解读颈动脉粥样硬化在预测心血管疾病风险中的作用：综述
Unravelling the role of carotid atherosclerosis in predicting cardiovascular disease risk: A review.
作者信息
Laksono Sidhi, Kusharsamita Hillary
机构信息
Department of Cardiology and Vascular Medicine, Pertamina Central Hospital, South Jakarta, Indonesia.
Faculty of Medicine, Universitas Muhammadiyah Prof Dr Hamka, Tangerang, Indonesia.
出版信息
ARYA Atheroscler. 2024;20(5):52-59. doi: 10.48305/arya.2024.41271.2862.
Abstract
Carotid atherosclerosis disease assessment can predict the patient's risk of cardiovascular disease (CVD). The purpose of this review is to provide a comprehensive review of carotid atherosclerosis disease's pathophysiology, diagnostic evaluation, imaging applications, and treatment strategies. Carotid atherosclerosis is diagnosed using a variety of techniques, including transcranial Doppler imaging (TCD), computed tomography angiography (CTA), magnetic resonance angiography (MRA), and cerebral digital subtraction angiography (DSA), with duplex ultrasound (DUS) as the primary screening. Measurements of carotid intima-media thickness (CIMT) have drawn attention recently as a marker of early-stage carotid atherosclerosis or CVD risk prediction. The classification of cardiovascular risk may be enhanced by the expanding fields of stress testing and carotid plaque screening.
摘要
颈动脉粥样硬化疾病评估能够预测患者患心血管疾病（CVD）的风险。本综述的目的是对颈动脉粥样硬化疾病的病理生理学、诊断评估、影像学应用及治疗策略进行全面综述。颈动脉粥样硬化可通过多种技术进行诊断，包括经颅多普勒成像（TCD）、计算机断层血管造影（CTA）、磁共振血管造影（MRA）以及脑数字减影血管造影（DSA），其中双功超声（DUS）作为主要筛查手段。颈动脉内膜中层厚度（CIMT）测量作为早期颈动脉粥样硬化或CVD风险预测的标志物，近来受到了关注。压力测试和颈动脉斑块筛查领域的不断拓展可能会增强心血管风险的分类。
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