Sonographic Assessment of Intima Media Thickness of Common Carotid Artery in Normotensive and Hypertensive Individuals

Shams, Rana Muhammad Athar Azeem; Naeem, Ahmed; Yousaf, Muhammad; Hanjra, Hasham Hafeez; Abidin, Syed Zain ul

doi:10.52229/ajahs.v2i1.289

Cited by 2 publications

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“…And it was also noted that hypertension altered cIMT. And in contrast to this, Shams et al 32 revealed no discernible change in the cIMT between the two patient groups (with and without hypertension). Their findings suggested that hypertension does not alter cIMT on its own.…”

Section: Discussionmentioning

confidence: 83%

Sonographic Assessment of Intima-Media Thickness of Carotid Arteries in Hypertensive and Diabetic Volunteers

Kanwal,

Shahid,

Bacha

2023

Journal of Diagnostic Medical Sonography

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Objective: Diabetes mellitus (DM) and hypertension are among the most common causes of arteriosclerotic diseases. Intima-media thickness is usually increased with arterial diseases and an increase in carotid intima-media thickness (cIMT) is associated with the presence and extent of coronary artery disease (CAD). This study was designed to sonographically compare the cIMT in hypertensive and DM patient volunteers. Materials and Methods: A case-control stratified study was conducted at Lahore imaging center. Patients were invited to the study had to more than 30 years of age, DM, and hypertension. Individuals from the same age group without hypertension and DM were invited as study controls. Patients with an endarterectomy, or other arterial interventional procedure, as well as a previous history of cardiovascular disease and stroke, were excluded. Results: The mean cIMT, within the right carotid artery was 0.53 mm for the control group, 0.69 mm for the DM group, 0.67 mm for the hypertensive group, and 0.98 mm for the DM and hypertensive patients. The mean cIMT of the left carotid artery was 0.56 mm for the control group, 0.7 mm for DM group, 0.68 mm for hypertensive group, and 1.01 mm for the DM and hypertensive patients. Conclusion: There was a significant difference between the mean cIMT among DM and non-DM individuals. The control group and the DM or hypertension group also differed significantly. However, a more significant difference was found in the mean cIMT within the common carotid artery of control group as well as those with both DM and hypertension.

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Section: Discussionmentioning

confidence: 83%

Sonographic Assessment of Intima-Media Thickness of Carotid Arteries in Hypertensive and Diabetic Volunteers

Kanwal,

Shahid,

Bacha

2023

Journal of Diagnostic Medical Sonography

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“…Age raises IMT. Like other atherosclerotic symptoms, IMT rises (17) . They investigated whether atherosclerotic carotid IMT is associated to changes in carotid baroreceptor sensitivity.…”

Section: Resultsmentioning

confidence: 96%

Increased Intima Media Thickness of Common Carotid Artery in Hypertensive and Pre-Hypertensive Patients – A Systematic Review

2022

JBAHS

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Background: Adult hypercholesteremic have thicker intima media of the common carotid arteries than controls. Atherosclerotic hypertension (HTN) is a substantial risk factor for cardiovascular and cerebrovascular diseases. HTN causes a fourfold rise in the risk of stroke, and this risk is significantly greater when associated with other risk factors that cause fatal conditions. Objective: To determine the increased thickness of inner lumen of common carotid artery in hypertensive and pre-hypertensive patients. Method & Material: From 2003 to 2019, the following keywords were searched in PubMed, ProQuest, Google Scholar, and Research Gate: pre-hypertension, hypertension, IMT, and carotid arteries. The review only included studies that measured intima-media thickness. independently evaluated titles and abstracts of full-length related publications for inclusion and exclusion. The general consensus was fixed by the reviewer's differences. The included studies on the role of ultrasonography in thickened IMT diagnosis. Applicability and quality of studies were assessed using full-length journal data. After scanning databases, 73 papers were found; 14 were duplicates, 34 were irrelevant or lacking data, and 7 were eliminated based on title and abstract, a total of 18 studies were reviewed. This study excluded systematic reviews and meta-analyses in favor of original research publications. This review studies are all prospective. Result: Intima media thickness increases with hypertension in 18 studies. Age increased the intimal medial thickness (r=0.6, P=.000). Patients with atherothrombotic changes had higher IMT than those without it. Each patient's sensitivity and specificity were averaged out. With or without plaque, ultrasonography had 87.5 sensitivity. Diverse study designs and analysis precluded pooled calculations. Conclusion: IMT increases with ageing. IMT also increases in people with other atherosclerosis symptoms including plaque development. IMT thickening occurs in even normotensive person. However, hypertension has no effect on IMT. Hypertension accelerates the severity of IMT and atherosclerosis.

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Sonographic Assessment of Intima Media Thickness of Common Carotid Artery in Normotensive and Hypertensive Individuals

Abstract: Intimal medial thickness (IMT) is associated with many cardiovascular diseases as atherosclerosis, coronary artery disease, stroke and hypertension etc. Intimal medial thickness of common carotid arteries (CCA) canbe measured by high-resolution modality i.e, B-Mode Ultrasonography.

Cited by 2 publications

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Sonographic Assessment of Intima-Media Thickness of Carotid Arteries in Hypertensive and Diabetic Volunteers

Sonographic Assessment of Intima-Media Thickness of Carotid Arteries in Hypertensive and Diabetic Volunteers

Increased Intima Media Thickness of Common Carotid Artery in Hypertensive and Pre-Hypertensive Patients – A Systematic Review

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