By Issam D. Moussa, Tatjana Rundek, JP Mohr
This well-illustrated textual content experiences the present country of information with reference to many of the anatomic and physiologic tools on hand to spot asymptomatic sufferers who're at excessive possibility to advance a destiny stroke.В
Asymptomatic Carotid Artery Stenosis is rather specified in the direction of physicians enthusiastic about medical determination making relating to revascularization of sufferers with asymptomatic carotid stenosis. in addition, the editors and participants' hopes and ambitions are to stimulate the clinical neighborhood into subjecting those methodologies to rigorous potential scientific trials to redefine criteria of deal with those patients.
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Extra resources for Asymptomatic Carotid Artery Stenosis: A Primer on Risk Stratification and Management
Example text
Carotid plaques increase the risk of stroke and subtypes of cerebral infarction in asymptomatic elderly. The Rotterdam Study. Circulation 2002; 105: 2872–7. Sacco RL, Benjamin EJ, Broderick JP et al. American Heart Association Prevention Conference. IV. Prevention and Rehabilitation of Stroke. Risk factors. Stroke 1997; 28: 1507–17. Chambers BR, Norris JW. Outcome in patients with asymptomatic neck bruits. N Engl J Med 1986; 315: 860–5. Goldstein LB, Adams R, Becker K et al. Primary prevention of ischemic stroke: a statement for healthcare professionals from the Stroke Council of the American Heart Association.
2. 3. 4. 5. 6. Vascular atherosclerotic lesions can be divided into three groups: (1) non-atherosclerotic intimal lesions; (2) progressive atherosclerotic lesions; and (3) healed atherosclerotic plaque, which is the most prevalent plaque feature in patients with asymptomatic carotid disease. Progression of atherosclerotic disease in the carotid artery occurs primarily through repeated plaque rupture and erosions. Plaques prone to rupture are those with reduced cap thickness, large necrotic-lipid core, and severe inflammatory infiltrate.
Critically attained threshold of cerebral hypoperfusion: can it cause Alzheimer’s disease? Ann N Y Acad Sci 2000; 903: 424–36. Manolio TA, Burke GL, O’Leary DH et al. Relationships of cerebral MRI findings to ultrasonographic carotid atherosclerosis in older adults: the Cardiovascular Health Study. CHS Collaborative Research Group. Arterioscler Thromb Vasc Biol 1999; 19: 356–65. de Groot JC, de Leeuw FE, Oudkerk M et al. Cerebral white matter lesions and subjective cognitive dysfunction: the Rotterdam Scan Study.