Key result
Combined assessment of carotid intima-media thickness, plaque burden, and hemodynamic parameters using ultrasound provides better cardiovascular risk stratification than carotid IMT measurement alone.
Design
Review
Authors
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Warrants adoption of combined carotid ultrasound assessment for risk stratification in practice; extends guidelines beyond IMT alone.
While routine carotid IMT measurement is no longer recommended for first ASCVD event risk assessment, comprehensive carotid ultrasound including plaque burden and hemodynamics may still offer value in risk stratification.
Kim et al. (2016) conducted a review in Atherosclerosis. Carotid artery ultrasound was evaluated. Combined assessment of carotid intima-media thickness, plaque burden, and hemodynamic parameters using ultrasound provides better cardiovascular risk stratification than carotid IMT measurement alone.
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