Relationship of intima-media thickness with Gensini score that determines the severity of coronary artery disease
Abstract
Objective: In this study we aimed to compare carotid intima-media thickness (CIMT) with Gensini score which objective evidence to demonstrate the severity of coronary artery disease.
Methods: The study included 76 CAD patients (41 men, 35 women, mean age 60.7±11.2 years, range: 42-83) We calculated the Gensini score and measured CIMT for each patient, CAD patients was separated into two groups: patients with mild atherosclerosis (Gensini score <25 points) and severe atherosclerosis (Gensini score ≥25 points). The CIMT values were compared to Gensini score (CAD severity).
Results: The severe atherosclerosis group had significantly higher CIMT values compared to the mild atherosclerosis group [(1.2±0.16 range: 0.90-1.50), (0.97±0.07 range: 0.90-1.10), p<0.01, respectively].
There was a significant correlation with CIMT and Gensini score, age, BMI, LDL cholesterol [(r= 0.365, p<0.01), (r=0.327, p=0.03), (r=-0.341, p<0.01), (r=0.385, p<0.01), respectively.
Conclusion: We found a significant association between CIMT and Gensini score which objective evidence to severity of CAD. As a non-invasive measurement CIMT can be used as an additional method in recognition of severe coronary artery disease
Key words: Carotid intima-media thickness, Gensini score, coronary artery disease, ultrasonography
References
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- intimal thickness and plaque predict prevalence and severity
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- Bartman W, Pierzchała K. Clinical determinants of carotid intima-media thickness in patients with diabetes mellitus type 2. Neurol Neurochir Pol 2012;46:519-528.
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- Chambless LE, Heiss G, Folsom AR, et al. Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors: the atherosclerosis risk in communities (ARIC) study, 1987-1993. Am J Epidemiol 1997;146:483-494.
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- Gensini G. A more meaningful scoring system for determining
- the severity of coronary artery disease. Am J Cardiol 1983;51:606.
- Homma S, Hirose N, Ishida H, Ishii T, Araki G. Carotid plaque and intima-media thickness assessed by B-mode ultrasonography in subjects ranging from young adults to centenarians. Stroke 2001;32:830-835.
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- transluminal coronary angioplasty. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures Subcommittee on Percutaneous Transluminal Coronary Angioplasty). Circulation 1988;78:486-502.
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- Diez-Roux AV, Nieto FJ, Comstock GW, et al. The relationship of active and passive smoking to carotid atherosclerosis 12-14 years later. Prev Med 1995;24:48-55.
- Güneş F, Asik M, Altun B, et al. Carotid intima-media thickness and neutrophils/lymphocytes ratio in patients with overt and subclinical hypothyroidism. J Clin Exp Invest 2013;4:463-467.
- Hedblad B, Wikstrand J, Janzon L, et al. Low-dose metoprolol
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- Depairon M, Tutta P, van Melle G, et al, Darioli R. Reference
- values of intima-medial thickness of carotid and femoral arteries in subjects aged 20 to 60 years and without cardiovascular risk factors. Arch Mal Coeur Vaiss 2000;93:721-776.
- Lim TK, Lim E, Dwivedi G, et al. Normal value of carotid intima-media thickness-a surrogate marker of atherosclerosis:quantitative assessment by B-mode carotid ultrasound. J Am Soc Echocardiogr 2008;21:112-116.
- Bobryshev YV, Killingsworth MC, Lord RS, et al. Matrix vesicles in the fibrous cap of atherosclerotic plaque: possible contribution toplaque rupture. J Cell Mol Med.2008;12:2073-2082.
- Held C, Hjemdahl P, Eriksson SV, et al. Prognostic implications
- of intima-media thickness and plaques in the carotid and femoral arteries in patients with stable angina pectoris. Eur Heart J 2001;22:62-72.
- Kavak V, Arıtürk Z, İltümür K, et al. Compare of structural and functional changes in athletes, hypertensive patients and healthy sedentary control subjects. Dicle Med J 2006;33:139-144.
- Doğan İ, Aktop Z, Erdem Z, et al. The angiographic relationship
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- Beşir F.H, Yazgan S, Celbek G, et al. Normal values correlates’
- of carotid intima- media thickness and affecting parameters in healthy adults. Anadolu Kardiyol Derg 2012;12:427-433.
Year 2015,
Volume: 42 Issue: 4, 501 - 505, 08.01.2016
Abstract
References
- Jeevarethinam A, Venuraju S, Weymouth M, et al. Carotid
- intimal thickness and plaque predict prevalence and severity
- of coronary atherosclerosis: a pilot study. Angiology.2015;66:65-69.
