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Article: Prevalence of extracranial carotid and vertebral artery disease in Chinese patients with coronary artery disease

TitlePrevalence of extracranial carotid and vertebral artery disease in Chinese patients with coronary artery disease
Authors
KeywordsCarotid artery diseases
Cerebral arteries
Chinese
Coronary artery disease vertebral artery
Issue Date1998
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://stroke.ahajournals.org
Citation
Stroke, 1998, v. 29 n. 3, p. 631-634 How to Cite?
AbstractBackground and Purpose - Chinese have been reported to have an extremely low prevalence rate of carotid and vertebral artery disease in comparison with whites. Previous studies, however, have been limited to general hospital stroke admission or postmortem series and were prone to selection bias. Extracranial cerebrovascular disease (ECCVD) is associated with coronary artery disease (CAD) in whites. Data associating ECCVD with CAD in Chinese patients are not available. Methods - We studied 153 consecutive Chinese patients with angiographically documented CAD. Duplex ultrasonography was performed to identify any underlying extracranial carotid and vertebral artery disease. Patient demographics; vascular risk factors; history of myocardial infarction, transient ischemic attack (TIA) or stroke; concomitant peripheral vascular disease (PVD); degree of left ventricular dysfunction; and extent and severity of CAD were also noted and analyzed. Results - Significant (≤50%) stenosis of one or more of the extracranial cerebral arteries was found in 32 patients (21%). The internal and external carotid arteries were involved in 17 of 153 patients (11%) and 19 of 153 patients (12%), respectively. The vertebral artery was involved in 9 of 153 patients (6%) and the common carotid artery in 3 of 153 (2%). Diabetes mellitus, hypertension, a history of TIA or stroke, and PVD were significantly associated with the presence of ECCVD. Conclusions - Significant ECCVD is not uncommon in Chinese patients with CAD, and the prevalence is comparable with that reported in white populations. Patients with a history of diabetes, hypertension, TIA, stroke, and PVD are more likely to have concomitant ECCVD.
Persistent Identifierhttp://hdl.handle.net/10722/77429
ISSN
2023 Impact Factor: 7.8
2023 SCImago Journal Rankings: 2.450
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChen, WHen_HK
dc.contributor.authorHo, DSWen_HK
dc.contributor.authorHo, SLen_HK
dc.contributor.authorCheung, RTFen_HK
dc.contributor.authorCheng, SWKen_HK
dc.date.accessioned2010-09-06T07:31:48Z-
dc.date.available2010-09-06T07:31:48Z-
dc.date.issued1998en_HK
dc.identifier.citationStroke, 1998, v. 29 n. 3, p. 631-634en_HK
dc.identifier.issn0039-2499en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77429-
dc.description.abstractBackground and Purpose - Chinese have been reported to have an extremely low prevalence rate of carotid and vertebral artery disease in comparison with whites. Previous studies, however, have been limited to general hospital stroke admission or postmortem series and were prone to selection bias. Extracranial cerebrovascular disease (ECCVD) is associated with coronary artery disease (CAD) in whites. Data associating ECCVD with CAD in Chinese patients are not available. Methods - We studied 153 consecutive Chinese patients with angiographically documented CAD. Duplex ultrasonography was performed to identify any underlying extracranial carotid and vertebral artery disease. Patient demographics; vascular risk factors; history of myocardial infarction, transient ischemic attack (TIA) or stroke; concomitant peripheral vascular disease (PVD); degree of left ventricular dysfunction; and extent and severity of CAD were also noted and analyzed. Results - Significant (≤50%) stenosis of one or more of the extracranial cerebral arteries was found in 32 patients (21%). The internal and external carotid arteries were involved in 17 of 153 patients (11%) and 19 of 153 patients (12%), respectively. The vertebral artery was involved in 9 of 153 patients (6%) and the common carotid artery in 3 of 153 (2%). Diabetes mellitus, hypertension, a history of TIA or stroke, and PVD were significantly associated with the presence of ECCVD. Conclusions - Significant ECCVD is not uncommon in Chinese patients with CAD, and the prevalence is comparable with that reported in white populations. Patients with a history of diabetes, hypertension, TIA, stroke, and PVD are more likely to have concomitant ECCVD.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://stroke.ahajournals.orgen_HK
dc.relation.ispartofStrokeen_HK
dc.rightsStroke. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectCarotid artery diseasesen_HK
dc.subjectCerebral arteriesen_HK
dc.subjectChineseen_HK
dc.subjectCoronary artery disease vertebral arteryen_HK
dc.subject.meshAgeden_HK
dc.subject.meshCarotid Arteries - pathologyen_HK
dc.subject.meshChina - ethnologyen_HK
dc.subject.meshCoronary Disease - pathologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshVertebral Artery - pathologyen_HK
dc.titlePrevalence of extracranial carotid and vertebral artery disease in Chinese patients with coronary artery diseaseen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0039-2499&volume=29&spage=631&epage=634&date=1998&atitle=Prevalence+of+Extracranial+Carotid+and+Vertebral+Artery+Disease+in+Chinese+Patients+with+Coronary+Artery+Diseaseen_HK
dc.identifier.emailHo, SL: slho@hku.hken_HK
dc.identifier.emailCheung, RTF: rtcheung@hku.hken_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityHo, SL=rp00240en_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1161/01.STR.29.3.631-
dc.identifier.pmid9506604-
dc.identifier.scopuseid_2-s2.0-0345487513en_HK
dc.identifier.hkuros36369en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0345487513&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume29en_HK
dc.identifier.issue3en_HK
dc.identifier.spage631en_HK
dc.identifier.epage634en_HK
dc.identifier.isiWOS:000072348900012-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChen, WH=7409637978en_HK
dc.identifier.scopusauthoridHo, DSW=7402970193en_HK
dc.identifier.scopusauthoridHo, SL=25959633500en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.issnl0039-2499-

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