Komorovsky Roman, Desideri Alessandro
Cardiovascular Research Foundation, S Giacomo Hospital, Castelfranco Veneto, Italy.
Vasc Health Risk Manag. 2005;1(2):131-6. doi: 10.2147/vhrm.1.2.131.64077.
Carotid disease is a common finding in patients with coronary artery disease (CAD) and its presence is associated with worse clinical outcomes. Intima-media thickness provides incremental value over traditional risk factors in predicting cardiovascular events; however, it does not predict the absence of CAD or its extent and severity. The presence of carotid plaques is associated with an increased risk of cardiovascular events in patients with CAD regardless of the treatment strategy (medical therapy alone or myocardial revascularization). Hence, we advocate the screening of patients with diagnosed CAD for carotid atherosclerosis. The prognostic impact of ultrasound characteristics of carotid plaques on cardiovascular outcomes of patients with CAD remains controversial.
颈动脉疾病在冠状动脉疾病（CAD）患者中很常见，其存在与更差的临床结局相关。内膜中层厚度在预测心血管事件方面比传统危险因素具有更大价值；然而，它无法预测CAD的不存在、范围或严重程度。无论治疗策略如何（单纯药物治疗或心肌血运重建），CAD患者中颈动脉斑块的存在都与心血管事件风险增加相关。因此，我们主张对已确诊CAD的患者进行颈动脉粥样硬化筛查。颈动脉斑块的超声特征对CAD患者心血管结局的预后影响仍存在争议。
