Penagos-Noriega S, Guerrero-Avendaño GM, Solís-Rodríguez R

Language: Spanish
References: 9
Page: 308-316
PDF size: 467.61 Kb.

ABSTRACT

Objetives: echographic characterization of carotid atheromatosis in patients admitted to the Hospital General de Mexico Doppler ultrasound service in the period from January to June 2016. Determine the prevalence of stroke in patients admitted to the Hospital General de Mexico Doppler ultrasound service in the period from January to June 2016.
Material and Methods: we conducted a retrospective study, under a case series model, which included 94 patients who underwent carotid Doppler ultrasound.
Results: of the patients studied, 58 were male and 36 female; the average age was 61 (±14) years; 61% of the patients had intimal medial thickness, on average, above 0.8 mm. We observed atheromatous plaques in 90.4% of the patients; males were the most affected, at 61%, among patients with atheromatosis. The most commonly affected site was the carotid bulb, (right 63.8% / left 61.7%); the site of greatest stenosis was in the external carotid artery (right 35.2% / left 45%). The majority of the plaques observed were smooth; 66% of patients with atheromatosis had a neurological condition diagnosed by clinical examination or image studies (stroke, transient ischemic attack, multiinfarct dementia / lacunar stroke), the most widely affected vascular territory was the middle cerebral artery, with 30.9%.
Conclusions: the high frequency of carotid artery disease, and its causal relationship with stroke, should make timely detection a routine requisite in patients with cardiovascular risk factors / metabolic syndrome, given that, to date, we are diagnosing patients with atheromatosis who have presented a neurological condition, when the sequence should be the inverse: early diagnosis of carotid atheromatosis to start preventive measures seeking to lower the risk of subsequent stroke.

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