol.44 no.3 Rio de Janeiro May/June 2017.
17. Luo X, Yang Y, Cao T, Li Z. Differences in left and right carotid intima-media thickness and the associated risk factors. Clinical Radiology, v. 66, n. 5, p. 393–398, 2011.
18. OPAS - Organização Pan-Americana da Saúde. Doenças Cardiovasculares. Disponível em: <https://www.paho.org/bra/index.php?option=com_content&view =article&id=5253:doencas-cardiovasculares&Itemid=1096>. Acesso em: 28 de agosto de 2017.
