CORRELATION OF CAROTID ARTERY INTIMA MEDIA THICKNESS WITH CORONARY ARTERY DISEASE
Abstract
Introduction: Cardiovascular diseases generally go undiagnosed before the onset of symptoms andtherefore thereis a need for modalitie sthat are reliable, cost-effective, easy to perform, with minimal limitation sand that canact as earlyindicators of Coronary Artery Disease. In recent years, a multitude of studies have focused on Carotid Artery Intima Media Thickness (CAIMT) as an earlypredictor of Coronary Artery Disease
(CAD). This studyaims to find the co-relation between CAIMT and CAD.
Materials and Methods: This observational prospectivestudy includes all adult patients diagnosed with Coronary Artery Disease on catheter angiography , after taking a written informed consent from the patient ,they were included in the study.
Results :Total out of 50 patientsMean CIMT >0.902mm was indicated to coronary artery disease with sensitivity of 75.0%, specificity of 83.3% and accuracy was 80.7%.
Conclusion: Increased carotid intima media thickness is a marker for coronary artery disease. It may haveconsiderable importance as a screening tool for coronary artery disease and may improve risk stratification.
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Pignoli P, Tremoli E, Poli A, Oreste P, Paoletti R. Intimal plus medial thickness of the arterial wall: A direct measurement with ultrasound imaging Circulation.1986;74:1399–6.
Salonen, Jukka T., and RiittaSalonen. Ultrasonographically assessed carotid morphology and the risk of coronary heart disease. Arteriosclerosis, Thrombosis, and Vascular Biology 11.5 (1991): 1245-1249.
Van der Meer, Irene M., et al. Predictive Value of Noninvasive Measures of Atherosclerosis for Incident Myocardial Infarction The Rotterdam Study. Circulation 109.9 (2004): 1089-1094.
Lloyd-Jones D, Adams RJ, Brown TM, et al. Heart disease and stroke statistics—2010 update: a report from the American Heart Association. Circulation. 2010 Feb 23;121(7):e46-e215.
Tavakol M, Ashraf S, Brener SJ. Risks and complications of coronary angiography: a comprehensive review. Global Journal of Health Science. 2012 Jan;4(1):65-93.
Skelly AC, Hashimoto R, Buckley DI, et al. Noninvasive Testing for Coronary Artery Disease .Comparative Effectiveness Reviews, No. 171. Rockville (MD): Agency for Healthcare Research and Quality (US) 2016 Mar.
Taylor A, Merz C, Udelson J. Executive summary-can atherosclerosis imaging techniques improve the detection of patients at risk for ischemic heart disease?.JAme Coll Cardiol. 2003;41(11):1860-2.
Gallino A, Aboyans V, Diehm C, Cosentino F, Stricker H, Falk E. Non-coronary atherosclerosis. European Heart J. 2014;35(17):1112-9.
Linhart A, Gariepy J, Giral P, Levenson J, Simon A. Carotid ar¬tery and left ventricular structural relationship in asymp¬tomatic men at risk for cardiovascular disease. Atherosclerosis. 1996;127(1):103–12.
Mathew JE, S.R Tankiwale, Acharya S. Co-Relation of Carotid Artery Intima Media Thickness with Coronary Artery Disease IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)e-ISSN:.2016;Vol.15:12:30-33.
Asif S. Wani, Zafirah, Samia Rashid, Hanief M. Tantray., Carotid intima-media thickness as a marker for assessing the severity of coronary artery disease on coronary angiography Wani AS et al. Int J Res Med Sci. 2018 ;6(4):1283-1287.
Saedi S, Ghadrdoost B, Pouraliakbar H, Zahedmehr A, Jebelli A. The association between increased carotid intima-media thickness and SYNTAX Score in coronary artery disease: A single center study. Indian Heart J. 2018 ;70(5):627-629.
Rosa EM,Kramer C, Castro IAssociation between coronary artery atherosclerosis and the intima-media thickness of the common carotid artery measured on ultrasonography.Arq Bras Cardiol. 2003;80(6):589-92.
Haris M, Hariawan H, Ismail MT, Wahab AS., Correlation between Carotid Intimal-Media Thickness and Coronary Artery Disease Severity in Stable Coronary Artery Disease Patients Acta CardiologiaIndonesiana 2018;Vol.3:2:81-88.
Kaul S, Alladi S, Mridula RK, Bandaru SV, Boddu DB, Anjanikumar D, Umamashesh M. Prevalence and risk factors of carotid intima-media thickness in asymptomatic individual subjects in a tertiary care center in India. Ann Indian AcadNeurol 2015;18:430-4.
Lankarani KB; Ghaffarpasand F; Mahmoodi M; khalili MD, Honarvar B; Lotfi M et al. Predictors of Common Carotid Artery Intima-Media Thickness and Atherosclerosis in a Sample of Iranian General Population. Shiraz E-Med J. 2015;16(5):279-06.
Coskun, Ugur, et al. Relationship between carotid intima-media thickness and coronary angiographic findings: a prospective study. Cardiovascular ultrasound 2009;7(1):1.
Haffner SM, Agostino RD, Saad MF, O’Leary DH, Savage PJ, Rewers M, et al. Carotid artery atherosclerosis in type-2 diabetic and non-diabetic subjects with and without symptomatic coronary artery disease (The Insulin Resistance Atherosclerosis Study). Am J Cardiol. 2000;85(12):1395-400.
Geroulakos G et al, et al. "The carotid intima-media thickness as a marker of the presence of severe symptomatic coronary arterydisease." European Heart Journal 1994;15(6):781-785.
Mitsuhashi N, Onuma MT, Kubo MS, Coronary Artery Disease And Carotid Artery Intima-Media Thickness In Japanese Type 2 Diabetic Patients diabetes care, 2002;Vol.25:8:1308-1312.
Adams MR, Nakagomi A, Keech A, Robinson J, McCredie R, Freedman SB, Celermajer DS: Carotid intima-media thickness is only weakly correlated with the extent and severity of coronary artery disease. Circulation 1995; 92:2127–2134.
Mack WJ, LaBree L, Liu CR, Liu CH, Selzer RH, Hodis HN: Correlation between measures of atherosclerosis change using carotid ultrasonography and coronary angiography. Atherosclerosis 2000;150:371–379.
Chambless L.E., Heiss G., Folsom A.R., Rosamond W., Szklo M., Sharrett A.R., et al. 1997. Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors : The Atherosclerosis Risk in Communities ( ARIC ) Study, 1987- 1993. Am J Epidemiol. 1997;146:483-494.
Smith SC, Amsterdam E, et al. Prevention Conference V: Beyond secondary prevention: Identifying the high-risk patient for primary prevention: Tests for silent and inducible ischemia: Writing Group II. Circulation. 2000;101:12–6.
Stein JH, Korcarz CE, Hurst RT, Lonn E, Kendall CB, Mohler ER, et al. Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American society of echocardiography carotid intima-media thickness task force. Endorsed by the society for vascular medicine. J Am Soc Echocardiogr. 2008;21(2):93–111.
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