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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
1997-12-30
pubmed:abstractText
This prospective study was conducted to correlate the presence of angiographically significant coronary artery disease (CAD) and atherosclerotic disease in the aorta, carotid, and femoral arteries as measured by ultrasound. One hundred two consecutive patients admitted for coronary angiography for suspected CAD participated in the study. All patients underwent transesophageal echocardiography for the evaluation of thoracic aortic atherosclerosis and B-mode ultrasound for evaluation of carotid and femoral atherosclerosis. Intimal-medial thickness > 1 mm in the thoracic aorta or peripheral vessels was considered as evidence of atherosclerosis. Patients with CAD (n = 64) had a significantly higher incidence of atherosclerotic plaques in the thoracic aorta, carotid, and femoral arteries than subjects with normal coronary arteries: 91%, 72%, 77% vs 31%, 47% and 42%, respectively. Extracoronary plaque was a stronger predictor of CAD than conventional risk factors. Evidence of plaque in patients younger than median age (64 years) had a higher specificity than in patients above median age (77% vs 40%, respectively, p <0.0001). Plaque score of the extracardiac vessels was significantly higher in patients with multivessel CAD than in patients with 1-vessel CAD disease and in subjects with normal coronary arteries (p <0.001). Thus, atherosclerotic plaques in the aortic and femoral arteries and, to a lesser extent, in the carotid arteries are strong predictors of CAD.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
80
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1429-33
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9399716-Adult, pubmed-meshheading:9399716-Aged, pubmed-meshheading:9399716-Aged, 80 and over, pubmed-meshheading:9399716-Aorta, Thoracic, pubmed-meshheading:9399716-Arteriosclerosis, pubmed-meshheading:9399716-Carotid Arteries, pubmed-meshheading:9399716-Constriction, Pathologic, pubmed-meshheading:9399716-Coronary Angiography, pubmed-meshheading:9399716-Coronary Disease, pubmed-meshheading:9399716-Echocardiography, Transesophageal, pubmed-meshheading:9399716-Female, pubmed-meshheading:9399716-Femoral Artery, pubmed-meshheading:9399716-Humans, pubmed-meshheading:9399716-Incidence, pubmed-meshheading:9399716-Male, pubmed-meshheading:9399716-Middle Aged, pubmed-meshheading:9399716-Peripheral Vascular Diseases, pubmed-meshheading:9399716-Predictive Value of Tests, pubmed-meshheading:9399716-Prospective Studies, pubmed-meshheading:9399716-Risk Factors, pubmed-meshheading:9399716-Tomography, X-Ray Computed
pubmed:year
1997
pubmed:articleTitle
Relation of coronary artery disease to atherosclerotic disease in the aorta, carotid, and femoral arteries evaluated by ultrasound.
pubmed:affiliation
Heiden Department of Cardiology, Bikur Cholim Hospital and the Hebrew University-Hadassah Medical School, Jerusalem, Israel.
pubmed:publicationType
Journal Article