P830 Atherosclerotic disease in apparently healthy population: is the femoral arterial region the starting point? In search of the origin of the story

Abstract

Abstract Introduction Bifurcations are favorable sites for the development of plates. goals To know the prevalence and differential characteristics according to the presence of atheroma plaques in the carotid or femoral bifurcation in a population without a cardiovascular history. Materials and methods A multicenter, descriptive, cross-sectional, prospective study with consecutive inclusion of 180 individuals who underwent outpatient Doppler echography of neck and lower limb vessels. SPSS 23 Software was used for the statistical analysis, a value of p <0.05 was considered significant. Results In a population of 180 individuals, the presence of atheroma plaques in the carotid bifurcation (BC) was evident, appeared, revelaed in 11 individuals (6.11%), in femoral bifurcation (BF) in 58 individuals (32.2%); and on the other hand coincidentally in both territories in 22 individuals, (12.22%). The average age in both groups BC and BF was 66, 64 years. Male sex was more frequent in the individuals of BF group. The predominant risk factors in both groups were arterial hypertension, dyslipidemia, sedentary lifestyle and obesity. Smoking, diabetes mellitus and poor diet were more frequent in BF group. The latter statistically significant. The age of maximum femoral involvement (64.33 +/- 2.2 years) is prior to the carotid (68.25 +/- 0.5 years), P 0.003. See table Both groups had an average moderate risk score according to Interheart. The individuals of the group who coincidentally had plaques in both bifurcations as significant differential data, had an average risk according to Interheart higher. Conclusions The presence of atheroma plaques was observed more frequently and at a younger age at the level of the femoral bifurcation. Risk factors such as male sex, smoking, diabetes mellitus and poor diet were more frequent in this group. table Presence of plaques in bifurcation Age less than or equal to 60 years n% Age between 61 and 67 years n% Age between 68 and 73 years n% Age greater than or equal to 74 years N% Carotid n:11 3 27% 1 9% 4 36,4% 3 27% Femoral n:58 12 20,7% 18 31% 14 24,1% 14 24,1% Carotid and femoral n:22 5 27,7% 7 31,8% 5 22,7% 5 22,7% Distributions of plaques