Prevalence and correlates of carotid atherosclerosis among elderly Japanese men

Akihiko Kitamura1, Hiroyasu Iso, Hironori Imano

  • 1Osaka Medical Center for Health Science and Promotion, 1-3-2 Nakamichi, Higashinari-ku, Osaka 537-0025, Japan. xkita@kenkoukagaku.jp

Atherosclerosis
|March 17, 2004
PubMed

Insights

Intima-media thickness (IMT) and carotid artery diameter were measured in elderly Japanese men. Increased IMT and diameter were linked to cardiovascular risk factors, suggesting carotid atherosclerosis may predict stroke risk.

Area of Science:

  • Cardiovascular Medicine
  • Gerontology
  • Medical Imaging

Background:

  • Carotid atherosclerosis is a significant indicator of cardiovascular disease.
  • Understanding the relationship between carotid artery measures and risk factors is crucial for preventative strategies.

Purpose of the Study:

  • To determine intima-media thickness (IMT) and carotid artery diameter in elderly Japanese men.
  • To estimate correlations between these measures and cardiovascular risk factors.
  • To assess the potential of carotid atherosclerosis as a stroke predictor.

Main Methods:

  • A cardiovascular risk survey was conducted on 1129 men aged 60-74 years in three Japanese communities.
  • Intima-media thickness (IMT) and carotid artery diameter were measured.
  • Multivariate logistic regression analysis was used to assess associations with risk factors.

Main Results:

  • Increased IMT in the common carotid artery (CCA) was associated with age, hypertension, serum total cholesterol, and history of stroke.
  • Increased IMT in the internal carotid artery (ICA) was associated with age, hypertension, current smoking, and history of stroke.
  • Age, hypertension, smoking, and history of coronary heart disease were independent determinants of CCA diameter.

Conclusions:

  • Carotid atherosclerosis, indicated by IMT and diameter, is associated with multiple cardiovascular risk factors in elderly Japanese men.
  • Carotid atherosclerosis may serve as a risk factor for stroke in this population.
  • Further prospective studies are needed to confirm these findings.

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