ATEROSCLEROSE DE CARÓTIDA: ASSOCIAÇÃO ENTRE O LADO ACOMETIDO COM FATORES DE RISCO E DOENÇAS SISTÊMICAS
DOI:
https://doi.org/10.29237/2358-9868.2018v6i2.p82-88Keywords:
Carotid atherosclerosis, ultrasonography doppler, risk factorsAbstract
Introduction: Atherosclerosis is a degenerative disease of multicausal etiology. Different risk factors (genetic and acquired) acting together can determine its occurrence. Objective: Considering the epidemiological importance of atherosclerosis, it was decided to study it by ultrasonography and to observe its association between the affected side (right, left, both sides) with risk factors, such as: age, gender, arterial hypertension, smoking and diabetes mellitus. Methodology: The data were obtained from the analysis of service forms, provided by a private clinic in Imperatriz – MA, that offers the service of doppler of carotid, in the period from January to December 2016. The objective of the ultrasonography examination was to locate and quantify carotid atherosclerotic lesions. Result: 50 individuals were studied, whose age range varied from 42 to 86 years, with an average age of 69,72 years (± 9,43), of which 31 (62%) were female and 19 (38%) males. Of this population, 13 (26%) had diabetes mellitus, and 11 (22%) were smokers, 38 (76%) individuals were hypertensive and 22 (44%) had previous history of stroke. Conclusion: Although the studies show diferences in the degree of atherosclerotic development when compared to the side of the carotid artery, there is no specific correlation between the side affected (right, left, both sides) with the risk factors (gender, smoking) and systemic diseases (stroke, diabetes mellitus and arterial hypertension).
References
2 - de Groot E, Hovingh GK, Wiegman A, Duriez P, Smit AJ, Fruchart JC, et al. Measurement of arterial wall thickness as a surrogate marker for atherosclerosis. Circulation. 2004;109(23 Suppl 1):III33-8.
3 - Freitas P de, Piccinato CE, Martins W de P, Mauad Filho F. Aterosclerose carotídea avaliada pelo eco-Doppler: associação com fatores de risco e doenças arteriais sistêmicas. J Vasc Bras. 2008;7(4):298-307.
4 - Guyton AC, Hall JE. Tratado de Fisiologia Humana. 13th ed. Rio de Janeiro: Elsevier; 2017.
5 - Isolan GR, Pereira AH, Aguiar PHP de, Antunes ACM, Mousquer JP, Pierobon MR. Anatomia microcirúrgica da artéria carótida externa: um estudo estereoscópico. J Vasc Bras. 2012;11(1):3-11.
6 - Geschwind N. The organization of language and the brain. Science. 1970;170(3961):940-44.
7 - Davis PH, Dawson JD, Riley WA, Lauer RM. Carotid intimal-medial thickness is related to cardiovascular risk factors measured from childhood through middle age: The Muscatine Study. Circulation. 2001;104(23):2815-19.
8 - Oren A, Vos LE, Uiterwaal CSPM, Grobbee DE, Bots ML. Cardiovascular risk factors and increased carotid intima-media thickness in healthy young adults. Arch Intern Med. 2003;163(15):1787-92.
9 - Mourgela S, Anagnostopoulou S, Sakellaropoulos A, Spanos A. Dolichoectatic cervical arteries (carotid and vertebral arteries) heralded by recurrent cerebral ischemia: case illustration. Angiology. 2008;59(1):107-10.
10 - McTigue K, Kuller L. Cardiovascular risk factors, mortality, and overweight. JAMA. 2008;299(11):1260–61.
11 - 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.
12 - Freire CMV, Alcantara ML de, Santos SN dos, Amaral SI do, Veloso O, Porto CLL, et al. Recomendação para a quantificação pelo ultrassom da doença aterosclerótica das artérias carótidas e vertebrais: grupo de trabalho do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia – DIC – SBC. Arq Bras Cardiol: Imagem cardiovasc. 2015;28(nº especial):1-64.
13 - IBM Corp. Released 2013. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.
14 - Callegari-jacques SM. Bioestatística - princípios e aplicações. 1st ed. Porto Alegre: Artmed; 2003.
15 - Joakimsen O, Bonaa KH, Stensland-Bugge E, Jacobsen BK. Age and sex differences in the distribution and ultrasound morphology of carotid atherosclerosis: The Tromsø Study. Arterioscler Thromb Vasc Biol. 1999;19(12):3007-13.
16 - Luo X, Yang Y, Cao T, Li Z. Differences in left and right carotid intima-media
thickness and the associated risk factors. Clin Radiol. 2011;66(5):393-98.
17 - Filardi V. Carotid artery stenosis near a bifurcation investigated by fluid dynamic analyses. Neuroradiol J. 2013;26(4):439-53.
18 - Xu C, Yuan C, Stutzman E, Canton G, Comess KA, Beach KW. Quest for the vulnerable atheroma: carotid stenosis and diametric strain—A Feasibility Study. Ultrasound Med Biol. 2016;42(3):699–716.
19 - Fragata I, Galo S, Manita M, Ferreira S, Reis J. Prevalência de doença carotídea na patologia cérebro-vascular isquêmica: O papel do eco-doppler. Acta Med Port. 2006;19:446-50.