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ORIGINAL ARTICLE  CAROTID DISEASE 

International Angiology 2020 February;39(1):24-8

DOI: 10.23736/S0392-9590.19.04229-9

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Long-term follow-up in high risk hypertensive patients with carotid dolicoarteriopathies

Antonio VALVANO 1, Giorgio BOSSO 1, Valentina APUZZI 1, Valentina MERCURIO 1, Valeria DI SIMONE 1, Veronica PANICARA 1, Mariarosaria DE LUCA 1, Claudio TOMAS 2, Federica CAMMAROTA 2, Antonio CITTADINI 1, Ugo OLIVIERO 1

1 Department of Translational Medical Sciences, Federico II University, Naples, Italy; 2 Department of Neurosciences, Federico II University, Naples, Italy



BACKGROUND: Carotid dolicoarteriopathies (CDA) are a common finding during the carotid ultrasound or angiography, but their potential role in the development of cerebrovascular diseases is still unclear. Aim of this study is to clarify the possible relationship between CDA and the occurrence of cerebral events.
METHODS: We performed a retrospective analysis on 2124 hypertensive patients with high cardiovascular risk that underwent carotid ultrasound from January 2000 to December 2008. Follow-up data on cerebrovascular events (transient ischemic attack and/or stroke occurrence) at 10 years were collected.
RESULTS: The global prevalence of CDA in the study population was 12.9% (274/2124), and carotid kinking was more frequent in females and in the left carotid axis. The percentage of cerebrovascular events among hypertensive patients with CDA was similar to those occurred in the group of patients without CDA (10.94% vs. 10.97%, P=NS), with no differences in the number of strokes (8.39% vs. 8.38% P=NS) and TIA (2.55% vs. 2.59% P=NS).
CONCLUSIONS: CDA are not associated with a major occurrence of cerebrovascular events in a high-risk population of hypertensives.


KEY WORDS: Carotid arteries; Stroke; Hypertension

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