Izvorni znanstveni članak
https://doi.org/10.20471/acc.2024.63.03-04.25
Rheological Parameters of Carotid Circulation in Metabolic Syndrome with or without Diabetes Mellitus
Alen Hajdarević
; University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
Dragan Piljić
orcid.org/0000-0002-4675-2633
; University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
*
Fahrudin Šabanović
; University Hospital Center Zenica, Zenica, Bosnia and Herzegovina
Dilista Piljić
; University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
Farisa Babić
; University Hospital Center Zenica, Zenica, Bosnia and Herzegovina
Ajdin Beganović
; Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina
Juš Kšela
; University Clinical Center Ljubljana, Ljubljana, Slovenia
* Dopisni autor.
Sažetak
The aim of this research was to examine the rheological parameters of carotid
arteries and the frequency of abnormal values in patients with metabolic syndrome (MetS) with and
without diabetes mellitus (DM). The sample consisted of 90 subjects and was divided into two equal
groups. The first group consisted of patients with MetS but without DM, while the second group had
both MetS and DM. We used the values of the peak systolic velocity (PSV) as a reference for pathology.
The results showed pathological values of PSV in the right internal carotid artery (ICA) in twelve
patients in the MetS + DM group. The study found that the incidence of pathological rheological
parameters was higher in subjects with MetS + DM as compared to those with only MetS. Subjects
with MetS + DM had higher values of maximum acceleration during systole in various carotid arteries.
A subject with MetS + DM also showed total flow obstruction in the left and internal carotid artery
(ICA) and a severe narrowing of the right ICA, indicating the presence of carotid artery disease. The
study also found that nearly two-thirds of subjects with MetS + DM had pathological values of PSV
in the right ICA and slightly fewer in the left ICA. Research on French populations has shown similar
results. Eleven patients had pathological values in the left ICA. The frequency of the carotid rheological
parameters’ abnormalities was significantly higher in the MetS with DM patient group. The
frequency of abnormalities in the rheological parameters of carotid circulation was significantly higher
in patients with MetS and DM (as compared to non-diabetic patients). In our study, pathological
changes were generally more susceptible to ICA. This indicates the importance of screening the rheological
parameters of subjects with MetS for the prevention and treatment of cerebrovascular disease.
Ključne riječi
Rheological parameters; Carotid occlusive disease; Metabolic syndrome; Carotid circulation; Diabetes mellitus type 2
Hrčak ID:
333280
URI
Datum izdavanja:
31.12.2024.
Posjeta: 633 *