Author/Editor     Kek, A; Verhovec, R
Title     Odkrivanje zgodnjih aterosklerotičnih sprememb na perifernih arterijah: poskus opredelitve razširjenosti aterosklerotičnega procesa in vpliva dejavnikov tveganja
Translated title     Detection of early atherosclerotic changes of peripheral arteries: determining the extent of atherosclerotic process and effects of risk factors
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 34, št. 1
Publication year     1995
Volume     str. 5-24
Language     slo
Abstract     Non-invasive ultrasound methods have been increasingly used for detecting morphological and functional changes in the arterial wall, indicating the beginning of atherosclerotic process. Early detection of atherosclerosis is of utmost importance for timely deceleration of its further progression. The aim of this study was to determine the association of risk factors for atherosclerosis and intimal thickening (IMT) of the carotid arteries, which is regarded as the earliest morphological evidence of atherosclerotic disease. In addition, functional disturbances due to endothelial dysfunction were investigated. In 4 groups of subjects, including cigarette smokers, diabetics, patients with peripheral arterial occlusive disease and controls, early morphological and functional changes were studied by ultrasound. Each group comprised 13-14 subjects, aged 32 to 56 years. First IMT was measured at three different sites of the carotid arteries. Next, relaxation disturbances were determined by measuring blood flow in the brachial artery at rest and during reactive hyperemia. In the control group, the mean IMT was 0.65 mm. The group of smokers had similar IMT values as control group. Diabetics showed increased IMT at all three sites (mean IMT is 0.71 mm), the value for the common carotid artery being statistically significant. Patients with peripheral arterial occlusive disease showed increased IMT in all three segments (mean IMT is 0.77 mm). The number of atherosclerotic plaques was seen to increase with the increasing IMT. Statistically significant Abstract truncated at 3200 characters
Descriptors     CORONARY ARTERIOSCLEROSIS
BRACHIAL ARTERY
BLOOD FLOW VELOCITY
SMOKING
DIABETES MELLITUS
ARTERIAL OCCLUSIVE DISEASES
ADULT