Prévalence des porteurs de plaques d’athérome carotidiennes dans la population semi-rurale de Guéoul au Sénégal : enquête sur 1411 sujets

Babaka, Kana; Sarr, Simon Antoine; Kané, A.; Mbaye, A.; Ngaïdé, Aliou Alassane; Djiogap, D.H. Fobang; Bodian, Malick; Ndiaye, Mouhamadou Bamba; Maimouna, Ndour-Mbaye; Diao, Maboury; Diack, B.; Kane, M.; Diagne-sow, D.; Kane, Abdoul

doi:10.1016/j.jmv.2016.03.005

Cited by 2 publications

(7 citation statements)

References 15 publications

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“…29 These results are similar to those found in the literature, both in patients with DALYs 27,30 and in the general population. 11 Also, female gender was significantly correlated with the presence of carotid atherosclerosis (OR = 1.85, P = .032 in univariate analysis and an OR = 3.23, P = .001 in multivariate analysis) in our study. These results are contrary to those of most studies that found male sex to be a factor associated with atherosclerosis.…”

Section: Discussionsupporting

confidence: 65%

“…These results are contrary to those of most studies that found male sex to be a factor associated with atherosclerosis. 6,11,31 Our results can be explained by the fact that obesity and dyslipidemia are more frequent in adult women in Cameroon. 32 After further analysis, we found that female participants were less numerous in the younger age group (40-49 years) and more numerous in older age groups (60-69 and ≥70 years) compared with males.…”

Section: Discussionmentioning

confidence: 66%

“…In contrast, in the general population, the prevalence of atherosclerotic risk factors is much lower and varies with age. 11 The slight male predominance can be explained by the fact that between the ages of 45 to 85 years, stroke is more frequent in men than in women. 21 In our study population, the characteristics of atherosclerotic plaques were almost identical in the left and right carotid arteries.…”

Section: Discussionmentioning

confidence: 99%

“…Increasing age is found consistently in reported studies and is considered to be the most powerful factor in the development of carotid atherosclerotic lesions. 11,25,26 The only difference among the studies is the average age which varies from 50 to 70 years. 27 This can be explained by the fact that atherosclerosis is a slow process that starts in childhood and manifests itself in adulthood, accentuated by the presence of certain risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…10 The advent of Doppler ultrasound has revolutionized the diagnosis of even subclinical atherosclerosis of neck vessels. 11 With a sensitivity of 86% and a specificity of 87%, supra-aortic Doppler ultrasound appears to be the gold standard of diagnosis in terms of cost, reproducibility, and safety for the patient. 12,13 A meta-analysis published in 2005 found equivalence in the detection of carotid stenosis between supra-aortic Doppler ultrasound, magnetic resonance imaging, and angiography.…”

Section: Introductionmentioning

confidence: 99%

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Contribution of Doppler Ultrasound of the Supra-Aortic Trunks in the Etiological Evaluation of Ischemic Strokes at the Douala General Hospital

