TO DETERMINE FREQUENCY OF INCIDENTAL FINDING OF CAROTID INTIMA MEDIA THICKNESS >1MM IN PATIENTS WITH NON-ALCOHOLIC FATTY LIVER DISEASE AND COMPARE SEVERITY OF HEPATIC STEATOSIS WITH INCREASED CAROTID INTIMA MEDIA THICKNESS >1MM

Dr Ayesha Hanif; Dr Atique Ur Rehman Slehria; Dr Mobeen Shafique; Dr Muhammad Usman Khan; Dr Muhammad Omer Aamir; Dr Umer Kaleem; Dr syed Aown Raza Shah Bokhari; Dr Mehwish Razzaq

TO DETERMINE FREQUENCY OF INCIDENTAL FINDING OF CAROTID INTIMA MEDIA THICKNESS >1MM IN PATIENTS WITH NON-ALCOHOLIC FATTY LIVER DISEASE AND COMPARE SEVERITY OF HEPATIC STEATOSIS WITH INCREASED CAROTID INTIMA MEDIA THICKNESS >1MM

Dr Ayesha Hanif, Dr Atique Ur Rehman Slehria, Dr Mobeen Shafique, Dr Muhammad Usman Khan, Dr Muhammad Omer Aamir, Dr Umer Kaleem, Dr syed Aown Raza Shah Bokhari, Dr Mehwish Razzaq

Abstract

Abstract:

Introduction: Ultrasonography has become widespread diagnostic tool and presently it is the preferable method for diagnosing patients with nonalcoholic fatty liver disease as it is noninvasive, in expensive and widely available.

Objectives: To determine frequency of incidental finding of Carotid Intima media thickness >1mm in patients with Non-Alcoholic Fatty liver disease and compare severity of hepatic steatosis with increased carotid intima media thickness >1mm.

Materials & Methods: This Descriptive, cross-sectional study was conducted from 26^th December 2017 to 25^th June 2018 in the department of radiology ,Armed Forces of Radiology and Imaging, military hospital, Rawalpindi. A total of 96 patients having fatty liver on ultrasound scan, 18 to 70 years of age were included. Patients with history of alcohol ingestion, renal disease or stigmata of chronic liver disease and previous diagnosis of stroke or Transient ischemic attack were excluded. After taking informed consent and relevant history, patient was guided to take ultrasound scan of the abdomen and duplex ultrasound scan of carotids in order to assess the hepatic steatosis and carotid intima media thickness measurement.

Results: Mean age was 50.80 ± 9.64 years. Out of the 96 patients, 48 (50.0%) were male and 48 (50.0%) were females with male to female ratio of 1:1. Majority of patients were with grade I i.e. 44 (45.83%). Frequency of incidental finding of Carotid Intima media thickness >1mm in patients with Non-Alcoholic Fatty liver disease was found in 55 (57.29%) patients.

Conclusion: This study concluded that frequency of incidental finding of Carotid Intima media thickness >1mm in patients with Non-Alcoholic Fatty liver disease is very high.

Keywords: Non-Alcoholic Fatty liver disease, common carotid artery, intima media thickness.

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