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Subclinical Atherosclerosis Adapated from Naqvi TZ, Lee MS. JACC Cardiovasc Imaging.Adapated from Naqvi TZ, Lee MS. JACC Cardiovasc Imaging Oct;7(10):
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Tasneem Z Naqvi, MD, FRCP (UK), MMM, FACC, FASE
Director EchocardiographyProfessor of Medicine, College of Medicine
Mayo Clinic, Scottsdale, Arizona
ASSESSMENT OF CAROTID ATHEROSCLEROSIS IN MY CLINICAL PRACTICE
Carotid Bifurcation US Femoral Bifurcation US
Arterial Segments Commonly Involved in Atherosclerosis
Subclinical Atherosclerosis
Adapated from Naqvi TZ, Lee MS. JACC Cardiovasc Imaging. 2014 Oct;7(10):1025-38
Value in Clinical Practice
53 yr old male T chol: 251HDL 53LDL 167TG 70Framingham risk:11%
Case
61 yr old female Total cholesterol 216HDL 50LDL 143Triglycerides 239 mg/dlFRS 6%
Case
Case: My patient is not compliant..
50 yr old Caucasian female, history of DM, non compliant with diet or lipid lowering agents
Case: 45 year old maleHTN,h/o of RCA stent 3 yrs ago,
-ve stress echoWould not take statins
Case: 45 year old male
HTN,h/o of RCA stent 3 yrs ago, -ve stress
echoWould not take statins
Case: I am Intolerant to Statins and Would not
take’m67 MCABGInf MI, EF 40%Recent LCX Stent
Naqvi TZ. J Am Soc Echocardiogr. 2015 May; 28(5):A16-7
Summary
CIMT and plaque imaging is feasible in clinical practice in primary prevention setting and can improve CVD risk prediction over conventional methods
CIMT and plaque imaging can detect atherosclerosis burden in secondary prevention setting and improve patient compliance
Common Carotid
