Global perspective on carotid intima-media thickness and plaque: should the current measurement guidelines be revisited?

Global perspective on carotid intima-media thickness and plaque: should the current measurement guidelines be revisited? Int Angiol. 2019 Nov 25;: Authors: Saba L, Jamthikar A, Gupta D, Khanna NN, Viskovic K, Suri HS, Gupta A, Mavrogeni S, Turk M, Laird JR, Pareek G, Miner M, Sfikakis P, Protogerou A, Kitas GD, Viswanathan V, Nicolaides A, Bhatt D, Suri JS Abstract Carotid intima-media thickness (cIMT) and carotid plaque (CP) currently act as risk predictors for CVD/Stroke risk assessment. Over 2000 articles have been published that cover either (a) use cIMT/CP or alterations of cIMT/CP and (b) additional image-based phenotypes to associate cIMT related markers with CVD/Stroke risk. These articles have shown variable results, which likely reflect a lack of standardization in the (i) tools for measurement, (ii) risk stratification, and (iii) risk assessment. Guidelines for cIMT/CP measurement are influenced by major factors like the (i) atherosclerosis disease itself, (ii) conventional risk factors, (iii) 10-year measurement tools, (iv) types of CVD/Stroke risk calculators, (v) incomplete validation of measurement tools, and (vi) the fast pace of computer technology advancements. This review discusses the following major points: (a) the American Society of Echocardiography (ASE) and Mannheim guidelines for cIMT/CP measurements, (b) forces that influence the guidelines, and (c) calculators for risk stratification and assessment under the influence of advanc...
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research

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Source: Immunological Investigations - Category: Allergy & Immunology Tags: Immunol Invest Source Type: research
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Source: Neurologia - Category: Neurology Source Type: research
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Source: Journal of Clinical Neurology - Category: Neurology Tags: J Clin Neurol Source Type: research
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Source: Journal of Clinical Neurology - Category: Neurology Tags: J Clin Neurol Source Type: research
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Source: Journal of Clinical Neurology - Category: Neurology Tags: J Clin Neurol Source Type: research
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Source: Neural Plasticity - Category: Neurology Authors: Tags: Neural Plast Source Type: research
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Source: Neural Plasticity - Category: Neurology Authors: Tags: Neural Plast Source Type: research
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Source: Neural Plasticity - Category: Neurology Authors: Tags: Neural Plast Source Type: research
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Source: BMC Neurology - Category: Neurology Authors: Tags: Research article Source Type: research
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