Analiza czynników klinicznych wpływających na średnicę tętnic obwodowych u pacjentów poddawanych koronarografii Clinical factors influencing diameter of peripheral arteries in patients undergoing coronary angiography

Background: The aim of the study was to determine the relationship between the diameter of the common carotid (CCA) and common femoral (CFA) arteries and atherosclerosis risk factors as well as coronary heart disease. Material and methods: In 410 patients (73% male), aged 29-75 (mean 55.9 ± 9.5) years with suspected coronary heart disease (CHD) ultrasound examination of CCA and CFA was performed in order to determine the diameter, intima-media thickness (IMT) and extracoronary atherosclerosis plaque thickness. The relationship between CCA and CFA diameters and athero- sclerosis risk factors was analyzed. Results: Significant correlations between CCA diameter and age, body mass index, systolic blood pressure, pulse pressure, HDL-cholesterol blood level, CCAIMT, CCA atherosclerotic plaque thickness, and angiographic Gensini score were found. Mean CCA diameter was higher in individuals with CHD compared to those CHD free, in smokers compared to non- smokers and diabetics compared to non-diabetics. Correlations between left and right CFA diameter and body mass index (BMI), total cholesterol blood level, HDL-cholesterol blood level, CFA atherosclerotic plaque thickness and Gensini score were found in men. In women we found the significant correlations between left and right CFA diameter and age, BMI, triglicerydes blood level and Gensini score. Mean CFA diameters were higher in patients without hypercholesterolemia compared to hypercholesterolemic subjects.