Abstract
A series of 1003 patients examined by cervical Doppler is reviewed, stressing differences between ischemic cardiopathies and other heart diseases as to the risk of carotid cerebrovascular disease (CVD) and its pathogenesis. The authors find that in ischemic heart disease the risk of stroke is almost entirely linked to severe carotid obstruction; in other cardiac disorders (rheumatic valvulopathies, arrhythmias etc.) this risk is independent from arterial damage, and the risk subsequent to an associated carotid stenosis does not differ from that of the general population.
Sommario
Viene rivista una casistica di 1003 pazienti sottoposti ad esame Doppler cervicale. Si mettono in evidenza differenze tra pazienti con cardiopatie ischemiche e altre malattie cardiache per quanto riguarda il rischio di malattia cerebrovascolare (CVD) nel territorio carotideo e la sua patogenesi. Si riscontra che nella cardiopatia ischemica il rischio di CVD è pressoché esclusivamente associato a stenosi serrata carotidea; in altre cardiopatie (valvulopatie reumatiche, aritmie etc) il rischio è indipendente da lesioni arteriose, e il rischio conseguente a un'eventuale stenosi carotidea associata non differisce da quello della popolazione generale con stenosi.
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Iuliano, G., Di Domenico, G. & Dello Ioio, G. Ischemic cardiopathy and other heart disorders: Differences in risk of cerebrovascular disease and in its association with carotid obstruction. Ital J Neuro Sci 9, 467–470 (1988). https://doi.org/10.1007/BF02337164
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DOI: https://doi.org/10.1007/BF02337164