alexa Abstract | The Benefit of Ultrasound Screening of Asymptomatic Carotid Stenosis in Diabetic Patients with Coronary Artery Disease
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article Open Access

Abstract

1.1 Background: The preventive task force reaffirmed its 2007 recommendation against screening for asymptomatic carotid stenosis with Doppler ultrasound (US). This recommendation was not tailored to include high risk subgroups (diabetics with coronary artery disease).

1.2 Methods: We conducted a retrospective case control study on previously asymptomatic, elderly, diabetic patients with history of coronary artery disease, who presented to our facilities between 2003 and 2009.Participants who had an US preformed were compared to controls who never had an US performed before . After five year period, we recorded outcomes of stroke, mortality and carotid endarterectomy.

1.3 Results: 316 patients were included (192 in study group, 124 controls). No difference in baseline characteristics was reported.18% of the study patients had 60 % stenosis or more. The cumulative stroke incidence was similar between both groups (4.6 % vs 2.4 %), p>0.3. Two carotid artery endarterectomies were performed in the screened group. After adjusting for propensity scores, there was no association between stroke occurrence and ultrasound screening. The odds ratio for development of stroke was 2 (95 % CI, 0.2-7, p=0.2) in unscreened group compared to screened group.

1.4 Conclusion: High atherosclerotic burden in this subgroup might lead clinicians to consider carotid US as a screening tool for stroke prevention. This study is the first to suggest that US does not prevent strokes in high risk subgroups. Large randomized studies are needed to confirm these results.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Yacoub H, Torbey E, Spagnola J, Salmane C, Elkosseifi M, Atoot A, Zaidan J, Daneshvar F, Khan H, Olkovsky Y, Lafferty J

Keywords

Carotid Stenosis, Ultrasound, Coronary Artery Disease, Diabetes, Stroke , Carotid Stenosis, Coronary Artery Disease, Diabetes

Share This Page

Additional Info

Loading
Loading Please wait..
 
 
 
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords