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2018年9月30日星期日

CIMT

【Now新聞台】不少青少年都有晚睡的習慣,不過長期睡眠不足,原來會增加患心血管疾病的風險。https://news.now.com/home/local/player?newsId=321426

carotid intima-media thickness
頸動脈內膜中膜厚度

Atherosclerotic vascular disease (動脈粥樣硬化血管疾病) begins in childhood and progresses over decades. Symptomatic, clinical cardiovascular disease (CVD) events generally occur when atherosclerosis progresses to flow-limiting disease that causes ischemia (an inadequate blood supply to an organ or part of the body), or when a thrombus (血栓) forms on an existing plaque as a result of rupture or erosion...As a screening test, imaging must be safe, be sensitive, be affordable, and lead to interventions that can favorably alter the natural history of CVD. Measurement of carotid intima-media thickness (CIMT) with ultrasound is a noninvasive, sensitive, and reproducible technique for identifying and quantifying atherosclerotic burden and CVD risk. It is a well-validated research tool that has been translated increasingly into clinical practice…In 2000, the American Heart Association Prevention Conference V concluded that CIMT “can now be considered for further clarification of coronary heart disease (CHD) risk assessment at the request of a physician,” provided that it is performed by an experienced laboratory. In 2001, the National Cholesterol Education Program (NCEP) Adult Treatment Panel III stated that CIMT “could be used as an adjunct (attachment) in CHD risk assessment…

James H., & Claudia E. (2008). Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force Endorsed by the Society for Vascular Medicine. Journal of the American Society of Echocardiography, 21(2), 93-111.  https://doi.org/10.1016/j.echo.2007.11.011

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