Navigation Links
Picture This: Heart Health Risk Assessment Gets Easier
Date:2/5/2008

New Standards for Carotid Ultrasounds Offer Doctors a Powerful Diagnostic

Tool

RALEIGH, N.C., Feb. 5 /PRNewswire/ -- The American Society of Echocardiography (ASE) today issued a new consensus statement for interpreting and responding to results of a carotid ultrasound study for cardiovascular disease risk assessment. The statement provides specific guidance for detecting early atherosclerotic plaques and increased thickness of the carotid artery walls -- also known as carotid intima-media thickness (CIMT). By following the consensus statement, doctors will be more confident recommending aggressive preventive therapies if ultrasound reveals the walls of the carotid arteries are thicker than established cut points for patients of similar age, sex and race. Identifying patients who have hidden risks for heart disease without invasive procedures should help improve patient care and treatment success rates.

"There is a great interest in identifying patients who don't have symptoms of heart and blood vessel disease but who are at higher risk than they may appear," said Dr. James H. Stein, a cardiologist at the University of Wisconsin School of Medicine and Public Health, the lead author of the ASE consensus statement. "Having a safe, non-invasive approach for diagnosing early arterial disease and revealing potential heart disease will give doctors and patients the information they need to select the best treatment options."

Carotid ultrasound has been used as a research tool for more than two decades and is increasingly turning into an established clinical practice. To guide doctors on when it should be used and what the results mean, the consensus statement provides standards for patient selection, scanning technique, imaging protocol and interpretation. In addition, it provides recommendations for training and certification of sonographers and readers.

Dr. Stein said despite the proven value of ultrasound scans for arteries, ASE is not recommending routine use of the procedure for all patients. "The guidelines are designed to alert physicians to the types of patients for whom the test may be useful," he said. "Carotid ultrasound to measure wall thickness and look for early plaques is most useful when other clinical information puts patients on the borderline between needing aggressive therapy and following a more standard approach."

Patients that may benefit from this test include those who do not already have heart or arterial disease and who:
-- Are clinically determined to be at "intermediate" risk for a heart

attack or cardiac death in the next 10 years,

-- Have a family history of premature cardiovascular disease in a close

relative,

-- Have significant abnormalities in one or more known cardiovascular risk

factors (such as young patients with genetic cholesterol disorders or

who are heavy smokers, or

-- Are women under 60 with at least two cardiovascular risk factors.

This test can be considered if the level of aggressiveness of therapy is uncertain and additional information about the burden of early vascular disease or future cardiovascular disease risk is needed. Imaging should not be performed unless the results would be expected to alter therapy. The guidelines set the 75th percentile as the threshold for aggressive treatment. Those who have CIMT greater than that level for patients of similar age, sex and race are considered to be at increased cardiovascular risk. Also, patients with carotid plaques are considered at increased risk.

The consensus panel recommended a comprehensive scan of all segments of both carotid arteries to look for the presence of plaques, as well as imaging of the far walls of each common carotid artery so CIMT can be measured. The presence of carotid plaque or increased CIMT is a marker of increased risk of heart attack, stroke, or death from cardiovascular disease.

This consensus statement was also endorsed by the Society for Vascular Medicine. The full document is available at the ASE-sponsored website, http://www.seemyheart.org.

Media Contact:

Kevin King

202-547-0500

kevink@imrecommunications.com


'/>"/>
SOURCE The American Society of Echocardiography
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Job picture for 2006 chemistry grads reasonably good, C&EN reports
2. Gotta have heart!
3. Study Finds Women Pay More Attention to Their Hair Than Their Hearts
4. Celebrate American Heart Month by Eating Red
5. Stars Don Red to Raise Awareness of Womens Heart Risk
6. AUDIO From Medialink and the National Association of Margarine Manufacturers: Survey Finds Americans Unaware Some Fats Are Good for Heart Health
7. IPods Dont Interfere With Heart Pacemakers
8. Lifetime Television Launches Third Annual Dont Skip a Beat Multi-Platform Heart Health Awareness Initiative
9. Bobbi Brown Cosmetics Creates Limited-Edition Lip Palette in Partnership with The Heart Truths Red Dress Collection 2008 Fashion Show
10. Abbott Goes Red to Educate Bay Area Women About Heart Disease
11. Bobbi Brown Cosmetics Creates Limited-Edition Red Lip Palette in Partnership With The Heart Truths 2008 Red Dress Collection
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
(Date:6/25/2016)... Oklahoma City, Oklahoma (PRWEB) , ... June 25, ... ... to helping both athletes and non-athletes recover from injury. Recently, he has implemented ... for the Oklahoma City area —Johnson is one of the first doctors to ...
(Date:6/24/2016)... ... 2016 , ... A recent article published June 14 on E ... goes on to state that individuals are now more comfortable seeking to undergo not ... as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, ... at his family verbally and physically. , “When something upset him, he couldn’t control his ... it. He would throw rocks at my other children and say he was going to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda ... orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including ... accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)...  Collagen Matrix, Inc., ("Collagen Matrix") the driving ... collagen and mineral based medical devices for tissue ... Messer has joined the company as Vice ... growing portfolio of oral surgery, neurosurgery, orthopaedic and ... the Collagen Matrix executive team as an accomplished ...
(Date:6/24/2016)... June 24, 2016 The Academy of Managed ... recommendations that would allow biopharmaceutical companies to more ... that make formulary and coverage decisions, a move that ... new medicines. The recommendations address restrictions in ... on the drug label, a prohibition that hinders decision ...
(Date:6/24/2016)... --  Pulmatrix, Inc ., (NASDAQ: PULM ), ... today that it was added to the Russell Microcap ... set of U.S. and global equity indexes on June ... for Pulmatrix," said Chief Executive Officer Robert Clarke ... in developing drugs for crucial unmet medical needs, and ...
Breaking Medicine Technology: