Valiasr Ave , Tehran , Iran
Background- Atherosclerosis is a generalized process of vessels which involves coronary arteries and carotid vessels in a similar fashion. In this study we evaluate the relationship of coronary artery disease (CAD) with intima-media thickness (IMT) of carotid vessels and carotid artery stenosis.
Methods- 120 patients were subdivided into four groups: normal coronary; single vessel (SVD) and two-vessel (2VD); and three-vessel disease (3VD), established by means of coronary angiography. The groups were then prospectively evaluated with color duplex ultrasound (CDUS) examination during a 1-year period to assess the relationship of carotid artery stenosis and intima-media thickness (IMT) with CAD. Results- from the 120 patients who underwent examination, two cases showed above 75% carotid stenosis, and 62.8% of the patients with three vessel disease exhibited more than 1.2 mm intima-media thickness with p value < 0.001.
Conclusions- We have not found a statistically significant relationship between significant coronary artery disease and carotid artery stenosis but a remarkable correlation with the degree of coronary artery disease and increased intima-media thickness. Auscultation of a bruit in the neck is not a reliable indicator of carotid artery Stenosis (Iranian Heart Journal 2003; 4 (4):60-62(.