The Research Of Imaging Correlation Between Carotid Plaque And Coronary Atherosclerosis

Objective: To study the correlation between carotid plaque and different types of coronary artery plaques.Methods: A 640-slice coronary CT scan was performed in patients with clinically suspected coronary artery disease from March 2018 to September 2018,and carotid ultrasound was performed within 2 weeks.The plaques of 640-slice coronary CT and the types of carotid plaques displayed by two-dimensional color Doppler ultrasound were recorded for each patient,and the collected data were analyzed by linear regression.Results: The relationship between Carotid hypoechoic plaques and coronary non-calcified plaque score,carotid mixed echo plaques and coronary non-calcified plaque score with mixed plaque score,carotid strong echogenic plaques and coronary each type of plaque score were found(P<0.05),in which carotid hypoechoic plaques were more closely related to coronary non-calcified plaque score(OR=1.423,P=0.019),Carotid mixed echo plaques and coronary mixed plaques were displays higher statistically significant(OR=1.858,P<0.001),carotid strong echogenic plaques were showed highest connection with coronary calcified plaque score(OR=4.232,P<0.001).In addition,the younger the age,the more carotid hypoechoic plaques were associated with coronary non-calcified plaques(OR=1.540,P=0.025).With age,there was no significant difference in gender between carotid mixed echo plaques and coronary mixed plaque score.(OR=1.968(male),OR=1.964(female));the relationship between carotid strong echogenic plaques and coronary calcified plaque score was more pronounced in women(OR=6.867,P<0.001).The role of risk factors can not be ignored.Conclusion: Carotid plaque is obviously associated with different types of coronary atherosclerotic plaque,and we should pay highly attention to the relationship displays in age and gender.Simultaneously,the role of risk factors in disease progression should never be underestimated.