MS229 CORRELATION BETWEEN CAROTID ATHEROSCLEROTID DISEASE AND MULTI-VESSELS CORONARY DISEASE IN PATIENTS WITH ACUTE CORONARY SYNDROME

Introduction: Many studies about Atherosclerosis have documented that carotid plaques is predictive of coronary involvement. Objective: To value the possible correlation between the extension of atherosclerotic disease in the carotid and coronary district. Materials and Methods: Between January 2008 and May 2009, 191 patients with Acute Coronary Syndrome were underwent in-hospital coronary study and Eco-Color-Doppler of the epiaortic vessels. The pts positive to the Doppler were divided into two groups: Group A, 32 pts with only one carotid artery affected, and Group B, 116 pts with both carotid arteries affected. Results: Among 191 pts underwent Eco-Color-Doppler of the epiaortic vessels, in 148 pts (77%) it was found a carotid artery involvement. In Group A 87.5% of pts have had a one-vessel coronary disease; 9.3% two-vessels disease and 3.1% three-vessels disease. In Group B 8.6% of pts have had an one-vessel disease; 34.4% two-vessels disease; 56.8% three-vessels disease. Conclusions: The study have documented that greater is the number of carotid artery involved in the atherosclerotic disease and greater is the probability to find a coronary multi-vessels disease. Use of Carotid ultrasound improve the stratification of cardiovascular risk and predict presence and extent of coronary artery disease.