Research Article
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Year 2019, Volume: 41 Issue: 4, 726 - 733, 31.12.2019
https://doi.org/10.7197/cmj.vi.573605

Abstract

References

  • 1- Gilroy J, Serebrovasküler Hastalıklar, ed: Karabudak R, Temel Nöroloji: 1. Baskı, Güneş kitabevi, Ankara 2002; 231.2- Kumral E, Kumral K: İnme risk faktörleri. Nöropsikiyatri arşivi. 1991;28:55-58. 3- Lannuzi A, Wilcosky T, Mercuri M, Ruba P, Bryan FA, Bond G: Ultrasonographic correlates of carotid atherasclerosis in transient ischemic attack and stroke. Stroke 1995; 26(4):614-619.4- Erickson SJ, Mewissen MW, Foley WD, Lawson TL, Middleton WD, Quiroz FA,et al. Stenosis of the internal carotid artery: assessment using color Doppler imaging compared with angiography. Am J Roentgenol 1989;152 (6): 1299-1305.5- Steinke W, Kloetzch C, Hennerici M. Carotid artery disease assessed by color Doppler flow imaging compared with angiography. Am J Roentgenol 1990; 154 (5): 1061-1068. 6- Barnett HJM. North American Symptomatic Carotid endarterectomy Symptomatic Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patiensts with high grade stenosis. N. Engl. J Med 1991; 325: 445-453.7- Folsom AR, Eckfeldt JH. ; Eeitzman S, Ma J, Chambless LE, Barnes RW, et al: Relation of carotid artery wall thickness to diabetes mellitus, fasting glucose and insulin, body size, and ahysical activity. Stroke 1994; 25(1) : 66-73.8- Palomäki H, Kaste M, Raininko R, Salonen O, Juvela S, Sarna S. Risk factors for cervical atherosclerosis in patients with transient ischemic attack or minor ischemic stroke. Stroke. 1993 Jul;24(7):970-975.9- Heiss G, Sharrett AR, Barnes R, Chambless LE, Szkio M, Alzola C: Carotid atherosclerosis measured by mode ultrasound in popülations: associations with cardiovascular risk factors in the ARIC study. Am. J. Epidemiol 1991; 134:250-256.10- Whisnant JP, Homer D, Ingall TJ, Baker HL, O’Fallon WM, Wiebers DO: Duration of cigarette smoking is the strongest predictor of severe extracranial carotid artery atherosclerosis. Stroke 1990; 21(5): 707-714.11- Yasaka M, Yamaguchi T, Shichiri M: Distribution of atherosclerosis and risk factors in atherotrombotic occlusion. Stroke 1993; 24(2): 206-21112- Bougusslavsky J, Van Melle G, Regli F. The Lausanne stroke registry. Analysis of 1000 consecutive patients with first stroke. Stroke. 1998; 19: 1083 – 1092. 13- Fabris F, Zanocchi M, Bo M, Fonte G, Poli L, Bergoglio I, et al. Carotid plaque, aging, and risk factors; A study of 457 subjects. Stroke 1994; 25(6): 1133-1140.14- Kittner SJ, Sharkness CM, Price TR, Plotnick GD, Dambrosia JM, Wolf PA, et al. Infarcts with a cardiac source of embolism in the NINCDS stroke data bank: Historical features. Neurology 1990; 40: 281-284.15- Lemne C, Jogestrand T, de Faire U. Carotid intima-media thickness and plaque in borderline hypertension. Stroke 1995; 26(1): 34-39. 16- Bradley WG, Daroff RB, Fenichel GM, Marsden CD (eds): Neurology in clinical practice. Third edition Vol:2. Butterworth-Heinemann, USA, 1991, pp 907-939. 17- Gorelick PB: The status of alcohol as a risk factor for stroke. Stroke 1989; 20: 1607-1610. 18- Karşıdağ S, Sönmez N, Bakaç G, Ceyhan A, Özer F, Arpacı B, ve ark: İnme alt gruplarında risk faktörlerinin dağılımı. Klinik gelişim 1995; 8(2): 3497-3502.19- Phan TG, Beare RJ, Jolley D, Das G, Ren M, Wong K, et al. Carotid artery anatomy and geometry as risk factors for carotid atherosclerotic disease. Stroke. 2012 Jun;43(6):1596-1601.20- The European Carotid surgery Trialists Collaborative Group. Randomized trial of endarterectomy of recently symptomatic carotid stenosis: final results of the MRC European Carotid surgery Trials (ECST). Lancet 1998; 351: 1379-1387.21- Moneta GL, Edwards JM, Chitwood RW. