Ultrasound Screening of Multifocal Atherosclerosis
Aim. The aim of our study was to perform ultrasound screening of multifocal atherosclerosis (MFA), in patients with coronary atherosclerosis.
Material and methods. Color duplex screening (CDS) and continuous wave (CW) doppler was used to study 32 clinically healthy persons and 87 patients with clinical data for ischemic heart disease (IHD).
Results. We have found high frequency of MFA simultaneously affecting coronary, carotid and femoral arteries. Intima-media thickness (IMT), which is a coronary atherosclerosis marker, had verifiable increasing in the common carotid artery (CCA) and common femoral artery (CFA) in the case of patients with chronic heart disease (CHD). In patients with CHD using ultrasound we established high frequency of clinically non-manifested asymptomatic stenosis and thromboses of the internal carotid artery (ICA) and common femoral artery, as well as aneurysms of the abdominal aorta (AAA). Markers for CHD with high sensitivity were the atherosclerosis plaques of ICA and CFA as well as IMT of the CFA. The most sensitive and specific markers for CHD were the combination of the IMT and atherosclerosis plaques of CCA, ICA and CFA.
Conclusion. Ultrasound diagnostic is the method of choice for simultaneous non-invasive screening of carotid, peripheral and MFA and has sensitive markers for coronary atherosclerosis.