Co-relation of carotid artery disease in patients with significant ischemic heart disease ,single centre experience

Abstract

Abstract . Objective: To determine the co-relation of significant carotid artery stenosis in patients with significant ischemic heart disease. Methods: Carotid artery stenosis was measured in common carotid artery or its main branches using high-resolution B-mode ultrasonography in 100 patients with coronary artery disease who were having significant coronary artery disease on the basis of history and conventional coronary angiography. Statistics analysis was done with SPSS v 11. Results: There were 67 male and 33 female patients. Mean age was 53.36 years (SD±10.99). Significant echographic carotid stenosis was observed in 35 out of 100 patients ( 35 %). Among those, the distribution of carotid stenosis was 22.22%, 29.62%, 38.77% and 66.66% in patients with single, double, triple vessel and left main stem disease, respectively. Statistical analysis showed that age, risk factors (DM, HTN, smoking and hyperlipidemia) and the extent of CAD were significantly related to the presence of carotid stenosis. Conclusion: There is strong co-relation between significant carotid artery stenosis in patients with ischemic heart disease in southern Punjab, screening of carotid artery stenosis should be recommended in patients with CAD. KEY WORDS: single vessel disease, double vessel disease, triple vessel disease and left main stem disease.