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The relationship between cerebral infarction and stenosis of extracranial internal carotid artery in patients with hypertension and type 2 diabetes mellitus

Xu Bin, Wang Dexin, Xu Zhongbao, et al(Department of Neurology, Beijing Fuxing Hospital, Beijng 100038)  
Objective To study the relationship between cerebral infarction and stenosis of extracranial internal carotid artery in patients with hypertension(HT) complicated with type 2 diabetes mellitus(DM). Methods 76 patients(age60 years old) were divided into 3 groups, 26 in hypertension group; 25 in DM group; 25 in hypertnsion complicated with DM. Carotid artery was detected by computed tomography angiography, and cranial CT?MRI were performed. Results The percentage of patients with severe stenosis of extracranial internal carotid artery in patients with hypertension complicated with type 2 diabetes mellitus were significantly higher than that in patients with hypertension or DM. The patients with severe stenosis of extracranial internal carotid artery were prone to develop cerebral infarction. Conclusions HT and DM can impact the development of atherosclerosis in senile patients. The stenosis of carotid artery is correlated with the incidence of cerebral infarction.
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