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May 1991

Risk Factors and Early Extracoronary Atherosclerotic Plaques Detected by Three-Site Ultrasound Imaging in Hypercholesterolemic Men

Author Affiliations

Prévention Cardio-vasculaire en Médecine du Travail METRA Group

From the Cardiovascular Preventive Medicine Center and National Institute of Health and Medical Research (INSERM) U 28 (Drs Giral, Pithois-Merli, Filitti, Levenson, and Simon) and Department of Radiology (Drs Plainfosse and Mainardi), Broussais Hospital, Paris.

Arch Intern Med. 1991;151(5):950-956. doi:10.1001/archinte.1991.00400050094018

Ultrasonic detection of atherosclerotic plaque of carotid abdominal aortic and femoral arteries and evaluation of risk factors were performed in 208 hypercholesterolemic men without cardiovascular disease. Twenty-six percent of them had no plaque. Plaque at the carotid, aortic, and femoral sites was found in 37%, 48%, and 53% of subjects, respectively. Plaque was associated (1) in carotid arteries with increased total and low-density lipoprotein cholesterol; (2) in the aorta with increased age, pressure, glycemia, and smoking; and (3) in femoral arteries with increased age, systolic pressure, low-density lipoprotein cholesterol, and smoking. Multiple regression analysis showed correlations between carotid plaque and low-density lipoprotein cholesterol; aortic plaque and age, smoking, glycemia, and pressure; femoral plaque and age, smoking, and pressure. This suggests that multiple risk factors influence lesions, and risk profile differs according to atherosis site.

(Arch Intern Med. 1991;151:950-956)

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