Repositorio
Institucional

Manterola, Carlos

Jarpa, Carlos

Pineda, Viviana

Grosor de la Íntima-media Carotídea como Predictor de Evento Cardiovascular. Revisión Sistemática de la Literatura

Thickness of Carotid Intima-media as a Predictor of Cardiovascular Event. Systematic Review of the Literature

SOC CHILENA ANATOMIA

INTERNATIONAL JOURNAL OF MORPHOLOGY

es

Atherosclerosis is a chronic and evolutionary disease that affects all the arteries of the body. There are many risk factors (RF) related, but a third of cardiovascular events (CVE) are not attributable to traditional RF. There is evidence that the measurement of intima-media diameter allows evaluation at early stages of the disease and carotid artery is a suitable location for it (CIMD). The aim of this study is to determine whether the available evidence supports the CIMD as a factor associated with the development of CVE or death in asymptomatic adults in the general population. Systematic review. We analyzed studies primary studies published from 2006 to date, without restriction of language or design, to include adult population with no history of CVE and in those that CIMD was measurement by ultrasound. MEDLINE, SciELO and LILACS databases were consulted. MeSH terms and free words were used. Selected studies were analyzed using MINCIR methodological quality (MQ) scores of therapy and prognosis. The following variables were considered: age, gender, race, history of diabetes, hypertension, dyslipidemia, smoking, obesity and MQ of primary studies. Results: 9 primary studies were analyzed, including 24,016 patients, 54.3% of whom are female. The RF more frequently reported and associated with CVE were smoking (54%) followed by hypertension and diabetes. Ultrasonographic measurements allowed us to verify a wide variety of techniques used, indicating a large heterogeneity and therefore not possible to compare the results. The available evidence to determine the association between CIMD and CVE is insufficient. Studies with better level evidence and MQ are needed to clarify the uncertain.

Artículo de revisión

10.4067/S0717-95022013000100046

pdf

Atherosclerosis[Mesh]

"Risk Factors"[Mesh]

"Meta-Analysis" [Publication Type]

CORONARY-ARTERY-DISEASE

MYOCARDIAL-INFARCTION

RISK-FACTORS

ATHEROSCLEROSIS

ULTRASOUND

STROKE

PLAQUE

ROTTERDAM

INCREASES

Aterosclerosis[Mesh]

"Factores de riesgo"[Mesh]

"Metaanálisis" [Tipo de publicación]

ENFERMEDAD DE LAS ARTERIAS CORONARIAS

INFARTO DE MIOCARDIO

FACTORES DE RIESGO

ATEROSCLEROSIS

ULTRASONIDO

ACCIDENTE CEREBROVASCULAR

PLACA

ROTTERDAM

AUMENTOS

Atherosclerosis[Mesh]

"Risk Factors"[Mesh]

"Meta-Analysis" [Publication Type]

CORONARY-ARTERY-DISEASE

MYOCARDIAL-INFARCTION

RISK-FACTORS

ATHEROSCLEROSIS

ULTRASOUND

STROKE

PLAQUE

ROTTERDAM

INCREASES

Aterosclerosis[Mesh]

"Factores de riesgo"[Mesh]

"Metaanálisis" [Tipo de publicación]

ENFERMEDAD DE LAS ARTERIAS CORONARIAS

INFARTO DE MIOCARDIO

FACTORES DE RIESGO

ATEROSCLEROSIS

ULTRASONIDO

ACCIDENTE CEREBROVASCULAR

PLACA

ROTTERDAM

AUMENTOS

Sistema Cardiovascular y Cardiaco

Enfermedades Vasculares Periféricas

Medicina General e Interna

Grosor de la Íntima-media Carotídea como Predictor de Evento Cardiovascular. Revisión Sistemática de la Literatura

INTERNATIONAL JOURNAL OF MORPHOLOGY

dorada

verde

acceso abierto

acceso abierto

CC BY-NC

es

Artículo de revisión

versión publicada

SOC CHILENA ANATOMIA

0717-9502

293

300

Anatomía y morfología

Anatomy & Morphology

pdf

WOS:000321868400046