Abstract

HINOJOSA ROMERO, Ileodomiro  and  SOLIS ALFONSO, Lesly. Characterization of carotid atherosclerosis in patients with metabolic syndrome. Rev Cub Med Mil [online]. 2014, vol.43, n.1, pp. 23-32. ISSN 0138-6557.

Objective: characterize carotid atherosclerotic lesions in patients with metabolic syndrome. Methods: a prospective descriptive study was conducted of 128 patients with a clinical diagnosis of metabolic syndrome. Carotid echo-Doppler was performed to describe intima media thickness, location and type of atheromatous plaques, stenosis degree and atherogenic index, followed by liver ultrasonography for steatosis and details about its extent. Results: atherosclerotic damage was similar in both carotid axes. Low shear stress areas were the most seriously affected, with a predominance of type III atheromatous plaque. Most atherogenic risk factors were related to increased intima media thickness, an atherogenic index below 1, and a low prevalence of significant stenosis. There was a predominance of increased abdominal circumference and severe hepatic steatosis. A positive, relevant correlation was found between the extent of carotid atherosclerotic damage and the degree of central and body obesity. Conclusions: there was a positive, relevant correlation between the extent of carotid atherosclerotic damage and the degree of central and body obesity. Most atherogenic risk factors were related to increased intima media thickness, an atherogenic index below 1, and a low prevalence of significant stenosis. Age over 60 and hypertension were the predominant risk factors.

Keywords : metabolic syndrome; carotid atherosclerosis; carotid echo-Doppler.

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