{"id":19898,"date":"2024-07-04T12:20:59","date_gmt":"2024-07-04T16:20:59","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=19898"},"modified":"2024-07-25T12:24:38","modified_gmt":"2024-07-25T16:24:38","slug":"carotid-plaque-score-is-associated-with-10-year-major-adverse-cardiovascular-events-in-low-intermediate-risk-patients-referred-to-a-general-cardiology-community-clinic","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/carotid-plaque-score-is-associated-with-10-year-major-adverse-cardiovascular-events-in-low-intermediate-risk-patients-referred-to-a-general-cardiology-community-clinic\/","title":{"rendered":"Carotid plaque score is associated with 10-year major adverse cardiovascular events in low-intermediate risk patients referred to a general cardiology community clinic"},"content":{"rendered":"<p><strong>Aims<\/strong> \u2014 Atherosclerotic carotid plaque assessments have not been integrated into routine clinical practice due to the time-consuming nature of both imaging and measurements. Plaque score, Rotterdam method, is simple, quick, and only requires 4-6 B-mode ultrasound images. The aim was to assess the benefit of plaque score in a community cardiology clinic to identify patients at risk for major adverse cardiovascular events (MACE).<\/p>\n<p><strong>Methods and results<\/strong> \u2014 Patients \u226540 years presenting for risk assessment were given a carotid ultrasound. Exclusions included a history of vascular disease or MACE and being &gt;75 years. Kaplan-Meier curves and hazard ratios were performed. The left and right common carotid artery (CCA), bulb, and internal carotid artery (ICA) were given 1 point per segment if plaque present (plaque score 0 to 6). Administrative data holdings at ICES were used for 10-year event follow-up. Of 8,472 patients, 60% were females (n = 5,121). Plaque was more prevalent in males (64% vs 53.9%; P &lt;0.0001). The 10-year MACE cumulative incidence estimate was 6.37% with 276 events (males 6.9 % vs females 6.0%; P = 0.004). Having both maximal CCA IMT &lt;1.00 mm and plaque score = 0, was associated with less events. A plaque score &lt;2 was associated with a low 10-year event rate (4.1%) compared to 2-4 (8.7%) and 5-6 (20%).<\/p>\n<p><strong>Conclusion<\/strong> \u2014 A plaque score \u22652 can re-stratify low-intermediate risk patients to a higher risk for events. Plaque score may be used as a quick assessment in a cardiology office to guide treatment management of patients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aims \u2014 Atherosclerotic carotid plaque assessments have not been integrated into routine clinical practice due to the time-consuming nature of both imaging and measurements. Plaque score, Rotterdam method, is simple, quick, and only requires 4-6 B-mode ultrasound images. The aim was to assess the benefit of plaque score in a community cardiology clinic to identify [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[40,62],"migration-helper-qa-sample-set":[],"class_list":["post-19898","journal_article","type-journal_article","status-publish","hentry","topic-cardiovascular-disease","topic-health-services-research"],"acf":{"citation":"Matangi MF, H\u00e9tu MF, Armstrong DWJ, Shellenberger J, Brouillard D, Baker J, Johnson A, Grubic N, Willms H, Johri AM. <em>Eur Heart J Cardiovasc Imaging<\/em>. 2024; Jul 4 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1093\/ehjci\/jeae153","ices_scientist":[1279,22223],"site":[6736],"research_program":[6741],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- 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