SONOGRAPHIC CHARACTERISTICS OF CAROTID ATHEROSCLEROSIS IN PATIENTS WITH ISCHEMIC STROKE

R.Ya. Abdullaiev; A.S. Yefimenko; L.A. Sysun; A.V. Logvinenko; N.F. Posokhov; R.R. Abdullaiev; T.A. Dudnik; A.Q. Kyrychenko; N.V. Tomakh

doi:10.34921/amj.2024.1.001

Authors

R.Ya. Abdullaiev Kharkiv National Medical University
A.S. Yefimenko Kharkiv National Medical University
L.A. Sysun Kharkiv National Medical University
A.V. Logvinenko Kharkiv National Medical University
N.F. Posokhov Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine'' State Institution
R.R. Abdullaiev Kharkiv National Medical University
T.A. Dudnik Poltava State Medical University
A.Q. Kyrychenko Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine
N.V. Tomakh Ukrainian State Research Institute of Medical and Social Disability Problems of the Ministry of Health of Ukraine

DOI:

https://doi.org/10.34921/amj.2024.1.001

Keywords:

ultrasonography, ischemic stroke, carotid atherosclerosis

Abstract

The article presents the results of sonographic diagnosis of carotid atherosclerosis in 127 patients with ischemic stroke (IS) aged 38-74 year (average age 56±7 years). The comparison group (CG) consisted of 51 people with risk factors for cardiovascular diseases without a history of stroke. It has been established that arterial hypertension and type 2 diabetes mellitus are significantly more common among patients with IS than in patients of CG. The frequency of localization of atherosclerotic plaques on the walls of the carotid arteries was determined depending on the course of the stroke. Severe stroke was observed in 79 (62.2±4.3%), moderate – in 27 (21.3±3.6%) and mild – in 21 (16.5±3.3%) patients, respectively.
It was found that in 73.4±5.0% of patients with severe stroke, atherosclerotic plaques were noted in the 3rd segment of the carotid artery, corresponding to 2 cm distal from the bifurcation. Combined atherosclerotic lesion of 2 (62.0±5.5%) and 3 (48.1±5.6%) segments, the greatest thickness of intima-media (2.41±0.37 mm) and atherosclerotic plaque (3.62±0.43 mm), as well as carotid stenosis (62.5±6.7%) were significantly more often recorded in patients with severe stroke.