Multiterritory Atherosclerosis and Carotid Intima‐Media Thickness as Cardiovascular Risk Predictors After Percutaneous Angioplasty of Symptomatic Subclavian Artery Stenosis

Wrotniak, Leszek; Kabłak‐Ziembicka, Anna; Karch, Izabela; Pienia̦żek, Piotr; Rosławiecka, Agnieszka; Mleczko, Szymon; Tekieli, Łukasz; Żmudka, Krzysztof; Przewłocki, Tadeusz

doi:10.7863/ultra.15.10042

Cited by 8 publications

(10 citation statements)

References 35 publications

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“…Notably, IMT is associated not only with CAD but also with pan-vascular atherosclerosis. Wrotniak et al in their recent study observed that IMT > 1.3 mm was an independent predictor of multi-territorial atherosclerosis [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Intima-media thickness and ankle-brachial index are correlated with the extent of coronary artery disease measured by the SYNTAX score

Bryniarski¹,

Tokarek²,

Bryk³

et al. 2018

pwki

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IntroductionThe extent of peripheral artery disease (PAD) measured by the ankle-brachial index (ABI) and intima-media thickness (IMT) is correlated with the complexity of coronary artery disease (CAD) in stable angina patients. However, data regarding patients with acute coronary syndromes are still lacking.AimTo compare coronary complexity measured by the SYNTAX score in patients with and without PAD presenting with myocardial infarction (MI).Material and methodsBoth ABI and IMT were measured in 101 consecutive patients who underwent primary diagnostic due to MI. Patients were divided into three tertile groups depending on the SYNTAX score (0–4; 5–11; 12 and more points).ResultsMean ABI in the general population was 0.9 ±0.26, mean IMT was 0.8 ±0.3 mm and mean SYNTAX score was 7.8 ±5.4 points. We found significant correlations between ABI and SYNTAX score (p = 0.01), IMT and SYNTAX score (p < 0.001), and IMT and ABI (p < 0.001). The highest mean values of IMT (p < 0.001) and lowest mean values of ABI (p = 0.015) were found in patients in the highest SYNTAX score group. When analyzing receiver operating characteristics (ROC) curves, IMT had greater specificity and sensitivity than ABI.ConclusionsBoth IMT and ABI are correlated with SYNTAX score (positively for IMT and negatively for ABI values). In our study, IMT was a better predictor of SYNTAX score than ABI. Our study suggests that the higher rate of cardiovascular events in patients with PAD presenting with MI may be partially explained by greater coronary lesion complexity.

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Section: Discussionmentioning

confidence: 99%

Intima-media thickness and ankle-brachial index are correlated with the extent of coronary artery disease measured by the SYNTAX score

Bryniarski¹,

Tokarek²,

Bryk³

et al. 2018

pwki

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“…CIMT assessment, with or without carotid plaque inclusion, was considered a surrogate measure of atherosclerosis to provide information on the CV outcome in asymptomatic patients with CV risk factors and patients with known atherosclerotic disease, or to measure the effect of medical therapy [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ].…”

Section: Introductionmentioning

confidence: 99%

“…Carotid plaque presence, its number and size, volume, surface, echogenicity, or vascularization are all possible measures of MACCE [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. Additionally, in secondary prevention for high-risk patients who already suffered from MI or stroke, the carotid atherosclerosis burden may have a role in the prediction of recurrent MACCE [ 21 , 22 , 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Significance of Carotid Intima-Media Complex and Carotid Plaque Assessment by Ultrasound for the Prediction of Adverse Cardiovascular Events in Primary and Secondary Care Patients

Kabłak‐Ziembicka

Przewłocki

2021

JCM

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Recently published recommendations from the American Society of Echocardiography on ‘Carotid Arterial Plaque Assessment by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk’ provoked discussion once more on the potential clinical applications of carotid intima-media complex thickness (CIMT) and carotid plaque assessment in the context of cardiovascular risk in both primary and secondary care patients. This review paper addresses key issues and milestones regarding indications, assessment, technical aspects, recommendations, and interpretations of CIMT and carotid plaque findings. We discuss lacks of evidence, limitations, and possible future directions.

