A study to compare the relationship between the presence of coronary artery disease and carotid intima media thickness
Keywords:
coronary artery disease, CVD, CIMT, BMI, IMT.Abstract
Introduction: The burden of coronary artery disease (CAD) continues to rise globally, as developing nations, including India, are adopting to lifestyle changes with predisposition to cardiovascular diseases (CVD). During the past 30 years, coronary artery disease(CAD) rates have doubled in both urban and rural India while they have been halved in the United states. Materials and Methods: Patients admitted in Department of General Medicine, GIMSR,GITAM (Deemed to Be University), Visakhapatnam from January 2020 to December 2020 for a period of 12 months. 100 cases, 100 controls were included in the study. Outcome measures were Relationship between risk factors and IMT (Intima Media Thickness) Relationship between IMT and coronary artery disease. Results: The statistical analysis was done using the t-test and ANOVA and pvalue of <0.001 was considered to be significant. The mean age of cases is 49.81 years and that of controls is 47.93 years. There were 71 males and 29 females in the case group. There were 60 males and 40 females in the control group. Both the correlation and regression analyses indicate that BMI and AVCIMT have a moderate positive relationship that is statistically significant. Conclusion: Cardiovascular risk factors, diabetes,smoking, hypertension, hypercholesterolemia are associated with increased CIMT. This study suggests a significant association between carotid IMT and the presence of CAD in Indian population also which differs from our Western counterparts in risk factor profile, mortality and morbidity. For all these reasons, and the wealth of experience with this approach, external carotid external ultrasound is likely to remain among the most widely employed imaging technique for the quantification and tracking of subclinical atherosclerosis
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Copyright (c) 2021 Mahanti Sreenu, V.V.N.Goutham, Nikhila Dasari
This work is licensed under a Creative Commons Attribution 4.0 International License.