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Cited by 324

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Carotid Plaque Area and Intima-Media Thickness in Prediction of First-Ever Ischemic Stroke: A 10-Year Follow-Up of 6584 Men and Women: The Tromsø Study

Mathiesen, Ellisiv B., Johnsen, Stein Harald, Wilsgaard, Tom, Bønaa, Kaare H., Løchen, Maja-Lisa, Njølstad, Inger·2011·Stroke

Abstract

Background and Purpose—: Carotid plaque and intima-media thickness (IMT) are recognized as risk factors for ischemic stroke, but their predictive value has been debated and varies between studies. The purpose of this longitudinal population-based study was to assess the risk of ischemic stroke associated with plaque area and IMT in the carotid artery. Methods—: IMT and total plaque area in the right carotid artery were measured with ultrasound in 3240 men and 3344 women aged 25 to 84 years who participated in a population health study in 1994 to 1995. First-ever ischemic strokes were identified through linkage to hospital and national diagnosis registries, with follow-up until December 31, 2005. Results—: Incident ischemic strokes occurred in 7.3% (n=235) of men and 4.8% (n=162) of women. The hazard ratio for 1 SD increase in square-root-transformed plaque area was 1.23 (95% CI, 1.09–1.38; P =0.0009) in men and 1.19 (95% CI, 1.01–1.41; P =0.04) in women when adjusted for other cardiovascular risk factors. The multivariable-adjusted hazard ratio in the highest quartile of plaque area versus no plaque was 1.73 (95% CI, 1.19–2.52; P =0.004) in men and 1.62 (95% CI, 1.04–2.53; P =0.03) in women. The multivariable-adjusted hazard ratio for 1 SD increase in IMT was 1.08 (95% CI, 0.95–1.22; P =0.2) in men and 1.24 (95% CI, 1.05–1.48; P =0.01) in women. There were no differences in stroke risk across quartiles of IMT in multivariable analysis. Conclusions—: In the present study, total plaque area appears to be a stronger predictor than IMT for first-ever ischemic stroke.

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Metadata

Authors
Mathiesen, E. B., Johnsen, S. H., Wilsgaard, T., Bønaa, K. H., Løchen, M.-L., & Njølstad, I.
Venue
Stroke
Published
2011-04
Volume
42
Issue
4
Pages
972-978
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
OpenAlex
W2075420192
Cited by
324
References
24
FWCI
18.31
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Carotid Plaque Area and Intima-Media Thickness in Prediction of First-Ever Ischemic Stroke: A 10-Year Follow-Up of 6584 Men and Women: The Tromsø Study. https://app.cochat.ai/papers/10.1161/strokeaha.110.589754
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Mathiesen, E. B., Johnsen, S. H., Wilsgaard, T., Bønaa, K. H., Løchen, M.-L., & Njølstad, I. (2011). Carotid Plaque Area and Intima-Media Thickness in Prediction of First-Ever Ischemic Stroke: A 10-Year Follow-Up of 6584 Men and Women: The Tromsø Study. Stroke. https://doi.org/10.1161/strokeaha.110.589754

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