Arq. Bras. Cardiol. 2021; 116(4): 734-735
Carotid Artery Atherosclerotic Profile as a Progression Marker for Cardiovascular Disease
This Short Editorial is referred by the Research article "Carotid Artery Atherosclerotic Profile as Risk Predictor for Restenosis After Coronary Stenting".
Conditions directly linked to atherosclerosis are among the main causes of mortality worldwide, notably ischemic stroke and coronary artery disease (CAD). Diagnosing cardiovascular disease or its progression in the early stages, aiming to apply measures that can prevent or delay its progression and subsequent complications is currently a major challenge. The identification and characterization of atherosclerotic plaques allows the identification of a significant number of patients with low or intermediate risk scores. Many of these patients would not be identified by the available algorithms for cardiovascular diseases, which could result in the lack of correct management.
The quantification of the carotid artery plaque may be a measure of atherosclerosis, which should be associated with future risk of atherosclerotic cardiovascular disease, encompassing coronary, cerebrovascular, and peripheral arterial diseases. It is already known that impaired endothelial function and increased carotid intima-media thickness are substantial events in the atherosclerotic process,, with imaging of carotid features being used to predict the risk of cardiovascular events.
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