High Resolution Carotid Ultrasound in Diabetics and Hypertensive Patients

Dr Prashant Naik; Dr Anand Kamat; Brig Dr Hariqbal Singh

Volume : VI, Issue : I, January - 2016

High Resolution Carotid Ultrasound in Diabetics and Hypertensive Patients

Dr Prashant Naik, Dr Anand Kamat, Brig Dr Hariqbal Singh

Abstract :

Background :– Previous studies have indicated an association between Diabetes Mellitus (DM), Hypertension (HTN) and increased risk of atherosclerotic disease in adults with or without clinical cardiovascular disease (IHD) and cereovascular disease(CVE, stroke). Previous studies have also shown that Carotid Intima Media Thickness (CIMT) reliably gives a fair idea of presence or absence of atherosclerosis in carotid artery itself and coronary arteries and cereal arteries and arteries elsewhere in the body. Aim:– The aim of this study is to describe the mean values of CIMT, evidence of carotid plaques in Diabetics & Hypertensive patients and compare them in subjects who were nondiabetics and nonhypertensives. Results: –Mean CIMT was significantly higher (0.8258mm +– 0.200mm ) in diabetics than in nondiabetics(0.7966mm +– 0.231mm )and (0.8257mm +– 0.224mm) in hypertensive patients than nonhypertensive patients ( 0.7860mm +– 0.215mm). Evidence of carotid plaques was observed significantly more in diabetics and hypertensive patients than nondiabetics and nonhypertensive patients after adjusting for increasing age. Conclusion:– The data of present study of local Indian population of low income group in and around Pune confirms the findings of previous studies done in general population in Spain. Hence it has been found in the present study that CIMT values in Diabetics & Hypertensive patients in local Indian population of low income group are higher than nondiabetics and nonhypertensive patients. Also the incidence of those having carotid plaques is higher in Diabetics & Hypertensive patients than nondiabetics and nonhypertensive patients which indicates that risk of atherosclerosis is more in Diabetics & Hypertensive patients after adjusting for increasing age.