medigraphic.com

2017, Number 2

<< Back Next >>

Revista Cubana de Angiología y Cirugía Vascular 2017; 18 (2)

Characteristics of the extra-cranial cerebrovascular disease in Arroyo Naranjo municipality

Salgado CI, Triana MME, Rodríguez VLE, Arpajón PY, Hernández SA

Language: Spanish
References: 42
Page: 139-153
PDF size: 177.34 Kb.


ABSTRACT

Introduction: Extracranial cerebrovascular disease is a problem of health internationally, in Cuba it is sub-diagnostician without knowing its prevalence in the general population.
Objective: To determine the characteristics of the extracranial cerebrovascular disease in the Arroyo Naranjo municipality.
Methods: a descriptive study was conducted in 26 people diagnosed with carotid disease of a sample of 200 people obtained by a simple random method of the 208 554 residents of the municipality of Arroyo Naranjo. The disease was confirmed by carotid doppler ultrasound. The variables were: age, sex, percent stenosis, location, type of plate, risk factors and thickness intima-media carotid.
Results: The prevalence of the disease was 12,5 x 100 000 inhabitants, higher in women (10,1) and older adults (9,1). The diagnosis was confirmed in 80,8 % of people, where more than 45 percent showed a non-significant stenosis in both carotid. The types of plates were the heterogeneous (46,2 %) and the echogenic (38,6 %), located in: carotid bifurcation, bulb, and internal carotid. Smoking (80,8 %), hypertension (73,1 %), and peripheral arterial disease (65,1 %) were the most frequent risk factors, noting that 69,2 % had more than three factors. More of the 75 % of those older than 60 years, independent of sex, showed pathological values of the thickness intima-media carotid.
Conclusions: The prevalence of the extracranial cerebrovascular disease in the municipality is high; and too the incidence of the risk factors. Early diagnosis of the disease in a high percentage allowed referring to their areas of health to those persons requiring prompt treatment.


REFERENCES

  1. Las enfermedades no transmisibles, un problema de salud de primer orden para el siglo xxi. En: OMS, editor. Estadísticas Sanitarias Mundiales 2012. Ginebra: OMS; 2012. p.1-178.

  2. Estadísticas Sanitarias Mundiales 2013. Ginebra: OMS; 2013.

  3. Anuario estadístico de Cuba 2014. La Habana: Ministerio de Salud Pública de la República de Cuba (MINSAP). Dirección Nacional de Registros Médicos y Estadísticas de Salud, Centro Nacional de Información de Ciencias Médicas; 2015:27-83. Acceso: 5 Dic 2016]. Disponible en: http://files.sld.cu/bvscuba/files/2015/04/anuario-estadistico-desalud- 2014.pdf

  4. Krishnamurthi RV, Feigin VL, Forouzanfar MH, Mensah GA, Connor M, Bennett DA. Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990- 2010: findings from the Global Burden of Disease Study 2010.The Lancet Global Health. 2013;1(5):259-81. doi:10.1016/S2214-109X(13)70089-5.

  5. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2013. Access: 2015 May 11. Available at: http://www.jano.es/jano/actualidad/ultimas/noticias/janoes/ictus/afecta/cada/vez/mas/j ovenes/segun/estudio/carga/global/enfermedad/_f-11+iditem-20776+idtabla-1 doi: 10.1016/S0140-6736(13)61953-4.

  6. Díez-Tejedor E, del Brutto O, Álvarez-Sabín J, Muñoz M, Abiusi. G Clasificación de las enfermedades cerebrovasculares. Sociedad Iberoamericana de Enfermedades Cerebrovasculares. Rev Neurol. 2001;33:455-64.

  7. Buergo Zuaznábar MA, Fernández Concepción O. Guías de práctica clínica. Enfermedad cerebrovascular. La Habana: Editorial Ciencias Médicas; 2008. Acceso: 30 Oct 2016. Disponible en: http://www.bvs.sld.cu/libros/guia_enf_cerebrovascular/completo.pdf

  8. Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL, et al. 2011. Guideline on the management of patients with extracranial carotid and vertebral artery disease: Executive Summary. A Report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Neuro Interventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. Circulation. 2011;124:489-532. doi: 10.1161/CIR.0b013e31820d8d78

  9. Ross Naylor A. Known knowns, known unknowns and unknown unknowns: A 2010 update on carotid artery disease. Surgeon. 2010;8(2):79-86.

  10. Coll B, Feinstein SB. Carotid intima-media thickness measurements: techniques and clinical relevance. Curr Atheroscler Rep. 2008 Oct;10(5):444-50.

