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Journal of Research in Medical Sciences، جلد ۱۴، شماره ۲، صفحات ۱۱۷-۰
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عنوان انگلیسی Asymptomatic carotid artery stenosis in patients with severe peripheral vascular diseases
چکیده انگلیسی مقاله BACKGROUND : The prevalence of carotid artery stenosis (CAS) in the eneral population is not high enough to justify screening programs. This study was done to determine the prevalence of asymptomatic carotid artery stenosis (ACAS) among patients with severe peripheral vascular disease (PVD). METHODS : Between March 2005 and February 2006, 54 consecutive atients with severe PVD admitted at a vascular surgery unit and underwent carotid duplex scanning in a prospective study. A uestionnaire was used to collect data concerning known risk factors. Significant CAS was defined as a stenosis of 70% or greater. RESULTS : The mean age was 62.5 years (51-72). Out of 54 patients, 2 (3.7%) had an occluded internal carotid artery. Significant CAS was found in 9 (16.7%) and its presence was correlated with diabetes, hypertension, hypercholesterolemia, hypertriglyceridemia, coronary artery disease, severity of symptoms, ankle-brachial index, and carotid bruit. On multivariate analysis, only hypercholesterolemia and carotid bruit seemed to have independent influence. CONCLUSION : The prevalence of significant ACAS is higher among atients with severe PVD. This patient population may indicate a uitable subgroup for screening of ACAS, especially when hypercholesterolemia and carotid bruit are present. KEYWORDS : Carotid artery stenosis, duplex ultrasound scanning, peripheral vascular disease, carotid endarterectomy, cerebrovascular accident.
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نویسندگان مقاله رسول میرشریفی | rasoul mirsharifi
department of surgery, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمد رضا فرهمند | mohammad reza farahmand
department of surgery, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

فرامرز کریمیان | faramarz karimian
department of surgery, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

علی امینیان | ali aminian
department of surgery, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/2260
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Short Communications
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