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Incidence and Prevalence of Carotid Disease in Patients with Peripheral Arterial Disease at the CMN La Raza Specialty Hospital

Research Article

Article Title: Incidence and Prevalence of Carotid Disease in Patients with Peripheral Arterial Disease at the CMN La Raza Specialty Hospital

Author: Christian Varela Román*, Héctor Bizueto Rosas, Tayde Teresa Valdés González, Oscar Andrés Rodríguez-Jiménez, Estrella Denisse Rosas Zaragoza, Carlos Sebastián Ficachi Morales, Pablo Martín Boada Sandoval, Bárbara Daniela Castro Luna, Gerson Edua

Published Date: February 24, 2025

DOI: 10.26717/BJSTR.2025.60.009487

Abstract:

Introduction: Atherosclerosis is a systemic disease, with Peripheral Artery Disease (PAD) and carotid disease (CD) often coexisting. There is a close relationship between coronary artery disease, PAD and cerebrovascular disease (CVD), associated with increased cardiovascular risk and death. Objective: To estimate the incidence and prevalence of CD in patients with PAD at the CMN la Raza Specialty Hospital. Material and Methods: From 2019 to 2024 an ambispective cohort was carried out to determine the incidence and prevalence of CD in patients with PAD, determining the stenosis severity and hemodynamic alterations of the extracranial vessels, with Doppler ultrasound by the same interobserver; the results were analyzed with the statistical program SPSS-27.0. Results: 120 patients, mean age 70 years, range 50 to 85, bilateral carotid disease in 40% and Rutherford category 5 PAD in 42%; DM2 46%, SAH 76%, smoking 66%, dyslipidemia in 42%, coronary heart disease 12%; overweight 73%. We obtained a prevalence of 16.0 % and incidence of 5.3%. Conclusions: It is urgent to develop medical care protocols for these entities, especially in CVD, which is devastating and disabling, as they are public health problems, and their prevalence is increasing; vascular screening should be performed as recommended by the Society for Vascular Surgery (SVS).

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