  11. Nambi V, Chambless L, Folsom AR, He M, Hu Y, Mosley T, et al. Carotid intima-media thickness and presence or absence of plaque improves prediction of coronary heart disease risk: the ARIC (Atherosclerosis Risk In Communities) study. J Am Coll Cardiol. 2010;55:160-7.

  12. Stein JH, Johnson HM. Carotid intima-media thickness, plaques, and cardiovascular disease risk. Implications for preventive cardiology guidelines. J Am Coll Cardiol. 2010;55:160-81.

  13. Thompson RC, Allam AH, Lombardi GP, Wann LS, Sutherland ML, Sutherland JD, et al. Atherosclerosis across 4000 years of human history: the Horus study of four ancient populations. Lancet. 2013;23:1-12.

  14. Berni A, Giuliani A, Tartaglia F, Tromba L, Sgueglia M, Blasi S, et al. Effect of vascular risk factors on increase in carotid and femoral intima-media thickness. Identification of a risk scale. Atherosclerosis. 2011;216:109-14.

  15. Rundek T, Blanton SH, Bartels S, Dong Ch, Raval A, Demmer RT, et al. Traditional risk factors are not major contributors to the variance in carotid intima-media thickness. Stroke. 2013;44:2101-8.

  16. Anuario Estadístico de Arroyo Naranjo 2012. La Habana: Oficina Nacional de Estadística e Información Municipio Arroyo Naranjo; 2013. Acceso: 5 Sept 2014. Disponible en: http://www.one.cu/aed2012/23La%20Habana/Municipios/14%20Arroyo%20Naranjo/dat os/2.1.xls

  17. Ameneiro Pérez A, Díaz Batista AL, Hernández Carretero JG, Fleitas Estévez A, Rodríguez Villalonga L, Fernández Boloña A. Valores de referencia del grosor íntimamedia carotídeo en sujetos sin enfermedad arterial periférica. Rev Cubana Angiol Cir Vasc. 2011;11(2). Acceso: 5 Sept 2014. Disponible en: http://bvs.sld.cu/revistas/ang/vol_11_2_11/ang06211.htm

  18. Taylor-Piliae RE, Fair JM, Varady AN, Hlatky MA, Norton LC, Iribarren C, Pet al. Ankle brachial index screening in asymptomatic older adults. Amer Heart J. 2011;161(5):579-85.

  19. Yao ST, Hobbs JT, Irvine W.T. Ankle systolic pressure measurements in arterial disease affecting the lower extremities. Br J Surg. 1969;56:676-9.

  20. Aldama A, Vega ME, Ley J, Fernández J, Lima B, Álvarez H et al. Haemodinamic classification of diabetic macroangiopathy. J Vasc Invest. 1998;4(4):171-4.

  21. Executive summary of the third report of the NCEP expert panel on detection, evaluation and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 2001;28:2486-97.

  22. Bronas UG, Salisbury D. Clinical strategies for managing dyslipidemias. Am J Lifestyle Med. 2013 ;20(10):1-15. Access: 2015 Oct 15. Available at: http://ajl.sagepub.com/content/early/2013/10/20/1559827613507534 doi: 10.1177/1559827613507534.

  23. Tendera M, Aboyans V, Bartelink ML, Baumgartner I, Denis Clément D, Collet JP, et al. Guía de práctica clínica de la Sociedad Europea de Cardiología sobre diagnóstico y tratamiento de las enfermedades arteriales periféricas. Rev Esp Cardiol. 2012;65(2):172.e1-e57.

  24. Torres Damas EL, Gary Ponce Z, Expósito Torres YE, Zapata Huete LA. Pesquisa de la insuficiencia cerebrovascular de origen extracraneal en el policlínico "Capitán Roberto Fleites". Rev cubana Angiol Cir Vasc. 2014;15(2). Acceso: 30 Dic 2014. Disponible en: http://bvs.sld.cu/revistas/ang/vol15_2_14/ang11214.htm

  25. Llanes Barrios JA, Puentes Madera I, Figueredo DM, Rubio Medina Y, Valdés Pérez C. Caracterización de las afecciones vasculares en pacientes diabéticos del municipio de Jaruco. Rev cubana Angiol Cir Vasc. 2012;11(1). Acceso: 5 Jul 2015. Disponible en: http://bvs.sld.cu/revistas/ang/vol12_01_11/ang02111.htm

  26. Ramos Morales LE, Gallardo Pérez UJ, Cabrera Zamora JL, Salgado Boris L, Adam Simón D, Mahía Vilas M, et al. Riesgo aterogénico y enfermedad cardio-cerebrovascular y arterial periférica en mujeres de edad mediana. Rev cubana Angiol Cir Vasc. 2012;11(1). Acceso: 5 Jul 2015. Disponible en: http://bvs.sld.cu/revistas/ang/vol12_01_11/ang03111.htm

  27. González Expósito A, Rodríguez Gurry D, Tamayo Montero E. Marcadores de riesgo de estenosis carotidea en pacientes geriátricos. REIQ. 2009;12(3):107-9.

