Carotid ultrasound in patients with coronary artery disease |
Se-Joong Rim |
고려대학교 의과대학 내과학교실 |
논평 : 관상동맥 질환 환자에서의 경동맥 초음파 |
임 세 중 |
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Abstract |
Although increased intima-media thickness of common carotid artery independently predicts cardiac outcomes, the
clinical significance of carotid intima-media thickness in patients with diagnosed coronary artery disease is still
controversial. However, the presence of carotid plaques is clearly associated with an increased risk of cardiovascular
events in patients with coronary artery disease, and more aggressive medical treatment is required in this occasion. In
addition, carotid disease is commonly associated with coronary artery disease, and the detection of asymptomatic
significant carotid stenosis in patients with coronary artery disease may modify treatment strategy and reduce the risk
of stroke. Therefore, the screening of carotid atherosclerosis using ultrasound can be helpful in patients with coronary
artery disease. (Korean J Med 73:1-3, 2007)
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Key Words:
Carotid ultrasound, Intima-media thickness, Carotid plaque, Coronary artery disease |
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