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Segment-specific association of carotid-intima-media thickness with cardiovascular risk factors – findings from the STAAB cohort study

BMC Cardiovascular Disorders Apr 10, 2019

Müller-Scholden L, et al. - Given that the assessment of just one single carotid segment is the basis for guideline recommendation to not measure carotid intima-media thickness (CIMT) for cardiovascular risk prediction, researchers used subjects from the population-based STAAB (Characteristics and Course of Heart Failure Stages A-B and Determinants of Progression) cohort study to assess if there exists a segment-specific link between different measurement locations of CIMT and cardiovascular risk factors. The study population included 2,492 individuals (aged 30 to 79 years) of the general population from Würzburg, Germany. On the far wall of both sides in three different predefined locations (common carotid artery, bulb, and internal carotid artery), they measured CIMT. Risk factors included diabetes, dyslipidemia, hypertension, smoking, and obesity. Findings revealed no segment-specific link between cardiovascular risk factors and CIMT, therefore, a patient’s cardiovascular risk could be sufficiently evaluated with one simple measurement of a single location.

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