The results of using lean technologies in assessing the cardiovascular risk based on ultrasound markers of atherosclerosis
| Autor: | E. I. Tsukanova, S. S. Aleksanin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Carotid atherosclerosis
medicine.medical_specialty preclinical diagnostics optimization of diagnostics duplex ultrasound Carotid arteries Population 030204 cardiovascular system & hematology 03 medical and health sciences risk factors of atherosclerosis 0302 clinical medicine Internal medicine Extracranial vessels Screening programs Diseases of the circulatory (Cardiovascular) system Medicine 030212 general & internal medicine education Cardiovascular mortality education.field_of_study Vascular imaging business.industry screening Ultrasound lean technologies patient focus RC666-701 lean processes Cardiology and Cardiovascular Medicine business public awareness |
| Zdroj: | Российский кардиологический журнал, Vol 25, Iss 6 (2020) |
| ISSN: | 2618-7620 1560-4071 |
| DOI: | 10.15829/1560-4071-2020-3643 |
| Popis: | Aim. To establish the practical value of studying ultrasound markers of atherosclerosis for assessing cardiovascular risk as a part of screening of the population based on lean technologies.Material and methods. The study included 305 patients. The age of participants ranged from 31 to 84 years, the median age was 61,0 years. The object of study was 1830 extracranial vessels, including common carotid arteries, internal carotid arteries, subclavian arteries. Duplex ultrasound was using an Acuson 2000 ultrasound system with a frequency of 3-9 MHz. An abbreviated ultrasound protocol was used. The obtained data were processed using the software package Statistica 12.0 (StatSoft, USA).Results. As a result of lean technology application, the duration of procedure was significantly reduced, and the process was improved by 6 times. Changes in intimamedia thickness (IMT) were detected in 42,6% of cases, and significantly more changes in IMT were found in women (48,1%) than in men (25,0%), p=0,0005. Atherosclerotic plaques (ASP) were detected in 53,4% of cases (men — 68,1%; women — 48,9%), p=0,0043. In men Conclusion. The results of the study indicate the high practical value of ultrasonic markers of atherosclerosis using abbreviated ultrasound protocol as a part of screening of the population. The inclusion of noninvasive vascular imaging data in screening programs will help to achieve targets for reducing cardiovascular mortality and personalize the assessment of cardiovascular risk. |
| Databáze: | OpenAIRE |
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