Carotid Artery Doppler Ultrasound and Coronary Calcium Score in Assessment of Atherosclerosis in Patients with Suspected Coronary Artery Disease

Elbehery, Amina A.; Badawy, Manal Ezzat; Maebod, Noha M. Abd El; Nassar, Ibrahim Abbas

doi:10.21608/mjcu.2019.65637

Cited by 1 publication

(2 citation statements)

References 6 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Atherosclerosis stands as the principal contributor to the majority of cases involving coronary artery disease (CAD). Given its systemic nature, a comprehensive assessment across multiple vascular sites may offer deeper insights into the overall burden and risk of subclinical atherosclerosis [ 1 ]. Detecting subclinical illness before symptoms manifest is paramount for public health initiatives.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Carotid Artery Doppler: A Possible Non-invasive Diagnostic Approach to Assessing the Severity of Coronary Artery Disease

Agarwal,

Gadupati,

Ramaiah

et al. 2024

Cureus

View full text Add to dashboard Cite

Background and objectives: Carotid artery Doppler ultrasound is being explored for its potential as a non-invasive tool for evaluating coronary artery disease (CAD) severity and cardiovascular risk. This study aimed to investigate the association between carotid Doppler parameters and CAD severity, as determined by the Gensini score (GS) and multi-vessel disease presence. Methods: Ninety patients undergoing coronary angiography (CAG) and carotid ultrasound were retrospectively analysed. Carotid Doppler parameters and CAD severity were assessed through bivariate and multivariable analyses. Results: Among the patients studied, 80% were male, with a mean age of 65.24 years (±9.91). Triple vessel disease (68.9%) and dominant vessel disease (73.3%) were prevalent coronary findings, with a mean GS of 139.2 (±76.6). Increased intima-media thickness (IMT) in the common carotid artery (CCA) and internal carotid artery (ICA) showed significant associations (CCA IMT: OR = 0.312, p = 0.037; ICA IMT: OR = 0.354, p = 0.017) with high GS (>125) and multi-vessel disease. Significant carotid stenosis (>50% diameter stenosis) emerged as an independent predictor of CAD severity. Fibrocalcific plaques, detected in 62.2% of cases, correlated significantly with elevated GS. Plaque burden, especially plaques in >3 locations, indicated a higher likelihood of triple vessel disease and a higher GS. Conclusion: Carotid Doppler parameters, particularly IMT and significant stenosis, are robust predictors of CAD severity, including high GS and multi-vessel disease. Integrating carotid artery assessment into clinical protocols can aid in timely interventions and preventive strategies for CAD management.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Detecting subclinical illness before symptoms manifest is paramount for public health initiatives. Consequently, there exists a critical need to diagnose subclinical atherosclerosis to enhance CAD risk stratification in asymptomatic individuals, prioritizing them for primary prevention interventions [ 1 ].…”

Section: Introductionmentioning

confidence: 99%