CAROTID ATHEROSCLEROSIS

PREVALANCE IN OBESE PATIENTS HAVING HEPATIC STEATOSIS AND ITS EFFECT ON THE DEVELOPMENT OF MI

Abstract

Objectives: To determine the frequency of carotid atherosclerosis in obese
patients having hepatic steatosis and its effect on the development of MI. Design: Crosssectional
study. Setting: Department of Radiology Allied Hospital, Faisalabad. Period: From
January 2012 to June 2013, Patients and method: A total of 96 patients were included in this
study. LOGIC 5 Doppler ultrasound machine was used. B-mode ultrasonography of common
carotid arteries was performed on both sides with a 7.5 MHz linear array transducer. Ultrasound
was done in supine position & elevation of chest by pillow. Patient head will be turned to the
opposite side. Intima media thickness was accessed in the distal wall of common carotid
artery of both sides 1.0 cm proximal to carotid bulb. Results: Mean age of the patients was
46.69±11.86 years. Out of 96 patients, 51 (53.1%) were males while remaining 45 patients
(46.9%) were females. Presence of carotid atherosclerosis was noted in 96 patients (100.0%).
Out of these patients, myocardial infarction was present in 81 patients (84.4%). Mean BMI was
30.67±0.47, mean weight was 91.86±7.57 Kg and intima media thickness was 0.84±0.12 mm.
Conclusion Prevalence of atherosclerotic changes in carotid arteries detected by Doppler
ultrasound among obese patients having hepatic steatosis and its effect on the development
of MI is remarkable