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Volume 14
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10.3390/diagnostics14111101
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Article

Ultrasound Carotid Plaque Score and Severity of Coronary Artery Disease Assessed by Computed Tomography Angiography in Patients with Arterial Hypertension

by
Andrzej Wysocki
1,
Michał Fułek
2,
Piotr Macek
2,
Monika Michałek-Zrąbkowska
2,
Krzysztof Kraik
3,
Małgorzata Poręba
4,
Katarzyna Fułek
5,
Helena Martynowicz
2,
Grzegorz Mazur
2,
Paweł Gać
1,6,*,† and
Rafał Poręba
2,†
1
Centre for Diagnostic Imaging, 4th Military Hospital, 50-981 Wroclaw, Poland
2
Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, Poland
3
Students’ Scientific Organization, Wroclaw Medical University, 50-556 Wroclaw, Poland
4
Department of Paralympic Sports, Wroclaw University of Health and Sport Sciences, Witelona 25a, 51-617 Wroclaw, Poland
5
Department and Clinic of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, Poland
6
Department of Population Health, Division of Environmental Health and Occupational Medicine, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-368 Wrocław, Poland
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Diagnostics 2024, 14(11), 1101; https://doi.org/10.3390/diagnostics14111101
Submission received: 18 April 2024 / Revised: 21 May 2024 / Accepted: 23 May 2024 / Published: 25 May 2024
(This article belongs to the Special Issue From B-Mode to 3-D: State of the Art and Clinical Advances in Vascular Ultrasound)
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Abstract

The aim of the study was to assess the relationship between the presence of atherosclerotic lesions in the carotid arteries detected by ultrasound and the occurrence of atherosclerosis in the coronary arteries determined by computed tomography (CT) in patients with arterial hypertension (HTA). A total of 83 patients with HTA were qualified for the study (age: 71.3 ± 8.5 years). All subjects underwent carotid arteries ultrasound and coronary arteries CT. The carotid plaque score was assessed using ultrasound. The studied group was divided into two subgroups: a subgroup with the carotid plaque score ≤ 1 (A) and a subgroup with carotid plaque score ≥2 (B). Coronary arteries CT assessed coronary artery calcium score (CACS) and degree of coronary stenosis based on CAD-RADS. In subgroup B, a significantly higher CACS (411.3 ± 70.1 vs. 93.5 ± 31.8) and significantly higher grade in the CAD-RADS classification were demonstrated than in subgroup A (CAD-RADS ≥ 3: 21.8 vs. 6.0%). The regression analysis showed that carotid plaque score and age are independent risk factors for the severity of atherosclerotic lesions in the coronary arteries. In summary, ultrasound assessment of the carotid plaque score in patients with HTA could be considered as surrogate indicator of the risk and severity of atherosclerotic changes in the coronary arteries, but further studies are necessary to corroborate these results.
Keywords: carotid plaque score; coronary artery; arterial hypertension; coronary computed tomography angiography carotid plaque score; coronary artery; arterial hypertension; coronary computed tomography angiography

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MDPI and ACS Style

Wysocki, A.; Fułek, M.; Macek, P.; Michałek-Zrąbkowska, M.; Kraik, K.; Poręba, M.; Fułek, K.; Martynowicz, H.; Mazur, G.; Gać, P.; et al. Ultrasound Carotid Plaque Score and Severity of Coronary Artery Disease Assessed by Computed Tomography Angiography in Patients with Arterial Hypertension. Diagnostics 2024, 14, 1101. https://doi.org/10.3390/diagnostics14111101

AMA Style

Wysocki A, Fułek M, Macek P, Michałek-Zrąbkowska M, Kraik K, Poręba M, Fułek K, Martynowicz H, Mazur G, Gać P, et al. Ultrasound Carotid Plaque Score and Severity of Coronary Artery Disease Assessed by Computed Tomography Angiography in Patients with Arterial Hypertension. Diagnostics. 2024; 14(11):1101. https://doi.org/10.3390/diagnostics14111101

Chicago/Turabian Style

Wysocki, Andrzej, Michał Fułek, Piotr Macek, Monika Michałek-Zrąbkowska, Krzysztof Kraik, Małgorzata Poręba, Katarzyna Fułek, Helena Martynowicz, Grzegorz Mazur, Paweł Gać, and et al. 2024. "Ultrasound Carotid Plaque Score and Severity of Coronary Artery Disease Assessed by Computed Tomography Angiography in Patients with Arterial Hypertension" Diagnostics 14, no. 11: 1101. https://doi.org/10.3390/diagnostics14111101

APA Style

Wysocki, A., Fułek, M., Macek, P., Michałek-Zrąbkowska, M., Kraik, K., Poręba, M., Fułek, K., Martynowicz, H., Mazur, G., Gać, P., & Poręba, R. (2024). Ultrasound Carotid Plaque Score and Severity of Coronary Artery Disease Assessed by Computed Tomography Angiography in Patients with Arterial Hypertension. Diagnostics, 14(11), 1101. https://doi.org/10.3390/diagnostics14111101

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