Carotid atherosclerosis in ischemic cerebrovascular patients
Ai Juan Zhang1, Ai Yuan Zhang, Chi Zhong
1Department of Neurology, Weifang People's Hospital affiliated to Weifang Medical Colllege, Shandong, China, 261041.
Insights
Cerebral ischemic stroke patients show higher prevalence of carotid atherosclerosis and unstable plaques. Early detection of carotid artery disease is crucial for preventing strokes.
Area of Science:
- Vascular Medicine
- Neurology
- Cardiology
Background:
- Cerebral emboli from carotid bifurcation atherosclerosis are a primary cause of ischemic stroke.
- Prompt evaluation of carotid artery disease is essential for secondary stroke prevention and treatment.
- Keywords: Carotid artery, Atherosclerosis, Intima-media thickness, Cerebral ischemic stroke.
Purpose of the Study:
- To investigate the association between carotid atherosclerosis and cerebral ischemic events.
- To compare the prevalence and characteristics of atherosclerosis in patients with and without cerebral ischemic events.
Main Methods:
- A cross-sectional study enrolled 138 patients with cerebral ischemic events and 100 controls with nonischemic cerebral diseases.
- Noninvasive ultrasound was utilized to measure atherosclerotic plaques and intima-media thickness (IMT) in carotid and femoral arteries.
Main Results:
- Patients with cerebral ischemic events exhibited a higher incidence and severity of carotid and femoral plaques.
- Significantly higher mean intima-media thickness (IMT) was observed at both carotid and femoral sites in the study group (p < 0.01).
- Carotid atherosclerosis in the study group showed a higher propensity for unstable plaques (p < 0.001).
Conclusions:
- The prevalence of carotid atherosclerosis and unstable plaques is elevated in patients experiencing cerebral ischemic events.
- Findings highlight the critical role of carotid artery assessment in patients with ischemic stroke.
Background:
Cerebral emboli resulting from atherosclerosis at the carotid bifurcation is a major cause of ischemic stroke. A convenient and prompt evaluation is necessary for secondary prevention and treatment.
Methods:
In this study, one hundred and thirty eight patients with cerebral ischemic events were enrolled; 100 patients with nonischemic cerebral diseases were enrolled as controls. Noninvasive ultrasound was used to measure the atherosclerotic plaques and intima-media thickness (IMT) of carotid and femoral artery.
Results:
Our results showed that patients in study group had higher incidence and severity of carotid and femoral plaques, and higher mean intima-media thickness (IMT) at both the carotid and femoral sites compared with that of controls (p < 0.01). Carotid atherosclerosis were highly prone to have instability plaques in study group(p < 0.001).
Conclusions:
This cross-sectional study showed that, the prevalence of carotid atherosclerosis and the unstable plaques were higher in cerebral ischemic patients.
Keywords:
Carotid artery; Atherosclerosis; Intima-media thickness; Cerebral ischemic stroke.
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