Resumen

MANSO LOPEZ, Ana Margarita; GARRIDO TAPIA, Elbert José  y  MORALES GONZALEZ, Mayelín. Ischemic Ictus and Atheroma Plaque: presentation of series of cases. CCM [online]. 2014, vol.18, n.3, pp. 571-573. ISSN 1560-4381.

Introduction: severe carotid stenosis is an etiological factor in isolated ischemic stroke, and the Doppler study is the one that allows to analyze the degree of stenosis that based on the characteristics of blood flow and the structure of the plaque. Objective: to present a series of cases with ischemic stroke and hemodynamically significant carotid stenosis and evaluate the use of carotid Doppler as a predictor of ischemic stroke. Method: a review of the medical records of 16 patients with ischemic stroke was made and hemodynamically significant carotid stenosis, a summary of personal medical history was collected, history of present illness, physical examination, complementary, including Doppler carotid and the clinical progress of patients. Results: 68.75 % of cases, the degree of carotid stenosis was moderate, however 30 % of patients had less than 50 % stenosis is not so negligible risk associated with discrete and moderate stenosis carotid Doppler presenting as an important predictor of ischemic stroke, and non-invasive and inexpensive health technology that has demonstrated high accuracy in identifying the various components of the atheromatous plaque, highlighting the association between certain characteristics of that plaque with the risk of progression of the same and the development of ischemic stroke. Conclusions: carotid Doppler has demonstrated high accuracy in identifying the various components of the atheromatous plaque and is an important predictor of ischemic stroke

Palabras clave : stroke; atheroma plaque; carotid stenosis; Doppler study; predictive factor; sanitary technology.

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