Relationship Between Carotid Disease on Ultrasound and Coronary Disease on CT Angiography

Cohen, Gerald I.; Aboufakher, Rabeea; Bess, Renee; Frank, John J.; Othman, Mahmoud; Doan, Dennis; Mesiha, Nancy; Rosman, Howard; Szpunar, Susan

doi:10.1016/j.jcmg.2013.06.007

Cited by 89 publications

(68 citation statements)

References 30 publications

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“…1,2 The progression of atherosclerosis in the arteries can cause myocardial and cerebral infarction, which is a great burden to the global aging society. 3 The correlation between coronary and extracranial artery atherosclerosis has been extensively explored in previous studies that reported a positive interrelation in atherosclerotic burden 4,5 and clinical events 6-9 between 2 arteries. However, relatively little is known about the association between coronary and intracranial artery atherosclerosis.…”

mentioning

confidence: 99%

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Chung

Bang

Lee

et al. 2016

Stroke

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Based on 339 consecutive autopsies of patients with fatalBackground and Purpose-Atherosclerosis is a systemic disease, and both coronary and intracranial atherosclerosis are common in the elderly. Unlike coronary artery disease (CAD), intracranial atherosclerotic disease can cause intracranial atherosclerotic stroke by branch occlusive disease (B-type) and coronary-type rupture of plaque (C-type). We hypothesized that plaque characteristics of intracranial arteries are associated with those of coronary arteries. Methods-Eighty-one patients with acute cerebral infarcts caused by intracranial atherosclerotic disease without history of CAD were analyzed. Asymptomatic CAD burden (number and degree of stenosis) and plaque characteristics (calcified, mixed, and noncalcified) were measured with multidetector computed tomography, whereas the asymptomatic intracranial atherosclerotic disease burden was measured using magnetic resonance angiography. The symptomatic intracranial artery was analyzed using high-resolution magnetic resonance imaging for vascular morphology (stenosis degree, remodeling index, and wall index) and plaque activation (enhancement pattern and volume). Results-The asymptomatic CAD burden was correlated with the asymptomatic intracranial atherosclerotic disease burden.The overall CAD burden did not differ between B-and C-type intracranial atherosclerotic stroke. However, the prevalence of noncalcified coronary plaque was much higher in C-type intracranial atherosclerotic stroke and the presence of coronary noncalcified plaque was independently associated with C-type intracranial atherosclerotic stroke (odds ratio, 3.38; 95% confidence interval, 1.05-10.85; P=0.041). As the number of coronary noncalcified plaques increased, positive remodeling and plaque enhancement increased in the symptomatic intracranial artery on high-resolution magnetic resonance imaging. Conclusions-Plaques

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confidence: 99%

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Chung

Bang

Lee

et al. 2016

Stroke

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“…18,20,21,23 It is possible that these coronary calcification studies observed a part corresponding to the previously mentioned first half in the carotid calcium formation, in particular, a rising symptomatic rate until the calcium score of 400. It is conceivable that carotid arteries that have larger vascular walls can hold more calcification or calcified nodules 37 with higher calcium scores than coronary arteries that have smaller walls.…”

Section: Discussionmentioning

confidence: 87%

“…22 Carotid intima-media thickness and plaque were also revealed to be associated with the presence and severity of coronary calcification and disease. 23 Concerning carotid artery calcification, however, most studies have suggested an inverse relationship between calcified carotid plaques and stroke or neurologic symptomatology, 2,7,24,25 although conflicting data have been reported. 26,27 These differences in outcomes have been ascribed to differences in vascular bed distribution and plaque types between coronary and carotid atherosclerosis, 28 but no convincing explanation has been demonstrated to date.…”

Section: Discussionmentioning

confidence: 99%

Calcified Carotid Plaques Show Double Symptomatic Peaks According to Agatston Calcium Score

Katano¹,

Mase²,

Nishikawa³

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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“…In fact, a study conducted by Cohen et al (33) compared the presence of carotid disease, evaluated using ultrasonography, and the presence of CAD, evaluated using CCTA. It showed that carotid plaque, in conjunction with C-IMT, correlates closely with the severity of coronary calcifications identified using CCTA.…”

Section: Discussionmentioning

confidence: 99%

Coronary artery calcium score and coronary computed tomography angiography for patients with asymptomatic polyvascular (non-coronary) atherosclerosis

Cecere¹,

Riccioni²,

Sforza³

et al. 2017

smedj

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Relationship Between Carotid Disease on Ultrasound and Coronary Disease on CT Angiography

Abstract: Carotid plaque and increased carotid IMT are associated with the presence and severity of coronary calcification and disease on CTA in ambulatory subjects.

Cited by 89 publications

References 30 publications

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Echoing Plaque Activity of the Coronary and Intracranial Arteries in Patients With Stroke

Calcified Carotid Plaques Show Double Symptomatic Peaks According to Agatston Calcium Score

Coronary artery calcium score and coronary computed tomography angiography for patients with asymptomatic polyvascular (non-coronary) atherosclerosis

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