[PP.17.09] THE RELATIONSHIP BETWEEN CAROTID STENOSIS AND STROKE IN HYPERTHENSIVE DIABETIC AND NON DIABETIC PATIENTS

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Abstract

Objective:

Essential arterial hyperthension (EHAT) is one of the main risk factors for ischemic stroke. The evaluation of intimal thickening of carotid is an important parameter in preclinical diagnosis of atherosclerosis and stroke risk in hypertensive patients

Objective:

The aim of study was to see if there is a relationship between thickening of carotid wall and brain damage in hypertensive patients with/ without diabetes.

Design and method:

Our study has been done on 100 patients admited in Neurological Clinique over two years.

Design and method:

At admission, the patients have been neurologicaly examined, being divided into two groups of 50 patients each:group A with type II diabetes and group B non diabetic,symptomatic with stroke or asymptomatic,mean age:62.31+/−6.9 years old Carotid Doppler ultrasound examination and cranial NMR were evaluated

Results:

NMR findings were white matter lesions and infarctions they were more frequent in hyperthensive diabetic group. In hyperthenisve non diabetic there were insignificant correlations between abnormal NMR findings and thickening of carotid wall versus non diabetic. In diabetic, the associations among cortical lesions,clinically symptomatic stroke, and iincreasing in carotid wall thickness were found to be statistically significant in comparison with non diabetic patients. NMR abnormalities were present in 90 % in group A and 72% in group B consisting of arterial constriction or an atheromatous plaque confirmed in Doppler examination.

Conclusions:

Measurements of carotid wall thickness via Doppler were considered to be valuable in prediction of risk of brain damage and future stroke due to hypertension in diabetic and non diabetic patients.

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