STUDYING THE SITUATION OF CAROTID ATHEROSCLEROSIS OF HYPERTENSIVE PATIENTS IN THE NORTH OF BINH DINH PROVINE, VIETNAM

Abstract

Abstract Objective: To evaluate the rate of carotid atherosclerosis in hypertensive patients and the correlations between age, blood pressure, BMI, total cholesterol and atherosclerotic plaque numbers. Design and method: A Cross-sectional descriptive study of 207 hypertensive patients in the North of Binh Dinh provine, Viet Nam (2019), examined by doppler ultrasound to evaluate atherosclerotic plaque numbers of the extra-cranial carotid arteries. Results: 1. Carotid atherosclerotic results - The rate of atherosclerosis in hypertensive patients: 69.6% - The percentage of right carotid atherosclerosis is 14.6%. - The percentage of left carotid atherosclerosis is 19.4%. - The percentage of atherosclerosis on both of right and left carotid are 66%. - Percentage of carotid atherosclerosis at before bifurcation: 75% - The percentage of carotid atherosclerosis at bifurcation 46.52%. - Percentage of carotid atherosclerosis at after bifurcation 4.16%. - There are 29.2% of hypertension, have 01 atherosclerotic plaque, 54.2% have 02, 12.5% have 03, 3.5% have 04 vein and 0.7% have over 04 plaques. 2. Some correlation results - There is no correlation between age, systolic blood pressure, diastolic blood pressure, height and atherosclerotic plaque numbers. - There is a weak correlation between weight and atherosclerotic plaque numbers (r = 0.20), y = 47.9399 + 2,881 x, R = 0.22. p < 0.001. - There is a weak correlation between total cholesterol and atherosclerotic plaque numbers (r = 0.18), y = 4.7018 + 0.2839 x, R = 0.19. p < 0.001. Conclusions: Carotid atherosclerotic injuries are 69.6% in hypertensive patients. That is very high rate. Should be examined early to treatment and prevent cardio-vascular complications.