Prevalence of carotid artery stenosis in ischaemic heart disease patients in Bangladesh

Abstract

Background:Concurrent carotid artery stenosis and ischaemic heart disease rates are increasing day by day in Bangladesh. Moreover, carotid artery stenosis has been identified as a high-risk factor for postoperative ischaemic cerebral inconvenience following coronary artery bypass graft surgery.Methods:This observational cross-sectional study was performed to evaluate 200 study patients from July 2017 to June 2018. Patients with coronary artery disease scheduled for isolated elective coronary artery bypass graft surgery were included in the study, excluding those with coexisting valvular or congenital heart disease and emergency coronary artery bypass graft surgery.Results:About two-thirds of the study patients were 50–59 years old, with a mean age of 57.7 ± 3.06 years. Approximately 70% patients were male; the male:female ratio was 2.1:1. Most of the patients (74.5%) were Muslim. The majority of patients (59.0%) were overweight, and severe carotid artery stenosis was significantly higher in obese patients (p ⩽ 0.05). Furthermore, hypertension and diabetes mellitus were significantly associated with moderate to severe carotid artery stenosis (p ⩽ 0.05). Multi-vessel coronary artery disease was significantly associated with the severity of carotid artery stenosis. Bilateral carotid artery stenosis was significantly associated with the severity of carotid artery stenosis (p ⩽ 0.05).Conclusion:Routine duplex screening will identify significant carotid artery disease and will subsequently reduce the risk of perioperative stroke in ischaemic heart disease patients undergoing coronary artery bypass graft surgery.

Prevalence and Risk Factors Analysis of Carotid Stenosis Among Ischaemic Heart Diseases Patient in Bangladesh: A Cross-Sectional Study

“… 5–8 Moreover, in recent studies, Mahmoudi et al 14 and Drohomirecka et al 15 demonstrated a strong correlation between IHD and significant CAS and found that about 30% and 18% of the study population, respectively, had ≥50% carotid stenosis among IHD patients scheduled for CABG surgery, similar to other study results. 3 , 8 , 12 , 13 , 16 , 17 …”

Oxidative Stress and Inflammation Are Associated with Coexistent Severe Multivessel Coronary Artery Stenosis and Right Carotid Artery Severe Stenosis in Elderly Patients

“…Right carotid artery severe stenosis leads to cerebral circulatory insufficiency, intracerebral steal phenomenon [ 59 ], reduction of blood flow of the right cerebral hemisphere, hemichorea [ 60 ], transient ischemic attacks, and strokes [ 61 ], and the rates of concurrent carotid artery stenosis and CAD are elevating gradually day by day. CAD patients who are undergoing percutaneous coronary intervention have severe carotid artery stenosis and the majority of patients with carotid artery severe stenosis have complex CAD [ 62 ]. The severe multivessel coronary artery stenosis as a risk factor is related to severe carotid artery stenosis [ 62 ].…”

“…CAD patients who are undergoing percutaneous coronary intervention have severe carotid artery stenosis and the majority of patients with carotid artery severe stenosis have complex CAD [ 62 ]. The severe multivessel coronary artery stenosis as a risk factor is related to severe carotid artery stenosis [ 62 ]. Patients with concurrent carotid and coronary artery severe stenosis are demonstrated to have a more severe atherosclerosis involving multiple arteries [ 62 ].…”

“…The severe multivessel coronary artery stenosis as a risk factor is related to severe carotid artery stenosis [ 62 ]. Patients with concurrent carotid and coronary artery severe stenosis are demonstrated to have a more severe atherosclerosis involving multiple arteries [ 62 ]. Therefore, it is very important clinically for studying concurrent right carotid artery severe stenosis and severe multivessel coronary artery stenosis in elderly patients.…”

Comparison of traditional and upper thoracic epidural analgesia after off‐pump coronary artery bypass graft surgery: A Quasi‐experimental study

“…Following cardiac surgery, pain disrupts the humoral and neuroendocrine systems' equilibrium, increasing stress hormone levels and myocardial oxygen demand. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 As a result, arrhythmias and myocardial ischemia are increased. Pain also impairs mechanical ventilation and mobility restriction.…”