IJCNMH ARCpublishing

Issue: Issue 6 (2019) – Supplement 1


Carotid artery plaque: how essential is imaging?

J. David Spence
Measurement of carotid plaque burden and assessment of carotid plaque characteristics are very important in predicting risk of stroke/myocardial infarction/vascular death, and in management of atherosclerosis. By quartile of total carotid plaque area (TPA), the 5-year risk of these events is approximately 5%, 10%, 15% and 20%, after adjustment for a broad panel of risk factors. “Treating arteries instead of treating risk factors” markedly reduces risk. Among patients with asymptomatic carotid stenosis, this approach reduced the 2-year risk of stroke and myocardial infarction by more than 80%. Trying to treat arteries without measuring plaque burden would be like trying to treat hypertension without measuring blood pressure.

From the Lisbon Stroke Summit, Lisbon, Portugal. 5–6 April 2019.

International Journal of Clinical Neurosciences and Mental Health 2019; 6(Suppl. 1):D5
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