본문 바로가기
KERD
논문KCI 등재

허혈뇌졸중에서 경동맥 내막-중막 두께와 뇌졸중위험인자와의 관계

Association between Carotid Artery Intima-Media Thickness and Stroke Risk Factors in Ischemic Stroke

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류신경과학

초록

Background: Common carotid artery intima-media thickness (IMT) is an accepted sonographic marker of early atherosclerosis,and increased IMT represents a risk of ischemic stroke. The purpose of this study was to evaluate the correlation between common carotid artery IMT and stroke risk factors in patients with ischemic stroke. Methods: Subjects were 381 patients with acute ischemic stroke. High resolution B-mode ultrasonography was performed to measure IMT at common carotid artery. Multivariate regression analysis was performed to determine the independent factors related to common carotid artery IMT. Results: The variables that strongly predicted an increase in the common carotid artery IMT were age (P <0.001) and diabetes mellitus(P <0.001). Conclusion: Increased common carotid artery IMT is independently associated with age and diabetes mellitus in patients with ischemic stroke. (Korean J Stroke 2011;13:129-133)

Abstract

Background: Common carotid artery intima-media thickness (IMT) is an accepted sonographic marker of early atherosclerosis,and increased IMT represents a risk of ischemic stroke. The purpose of this study was to evaluate the correlation between common carotid artery IMT and stroke risk factors in patients with ischemic stroke. Methods: Subjects were 381 patients with acute ischemic stroke. High resolution B-mode ultrasonography was performed to measure IMT at common carotid artery. Multivariate regression analysis was performed to determine the independent factors related to common carotid artery IMT. Results: The variables that strongly predicted an increase in the common carotid artery IMT were age (P <0.001) and diabetes mellitus(P <0.001). Conclusion: Increased common carotid artery IMT is independently associated with age and diabetes mellitus in patients with ischemic stroke. (Korean J Stroke 2011;13:129-133)

참고문헌 (19)

  1. Pignoli P, "Intima plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging", Circulation, 74, pp.1399~1406 (1986)
  2. Aminbakhsh A, "Carotid intima-media thickness measurements: what defines an abnormality? A systemic review", Clin Invest Med, 4, pp.149~157 (1999)
  3. Bots M, "Common carotid intima-media thickness and risk of stroke and myocardia infarction (The Rotterdam study)", Circulation, 96, pp.1432~1437 (1997)
  4. Lorenz MW, "Prediction of clinical cardiovascular events with carotid intima-media thickness: a systemic review and meta-analysis", Circulation, 115, pp.459~467 (2007)
  5. Chambless LE, "Association of transient ischemic attack", stroke symptoms assessed by standardized questionnaire and algorithm with cerebrovascular risk factors and carotid artery wall thickness. The ARIC study 1987-1989, 1996, pp.144, 857~866
  6. Touboul PJ, "Common carotid artery intima-media thickness and brain infarction: the Etude du Profi l Génétique de l’Infarctus Cérébral (GENIC) casecontrol study", Circulation, 102, pp.313~318 (2000)
  7. de Burgos-Lunar C, "Validation of diabetes mellitus and hypertension diagnosis in computerized medical records in primary health care", BMC Med Res Methodol, 11, pp.146~156 (2011)
  8. Bonithon-Kopp C, "Risk factors for early carotid atherosclerosis in middle-aged French women", Arterioscler Thromb, 11, pp.966~972 (1991)
  9. Simon A, "Intimamedia thickness: a new tool for diagnosis and treatment of cardiovascular risk", J Hypertens, 20, pp.159~169 (2002)
  10. Bots ML, "Cerebral white matter lesions and atherosclerosis in the Rotterdam study", Lancet, 341, pp.1232~1237 (1993)
  11. Kim CS, "Normative values of carotid artery intima-media thickness in healthy Korean adults and estimation of macrovascular diseases relative risk using this data in type 2 diabetes patients", Diabetes Res Clin Pract, 72, pp.183~189 (2006)
  12. Ando F, "Ultrasonic evaluation of common carotid intima-media thickness(IMT): infl uence of local plaque on the relationship between IMT and age", J Epidemiol, 10, pp.S10~17 (2000)
  13. Depairon M, "Reference values of intima-media thickness of carotid and femoral arteries in subjects aged 20 to 60 years and without cardiovascular risk factors", Arch Mal Coeur Vaiss, 93, pp.721~726 (2000)
  14. Distiller LA, "Carotid artery intima-media complex thickening in patients with relatively long-surviving type 1 diabetes mellitus", J Diabetes Complications, 20, pp.280~284 (2006)
  15. de Freitas EV, "Study of the intima-media thickening in carotid arteries of healthy elderly with high blood pressure and elderly with high blood pressure and dyslipidemia", Clin Interv Aging, 3, pp.525~534 (2008)
  16. Gariepy J, "Sex and topographic differences in associations between large artery wall thickness and coronary risk profi le in a French working cohort: the AXA study", Arterioscler Thromb Vasc Biol, 4, pp.584~590 (1998)
  17. Lee EJ, "Relevance of common carotid intima-media thickness and carotid plaque as risk factors for ischemic stroke in patients with type 2 diabetes mellitus", AJNR Am J Neuroradiol, 28, pp.916~919 (2007)
  18. Markus RA, "Influence of lifestyle modifi cation on atherosclerotic progression determined by ultrasonographic change in the common carotid intima-media thickness", Am J Clin Nutr, 65, pp.1000~1004 (1997)
  19. Preston E, "Association between carotid artery intima-media thickness and cardiovascular risk factors in CKD", Am J Kidney Dis, 46, pp.856~862 (2005)

관련 논문AI추천

이 간행물의 다른 논문 (10건)