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Prevalence of Extracranial Carotid Artery Disease Detectable by Echo-Doppler in an Elderly Population
Stroke 23:818-822, Pujia,A.,et al, 1992
See this aricle in Pubmed

Article Abstract
We found that 152(31.8%)internal carotid arteries were affected by nonstenosing plaque and 37 arteries(7.7%)had stenosis or occlusion.In addition,193(20.2%)external or common carotid arteries showed nonstenosing plaques.There were 128 subjects(53.6%)with internal carotid disease,106 (44.3%)with evidence of external or common carotid disease,and 75(31.4%) affected by disease in all three sites.There were 80 subjects(33.5%)with no ultrasound evidence of carotid disease.We found that the presence and severity of carotid disease increased between the decades 65-74 and 75-84. We also demonstrated a positive association between systolic blood pressure and ultrasound evidence of carotid disease that was independent of age.Conclusions:The prevalence of extracranial artery disease in an apparently healthy population was high,although stenoses in most instances were not severe.We conclude that noninvasive ultrasound methods identify a relatively small fraction of individuals(5%of the total)at high risk for stroke or transient ischemic attack.Echo0Doppler might be used to monitor further disease progression and to evaluate the efficacy of different therapeutic or preventive interventions.
 
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