• A&A practice · Mar 2020

    Use of Common Carotid Intima-Media Thickness Measured by Ultrasound Echo-Tracking in Cardiovascular Risk Stratification Before Noncardiac Surgery in Low-Risk Category: A Research Idea.

    • Srinivas Mantha, Sudha Lakshmi Tripuraneni, Lee A Fleisher, and Michael F Roizen.
    • From the Mantha's Pain Clinic, Hyderabad, India.
    • A A Pract. 2020 Mar 1; 14 (5): 166-169.

    AbstractPreoperative cardiac risk stratification algorithms typically use a Bayesian approach to identify a low-risk category group for which the outcome is unlikely to be improved by further testing. This report suggests evaluating common carotid intima-media thickness (CCIMT) as measured by ultrasound to determine whether it strengthens and optimizes perioperative Bayesian risk indices. The idea proposes to use CCIMT Z score and vascular age to quantify atherosclerotic burden. CCIMT may be useful as part of shared decision-making for perioperative care. A website (www.suhitam.com/vascularage) designed by one of the authors (S.M.) is a useful resource.).

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