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[Ultrasonic Doppler sonography of patients with cardiovascular diseases]
Insights
This study found that 70.54% of patients with cardiovascular diseases like hypertonic disease and ischemic heart disease (IHD) showed significant pathology in their main cerebral arteries. These findings correlate with minor neurological symptoms.
Area of Science:
- Vascular Neurology
- Cardiology
- Medical Imaging
Context:
- Cardiovascular diseases, including hypertonic disease and ischemic heart disease (IHD), are prevalent.
- Cerebral artery pathology significantly impacts patient outcomes.
- Ultrasound doppler sonography is a key diagnostic tool.
Purpose:
- To investigate the prevalence of main cerebral artery pathology in patients with cardiovascular diseases.
- To correlate sonographically detected vascular lesions with minor neurological symptoms.
Summary:
- 129 patients with cardiovascular diseases underwent ultrasound doppler sonography of internal carotid and vertebral arteries.
- Pathological findings (hemodynamic insufficiency, stenoses, occlusions) were identified in 70.54% of patients.
- Cerebral artery lesions were most common in patients with combined hypertonic disease and IHD (80%), followed by IHD (75.5%) and hypertonic disease (65.2%).
Impact:
- Highlights the high incidence of cerebral artery pathology in cardiovascular patients.
- Establishes a link between vascular lesions and neurological symptoms.
- Informs clinical practice regarding risk stratification and diagnostic approaches for cardiovascular patients.
Abstract:
The object of the study were 129 patients (53 male and 76 female), with an average age of 59.3. The youngest patient was 34 years old and the oldest--86. Clinically and paraclinically diseases of the cardiovascular system were confirmed in them: 69 with hypertonic disease, 45 with ischemic heart disease (IHD) and 15 with a combination of both the diseases. The condition of the internal carotid and vertebral arteries was studied by ultrasound doppler sonography. Data for pathological main vessels were established in 91 of the patients (70.54%): sonographically established insufficiency in hemodynamics, stenoses and occlusions. Data about I main vessel affected were established in 49 patients, 2--in 24 patients and 2 and 4 vessels--in 18 patients. Most frequent proved to be the main cerebral lesions in subjects with hypertonic disease and IHD (80%), followed by those with IHD (75.5%) and hypertonic disease (65.2%). A correlation was performed between the sonographically established pathology of cerebral main vessels and the minor objective neurological symptoms.