High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study
Introduction:Myocardial infarction remains a major cause of morbidity and mortality in the young population. The relationship between carotid intima-media thickness (CIMT) and atherosclerosis has been shown in many studies, however, there is no study investigating the association between carotid ima...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-05-01
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| Series: | İstanbul Medical Journal |
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| Online Access: |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/high-risk-carotid-maging-predicts-st-segment-eleva/21472
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| _version_ | 1828019214188806144 |
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| author | Mustafa Umut Somuncu Huseyin Karakurt |
| author_facet | Mustafa Umut Somuncu Huseyin Karakurt |
| author_sort | Mustafa Umut Somuncu |
| collection | DOAJ |
| description | Introduction:Myocardial infarction remains a major cause of morbidity and mortality in the young population. The relationship between carotid intima-media thickness (CIMT) and atherosclerosis has been shown in many studies, however, there is no study investigating the association between carotid imaging and cardiovascular events in young patients. In our study, we evaluated the carotid imaging of young patients who experienced ST-elevated myocardial infarction (STEMI) and individuals at the same age and with normal coronary arteries.Methods:A total of 160 young patients were enrolled in the study. Of them, 115 patients were under the age of 45 years with STEMI and 45 were under the age of 45 years with normal coronary arteries shown in the coronary angiography. Carotid ultrasound was performed for all patients and they were divided into high-risk and low-risk carotid image groups according to CIMT and the presence of carotid plaque. Both groups were compared according to the traditional risk factors and the predictors of STEMI were investigated.Results:Both CIMT (0.87±0.28, vs 0.70±0.16, p<0.001) and the presence of carotid plaque (14.8% vs 2.2%, p=0.024) were found to be significantly higher in young patients with STEMI compared to the control group. Independently from other traditional risk factors, 0.1 mm increase in CIMT was associated with a 42% increase in odds for STEMI. Similarly, being in the high-risk carotid image group had 9.2 times increased odds for STEMI than being in the low-risk carotid image group.Conclusion:CIMT and the presence of carotid plaque have a predictive value for cardiovascular events in young age independently from traditional risk factors. |
| first_indexed | 2024-04-10T11:15:41Z |
| format | Article |
| id | doaj.art-6c9592b61d354ebf8c6a484ac9d78ab3 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T11:15:41Z |
| publishDate | 2019-05-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-6c9592b61d354ebf8c6a484ac9d78ab32023-02-15T16:18:53ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2019-05-0120321822310.4274/imj.galenos.2018.0479613049054High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional StudyMustafa Umut Somuncu0Huseyin Karakurt1 Zonguldak Bülent Ecevit University Faculty of Medicine, Department of Cardiology, Zonguldak, Turkey University of Health Sciences, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Clinic of Cardiology, İstanbul, Turkey Introduction:Myocardial infarction remains a major cause of morbidity and mortality in the young population. The relationship between carotid intima-media thickness (CIMT) and atherosclerosis has been shown in many studies, however, there is no study investigating the association between carotid imaging and cardiovascular events in young patients. In our study, we evaluated the carotid imaging of young patients who experienced ST-elevated myocardial infarction (STEMI) and individuals at the same age and with normal coronary arteries.Methods:A total of 160 young patients were enrolled in the study. Of them, 115 patients were under the age of 45 years with STEMI and 45 were under the age of 45 years with normal coronary arteries shown in the coronary angiography. Carotid ultrasound was performed for all patients and they were divided into high-risk and low-risk carotid image groups according to CIMT and the presence of carotid plaque. Both groups were compared according to the traditional risk factors and the predictors of STEMI were investigated.Results:Both CIMT (0.87±0.28, vs 0.70±0.16, p<0.001) and the presence of carotid plaque (14.8% vs 2.2%, p=0.024) were found to be significantly higher in young patients with STEMI compared to the control group. Independently from other traditional risk factors, 0.1 mm increase in CIMT was associated with a 42% increase in odds for STEMI. Similarly, being in the high-risk carotid image group had 9.2 times increased odds for STEMI than being in the low-risk carotid image group.Conclusion:CIMT and the presence of carotid plaque have a predictive value for cardiovascular events in young age independently from traditional risk factors. http://imj.galenos.com.tr/archives/archive-detail/article-preview/high-risk-carotid-maging-predicts-st-segment-eleva/21472 Myocardial infarctioncarotid intima-media thicknessyoung agecarotid plaquesubclinical atherosclerosis |
| spellingShingle | Mustafa Umut Somuncu Huseyin Karakurt High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study İstanbul Medical Journal Myocardial infarction carotid intima-media thickness young age carotid plaque subclinical atherosclerosis |
| title | High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study |
| title_full | High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study |
| title_fullStr | High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study |
| title_full_unstemmed | High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study |
| title_short | High-Risk Carotid Imaging Predicts ST-Segment Elevated Myocardial Infarction in Young Patients: A Cross-Sectional Study |
| title_sort | high risk carotid imaging predicts st segment elevated myocardial infarction in young patients a cross sectional study |
| topic | Myocardial infarction carotid intima-media thickness young age carotid plaque subclinical atherosclerosis |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/high-risk-carotid-maging-predicts-st-segment-eleva/21472
|
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