Kamdem,

Maka Kamdem,

Kenmegne

et al. 2023

Journal for Vascular Ultrasound

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Introduction: The advent of Doppler ultrasound has revolutionized the diagnosis of even subclinical atherosclerosis of the neck vessels. The aim of this study was to evaluate the contribution of Doppler ultrasound of the supra-aortic trunks in the etiological evaluation of ischemic stroke. Methods: Our cross-sectional and analytical study with retrospective and prospective data collection more than 8 years from January 1, 2010, to December 31, 2017, involved patients aged at least 21 years who were hospitalized for ischemic stroke. Doppler ultrasound of the supra-aortic trunks allowed us to group carotid atherosclerotic plaques into 5 grades according to the Gray-Weal classification modified by Geroulakos. Similarly, we assessed the degree of carotid stenosis in these patients. Factors associated with atherosclerotic plaques and stenosis were determined using multivariate logistic regression. Associations with a P < 0.1 in univariate regression were included in the multivariate model. Differences were considered significant for P < .05. Results: We recruited 271 patients with a mean age of 60 ± 12 years. Hypertension, increased low-density lipoprotein, diabetes, smoking, and obesity were present in 76.8%, 74.7%, 36.5%, 9.6%, and 80.1%, respectively. Atherosclerotic carotid plaques were found in 76.0% of the patients. For the left carotid artery, Grade I, II, and III plaques were present in 32.4%, 30.5%, and 21.4% of these patients, respectively, and the results were similar in the right carotid artery. Age ≥60 years, female gender, and increased low-density lipoprotein were significantly associated with carotid atherosclerosis (odds ratio = 12.6, P = .003; odds ratio = 3.23, P = .001; and odds ratio = 4, P = .002, respectively). Carotid stenosis ≥50% was found in 5.9% of patients with plaque, and age >70 years was significantly associated with these stenoses (odds ratio = 4.74, P = .045). Conclusion: Our study showed a high prevalence of atherosclerotic carotid plaques (76.0%) and stenosis (5.9%) among patients with ischemic strokes who had Doppler ultrasound of the neck vessels. Age is a powerful risk factor associated with carotid atherosclerosis and stenosis. Female gender and dyslipidemia are also significantly associated with carotid atherosclerotic plaques.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contribution of Doppler Ultrasound of the Supra-Aortic Trunks in the Etiological Evaluation of Ischemic Strokes at the Douala General Hospital

Kamdem,

Maka Kamdem,

Kenmegne

et al. 2023

Journal for Vascular Ultrasound

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Cardiovascular Risk and Subclinical Atherosclerosis in Senegalese Patients with Rheumatoid Arthritis: A Cross-Sectional Study in a Single Centre

Kane¹,

Ndao²,

Samba³

et al. 2020

WJCD

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Introduction: Rheumatoid arthritis (RA) is associated with increasing of cardiovascular (CV) morbidity and mortality due to accelerated atherosclerosis. Several studies showed also the increasing of the prevalence of subclinical atherosclerosis, but there are little data from sub-Saharan Africa. The aim of our study was to assess the prevalence of cardiovascular risk factors, subclinical carotid atherosclerosis and the ability of the Systematic Coronary Risk Estimation (SCORE) modified by European League Against Rheumatism (EULAR) to predict the high CV risk in our patients. Patients and Method: We conducted a cross sectional study in Senegalese patients with RA. The RA was retained according to 2010 American College of Rheumatology (ACR)-European League Against Rheumatism (EULAR) criteria. Patients with RA were assessed in a clinical research consultation. Results: We included 50 RA patients. The mean age was 44 years (+/− 12.37) and the sex-ratio was 0.06. The frequency distribution of traditional cardiovascular risk factors was: hypertension (HT) (30%), diabetes-mellitus (6%), smoking (2%), no-exercise (22%), obesity (16%), metabolic syndrome (8%). Fifty-eight percent of patients were classified at low cardiovascular risk according to mSCORE. 51.7% of patients classified as moderate-risk according to mSCORE, were reclassified as high cardiovascular risk according to carotid ultrasound evaluation (gold-standard). The sensitivity of the mSCORE in the prediction of high CV risk was low at 20%. In the present study, the prevalence of carotid subclinical atherosclerosis was 20%. Age (>45 years

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Prévalence des porteurs de plaques d’athérome carotidiennes dans la population semi-rurale de Guéoul au Sénégal : enquête sur 1411 sujets

Cited by 2 publications

References 15 publications

Contribution of Doppler Ultrasound of the Supra-Aortic Trunks in the Etiological Evaluation of Ischemic Strokes at the Douala General Hospital

Contribution of Doppler Ultrasound of the Supra-Aortic Trunks in the Etiological Evaluation of Ischemic Strokes at the Douala General Hospital

Cardiovascular Risk and Subclinical Atherosclerosis in Senegalese Patients with Rheumatoid Arthritis: A Cross-Sectional Study in a Single Centre

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