Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women

Abstract EN

It has been previously documented that carotid intima-media thickness (cIMT) is a predictor of cardiovascular disease.

The aim of this study was to identify clinical parameters associated with an increased cIMT treated hypertensive women.

Female patients (n=116) with essential hypertension, aged 40–65 years, were included in this study.

Vascular ultrasound was performed and the patients were divided into two groups according to the values of cIMT (< or ≥0.9 mm).

Patients with greater cIMT presented significantly higher systolic blood pressure and pulse pressure.

Serum HDL-cholesterol was significantly lower and CRP was significantly higher in the same group.

There was a significant correlation between cIMT and age (r=0.25, P=0.007), systolic blood pressure (r=0.19, P=0.009), pulse pressure (r=0.30, P=0.001), and LDL-cholesterol (r=0.19, P=0.043).

cIMT was correlated to CRP (r=0.31, P=0.007) and negatively correlated to HDL-cholesterol (r=0.33, P=0.001).

In logistic regression, only HDL-cholesterol, CRP, and pulse pressure were shown to be independent variables associated to increased cIMT.

In conclusion, pulse pressure, HDL-cholesterol, and CRP are variables correlated with cIMT in treated hypertensive women.