A rare case of lack of correlation of carotid atherosclerosis and coronary atherosclerosis.
Signs of plaque inflammation in carotid arteries may serve as a window to the entire cardiovascular system, to identify "vulnerable" patients. Moreover, flow-mediated vasodilation in the brachial artery and intima media thickness (IMT) in the carotid artery could represent a surrogate diagnostic method for assessment of coronary artery disease (CAD) severity. Renal function is an important predictor of the presence and severity of angiographic CAD in patients without severe renal impairment with incremental value over traditional risk factors for CAD and IMT. It has also been reported ,that renal dysfunction may exert differential effects on the development of coronary and peripheral atherosclerosis. An accumulating burden of hypertension, diabetes, and smoking is important in the progression of atherosclerosis from the coronary to the carotid circulation. We present an unusual case of lack of correlation of carotid atherosclerosis and coronary atherosclerosis.
Giuseppe
G
Dattilo
Gaetano
G
Morabito
Marco
M
Cerrito
Annalisa
A
Lamari
Domenico
D
Tulino
Filippo
F
Marte
Salvatore
S
Patanè
D000368:Aged; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology; D002533:Cerebral Angiography; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D008297:Male; D012307:Risk Factors; D012720:Severity of Illness Index