CLINICAL LABORATORY ASPECTS OF ULTRASOUND SCANNING IN ASSESSMENT OF BRACHIOCEPHALIC ARTERIES AMONG ELDERLY INDIVIDUALS

Zubarev A.R., Krivosheeva N.V., Rychkova I.V., Demidova A.K., Sharashkina N.V.

N.I. Pirogov Russian National Research Medical University. Moscow, Russia.

 

Purpose. The aims of this study were to substantiate the diagnostic value of duplex scanning with color mapping in an integrated assessment of the elderly person health status; to describe the features of the carotid arteries changes and the Intima-media complex (IMC) thickness among elderly individuals, depending on the lipid and carbohydrate metabolism changes.

The study aimed determining the risk of the stroke development based on these data, as well as forming a differentiated approach to the treatment, which will improve the quality of life, increase the amount of self-care and socialization among persons of the group given.

Materials and methods. The study involved 75 patients aged from 65 to 99 (43 men - 64%, 24 women - 35.8%). All patients had undergone a complex clinical examination, laboratory tests and blood chemistry. The fats study was performed by evaluating the following parameters: total cholesterol serum, serum triglycerides. In line, each patient was evaluated on the insulin and blood glucose levels. All patients included in the study had undergone ultrasound testing of brachiocephalic arteries using ultrasound device Aplio ™ 500 Toshiba.

Results. For the first time the laboratory examination data comparison was conducted, including assessment of the lipid profile, glucose and insulin levels, as well as the state of athermanous plaque echo structure on the basis of the ultrasound investigation data among older age group patients.

Conclusions. The integration of the complex inspection algorithm into the program of assistance to the geriatric patients will help to identify the risk of vascular catastrophe development, build and carry out the necessary preventive measures and determine the treatment policy, which will maximize the quality of life and help more patients to reach the age of centenarians.

Keywords: older group of patients, brachiocephalic artery, atherosclerotic plaque, the nature of the atherosclerotic plaque, blood lipids, dyslipidemia.

 

Corresponding author: Zubarev A.R., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

Zubarev A.R., Krivosheeva N.V., Rychkova I.V., Demidova A.K., Sharashkina N.V. Clinical laboratory aspects of ultrasound scanning in assessment of brachiocephalic arteries among elderly individuals. REJR. 2016; 6 (3):59-67. DOI:10.21569/2222-7415-2016-6-3-59-67.

Received: 29.06.2016 Accepted: 13.07.2016