Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries

Каримов, Ш, Юлбарисов, А, Нурматов, Д, Алидижанов, Х, Носиржонов, Б, Karimov , Sh, Yo’lbarisov, A, Nurmatov , D, Alidjanov , X, Nosirjonov , B, Karimov , Shavkat, Yo’lbarisov , Abdurasul, Nurmatov, Doniyor, Alidjanov , Khodjiakbar, Nosirjonov , Bunyodbek

O‘zbekiston кardiologiyasi · 2025-yil

Annotatsiya

Background. During the literature review, it becomes evident that approaches to the early diagnosis and treatment of atherosclerosis are undergoing significant changes worldwide. Unfortunately, isolated atherosclerotic involvement of a single vascular territory is rarely encountered nowadays. On the contrary, it is increasingly common to observe atherosclerotic lesions affecting multiple vascular beds in the same patient. From this perspective, modern advances in the diagnostics of multifocal atherosclerotic disease and novel approaches to the treatment of atherosclerosis have fundamentally altered the conventional understanding of this pathology. Materials and methods. Within the framework of our study, we included 105 patients examined and treated from 2019 to 2024 at the Republican Specialized Center of Surgical Angioneurology. All had hemodynamically significant stenosis of the carotid arteries and were diagnosed with either asymptomatic ischemic heart disease or stable angina pectoris (Functional Class I–II). Patients underwent both standard and specialized diagnostic procedures, including ECG, 24-hour Holter ECG monitoring, echocardiography, ultrasound examinations, CT, MRI, angiography (MSCT angiography, coronary angiography), as well as myocardial MRI stress perfusion. Results. In patients treated according to the developed algorithm, incidences of stroke, heart failure, acute coronary syndrome, and myocardial infarction were lower compared to the control group. In the main group, perioperative complications decreased to 2%, and long-term complications to 2.6%. Patient improvement was higher in the main group (53.9%) versus the control group (40.5%). A stratified approach in cases of combined carotid and coronary artery stenosis helped reduce complications and increase treatment efficacy. Conclusion. Carotid artery stenosis accompanied by asymptomatic coronary lesions most often involves two or more diseased vessels; isolated atherosclerotic processes are rare. At least four risk factors are typically present, the most common being hypertension, obesity, physical inactivity, hyperlipidemia, or diabetes mellitus. When myocardial MRI stress perfusion indicates ischemia or shows a perfusion reserve 2, performing coronary stenting first can help prevent cardiac complications during carotid reconstruction.

Maqola ma’lumotlari
MualliflarКаримов, Ш, Юлбарисов, А, Нурматов, Д, Алидижанов, Х, Носиржонов, Б, Karimov , Sh, Yo’lbarisov, A, Nurmatov , D, Alidjanov , X, Nosirjonov , B, Karimov , Shavkat, Yo’lbarisov , Abdurasul, Nurmatov, Doniyor, Alidjanov , Khodjiakbar, Nosirjonov , Bunyodbek
JurnalO‘zbekiston кardiologiyasi
NashriyotЎзбекистон кардиологлар ассоциацияси
ISSN3060-4850
Nashr sanasi2025-03-31
Jild2
Son1
Betlar10-20
TilIngliz
Ilmiy sohaTibbiyot
DOI10.70626/cardiouz-2025-2-00033
Indeksga qo‘shilgan2026-08-26

DOI: 10.70626/cardiouz-2025-2-00033 · Maqolaning asl sahifasi

Kalit so‘zlar

yurak ishemik kasalligi, karotid ateroskleroz, koronar angiografiya, miokard MRT stress perfuziyasi, Ишемическая болезнь сердца, aтеросклероз сонных артерий, коронарная ангиография, стресс-перфузия миокарда с помощью, ischemic heart disease, carotid atherosclerosis, coronary angiography, myocardial MRI stress perfusion

Ilmiy soha

Tibbiyot

Iqtibos keltirish

APAКаримов, Ш, Юлбарисов, А, Нурматов, Д, Алидижанов, Х, Носиржонов, Б, Karimov , Sh, Yo’lbarisov, A, Nurmatov , D, Alidjanov , X, Nosirjonov , B, Karimov , Shavkat, Yo’lbarisov , Abdurasul, Nurmatov, Doniyor, Alidjanov , Khodjiakbar, & Nosirjonov , Bunyodbek (2025). Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries. O‘zbekiston кardiologiyasi, 2(1), 10-20. https://doi.org/10.70626/cardiouz-2025-2-00033
GOST (OAK)Каримов, Ш va b. Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries // O‘zbekiston кardiologiyasi. – 2025. – T. 2, № 1. – P. 10-20. – DOI: 10.70626/cardiouz-2025-2-00033.
MLAКаримов, Ш, Юлбарисов, А, Нурматов, Д, Алидижанов, Х, Носиржонов, Б, Karimov , Sh, Yo’lbarisov, A, Nurmatov , D, Alidjanov , X, Nosirjonov , B, Karimov , Shavkat, Yo’lbarisov , Abdurasul, Nurmatov, Doniyor, Alidjanov , Khodjiakbar, and Nosirjonov , Bunyodbek. “Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries.” O‘zbekiston кardiologiyasi, 2(1), 10-20, 2025. https://doi.org/10.70626/cardiouz-2025-2-00033
ChicagoКаримов, Ш, Юлбарисов, А, Нурматов, Д, Алидижанов, Х, Носиржонов, Б, Karimov , Sh, Yo’lbarisov, A, Nurmatov , D, Alidjanov , X, Nosirjonov , B, Karimov , Shavkat, Yo’lbarisov , Abdurasul, Nurmatov, Doniyor, Alidjanov , Khodjiakbar, and Nosirjonov , Bunyodbek. “Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries.” O‘zbekiston кardiologiyasi, 2(1), 10-20 (2025). https://doi.org/10.70626/cardiouz-2025-2-00033
HarvardКаримов, Ш, Юлбарисов, А, Нурматов, Д, Алидижанов, Х, Носиржонов, Б, Karimov , Sh, Yo’lbarisov, A, Nurmatov , D, Alidjanov , X, Nosirjonov , B, Karimov , Shavkat, Yo’lbarisov , Abdurasul, Nurmatov, Doniyor, Alidjanov , Khodjiakbar, and Nosirjonov , Bunyodbek (2025) ‘Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries’, O‘zbekiston кardiologiyasi, 2(1), 10-20. https://doi.org/10.70626/cardiouz-2025-2-00033
BibTeX
@article{article2025,
  title = {Cardiological approaches to the diagnosis and treatment of patients with combined atherosclerotic stenosis of the carotid and coronary arteries},
  author = {Каримов, Ш and Юлбарисов, А and Нурматов, Д and Алидижанов, Х and Носиржонов, Б and Karimov , Sh and Yo’lbarisov, A and Nurmatov , D and Alidjanov , X and Nosirjonov , B and Karimov , Shavkat and Yo’lbarisov , Abdurasul and Nurmatov, Doniyor and Alidjanov , Khodjiakbar and Nosirjonov , Bunyodbek},
  journal = {O‘zbekiston кardiologiyasi},
  year = {2025},
  volume = {2},
  number = {1},
  pages = {10-20},
  doi = {10.70626/cardiouz-2025-2-00033},
  url = {https://doi.org/10.70626/cardiouz-2025-2-00033}
}

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