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angiographic definition of %70 to %99 internal carotid artery stenosis with duplex scaning. J. Vasc. Surg. 1993;17:152-159. 22- Executive committee for Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995;273:1421-1428.23- Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2018;71:e127-e248.24- Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes 2018. American Diabetes Association. Diabetes Care 2018 Jan; 41(Supplement 1): 13-27.25- Barnett HJM, Mohr JP, Stein BM, Yatsu FM. Pathophysiology, Diagnosis, and Management. Stroke Third Edition. 1998;7-24.26- Handa N, Matsumoto M, Maeda H, Hougaku E, Ogawa S, Fukunaga R, et al. Ultrasonic evalution of early carotid atherosclerosis. Stroke 1990 ;21(11): 1567-1572.27- Brown PB, Zwiebel WJ, Call GK. Degree of cervical carotid artery stenosis and hemispheric stroke: Duplex US findings. Radiology 32: 541-543, 1989.28- Pines A, Bornstein NM, Shapira I. Menopause and ischaemic stroke: basic, clinical and epidemiological consideration. The role of hormone replacement. Hum Reprod Update 2002 8(2): 161-168. 29- Dempsey RJ, Moore RW. Amount of independently predicts carotid artery atherosclerosis severity. Stroke 1992 23(5): 693-696.30- Weber F. Risk factors for subclinical carotid atherosclerosis in healthy men. Neurology 2002 59(4): 524-528.31- Ertan NS, Karşıdağ S, DuranC, Özer F, Arpacı B. Karotis Aterosklerozu Gelişmesinde Etkili Risk Faktörleri, Uludağ Üniversitesi Tıp Fakültesi Dergisi 2003, 29 (1): 19-24.32- Kalogeropoulou K, Mortzos G, Migdalis I, Velentzas C, Mikhailidis DP, Georgiadis E, et al. Carotid atherosclerosis in type 2 diabetes mellitus: potential role of endothelin-1, lipoperoxides, and prostocyclin. Angiology 2002 53(3): 279-285.33- Shennan NM, Seed M, Wynn V. Variation in serum lipid and lipoprotein levels associated with changes in smoking behaviour in non obese Caucasian males. Atherosclerosis. 1985; 58: 17- 25. 34- Smith U. Carbohydrates, fat and insulin action. Am J Clin Nutr. 1994; 59: 686-689.35- Craig WY, Palomaki GE, Haddow JE. Cigarette smoking and serum lipid and lipoproteinconcentrations: An analysis of published data. Br Med J. 1989;298: 784-788. 36- Tell GS: Cigarette smoking, lipids, lipoproteins and extracranial carotid artery atherosclerosis. Mayo Clin. Proc. 1991; 66:327-331.37- Smilde TJ, van den Berkmortel FW, Wollersheim H, van Langen H, Kastelein JJ, Stalenhoef AFH. The effect of cholesterol lowering on carotid and femorial artery wall stifness and thickness in patients with familial hypercholesterolamia, Eur J.Clin Invest 2000; 30(6):473-480.38- Varleta P, Concepción R, Vargas P, Casanova H. Association of carotid intima-media thickness with traditional cardiovascular risk and metabolic factors. Rev Med Chil. 2013 Jun;141(6):695-703.39- Burgess JL, Kurzius-Spencer M, Gerkin RD, Fleming JL, Peate WF, Allison M. Risk factors for subclinical atherosclerosis in firefighters. J Occup Environ Med. 2012 Mar;54(3):328-335.40- Morrow DA, Gersh, Braunwald E. Chronic Coronary Artery Disease. In: Zipes DP, Libby P, Bonow RO & Braunwald E {eds.): Braunwald's Heart Disease. A Textbook of Cardiovascular Medicine. Elsevier Saunders, 7nd ed., 2005. 41- Ross R, Glomset JA. Atherosclerosis and the arterial smooth muscle cell: Proliferation of smooth muscle is a key event in the genesis of the lesions of atherosclerosis. Science. 1973 Jun 29;180(93):1332-1339. 42- Naylor AR, Mehta Z, Rothwell PM, Bell PR. Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature. Eur J Vasc Endovasc Surg 2002 23(4): 283-294.

