The Relationship of Carotid Plaque, Intima Media Thickness (IMT), Resistivity Index (RI) and Pulsatility Index(PI) in Asian-Indian Patients with Acute Ischemic Stroke with and without Type2 DM

Das, Sidhartha; Chakrabarty, Kamalesh; Patnaik, Madhusmita; Roul, Laxmidhar; Mohanty, Jayashree; Singh, Sarat Chandra

doi:10.4236/ijcm.2011.25092

Cited by 6 publications

(5 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…showed the prevalence of DM was 38.7% among stroke patients [22]. Similar observation was reported by Nagaraja D et al from Bangalore i.e.…”

Section: Discussionsupporting

confidence: 78%

Morbidity Profile and Causes of Mortality in Type 2 Diabetes Patients: Data from a Tertiary Teaching Hospital from Eastern India

Behera¹,

Behera²,

Das³

et al. 2017

JDM

Self Cite

View full text Add to dashboard Cite

Background: Data regarding the prevalence of morbidity and mortality in patients of Type 2 Diabetes Mellitus (T2DM) is scanty in India. Objectives: To determine the prevalence of micro and macro vascular complications, acute metabolic complications, infections, Non Alcoholic Fatty Liver Disease (NAFLD) and cause of mortality in T2DM patients admitted to a tertiary care teaching hospital in Eastern India. Material and Methods: This was a hospital-based prospective study evaluating 150 T2DM patients admitted to a tertiary care institution in Eastern India. Diagnosis of micro and macro vascular complications, infections and NAFLD was made using standard protocols. In case of death, the most probable cause was noted. Results: Out of 150 patients, 14.7% of patients were newly diagnosed T2DM and out of them 41% of patients had vascular complications and 54.5% had infections. Of the total patients, 56% had nephropathy, 20% neuropathy, 17.3% retinopathy, 31.3% CVD, 11.3% CAD, 4.6% acute metabolic complications, 44% infections and 16.6% had NAFLD respectively. Macrovascular events occured earlier than microvascular complications. Multiple logistic regression analysis showed strong association of age, duration of diabetes, serum cholesterol, triglyceride, LDL-C with 196cause (51.5%: CVD 36.4%, CAD 15.1%) to be followed by infections (27.3%) and then chronic kidney disease (12.1%). Conclusions: This study highlights the high prevalence of vascular complications and infections in T2DM patients of Eastern India. CV-related deaths were principal causes of death, similar to that in developed world.

show abstract

“…showed the prevalence of DM was 38.7% among stroke patients [22]. Similar observation was reported by Nagaraja D et al from Bangalore i.e.…”

Section: Discussionsupporting

confidence: 78%

Morbidity Profile and Causes of Mortality in Type 2 Diabetes Patients: Data from a Tertiary Teaching Hospital from Eastern India

Behera¹,

Behera²,

Das³

et al. 2017

JDM

Self Cite

View full text Add to dashboard Cite

show abstract

“…[12] Present study also showed higher CIMT with multiple co morbidities and the difference was statistically significant. Similar findings were noted in Sahoo et al [8] Study done by Das et al [13] on Asian Indian stroke cases showed a higher IMT among diabetic stroke patients, but the study had lesser number of cases of ischemic stroke with age-matched controls. Similarly in the present study, the CIMT was significantly higher among hypertensive, smokers, and obese patients.…”

Section: Resultsupporting

confidence: 87%

Assessment of Carotid Intimal Medial Thickness (Cimt) in Young Patients With Ischemic Stroke: A Case Control Study

Bhana¹,

Chourasiya

Rathore

et al. 2021

IJMBS

View full text Add to dashboard Cite

Background: Incidence of ischemic stroke in younger patients in increasing leading to higher morbidity and mortality. Data on carotid intimal medial thickness (CIMT) as atherosclerotic marker in young ischemic stroke patients are scarce. Aims and Objective: To evaluate bilateral CIMT thickness and its correlation with various CVD risk factors in young ischemic stroke patients. Methods: Total 40 patients (15 to 45 age group) and age matched 40 controls were taken. Demographic profile and risk factors were evaluated. All subjects were taken for CIMT assessment by B mode ultrasonography scan in multiangle measurements in the common carotid artery (CCA), carotid bifurcation (BIF) and internal carotid artery (ICA). Results: 72.5% of patients were in 35- 45 years age group. Stroke incidence was higher in male. Age specific value of CIMT was higher in all cases as compared to age matched controls in all age group. (p? 0.01) Increasing age, smoking and hypertension were significantly associated with higher bilateral CIMT. Conclusion: Ischemic stroke young population is associated with increased CIMT. Risk factors burden is contributory in speeding up atherosclerotic process leading to higher CIMT with multiple co morbidities. Keywords: carotid intimal medial thickness, carotid bifurcation, ischemic stroke

