Aguilar-Shea Antonio L, Gallardo-Mayo Cristina, Calvo Manuel Elpidio, Zamorano Gómez Jose L
Centro de Salud Espronceda, Madrid, España.
Aten Primaria. 2010 Sep;42(9):482-5. doi: 10.1016/j.aprim.2009.11.005. Epub 2010 Feb 1.
Cardiovascular risk stratification is currently part of routine clinical practice to establish cardiovascular prevention strategies. A complementary approach to the assessment scales of cardiovascular risk stratification is the non-invasive evaluation of the atherosclerotic lesion to identify patients at high risk for cardiovascular complications. Carotid intima-media thickness is a non-invasive method based on ultrasound suitable for the detection of subclinical atherosclerosis. It allows us to stratify cardiovascular risk beyond conventional cardiovascular risk factors and would complement the cardiovascular risk functions. The inclusion of the carotid intima-media thickness in cardiovascular risk stratification may help identify asymptomatic individuals with a high cardiovascular risk not detected by current scales of cardiovascular risk stratification.
心血管风险分层目前是制定心血管预防策略的常规临床实践的一部分。对心血管风险分层评估量表的一种补充方法是对动脉粥样硬化病变进行无创评估，以识别有心血管并发症高风险的患者。颈动脉内膜中层厚度是一种基于超声的无创方法，适用于检测亚临床动脉粥样硬化。它使我们能够在传统心血管危险因素之外对心血管风险进行分层，并将补充心血管风险评估功能。将颈动脉内膜中层厚度纳入心血管风险分层可能有助于识别当前心血管风险分层量表未检测到的、有高心血管风险的无症状个体。
