Mookadam Farouk, Tanasunont Weerawat, Jalal Uzma, Mookadam Martina, Wilansky Susan
Department of Cardiovascular Diseases, Mayo Clinic Scottsdale, AZ, USA.
Future Cardiol. 2011 Mar;7(2):173-82. doi: 10.2217/fca.11.2.
Cardiovascular disease is the primary cause of death in most developed nations. Identifying an individual's cardiovascular risk remains a challenge. Traditional coronary-risk stratification is based on cardiovascular risk factors using risk score systems, which may not reliably identify atherosclerosis in asymptomatic individuals. Carotid intima-media thickness measured by ultrasonography is a noninvasive, well-validated tool that has been used as a surrogate for clinical coronary events. Carotid intima-media thickness has demonstrable utility as an independent predictor of future cardiovascular events. Recent data have improved our understanding of its applications as a screening tool for cardiovascular disease.
心血管疾病是大多数发达国家的主要死因。识别个体的心血管风险仍然是一项挑战。传统的冠心病风险分层是基于使用风险评分系统的心血管危险因素，这可能无法可靠地识别无症状个体的动脉粥样硬化。通过超声测量的颈动脉内膜中层厚度是一种经过充分验证的非侵入性工具，已被用作临床冠心病事件的替代指标。颈动脉内膜中层厚度作为未来心血管事件的独立预测指标具有明显的效用。最近的数据增进了我们对其作为心血管疾病筛查工具应用的理解。
