<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272021000100029</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ultrasonografía Duplex en la enfermedad esteno-oclusiva carotídea según las formas clínicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Duplex Ultrasonography in carotid stenoocclusive disease according to clinical forms]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrazana Aguilar]]></surname>
<given-names><![CDATA[Irma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Cantero]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricardo Olivera]]></surname>
<given-names><![CDATA[Daylin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moro Rodriguez]]></surname>
<given-names><![CDATA[Rubén Tomas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Provincial Universitario Cardiocentro &#8220;Ernesto Guevara&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272021000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272021000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272021000100029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la lesión carotídea ateromatosa tiene importantes connotaciones en la población adulta porque provoca una disminución del flujo sanguíneo al encéfalo y puede ser diagnosticada por ultrasonido vascular.  Objetivo:  caracterizar la enfermedad esteno-oclusiva carotídea por ultrasonografía y por su relación con la clínica.  Métodos:  se realizó un estudio observacional, descriptivo, transversal en los Hospitales &#8220;Arnaldo Milián Castro&#8221; y &#8220;Ernesto Guevara&#8221; de Villa Clara desde febrero de 2011 a noviembre de 2019. La población estuvo constituida por los pacientes que acudieron a la Consulta de ultrasonido vascular; de forma intencional fue seleccionada una muestra de 535 pacientes.  Resultados:  predominaron el grupo etáreo entre 70 y 79, el sexo masculino y los pacientes fumadores e hipertensos. La forma clínica más frecuente fue la asintomática sin soplo y de la sintomática los ataques transitorios isquémicos. La placa heterogénea, irregular y dura, con estenosis superior al 70%, se presentó en la mayoría de los casos con espectro de velocidades que indicaron enfermedad severa de las carótidas.  Conclusiones:  la enfermedad cerebrovascular extracraneal es multicausal, la estenosis carotídea es la causa más frecuente; los factores de riesgo de mayor relevancia son el tabaquismo y la hipertensión arterial; los criterios hemodinámicos del flujo sanguíneo en los distintos sectores de los ejes carotídeos medidos con el eco-Doppler permiten determinar el grado de estenosis. Esta enfermedad constituye un problema de salud, sobre todo en su forma asintomática, y se ha convertido en un desafío para la medicina por los altos índices de discapacidad, invalidez y mortalidad que ocasiona en los pacientes afectados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the atheromatous carotid lesion has important connotations in the adult population that causes a decrease in blood flow to the brain that can be diagnosed by vascular ultrasound.  Objective:  to characterize the carotid stenoocclusive disease by ultrasonography and its relationship with the clinic at the "Arnaldo Milián Castro" Clinical Surgical Hospital and "Ernesto Guevara" Cardiocentro in Villa Clara, from February 2011 to November 2019.  Methods:  an observational, descriptive, cross-sectional study was conducted. The population consisted of those patients who attended the vascular ultrasound consultation and a sample of 535 patients was intentionally selected.  Results:  the predominant age group was between 70 and 79, the male sex and the patients who smoked and were hypertensive. The most frequent clinical form was the asymptomatic without murmur and the symptomatic was the transitory ischemic attacks. Heterogeneous, irregular and hard plaque, with stenosis over 70% was presented in most of the cases with speed spectrum that indicated severe disease of the studied carotids.  Conclusions:  extracranial cerebrovascular disease is a multicausal entity where carotid stenosis is the most frequent cause. The most relevant risk factors for cerebrovascular disease are smoking and a high blood pressure. The hemodynamic criteria of the blood flow in the different sectors of the carotid axes measured with the ecodoppler allow determining the degree of stenosis. This pathology constitutes a health problem, especially in its asymptomatic form, which has become a challenge for medicine due to the high rates of disability, invalidity and mortality it causes in affected patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ultrasonografía doppler dúplex]]></kwd>
<kwd lng="es"><![CDATA[enfermedad esteno-oclusiva carotídea]]></kwd>
<kwd lng="en"><![CDATA[ultrasonography, doppler, duplex]]></kwd>
<kwd lng="en"><![CDATA[stenoocclusive carotid disease]]></kwd>
</kwd-group>
</article-meta>
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