Comparison of risk factors that play a role in extra-cranial carotid artery atherosclerosis

Year 2019, Volume: 41 Issue: 4, 726 - 733, 31.12.2019
https://doi.org/10.7197/cmj.vi.573605

Abstract

Objective: Which risk factors are
important in preventing or stabilizing possible extra-cranial carotid artery
stenosis is unclear. We aimed to investigate risk factors that are associated
with extra-cranial carotid artery stenosis in patients with
ischemic stroke.

Method: The
records of 215 patients with ischemic stroke who were admitted to
Taksim Research Hospital were
screened. Patients who had been monitored
with color Doppler ultrasonography were then categorized on the basis of the
degree of stenosis in the carotid artery
(group A: 0%–49%, group B: 50%–69%, group C: >70%). Hypertension, diabetes
mellitus, hyperlipidemia, cigarette smoking, ischemic heart disease, age, and
sex were evaluated as risk factors. These risk factors were compared among the three groups by using SPSS version 17.

Results: We found a significant relationship between high
mean low-density lipoprotein and the severity of carotid stenosis (p<0.05).
A similar relationship was found between sex and the severity of carotid
stenosis (p<0.05).







Conclusions:
A high low-density lipoprotein level and male sex
are important risk factors for having extra-cranial carotid artery stenosis.
Therefore, use of more aggressive lipid-lowering treatments, recommending an
appropriate diet, and encouraging physical activity in hyperlipidemic men are
important in preventive medical practice.  

