Mookadam Farouk, Moustafa Sherif E, Lester Steven J, Warsame Tahlil
Department of Cardiovascular Diseases, Mayo Clinic Scottsdale, Scottsdale, AZ, USA.
Prev Cardiol. 2010 Fall;13(4):186-97. doi: 10.1111/j.1751-7141.2010.00072.x.
Cardiovascular risk factors have utility in risk prediction but have limitations in predicting individual risk. Identifying an individual's risk remains a challenge. Emerging technologies such as carotid artery ultrasonography and measures of carotid intima-media thickness (CIMT) may be useful in identifying the susceptible patient who may benefit from more aggressive preventive therapy. This screening test is noninvasive, reproducible, inexpensive, and radiation-free. Recent data have improved our understanding of the application of CIMT as a screening tool for cardiovascular disease. CIMT measurement may place an individual into a higher- or lower-risk category, allowing for appropriate institution of preventive strategies.
心血管危险因素在风险预测中具有一定作用，但在预测个体风险方面存在局限性。识别个体风险仍然是一项挑战。诸如颈动脉超声检查和颈动脉内膜中层厚度（CIMT）测量等新兴技术，可能有助于识别那些可能从更积极的预防性治疗中获益的易感患者。这种筛查测试是非侵入性的、可重复的、价格低廉且无辐射的。近期数据增进了我们对CIMT作为心血管疾病筛查工具应用的理解。CIMT测量可将个体归入高风险或低风险类别，从而能够适当实施预防策略。
