Cardiovascular risk assessment in individual patients from carotid intimal-medial thickness measurements

被引:34
作者
Riley W.A. [1 ]
机构
[1] Department of Neurology, Wake Forest Univ. School of Medicine, Winston-Salem, NC 27104
关键词
Carotid Artery; Internal Carotid Artery; Common Carotid Artery; Atherosclerotic Burden; Valid Protocol;
D O I
10.1007/s11883-004-0036-3
中图分类号
学科分类号
摘要
Carotid intimal-medial thickness measurements are a low-cost, noninvasive method to assess atherosclerotic burden in the general population. A large evidence base exists to validate estimates of absolute cardiovascular risk obtained from measurements of carotid intimal-medial thickness. Precise and reliable carotid intimal-medial thickness measurements from several ultrasonic interrogation angles and anatomic sites are required to obtain the most valid estimates of cardiovascular risk in an individual patient. This paper reviews basic measurement concepts and outlines important considerations in the clinical assessment of absolute cardiovascular risk in individual patients from measurements of carotid intimal-medial thickness. Copyright © 2004 by Current Science Inc.
引用
收藏
页码:225 / 231
页数:6
相关论文
共 38 条
  • [1] Oren A., Vos L.E., Uiterwaal C.S., Et al., Aortic stiffness and carotid intimal-medial thickness: Two independent markers of subclinical vascular damage in young adults?, Eur. J. Clin. Invest., 33, pp. 949-954, (2003)
  • [2] Raitakari O.T., Juonala M., Kahonen M., Et al., Cardiovascular risk factors in childhood and carotid artery intimal-medial thickness in adulthood: The Cardiovascular Risk in Young Finns Study, JAMA, 290, pp. 2277-2283, (2003)
  • [3] Li S., Chen W., Srinivasan S.R., Et al., Childhood cardiovascular risk factors and carotid vascular changes in adulthood: The Bogalusa Heart Study, JAMA, 290, pp. 2271-2276, (2003)
  • [4] Kieltyka L., Urbina E.M., Tang R., Et al., Framingham risk score is related to carotid artery intimal-medial thickness in both white and black young adults: The Bogalusa Heart Study, Atherosclerosis, 170, pp. 125-130, (2003)
  • [5] Oren A., Vos L.E., Uiterwaal C.S., Et al., Cardiovascular risk factors and increased carotid intimal-medial thickness in healthy young adults: The Atherosclerosis risk in Young Adults (ARYA) Study, Arch. Intern. Med., 163, pp. 1787-1792, (2003)
  • [6] Vos L.E., Oren A., Uiterwaal C., Et al., Adolescent blood pressure and blood pressure tracking into young adulthood are related to subclinical atherosclerosis: The Atherosclerosis Risk in Young Adults (ARYA) study, Am. J. Hypertens., 16, pp. 549-555, (2003)
  • [7] Rubba P., Iannuzzi A., Faccenda F., Et al., Non-invasive vascular detection of early signs of atherosclerosis in hypercholesterolemic children: Why and how, Nutr. Metab. Cardiovasc. Dis., 5, pp. 10-15, (2001)
  • [8] AHA Prevention V Conference: Beyond secondary prevention: Identifying the high-risk patient for primary prevention-noninvasive tests of atherosclerotic burden, Circulation, 101, (2000)
  • [9] Chambless L.E., Folsom A.R., Sharrett A.R., Et al., Coronary heart disease risk prediction in the Atherosclerosis Risk in Communities (ARIC) study, Clin. Epidemiol., 56, pp. 880-890, (2003)
  • [10] del Sol A.I., Moons K.G., Hollander M., Et al., Is carotid intimal-medial thickness useful in cardiovascular disease risk assessment? The Rotterdam Study, Stroke, 32, pp. 1532-1538, (2001)