References

  • 1- Gilroy J, Serebrovasküler Hastalıklar, ed: Karabudak R, Temel Nöroloji: 1. Baskı, Güneş kitabevi, Ankara 2002; 231.2- Kumral E, Kumral K: İnme risk faktörleri. Nöropsikiyatri arşivi. 1991;28:55-58. 3- Lannuzi A, Wilcosky T, Mercuri M, Ruba P, Bryan FA, Bond G: Ultrasonographic correlates of carotid atherasclerosis in transient ischemic attack and stroke. Stroke 1995; 26(4):614-619.4- Erickson SJ, Mewissen MW, Foley WD, Lawson TL, Middleton WD, Quiroz FA,et al. Stenosis of the internal carotid artery: assessment using color Doppler imaging compared with angiography. Am J Roentgenol 1989;152 (6): 1299-1305.5- Steinke W, Kloetzch C, Hennerici M. Carotid artery disease assessed by color Doppler flow imaging compared with angiography. Am J Roentgenol 1990; 154 (5): 1061-1068. 6- Barnett HJM. North American Symptomatic Carotid endarterectomy Symptomatic Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patiensts with high grade stenosis. N. Engl. J Med 1991; 325: 445-453.7- Folsom AR, Eckfeldt JH. ; Eeitzman S, Ma J, Chambless LE, Barnes RW, et al: Relation of carotid artery wall thickness to diabetes mellitus, fasting glucose and insulin, body size, and ahysical activity. Stroke 1994; 25(1) : 66-73.8- Palomäki H, Kaste M, Raininko R, Salonen O, Juvela S, Sarna S. Risk factors for cervical atherosclerosis in patients with transient ischemic attack or minor ischemic stroke. Stroke. 1993 Jul;24(7):970-975.9- Heiss G, Sharrett AR, Barnes R, Chambless LE, Szkio M, Alzola C: Carotid atherosclerosis measured by mode ultrasound in popülations: associations with cardiovascular risk factors in the ARIC study. Am. J. Epidemiol 1991; 134:250-256.10- Whisnant JP, Homer D, Ingall TJ, Baker HL, O’Fallon WM, Wiebers DO: Duration of cigarette smoking is the strongest predictor of severe extracranial carotid artery atherosclerosis. Stroke 1990; 21(5): 707-714.11- Yasaka M, Yamaguchi T, Shichiri M: Distribution of atherosclerosis and risk factors in atherotrombotic occlusion. Stroke 1993; 24(2): 206-21112- Bougusslavsky J, Van Melle G, Regli F. The Lausanne stroke registry. Analysis of 1000 consecutive patients with first stroke. Stroke. 1998; 19: 1083 – 1092. 13- Fabris F, Zanocchi M, Bo M, Fonte G, Poli L, Bergoglio I, et al. Carotid plaque, aging, and risk factors; A study of 457 subjects. Stroke 1994; 25(6): 1133-1140.14- Kittner SJ, Sharkness CM, Price TR, Plotnick GD, Dambrosia JM, Wolf PA, et al. Infarcts with a cardiac source of embolism in the NINCDS stroke data bank: Historical features. Neurology 1990; 40: 281-284.15- Lemne C, Jogestrand T, de Faire U. Carotid intima-media thickness and plaque in borderline hypertension. Stroke 1995; 26(1): 34-39. 16- Bradley WG, Daroff RB, Fenichel GM, Marsden CD (eds): Neurology in clinical practice. Third edition Vol:2. Butterworth-Heinemann, USA, 1991, pp 907-939. 17- Gorelick PB: The status of alcohol as a risk factor for stroke. Stroke 1989; 20: 1607-1610. 18- Karşıdağ S, Sönmez N, Bakaç G, Ceyhan A, Özer F, Arpacı B, ve ark: İnme alt gruplarında risk faktörlerinin dağılımı. Klinik gelişim 1995; 8(2): 3497-3502.19- Phan TG, Beare RJ, Jolley D, Das G, Ren M, Wong K, et al. Carotid artery anatomy and geometry as risk factors for carotid atherosclerotic disease. Stroke. 2012 Jun;43(6):1596-1601.20- The European Carotid surgery Trialists Collaborative Group. Randomized trial of endarterectomy of recently symptomatic carotid stenosis: final results of the MRC European Carotid surgery Trials (ECST). Lancet 1998; 351: 1379-1387.21- Moneta GL, Edwards JM, Chitwood RW. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angiographic definition of %70 to %99 internal carotid artery stenosis with duplex scaning. J. Vasc. Surg. 1993;17:152-159. 