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“…A potential indicator of cardiovascular risk might be carotid intima-media thickness (CIMT). Although baseline CIMT is independently associated with the extent of atherosclerosis and ischemic cardiovascular events [13, 14], little is known about whether CIMT change may address atherosclerosis growth in other than carotid artery territory in individual patients, and as such whether CIMT change may be related to risk of major adverse cerebral and coronary events (MACCE), recurrent MI or recurrent angina.…”

Section: Introductionmentioning

confidence: 99%

The role of serial carotid intima-media thickness assessment as surrogate marker of atherosclerosis control in patients with recent myocardial infarction

Gacoń

Przewłocki

Podolec

et al. 2019

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Introduction Despite percutaneous coronary intervention (PCI), patients after their first myocardial infarction (MI) are at high risk of ischemic event recurrence. Therefore, there is a need for objective markers of adequate atherosclerosis control, independent of prescribed pharmacotherapy and patients’ compliance. Such a potential indicator of major adverse cerebral and coronary event (MACCE) risk might be change in carotid intima-media thickness (CIMT), which indicates atherosclerosis growth. Aim To evaluate the potential associations between CIMT changes and the incidence of MACCE and recurrent MI. Material and methods The CIMT assessments at baseline and during 2 follow-up visits were performed in 215 patients admitted with MI, in whom PCI was performed for an index lesion, followed by best medical treatment. The incidences of MACCE (cardiovascular death, recurrent MI, ischemic stroke) and new onset angina were recorded prospectively. Results The MACCE were recorded in 65 (30.2%) patients and angina due to coronary lesion progression (CLP) in 27 (12.5%) patients. Although initial CIMT values were similar in patients who suffered MACCE vs. MACCE-free patients (1.43 ±0.40 vs. 1.45 ±0.44 mm; p = 0.486), patients in whom MACCE occurred had greater annual CIMT growth as assessed at the first (0.024 ±0.12 vs. 0.009 ±0.16 mm/year; p < 0.001) and subsequent follow-up visit (0.050 ±0.1 vs. 0.001 ±0.1 mm/year; p < 0.001), in mean 36.5 ±29.3 and 53.3 ±37.1 months, respectively. An optimal cut-off value for annual CIMT change of > 0.003 mm/year (sensitivity: 84.5%, specificity: 49.3%) for MI plus CLP (AUC = 0.673) occurred an independent indicator of MACCE (HR = 3.00; 95% CI: 1.496–6.016), recurrent MI (HR = 4.59, 95% CI: 1.591–13.217), and MI plus CLP (HR = 3.50, 95% CI: 1.759–6.964). Conclusions Annual CIMT change might be a potentially valuable marker of atherosclerosis response to post-MI treatment.

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Multiterritory Atherosclerosis and Carotid Intima‐Media Thickness as Cardiovascular Risk Predictors After Percutaneous Angioplasty of Symptomatic Subclavian Artery Stenosis

Abstract: In patients with symptomatic subclavian artery stenosis, baseline carotid intima-media thickness and ICA stenosis of 50% or greater are associated with multiterritory atherosclerosis, whereas intima-media thickness progression is associated with the risk of cardiovascular events.

Cited by 8 publications

References 35 publications

Intima-media thickness and ankle-brachial index are correlated with the extent of coronary artery disease measured by the SYNTAX score

Intima-media thickness and ankle-brachial index are correlated with the extent of coronary artery disease measured by the SYNTAX score

Clinical Significance of Carotid Intima-Media Complex and Carotid Plaque Assessment by Ultrasound for the Prediction of Adverse Cardiovascular Events in Primary and Secondary Care Patients

The role of serial carotid intima-media thickness assessment as surrogate marker of atherosclerosis control in patients with recent myocardial infarction

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