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Angiology, Vol. 40, No. 1, 39-44 (1989)
DOI: 10.1177/000331978904000108

Incidence of Arteriosclerotic Lesions of the Carotid Arteries in Chronic Peripheral Arterial Disease and Myocardial Infarction

P. Spürk, M.D., F.I.C.A.

Medical Department, Northern City Hospital, Dortmund, West Germany

B. Angelkort, M.D.

Medical Department, Northern City Hospital, Dortmund, West Germany

P. Selter

Medical Department, Northern City Hospital, Dortmund, West Germany

Arteriosclerotic lesions in the carotid arteries are the main cause of ischemic cerebral infarction. Only a few studies of the incidence of carotid lesions in patients with chronic peripheral arterial disease (CPAD) and myocardial infarction (MI) have been made. Thus the aim of this study was to investigate the pathoanatomy of the carotid arteries in a representative number of patients suffering from CPAD or MI by using highly sensitive and specific noninvasive methods. Results by other authors are discussed. The authors' own study of cerebrovascular disease (CD), which covers epidemiologic aspects, is presented.

Methods: "duplex scanning" and continuous-wave Doppler ultrasound. Patients: myocardial infarction, N = 73; chronic peripheral arterial disease, N =112; cerebrovascular disease, N = 73. Results: MI: stenosis > 50% N = 31 (42.4% of cases) - in the case of recurring infarction 67.8% of cases; CPAD: stenosis > 50% N=54 (48.2%); CD: stenosis > 50% N=35 (48%).


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