22- Executive committee for Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995;273:1421-1428.23- Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2018;71:e127-e248.24- Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes 2018. American Diabetes Association. Diabetes Care 2018 Jan; 41(Supplement 1): 13-27.25- Barnett HJM, Mohr JP, Stein BM, Yatsu FM. Pathophysiology, Diagnosis, and Management. Stroke Third Edition. 1998;7-24.26- Handa N, Matsumoto M, Maeda H, Hougaku E, Ogawa S, Fukunaga R, et al. Ultrasonic evalution of early carotid atherosclerosis. Stroke 1990 ;21(11): 1567-1572.27- Brown PB, Zwiebel WJ, Call GK. Degree of cervical carotid artery stenosis and hemispheric stroke: Duplex US findings. Radiology 32: 541-543, 1989.28- Pines A, Bornstein NM, Shapira I. Menopause and ischaemic stroke: basic, clinical and epidemiological consideration. The role of hormone replacement. Hum Reprod Update 2002 8(2): 161-168. 29- Dempsey RJ, Moore RW. Amount of independently predicts carotid artery atherosclerosis severity. Stroke 1992 23(5): 693-696.30- Weber F. Risk factors for subclinical carotid atherosclerosis in healthy men. Neurology 2002 59(4): 524-528.31- Ertan NS, Karşıdağ S, DuranC, Özer F, Arpacı B. Karotis Aterosklerozu Gelişmesinde Etkili Risk Faktörleri, Uludağ Üniversitesi Tıp Fakültesi Dergisi 2003, 29 (1): 19-24.32- Kalogeropoulou K, Mortzos G, Migdalis I, Velentzas C, Mikhailidis DP, Georgiadis E, et al. Carotid atherosclerosis in type 2 diabetes mellitus: potential role of endothelin-1, lipoperoxides, and prostocyclin. Angiology 2002 53(3): 279-285.33- Shennan NM, Seed M, Wynn V. Variation in serum lipid and lipoprotein levels associated with changes in smoking behaviour in non obese Caucasian males. Atherosclerosis. 1985; 58: 17- 25. 34- Smith U. Carbohydrates, fat and insulin action. Am J Clin Nutr. 1994; 59: 686-689.35- Craig WY, Palomaki GE, Haddow JE. Cigarette smoking and serum lipid and lipoproteinconcentrations: An analysis of published data. Br Med J. 1989;298: 784-788. 36- Tell GS: Cigarette smoking, lipids, lipoproteins and extracranial carotid artery atherosclerosis. Mayo Clin. Proc. 1991; 66:327-331.37- Smilde TJ, van den Berkmortel FW, Wollersheim H, van Langen H, Kastelein JJ, Stalenhoef AFH. The effect of cholesterol lowering on carotid and femorial artery wall stifness and thickness in patients with familial hypercholesterolamia, Eur J.Clin Invest 2000; 30(6):473-480.38- Varleta P, Concepción R, Vargas P, Casanova H. Association of carotid intima-media thickness with traditional cardiovascular risk and metabolic factors. Rev Med Chil. 2013 Jun;141(6):695-703.39- Burgess JL, Kurzius-Spencer M, Gerkin RD, Fleming JL, Peate WF, Allison M. Risk factors for subclinical atherosclerosis in firefighters. J Occup Environ Med. 2012 Mar;54(3):328-335.40- Morrow DA, Gersh, Braunwald E. Chronic Coronary Artery Disease. In: Zipes DP, Libby P, Bonow RO & Braunwald E {eds.): Braunwald's Heart Disease. A Textbook of Cardiovascular Medicine. Elsevier Saunders, 7nd ed., 2005. 41- Ross R, Glomset JA. Atherosclerosis and the arterial smooth muscle cell: Proliferation of smooth muscle is a key event in the genesis of the lesions of atherosclerosis. Science. 1973 Jun 29;180(93):1332-1339. 42- Naylor AR, Mehta Z, Rothwell PM, Bell PR. Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature. Eur J Vasc Endovasc Surg 2002 23(4): 283-294.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Medical Science Research Articles
Authors

Ruhan Karahan-özcan 0000-0002-9386-3977

Selen Özmen 0000-0001-6233-408X

Publication Date December 31, 2019
Acceptance Date December 31, 2019
Published in Issue Year 2019Volume: 41 Issue: 4

Cite

AMA Karahan-özcan R, Özmen S. Comparison of risk factors that play a role in extra-cranial carotid artery atherosclerosis. CMJ. December 2019;41(4):726-733. doi:10.7197/cmj.vi.573605