Prevalence of atherosclerotic stenosis of carotid and cerebral arteries in patients with stable or unstable coronary artery disease

Abstract

studies, large international registries, and postmortem studies. [4][5][6][7][8] Polyvascular atherosclerosis in patients with single or multifocal clinical manifestations is associated with unfavorable clinical outcomes. [4][5][6]9 Atherosclerotic lesions in the carotid arteries and the thickness of the intima -media complex are recognized predictors of cardiovascular events in patients with symptomatic or asymptomatic ischemic heart disease and of complications during coronary angiography and coronary artery bypass graft (CABG) surgery. 3,10 -13 IntroductIon Atherosclerosis is a systemic arterial disease; however, the mechanisms underlying the formation, development, and destabilization of concomitant lesions observed in arteries of various calibers and varying reactivity parameters remain unclear. 1-3The involvement of arteries from different vascular areas indicates a significant burden of the atherosclerotic process, even if patients have never experienced any clinical symptoms of atherosclerosis. The coexistence of atherosclerosis in the coronary arteries, carotid arteries, and other vascular territories has been proven in clinical

Coronary Artery Magnetic Resonance Angiography Combined with Computed Tomography Angiography in Diagnosis of Coronary Heart Disease by Reconstruction Algorithm

“…Such findings show similarity to the results of Puz et al. [ 25 ], which may be due to the noninvasive inspection method of CTA, which is suitable for the degree of stenosis of coronary arteries and their branches. MRA can obtain electromagnetic signals, which is suitable for identifying the branch of coronary artery disease, assessing the degree of branch obstruction, and judging the severity of the disease.…”

Clinical Significance of Carotid Intima-Media Complex and Carotid Plaque Assessment by Ultrasound for the Prediction of Adverse Cardiovascular Events in Primary and Secondary Care Patients

“…In the general population of individuals aged 30–79 years, the global prevalence of increased CIMT and carotid plaque is estimated to be 27.6% (16.9% to 41.3%) and 21.1% (13.2% to 31.5%), respectively [ 62 , 63 ]. Multisite arterial disease is common in patients with atherosclerotic involvement in one vascular bed, ranging from 10% to 15% in patients with CAD to 60% to 70% in patients with severe carotid stenosis or PAD [ 64 , 65 ].…”

Elective aortic arch surgery: cerebral perfusion flows and transient neurological dysfunctions

“…It might be speculated that these characteristics reflect the presence of a cerebrovascular atherosclerosis that could increase the risk of postoperative cerebral dysfunctions. 22,23 The main limitations of this study are its retrospective design and the small sample analyzed. Moreover, it may be considered that the cerebral blood flow during sACP could be affected by many other factors, including the cerebrovascular resistance, the cerebral electrophysiological activity, the haematocrit, the PaCO 2 , the anaesthetics, the catecholamines and the vasodilators.…”

“…Systemic hypertension and the presence of coronary artery disease were significantly associated with the onset of TND. It might be speculated that these characteristics reflect the presence of a cerebrovascular atherosclerosis that could increase the risk of postoperative cerebral dysfunctions 22,23 …”