Prevalência de estenose carotídea em pacientes com indicação de cirurgia de revascularização miocárdica

Rosa, Marcelo Pereira da; Portal, Vera Lúcia

doi:10.1590/s0066-782x2010005000002

Cited by 7 publications

(5 citation statements)

References 37 publications

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“…In the current cohort, the prevalence of significant carotid disease of 19.9% was similar to that from the literature, which values range between 4-18.7% 14,15 . The prevalence of unilateral occlusion (2%) was higher than that from the literature (0.06%), however there were no cases of bilateral occlusion, which prevalence is estimated at 0.04%.…”

Section: Discussionsupporting

confidence: 88%

Influence of Carotid Injury in Post-Myocardial Revascularization Surgery and Its Late Evolution

Revelo¹,

Oliveira²,

Arantes³

et al. 2013

Arquivos Brasileiros De Cardiologia

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Section: Discussionsupporting

confidence: 88%

Influence of Carotid Injury in Post-Myocardial Revascularization Surgery and Its Late Evolution

Revelo¹,

Oliveira²,

Arantes³

et al. 2013

Arquivos Brasileiros De Cardiologia

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“…According to Quinton et al, the FMD at one minute of the cuff deflation was not different between the GH and PE in women who were not receiving any medication, while there were statistical differences between these groups when women were receiving medical treatment [ 25 ]. Nevertheless, in a prospective study conducted by Filho et al, they did not find differences in FMD of the brachial artery in patients with two different forms of hypertensive disorders of pregnancy [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Preeclampsia Is Associated with Increased Central Aortic Pressure, Elastic Arteries Stiffness and Wave Reflections, and Resting and Recruitable Endothelial Dysfunction

Torrado

Farro

Zócalo

et al. 2015

International Journal of Hypertension

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Introduction. An altered endothelial function (EF) could be associated with preeclampsia (PE). However, more specific and complementary analyses are required to confirm this topic. Flow-mediated dilation (FMD), low-flow-mediated constriction (L-FMC), and hyperemic-related changes in carotid-radial pulse wave velocity (PWVcr) offer complementary information about “recruitability” of EF. Objectives. To evaluate, in healthy and hypertensive pregnant women (with and without PE), central arterial parameters in conjunction with “basal and recruitable” EF. Methods. Nonhypertensive (HP) and hypertensive pregnant women (gestational hypertension, GH; preeclampsia, PE) were included. Aortic blood pressure (BP), wave reflection parameters (AIx@75), aortic pulse wave velocity (PWVcf) and PWVcr, and brachial and common carotid stiffness and intima-media thickness were measured. Brachial FMD and L-FMC and hyperemic-related change in PWVcr were measured. Results. Aortic BP and AIx@75 were elevated in PE. PE showed stiffer elastic but not muscular arteries. After cuff deflation, PWVcr decreased in HP, while GH showed a blunted PWVcr response and PE showed a tendency to increase. Maximal FMD and L-FMC were observed in HP followed by GH; PE did not reach significant arterial constriction. Conclusion. Aortic BP and wave reflections as well as elastic arteries stiffness are increased in PE. PE showed both “resting and recruitable” endothelial dysfunctions.

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“…FMD was also lower in preeclamptic women with an abnormal uterine artery Doppler at diagnosis, compared to preeclamptic women with a normal uterine artery Doppler [66]. However, FMD did not differ among women with normotensive pregnancies, mild preeclampsia and severe preeclampsia [67], or between women with preeclampsia and women with preeclampsia superimposed on chronic hypertension [79]. …”

Section: Fmd and Preeclampsiamentioning

confidence: 99%

Flow-Mediated Dilation: Can New Approaches Provide Greater Mechanistic Insight into Vascular Dysfunction in Preeclampsia and Other Diseases?

Weissgerber

2014

Curr Hypertens Rep

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Endothelial dysfunction is a key feature of preeclampsia, and may contribute to increased cardiovascular disease risk years after pregnancy. Flow-mediated dilation (FMD) is a non-invasive endothelial function test that predicts cardiovascular event risk. New protocols allow researchers to measure three components of the FMD response: FMD, low flow-mediated constriction and the shear stimulus. This review encourages researchers to think beyond “low FMD” by examining how these three components may provide additional insights into the mechanisms and location of vascular dysfunction. The review then examines what FMD studies reveal about vascular dysfunction in preeclampsia, while highlighting opportunities to gain greater mechanistic insight from new protocols. Studies using traditional protocols show that FMD is low in mid-pregnancy prior to preeclampsia, at diagnosis, and for three years post-partum. However, FMD returns to normal by ten years post-partum. Studies using new protocols are needed to gain more mechanistic insight.

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Prevalência de estenose carotídea em pacientes com indicação de cirurgia de revascularização miocárdica

Abstract: Background: Although the carotid stenosis is the main cause of cerebrovascular accident, the prevalence of clinically significant stenosis (≥50%) remains unknown in our country, mainly in individuals with a surgical indication for elective myocardial revascularization surgery.

Cited by 7 publications

References 37 publications

Influence of Carotid Injury in Post-Myocardial Revascularization Surgery and Its Late Evolution

Influence of Carotid Injury in Post-Myocardial Revascularization Surgery and Its Late Evolution

Preeclampsia Is Associated with Increased Central Aortic Pressure, Elastic Arteries Stiffness and Wave Reflections, and Resting and Recruitable Endothelial Dysfunction

Flow-Mediated Dilation: Can New Approaches Provide Greater Mechanistic Insight into Vascular Dysfunction in Preeclampsia and Other Diseases?

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