This paper reports partial results on carotid kinking prevalence from the ongoing program Obiettivo Prevenzione Ictus, whose main target is to detect atherosclerotic carotid lesions in a resident population. Over a period of 23 months, 13.936 subjects, aged 45 to 75, were screened by physical vascular and carotid CW Doppler ultrasound examinations; 1.386 (9.9%) subjects underwent color coded echoflow imaging, according to the design of the screening program (suspected carotid atherosclerotic lesion at first level screening): 185 among this subgroup, 40 males and 145 females, were affected with 266 carotid kinkings. In 81 cases (43.8%) the lesions were bilateral. Sensibility and specificity of carotid bruit (25% and 73%, respectively) and CW Doppler ultrasound (48.5% and 55.8%, respectively) proved inadequate for routine diagnosis of carotid kinking. Hypertension was recorded in 146 cases (78.9%). No cerebral ischemic attack was recorded in these 185 subjects over the period considered.
|Titolo:||Prevalence of carotid kinking in a resident population : partial results of the OPI (Objective Prevention of Ictus)|
GHILARDI, GIORGIO (Primo)
TRIMARCHI, SANTI (Penultimo)
|Parole Chiave:||Aged; Carotid Artery Diseases; Carotid Artery, Internal; Carotid Stenosis; Cerebrovascular Disorders; Female; Humans; Italy; Male; Mass Screening; Middle Aged; Prevalence|
|Settore Scientifico Disciplinare:||Settore MED/22 - Chirurgia Vascolare|
|Data di pubblicazione:||apr-1993|
|Appare nelle tipologie:||01 - Articolo su periodico|