Hassan Bukhari, Asim Shaukat, Nosheen Ahmed.
Carotid atherosclerosis; prevalence in obese patients having hepatic steatosis and its effect on the development of MI.
Professional Med J Jan ;23(01):039-44.

To determine the frequency of carotid atherosclerosis in obese patients having hepatic steatosis and its effect on the development of MI. Design: Crosssectional study. Setting: Department of Radiology Allied Hospital, Faisalabad. Period: From January 2012 to June 2013, Patients and method: A total of 96 patients were included in this study. LOGIC 5 Doppler ultrasound machine was used. B-mode ultrasonography of common carotid arteries was performed on both sides with a 7.5 MHz linear array transducer. Ultrasound was done in supine position & elevation of chest by pillow. Patient head will be turned to the opposite side. Intima media thickness was accessed in the distal wall of common carotid artery of both sides 1.0 cm proximal to carotid bulb. Results: Mean age of the patients was 46.69±11.86 years. Out of 96 patients, 51 (53.1%) were males while remaining 45 patients (46.9%) were females. Presence of carotid atherosclerosis was noted in 96 patients (100.0%). Out of these patients, myocardial infarction was present in 81 patients (84.4%). Mean BMI was 30.67±0.47, mean weight was 91.86±7.57 Kg and intima media thickness was 0.84±0.12 mm. Conclusion Prevalence of atherosclerotic changes in carotid arteries detected by Doppler ultrasound among obese patients having hepatic steatosis and its effect on the development of MI is remarkable

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