  28. Fleg JL, Forman DE, Berra K, Bittner V, Blumenthal JA, Chen MA, et al. Secondary prevention of atherosclerotic cardiovascular disease in older adults. A scientific statement from the American Heart Association (AHA). Circulation. 2013; 128:2422-46. doi: 10.1161/01.cir.0000436752.99896.22

  29. Cantú-Brito C, Ruiz-Sandoval JL, Arauz-Góngora A, Villarreal-Careaga J, Barinagarrementeria F, Murillo-Bonilla LM, et al. Prevalencia de estenosis carotidea en pacientes con isquemia cerebral transitoria en México. Rev Mex Neurociencias. 2010;11(5):343-8.

  30. Taussky P, Hanel PoA, Meyer FB. Clinical considerations in the management of asymptomatic carotid artery stenosis. Neurosurg Focus. 2011;31(6). Access. 2016 May 11. Available at: http://www.strokecenter.org/patients/stats.htm

  31. Criqui MH, Aboyans V. Epidemiology of peripheral artery disease. Circulation Res. 2015;116(9):1509-26.

  32. Cooke JP, Chen Z. A Compendium on peripheral arterial disease. Circulation Res. 2015;116(9):1505-8.

  33. Thapar A, Jenkins HL, Mehta A. Diagnóstico y tratamiento del aterosclerosis carotidea. BMJ. 2011;26(2). Acceso: 21 Sept 2015. Disponible en: http://www.intramed.net/contenidover.asp?contenidoID=80979&uid=310645&fuen te=inews doi: 10.1136/bmj.f1485

  34. González Méndez M, González López A, Pérez González R, Arrieta Hernández T, Martínez Rodríguez Y. Particularidades de la aterosclerosis carotidea en pacientes con infarto cerebral aterotrombótico del territorio homónimo, según la angiotomografía. Rev cubana Angiol Cir Vasc. 2012;13(1). Acceso: 5 Sept 2014. Disponible en: http://bvs.sld.cu/revistas/ang/vol13_1_12/ang08112.htm

  35. Babiker MS, Al Oufi AR, Abdalla AA. Carotid plaques in saudi smokers. J Appl Med Sci. 2013;2(1):1-9.

  36. Reilly MP. Tobacco-related cardiovascular diseases in the 21st Century. Arterioscl Thromb Vasc Biol. 2013 July;33(7):1458-9.

  37. Fustinoni O, Zurrú MC, Alonzo C, Brescacin L, Beigelman R, Izaguirre A, et al. Enfermedad carotidea. Consenso vascular periférico. Patología carotidea, vertebral y subclavia. En: Bluro IM, Lucas LO, editores. Consenso enfermedad vascular periférica 2013. Soc Argentina Cardiol. 2013. p.53-79.

  38. Ameneiro Pérez S, Fernández Boloña A. Comparación de la medición bilateral del grosor íntima-media carotideo. Rev cubana Angiol Cir Vasc. 2008;9(1). Acceso: 5 Sept 2015. Disponible en: http://bvs.sld.cu/revistas/ang/vol9_1_08/ang0208.htm

  39. Simon A, Megnien JL, Chironi G. The value of carotid intima-media thickness for predicting cardiovascular risk. Arterioscler Thromb Vasc Biol. 2010;30:182-5. doi: 10.1161/ATVBAHA.109.196980.

  40. van den Oord SC, Sijbrands EJ, ten Kate GL, van Klaveren D, van Domburg RT, van der Steen AF, et al. Carotid intima-media thickness for cardiovascular risk assessment: systematic review and meta-analysis. Atherosclerosis. 2013;228(1):1- 11. doi: 10.1016/j.atherosclerosis.2013.01.025.

  41. Eikendal ALM, Groenewegen KA, Anderson TJ, Britton AR, Engström G, Evans GW, et al. Common carotid intima-media thickness relates to cardiovascular events in adults aged < 45 years. Hypertension. 2015;65:707-13. doi: 10.1161/HYPERTENSIONAHA.114.04658.

  42. Devine PJ, Carlson DW, Taylor AJ. Clinical value of carotid intima-media thickness testing. J Nucl Cardiol. 2006;13(5):710-8.




2020     |     www.medigraphic.com