Background and aim: To verify if the carotid plaque development is concomitant to brachial artery diameter enlargement, in healthy postmenopausal women. Methods and results: This is a retrospective, recall study. We enrolled 40 postmenopausal women, selected from a database for the period 2000-2008, not affected by subclinical carotid atherosclerosis and without risk factors for cardiovascular disease. At the recall visit, carotid and brachial duplex scan was again obtained. The incidence of plaque was 30% after a mean follow-up period of 60 months. There were no differences in baseline characteristics between subjects developing carotid atherosclerosis and subjects who did not, except for the brachial diameter change, follow-up and heart rate. The logistic-regression analysis confirmed that only brachial diameter change resulted to be correlated with the development of carotid atherosclerosis. Conclusion: Brachial artery diameter increase is concomitant to carotid plaque development. Vascular enlargement could not be a focal change but a systemic process associated with atherosclerotic plaque development. Brachial diameter could be a tool with a predictive significance.

Concomitant carotid plaque development and brachial artery diameter enlargement : A retrospective, recall-based study in postmenopausal women / T. Montalcini, G. Gorgone, C. Gazzaruso, A. Pujia. - In: NMCD. NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES. - ISSN 0939-4753. - 23:8(2013 Aug), pp. 765-770. [10.1016/j.numecd.2012.03.009]

Concomitant carotid plaque development and brachial artery diameter enlargement : A retrospective, recall-based study in postmenopausal women

C. Gazzaruso
Penultimo
;
2013

Abstract

Background and aim: To verify if the carotid plaque development is concomitant to brachial artery diameter enlargement, in healthy postmenopausal women. Methods and results: This is a retrospective, recall study. We enrolled 40 postmenopausal women, selected from a database for the period 2000-2008, not affected by subclinical carotid atherosclerosis and without risk factors for cardiovascular disease. At the recall visit, carotid and brachial duplex scan was again obtained. The incidence of plaque was 30% after a mean follow-up period of 60 months. There were no differences in baseline characteristics between subjects developing carotid atherosclerosis and subjects who did not, except for the brachial diameter change, follow-up and heart rate. The logistic-regression analysis confirmed that only brachial diameter change resulted to be correlated with the development of carotid atherosclerosis. Conclusion: Brachial artery diameter increase is concomitant to carotid plaque development. Vascular enlargement could not be a focal change but a systemic process associated with atherosclerotic plaque development. Brachial diameter could be a tool with a predictive significance.
atherosclerosis; brachial artery; postmenopausal; remodelling
Settore MED/13 - Endocrinologia
Settore MED/09 - Medicina Interna
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
28-giu-2012
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/853257
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