Portal de investigação
Why selective screening for asymptomatic carotid stenosis is currently appropriate: a special report
Autores da FMUP
Participantes de fora da FMUP
- Paraskevas, Kosmas I.
- Dardik, Alan
- Schermerhorn, Marc L.
- Liapis, Christos D.
- Lal, Brajesh K.
- Gray, William A.
- Brown, Martin M.
- Myrcha, Piotr
- Lavie, Carl J.
- Zeebregts, Clark J.
- Secemsky, Eric A.
- Saba, Luca
- Blecha, Matthew
- Gurevich, Victor
- Silvestrini, Mauro
- Blinc, Ales
- Svetlikov, Alexei
- Fernandes, Jose
- Schneider, Peter A.
- Gloviczki, Peter
- White, Christopher J.
- AbuRahma, Ali F.
Unidades de investigação
Abstract
Introduction: Two of the main reasons recent guidelines do not recommend routine population-wide screening programs for asymptomatic carotid artery stenosis (AsxCS) is that screening could lead to an increase of carotid revascularization procedures and that such mass screening programs may not be cost-effective. Nevertheless, selective screening for AsxCS could have several benefits. This article presents the rationale for such a program. Areas covered: The benefits of selective screening for AsxCS include early recognition of AsxCS allowing timely initiation of preventive measures to reduce future myocardial infarction (MI), stroke, cardiac death and cardiovascular (CV) event rates. Expert Opinion: Mass screening programs for AsxCS are neither clinically effective nor cost-effective. Nevertheless, targeted screening of populations at high risk for AsxCS provides an opportunity to identify these individuals earlier rather than later and to initiate a number of lifestyle measures, risk factor modifications, and intensive medical therapy in order to prevent future strokes and CV events. For patients at `higher risk of stroke' on best medical treatment, a prophylactic carotid intervention may be considered.
Dados da publicação
- ISSN/ISSNe:
- 1744-8344, 1477-9072
- Tipo:
- Article
- Páginas:
- 159-165
- Link para outro recurso:
- www.scopus.com
Expert Review of Cardiovascular Therapy Taylor and Francis Ltd.
Documentos
- Não há documentos
Filiações
Keywords
- Asymptomatic carotid atherosclerosis; carotid plaque burden; carotid stenosis; guidelines; screening; stroke
Proyectos asociados
Endovascular Treatment of Aortic Arch Aneurysms
Investigador Principal: Armando Amilcar Pires Mansilha Rodrigues de Almeida
Estudo Clínico Académico (Aneurysms) . 2020
The role of infrared thermography in predicting diabetic foot outcomes
Investigador Principal: Armando Amilcar Pires Mansilha Rodrigues de Almeida
Estudo Clínico Académico (diabetic foot) . 2021
Endovascular solutions for type IA endoleak after endovascular aneurysm repair
Investigador Principal: Armando Amilcar Pires Mansilha Rodrigues de Almeida
Estudo Clínico Académico . 2021
Intermittent Claudication: Importance of Supervised Exercise Programme
Investigador Principal: Armando Amilcar Pires Mansilha Rodrigues de Almeida
Estudo Clínico Académico . 2021
Carotid Artery Atherosclerotic Disease: Timing of Intervention, Procedural Outcomes and Patient Reported Outcome Measures
Investigador Principal: Armando Amilcar Pires Mansilha Rodrigues de Almeida
Estudo Clínico Académico . 2023
Endovascular Aneurysm Repair - Strategies and Outcomes in Hostile Anatomies
Investigador Principal: Armando Amilcar Pires Mansilha Rodrigues de Almeida
Estudo Clínico Académico . 2022
Citar a publicação
Paraskevas KI,Dardik A,Schermerhorn ML,Liapis CD,Mansilha A,Lal BK,Gray WA,Brown MM,Myrcha P,Lavie CJ,Zeebregts CJ,Secemsky EA,Saba L,Blecha M,Gurevich V,Silvestrini M,Blinc A,Svetlikov A,Fernandes J,Schneider PA,Gloviczki P,White CJ,AbuRahma AF. Why selective screening for asymptomatic carotid stenosis is currently appropriate: a special report. Expert Rev Cardiovasc Ther. 2024. 22. (4-5):p. 159-165.
