Carotid and lower extremity arterial disease in elderly adults with isolated systolic hypertension.
- 1 September 1987
- journal article
- abstracts
- Published by Ovid Technologies (Wolters Kluwer Health) in Stroke
- Vol. 18 (5), 817-822
- https://doi.org/10.1161/01.str.18.5.817
Abstract
The prevalence of carotid and lower extremity arterial disease was assessed in a healthy population of 56 elderly adults with isolated systolic hypertension. Duplex scans were performed to determine the extent of carotid disease, and postexercise ratios of ankle to arm systolic blood pressure were measured to assess lower extremity arterial disease. Internal carotid stenosis was found in 38% (21 of 56) of subjects and lower extremity arterial disease in 42% (23 of 55). The strongest predictor of internal carotid stenosis was lower extremity arterial disease. Independent risk factors for lower extremity arterial disease were smoking, internal carotid stenosis, and age. A measure of extent of carotid plaque was found to correlate with age, carotid stenosis, male sex, history of smoking, and total cholesterol. The high prevalence of peripheral vascular disease in this population may be related to their age and blood pressure. The high correlation between carotid stenosis and lower extremity arterial disease suggests that persons with peripheral vascular disease should be assessed and treated for atherosclerotic disease in general.Keywords
This publication has 19 references indexed in Scilit:
- Carotid artery bruit: Association with internal carotid stenosis and intraluminal turbulenceBritish Journal of Surgery, 1984
- Objective Criteria for the Interpretation of Carotid Artery Spectral Analysis PatternsAngiology, 1982
- Prevalence of Intermittent Claudication and Its Effect on MortalityActa Medica Scandinavica, 1982
- Estimation of peripheral arteriosclerotic disease by ankle blood pressure measurements in a population study of 60-year-old men and womenJournal of Chronic Diseases, 1981
- Risk of Stroke in Asymptomatic Persons with Cervical Arterial BruitsNew England Journal of Medicine, 1980
- Carotid artery velocity patterns in normal and stenotic vessels.Stroke, 1980
- Intermittent claudication: factors determining outcome.BMJ, 1978
- Peripheral arterial occlusion in patients with acute coronary heart diseaseAmerican Heart Journal, 1973
- Results of Carotid Endarterectomies for Transient Ischemic Attacks-Five Years LaterAnnals of Surgery, 1973
- Haemodynamic studies in peripheral arterial diseaseBritish Journal of Surgery, 1970