Correlation of Clinical Parameters, Lipid Profile and Carotid and Vertebral Arteries Plaque as Detected by Doppler Ultrasound in Ischemic Stroke
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Date
2024-11
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International Research Organization for Life & Health Sciences
Abstract
Background: A stroke is caused by a disruption in blood flow to the brain, either from ischemia (blockage) or hemorrhage (rupture), and is a medical emergency. This study focuses on assessing carotid arteries using color Doppler sonography to evaluate stenosis and correlate cerebrovascular accidents with carotid artery status, clinical parameters, and lipid profiles. Methods: It is a cross-sectional observational study that investigates the correlation between clinical parameters, lipid profile, and carotid and vertebral artery plaque in patients with ischemic stroke, using Doppler ultrasound amongst 65 patients. Results: Out of 65 patients studied a significant portion of the study group (72.3%) were aged 51–70, with a male predominance (66.2%). Risk factors such as hypertension (47.7%), diabetes (43.1%), and dyslipidemia (41.5%) were prevalent. Doppler ultrasound findings revealed that most patients had peak systolic velocities between 125 and 200 cm/s (47.7%) and stenosis in the 50–70% range (47.7%). Hypoechoic plaques were more common than hyperechoic plaques, with hypoechoic plaques predominantly associated with 50–70% stenosis. Conclusion: The study concludes that early detection and management of risk factors, along with carotid Doppler ultrasound, are critical in preventing ischemic stroke in high-risk patients. Carotid sonography, especially in individuals over 50 years with significant risk factors, is recommended for early diagnosis and intervention.
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Keywords
Carotid intima-media thickness, Doppler sonography, Ischemic stroke
Citation
Chakrabarti B, Paul A, Dhaliwal MS, Paul UK. . Correlation of Clinical Parameters, Lipid Profile and Carotid and Vertebral Arteries Plaque as Detected by Doppler Ultrasound in Ischemic Stroke. International Journal of Scientific Study. 2024 Nov; 12(8): 32-35