Carrazana AI, Valdés CJL, Ricardo OD, Moro RRT

Language: Spanish
References: 0
Page: 29-41
PDF size: 506.08 Kb.

ABSTRACT

Introduction: the atheromatous carotid lesion has important connotations in the adult population that causes a decrease in blood flow to the brain that can be diagnosed by vascular ultrasound.
Objective: to characterize the carotid stenoocclusive disease by ultrasonography and its relationship with the clinic at the “Arnaldo Milián Castro” Clinical Surgical Hospital and “Ernesto Guevara” Cardiocentro in Villa Clara, from February 2011 to November 2019.
Methods: an observational, descriptive, cross-sectional study was conducted. The population consisted of those patients who attended the vascular ultrasound consultation and a sample of 535 patients was intentionally selected.
Results: the predominant age group was between 70 and 79, the male sex and the patients who smoked and were hypertensive. The most frequent clinical form was the asymptomatic without murmur and the symptomatic was the transitory ischemic attacks. Heterogeneous, irregular and hard plaque, with stenosis over 70% was presented in most of the cases with speed spectrum that indicated severe disease of the studied carotids.
Conclusions: extracranial cerebrovascular disease is a multicausal entity where carotid stenosis is the most frequent cause. The most relevant risk factors for cerebrovascular disease are smoking and a high blood pressure. The hemodynamic criteria of the blood flow in the different sectors of the carotid axes measured with the ecodoppler allow determining the degree of stenosis. This pathology constitutes a health problem, especially in its asymptomatic form, which has become a challenge for medicine due to the high rates of disability, invalidity and mortality it causes in affected patients.