Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva

Background: Hispanics have a greater incidence of stroke and prevalence of intracranial atherosclerosis than whites. Aim: To study the prevalence of extracranial atherosclerosis among patients admitted to a hospital with an ischemic stroke. Material and methods: A prospective study in stroke patient...

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Autores principales:	Díaz T,Violeta, Plate B,Ludwig, Erazo A,Sandra, Cumsille G,Miguel A, Venegas F,Pablo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Carotid artery thrombosis Carotid stenosis Cerebrovascular disorders
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000200006
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spelling	oai:scielo:S0034-988720010002000062001-04-09Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusivaDíaz T,VioletaPlate B,LudwigErazo A,SandraCumsille G,Miguel AVenegas F,Pablo Carotid artery thrombosis Carotid stenosis Cerebrovascular disorders Background: Hispanics have a greater incidence of stroke and prevalence of intracranial atherosclerosis than whites. Aim: To study the prevalence of extracranial atherosclerosis among patients admitted to a hospital with an ischemic stroke. Material and methods: A prospective study in stroke patients admitted to a Neurology ward in a University Hospital. All were subjected to a CT scan, carotid duplex-Doppler ultrasonographic examination with Doppler measurement of blood flow velocity, permeability and plaques. Cardiac emboli were searched with transthoracic and transesophagic echocardiography. Results: One hundred ten patients (39 women), aged 67.5±11.4 years old were studied. Stroke was atherothrombotic in 46 (41.8%), embolic in 30 (27.3%), lacunar in 27 (24.6%) and of other type in 7 (6.4%). Ninety two patients (84.4%) had high blood pressure, 38% had high cholesterol levels, 35% had a cardiac disease and 26% were smokers. Thirty five subjects (31.8%) had a normal carotid ultrasonography, 46 (41.8%) had mural plaques, 16 (14.5%) had multiple plaques without occlusion, 13 (11.8%) had a partial occlusion and 7 (6,4%) had a total occlusion. Logistic regression analysis disclosed no significant relationship between stroke types and carotid atherosclerosis. Age was the only significant predictor for carotid atherosclerosis. Conclusions: The prevalence of severe carotid atherosclerosis in this group of stroke patients was less than expected (Rev Méd Chile 2001; 129: 161-5).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.2 20012001-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000200006es10.4067/S0034-98872001000200006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Carotid artery thrombosis Carotid stenosis Cerebrovascular disorders
spellingShingle	Carotid artery thrombosis Carotid stenosis Cerebrovascular disorders Díaz T,Violeta Plate B,Ludwig Erazo A,Sandra Cumsille G,Miguel A Venegas F,Pablo Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
description	Background: Hispanics have a greater incidence of stroke and prevalence of intracranial atherosclerosis than whites. Aim: To study the prevalence of extracranial atherosclerosis among patients admitted to a hospital with an ischemic stroke. Material and methods: A prospective study in stroke patients admitted to a Neurology ward in a University Hospital. All were subjected to a CT scan, carotid duplex-Doppler ultrasonographic examination with Doppler measurement of blood flow velocity, permeability and plaques. Cardiac emboli were searched with transthoracic and transesophagic echocardiography. Results: One hundred ten patients (39 women), aged 67.5±11.4 years old were studied. Stroke was atherothrombotic in 46 (41.8%), embolic in 30 (27.3%), lacunar in 27 (24.6%) and of other type in 7 (6.4%). Ninety two patients (84.4%) had high blood pressure, 38% had high cholesterol levels, 35% had a cardiac disease and 26% were smokers. Thirty five subjects (31.8%) had a normal carotid ultrasonography, 46 (41.8%) had mural plaques, 16 (14.5%) had multiple plaques without occlusion, 13 (11.8%) had a partial occlusion and 7 (6,4%) had a total occlusion. Logistic regression analysis disclosed no significant relationship between stroke types and carotid atherosclerosis. Age was the only significant predictor for carotid atherosclerosis. Conclusions: The prevalence of severe carotid atherosclerosis in this group of stroke patients was less than expected (Rev Méd Chile 2001; 129: 161-5).
author	Díaz T,Violeta Plate B,Ludwig Erazo A,Sandra Cumsille G,Miguel A Venegas F,Pablo
author_facet	Díaz T,Violeta Plate B,Ludwig Erazo A,Sandra Cumsille G,Miguel A Venegas F,Pablo
author_sort	Díaz T,Violeta
title	Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
title_short	Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
title_full	Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
title_fullStr	Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
title_full_unstemmed	Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
title_sort	prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000200006
work_keys_str_mv	AT diaztvioleta prevalenciadelaateromatosiscarotideaenpacientesconenfermedadcerebrovascularoclusiva AT platebludwig prevalenciadelaateromatosiscarotideaenpacientesconenfermedadcerebrovascularoclusiva AT erazoasandra prevalenciadelaateromatosiscarotideaenpacientesconenfermedadcerebrovascularoclusiva AT cumsillegmiguela prevalenciadelaateromatosiscarotideaenpacientesconenfermedadcerebrovascularoclusiva AT venegasfpablo prevalenciadelaateromatosiscarotideaenpacientesconenfermedadcerebrovascularoclusiva
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Prevalencia de la ateromatosis carotídea en pacientes con enfermedad cerebro vascular oclusiva

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