Prevalence of subclinical atherosclerosis and cardiovascular risk reclassification by measure of carotid intima-media thickness in ambulatory hypertensive patients

Prevalence of subclinical atherosclerosis and cardiovascular risk reclassification by measure of carotid intima-media thickness in ambulatory hypertensive patients

Author Monteiro Junior, Francisco das Chagas Autor UNIFESP Google Scholar
Cunha Junior, Cacionor Pereira da Google Scholar
Muniz Ferreira, Pedro Antonio Google Scholar
Teixeira Nunes, Jose Aldemir Google Scholar
Brito, Ronald Lopes Google Scholar
Barbosa, Jose Bonifacio Google Scholar
Mandarino, Natalia Ribeiro Google Scholar
Lages, Joyce Santos Google Scholar
Salgado Filho, Natalino Google Scholar
Lima, Valter Correia de Autor UNIFESP Google Scholar
Institution Univ Fed Maranhao
Universidade Federal de São Paulo (UNIFESP)
Abstract Introduction and Objectives: Although carotid intima-media thickness (CIMT) is considered a surrogate marker of subclinical atherosclerosis, with known value in risk stratification, its routine use in hypertensive patients is not recommended. the aim of this study was to determine the prevalence of subclinical atherosclerosis through measurement of CIMT and its impact on reclassification of risk in hypertensive patients.Methods: This was a cross-sectional study of 94 middle-aged (56.99 +/- 11.89 years) hypertensive outpatients without overt cardiovascular disease, 68.1% female. All participants underwent clinical examination, biochemical tests, echocardiogram and measurement of CIMT by high-resolution ultrasound.Results: Although the majority of patients were stratified as low (63.5%) or intermediate risk (23%) according to their Framingham score, a high prevalence (75.3%) of increased CIMT was observed in the overall sample, including in the low (61%) and intermediate risk groups (93.8%). CIMT measurement resulted in risk reclassification of 70.31% of the patients, 61% of those at low risk being reclassified as intermediate risk and 93.8% of those at intermediate risk being reclassified as high risk.Conclusion: in these hypertensive outpatients, predominantly middle-aged and female, CIMT measurement revealed a high prevalence of subclinical atherosclerosis and resulted in risk reclassification in the majority of cases. (C) 2012 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L. All rights reserved.
Keywords Hypertension
Carotid intima-media thickness
Risk assessment
Language Portuguese
Date 2013-12-01
Published in Revista Portuguesa de Cardiologia. Barcelona: Elsevier Doyma Sl, v. 32, n. 12, p. 975-980, 2013.
ISSN 0870-2551 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 975-980
Origin http://dx.doi.org/10.1016/j.repc.2013.04.016
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000329949300004
URI http://repositorio.unifesp.br/handle/11600/37000

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