show abstract

“…In the present study showed that 31 cases (62%) had PACS, 7 (14%) TACS, 7 (14%) LACS, 5 (10%) POCS, which was consistent with a similar study found PACS 40%, LACS 28.75%, TACS 15% and POCS 10% 16 . On multivariate analysis by using ANOVA test, mean IMT more markedly found in the LACS, PACS AND POCS category which was not statistically significant (P > 0.05), but a previous study found that mean IMT was more in POCS and TACS category 6 . Plaque was associated with TACS category (P 0.000) and in our study more plaque (24 out of 42) was associated with PACS category (P > 0.05).…”

Section: Discussionmentioning

confidence: 58%

“…The CIMT is a marker generalized atherosclerosis, and provides a noninvasive method for the risk assessment of stroke 4 . In the ARIC study (The atherosclerosis risk in community) -increased CIMT may be used as a predictive tool for predicting the future ischemic stroke and as a monitoring tool in lipid lowering medication 5,6 .…”

Section: It Is Thought To Be An Indicator Of Atherosclerosismentioning

confidence: 99%

Association of Carotid Artery Intima Media Thickness With Ischemic Stroke Patients

et al. 2022

View full text Add to dashboard Cite

Background: Atherosclerotic risk factors frequently lead to ischemic stroke. The thickness of the carotid intima-media thickness (CIMT) is a significant indicator for early atherosclerosis alterations. The aim of the study is to evaluate the association between ischemic stroke patients and CIMT. Methods: A total of 50 patients were recruited in this cross-sectional descriptive study which was carried out in the Department of Neurology, BSMMU, from January 2015 to June 2016. All patients of ischemic stroke were confirmed by history, examination and CT scan of head/MRI of brain. Carotid ultrasound scan was done to detect intima-media thickness (IMT) of both sided carotid bifurcation, common carotid and internal carotid artery and performed by a single sonographer at the Department of Neurology, BSMMU. Results: This population has a total of 27 male and 23 female with mean age 60.7± 13.6 years. Maximum patients (72%) were found to be above 50 year of age. After risk factor stratification among the study population, HTN, dyslipidemia was the most followed by positive family history, smoker, DM, IHD. Among study population 45 cases were anterior circulation stroke and only 5 cases were posterior circulation stroke. Maximum mean IMT=1.2± 0.3, minimum mean IMT=1.0±0.10 mm and least IMT was 0.7mm. (Normal CIMT value is < 0.8mm). The mean IMT was higher at symptomatic side in comparison to the asymptomatic side. Higher IMT was found mostly at the carotid bifurcation and higher IMT at one site was significantly correlated with other sites (r= +0.435, p=0.002), there was also correlation between IMT and risk factor (r=+0.265, p=0.063). Increased IMT was more marked in patients with risk factors in comparison to without risk factor, like smoker & nonsmoker but not statistically significant (ORR=2.00, 95% CI 0.636- 6.286, p=0.233). Conclusion: The present Study found that extra-cranial carotid artery intima media thickness (IMT) was higher than normal level in ischemic stroke patients. Higher CIMT was found at symptomatic side in comparison to the asymptomatic side. Bangladesh J Medicine 2022; 33: 24-30

show abstract

The Relationship of Carotid Plaque, Intima Media Thickness (IMT), Resistivity Index (RI) and Pulsatility Index(PI) in Asian-Indian Patients with Acute Ischemic Stroke with and without Type2 DM

Cited by 6 publications

References 29 publications

Morbidity Profile and Causes of Mortality in Type 2 Diabetes Patients: Data from a Tertiary Teaching Hospital from Eastern India

Morbidity Profile and Causes of Mortality in Type 2 Diabetes Patients: Data from a Tertiary Teaching Hospital from Eastern India

Assessment of Carotid Intimal Medial Thickness (Cimt) in Young Patients With Ischemic Stroke: A Case Control Study

Association of Carotid Artery Intima Media Thickness With Ischemic Stroke Patients

Contact Info

Product

Resources

About