医学
超声波
肱动脉
放射科
心脏病学
内科学
颈动脉
超声成像
内皮功能障碍
临床实习
血压
家庭医学
作者
Mathias Kaspar,Iris Baumgärtner,Daniel Staub,Heinz Drexel,Christoph Thalhammer
出处
期刊:VASA
[Hogrefe Publishing Group]
日期:2018-10-16
卷期号:48 (2): 126-133
被引量:11
标识
DOI:10.1024/0301-1526/a000747
摘要
Early detection of vascular damage in atherosclerosis and accurate assessment of cardiovascular risk factors are the basis for appropriate treatment strategies in cardiovascular medicine. The current review focuses on non-invasive ultrasound-based methods for imaging of atherosclerosis. Endothelial dysfunction is an accepted early manifestation of atherosclerosis. The most widely used technique to study endothelial function is non-invasive, flow-mediated dilation of the brachial artery under high-resolution ultrasound imaging. Although an increased intima-media thickness value is associated with future cardiovascular events in several large population studies, systematic use is not recommended in clinical practice for risk assessment of individual persons. Carotid plaque analysis with grey-scale median, 3-D ultrasound or contrast-enhanced ultrasound are promising techniques for further scientific work in prevention and therapy of generalized atherosclerosis.
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