1. Long-term follow-up in high risk hypertensive patients with carotid dolicoarteriopathies
- Author
-
Antonio Valvano, Federica Cammarota, Valentina Apuzzi, Mariarosaria De Luca, Giorgio Bosso, Claudio Tomas, Valentina Mercurio, Valeria Di Simone, Antonio Cittadini, Veronica Panicara, Ugo Oliviero, Valvano, A., Bosso, G., Apuzzi, V., Mercurio, V., Di Simone, V., Panicara, V., De Luca, M., Tomas, C., Cammarota, F., Cittadini, A., and Oliviero, U.
- Subjects
Carotid Artery Diseases ,Male ,Carotid ultrasound ,medicine.medical_specialty ,Long term follow up ,Population ,030204 cardiovascular system & hematology ,030230 surgery ,Carotid Intima-Media Thickness ,Risk Assessment ,Severity of Illness Index ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal medicine ,medicine ,Retrospective analysis ,Humans ,cardiovascular diseases ,education ,Stroke ,Aged ,Retrospective Studies ,education.field_of_study ,medicine.diagnostic_test ,business.industry ,Middle Aged ,medicine.disease ,Carotid Arteries ,Italy ,Ischemic Attack, Transient ,Hypertension ,Angiography ,Cardiology ,Population study ,Female ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
BACKGROUND: Carotid dolicoarteriopathies (CDA) are a common finding during the carotid ultrasound or angiography, but their potential role in the development of cerebrovascular diseases is still unclear. Aim of this study is to clarify the possible relationship between CDA and the occurrence of cerebral events. METHODS: We performed a retrospective analysis on 2124 hypertensive patients with high cardiovascular risk that underwent carotid ultrasound from January 2000 to December 2008. Follow-up data on cerebrovascular events (transient ischemic attack and/or stroke occurrence) at 10 years were collected. RESULTS: The global prevalence of CDA in the study population was 12.9% (274/2124), and carotid kinking was more frequent in females and in the left carotid axis. The percentage of cerebrovascular events among hypertensive patients with CDA was similar to those occurred in the group of patients without CDA (10.94% vs. 10.97%, P=NS), with no differences in the number of strokes (8.39% vs. 8.38% P=NS) and TIA (2.55% vs. 2.59% P=NS). CONCLUSIONS: CDA are not associated with a major occurrence of cerebrovascular events in a high-risk population of hypertensives.
- Published
- 2020