- Bartman W, Pierzchała K. Clinical determinants of carotid intima-media thickness in patients with diabetes mellitus type 2. Neurol Neurochir Pol 2012;46:519-528.
- Greenland P, Abrams J, Aurigemma GP, et al. Prevention conference V: beyond secondary prevention; identifying the high-risk patient for primary prevention, noninvasive tests of atherosclerotic burden–writing group III. Circulation 2000;101:16-22.
- Chambless LE, Heiss G, Folsom AR, et al. Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors: the atherosclerosis risk in communities (ARIC) study, 1987-1993. Am J Epidemiol 1997;146:483-494.
- Salonen JT, Salonen R. Ultrasound B-mode imaging in observational studies of atherosclerotic progression. Circulation
- ;87:II56-65.
- Salonen R, Salonen JT. Progression of carotid atherosclerosis
- and its determinants: a population-based ultrasonography study. Atherosclerosis 1990;81:33-40.
- O’Leary DH, Polak JF, Kronmal RA, et al. Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults: cardiovascular health study collaborative research group. N Engl J Med 1999;340:14-22.
- Gensini G. A more meaningful scoring system for determining
- the severity of coronary artery disease. Am J Cardiol 1983;51:606.
- Homma S, Hirose N, Ishida H, Ishii T, Araki G. Carotid plaque and intima-media thickness assessed by B-mode ultrasonography in subjects ranging from young adults to centenarians. Stroke 2001;32:830-835.
- Ryan TJ, Faxon DP, Gunnar RM, et al. Guidelines for ercutaneous
- transluminal coronary angioplasty. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures Subcommittee on Percutaneous Transluminal Coronary Angioplasty). Circulation 1988;78:486-502.
- Lakka TA, Salonen R, Kaplan GA, et al. Blood pressure and the progression of carotid atherosclerosis in middle-agedmen. Hypertension 1999;34:51-56.
- Wagenknecht LE, D’Agostino R Jr, Savage PJ, et al. Duration
- of diabetes and carotid Wall thickness: the insulin resistance atherosclerosis study (IRAS). Stroke 1997;28:999-1005.
- Diez-Roux AV, Nieto FJ, Comstock GW, et al. The relationship of active and passive smoking to carotid atherosclerosis 12-14 years later. Prev Med 1995;24:48-55.
- Güneş F, Asik M, Altun B, et al. Carotid intima-media thickness and neutrophils/lymphocytes ratio in patients with overt and subclinical hypothyroidism. J Clin Exp Invest 2013;4:463-467.
- Hedblad B, Wikstrand J, Janzon L, et al. Low-dose metoprolol
- CR/XL and fluvastatin slow progression of carotid intima-media thickness: main results from the beta-blocker cholesterol-lowering asymptomatic plaque study (BCAPS). Circulation 2001;103:1721-1726.
- Poredos P. Intima-media thickness: indicator of cardiovascular risk and measure of the extent of atherosclerosis. Vasc Med 2004;9:46-54.
- Depairon M, Tutta P, van Melle G, et al, Darioli R. Reference
- values of intima-medial thickness of carotid and femoral arteries in subjects aged 20 to 60 years and without cardiovascular risk factors. Arch Mal Coeur Vaiss 2000;93:721-776.
- Lim TK, Lim E, Dwivedi G, et al. Normal value of carotid intima-media thickness-a surrogate marker of atherosclerosis:quantitative assessment by B-mode carotid ultrasound. J Am Soc Echocardiogr 2008;21:112-116.
- Bobryshev YV, Killingsworth MC, Lord RS, et al. Matrix vesicles in the fibrous cap of atherosclerotic plaque: possible contribution toplaque rupture. J Cell Mol Med.2008;12:2073-2082.
- Held C, Hjemdahl P, Eriksson SV, et al. Prognostic implications
- of intima-media thickness and plaques in the carotid and femoral arteries in patients with stable angina pectoris. Eur Heart J 2001;22:62-72.
- Kavak V, Arıtürk Z, İltümür K, et al. Compare of structural and functional changes in athletes, hypertensive patients and healthy sedentary control subjects. Dicle Med J 2006;33:139-144.
- Doğan İ, Aktop Z, Erdem Z, et al. The angiographic relationship
- between carotid intima-media thickness and the presence of coronary artery disease. Eur J Health Sci 2015;1:20-26.
- Beşir F.H, Yazgan S, Celbek G, et al. Normal values correlates’
- of carotid intima- media thickness and affecting parameters in healthy adults. Anadolu Kardiyol Derg 2012;12:427-433.
There are 35 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Articles |
| Authors | |
| Publication Date | January 8, 2016 |
| Submission Date | January 8, 2016 |
| Published in Issue | Year 2015 Volume: 42 Issue: 4 |