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Carotid Intima-Media Thickness and Carotid Plaques Improves Prediction of Obstructive Angiographic Coronary Artery Disease in Women

dc.contributor.authorTimóteo, AT
dc.contributor.authorMota Carmo, M
dc.contributor.authorCruz Ferreira, R
dc.date.accessioned2013-12-13T17:04:28Z
dc.date.available2013-12-13T17:04:28Z
dc.date.issued2013
dc.description.abstractDoes carotid intima-media thickness (cIMT), a surrogate marker of cardiovascular events, have predictive incremental value over established risk factors for stable coronary artery disease (CAD)? Prospective study of 300 patients, with suspected stable CAD, admitted for an elective coronary angiography and carotid ultrasound. The CAD patients had a higher cIMT, which showed a modest predictive accuracy for CAD (area under the receiver-operating characteristic curve 0.638, 95% confidence interval 0.576-0.701, P < .001). The cIMT was an independent predictor of CAD, together with age, gender, and diabetes. C-statistic for CAD prediction by traditional risk factors was not significantly different from a model that included cIMT, carotid plaque presence, or both. However, in women, it was significantly increased by the addition of cIMT or carotid plaque presence. Although cIMT cannot be used as a sole indicator of CAD, it should be considered in the panel of investigations that is requested, particularly in women who are candidates for coronary angiography.por
dc.identifier.citationAngiology. 2013 Jan;64(1):57-63por
dc.identifier.urihttp://hdl.handle.net/10400.17/1595
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSage Publicationspor
dc.subjectHSM CARpor
dc.subjectArtéria Carótida/ultrassonografiapor
dc.subjectEspessura Íntima-Média da Carótidapor
dc.subjectEstenose das Carótidaspor
dc.subjectAngiografia Coronáriapor
dc.subjectDoenças das Artérias Carótidas/ultrassonografiapor
dc.subjectEstudos Transversaispor
dc.subjectPrognósticopor
dc.subjectEstudos Prospectivospor
dc.subjectAvaliação de Riscopor
dc.subjectFactores de Riscopor
dc.titleCarotid Intima-Media Thickness and Carotid Plaques Improves Prediction of Obstructive Angiographic Coronary Artery Disease in Womenpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage63por
oaire.citation.startPage57por
oaire.citation.titleAngiologypor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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