Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk

Aim. To develope and justify the use of the abbreviated protocol of ultrasound duplex scanning (DS) of the carotid arteries (CA) to detect atherosclerotic changes in the carotid system in various groups of cardiovascular risk and to reduce the time of DS, based on solving a “narrow” task — identifyi...

Full description

Saved in:
Bibliographic Details
Main Authors: T. V. Balakhonova, O. A. Pogorelova, M. I. Tripoten, A. I. Ershova, M. V. Koshurnikova, А. N. Rogoza
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-06-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/3287
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849690102162259968
author T. V. Balakhonova
O. A. Pogorelova
M. I. Tripoten
A. I. Ershova
M. V. Koshurnikova
А. N. Rogoza
author_facet T. V. Balakhonova
O. A. Pogorelova
M. I. Tripoten
A. I. Ershova
M. V. Koshurnikova
А. N. Rogoza
author_sort T. V. Balakhonova
collection DOAJ
description Aim. To develope and justify the use of the abbreviated protocol of ultrasound duplex scanning (DS) of the carotid arteries (CA) to detect atherosclerotic changes in the carotid system in various groups of cardiovascular risk and to reduce the time of DS, based on solving a “narrow” task — identifying an atheroma.Material and methods. Ultrasound CA examination was carried out in the department of ultrasound studying methods in National Medical Research Center of Cardiology. Forty three patients aged 32 to 81 years (mean 56±13 years) who are hospitalized in A. L. Myasnikov Institute of Clinical Cardiology Institute of Clinical Cardiology were examined. DS was performed with the use of the ultrasonic system “IU 22” (Philips) with a linear sensor with 3-9 MHz. Three types of DS protocol were used — standard protocol (with automatic measurement of intima-media thickness (IMT) of common carotid artery (CCA)), abbreviated protocol 2 (atheroma and IMT of CCA), abbreviated protocol 1 (atheroma).Results. The work showed a decrease in DS time when conducting a abbreviated protocol 2 by 32,1% or 1,5 times, a shortened protocol 1 — by 72,1% or approximately 3,5 times compared with the standard DS protocol, while the efficiency of atheroma detecting has not decreased. A decision-making algorithm has been developed on the basis of conducting an ultrasound SA examination using abbreviated protocols.Conclusion. The introduction of a abbreviated protocol of ultrasound DS will significantly reduce the time and increase the cost-effectiveness of early diagnosis of atherosclerosis.
format Article
id doaj-art-7e833de7e0e84b73a9366ed565eac587
institution DOAJ
issn 1560-4071
2618-7620
language Russian
publishDate 2019-06-01
publisher «FIRMA «SILICEA» LLC
record_format Article
series Российский кардиологический журнал
spelling doaj-art-7e833de7e0e84b73a9366ed565eac5872025-08-20T03:21:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-06-0105626810.15829/1560-4071-2019-5-62-682643Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular riskT. V. Balakhonova0O. A. Pogorelova1M. I. Tripoten2A. I. Ershova3M. V. Koshurnikova4А. N. Rogoza5National Medical Research Center of CardiologyNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyNational Medical Research Center for Preventive MedicinNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyAim. To develope and justify the use of the abbreviated protocol of ultrasound duplex scanning (DS) of the carotid arteries (CA) to detect atherosclerotic changes in the carotid system in various groups of cardiovascular risk and to reduce the time of DS, based on solving a “narrow” task — identifying an atheroma.Material and methods. Ultrasound CA examination was carried out in the department of ultrasound studying methods in National Medical Research Center of Cardiology. Forty three patients aged 32 to 81 years (mean 56±13 years) who are hospitalized in A. L. Myasnikov Institute of Clinical Cardiology Institute of Clinical Cardiology were examined. DS was performed with the use of the ultrasonic system “IU 22” (Philips) with a linear sensor with 3-9 MHz. Three types of DS protocol were used — standard protocol (with automatic measurement of intima-media thickness (IMT) of common carotid artery (CCA)), abbreviated protocol 2 (atheroma and IMT of CCA), abbreviated protocol 1 (atheroma).Results. The work showed a decrease in DS time when conducting a abbreviated protocol 2 by 32,1% or 1,5 times, a shortened protocol 1 — by 72,1% or approximately 3,5 times compared with the standard DS protocol, while the efficiency of atheroma detecting has not decreased. A decision-making algorithm has been developed on the basis of conducting an ultrasound SA examination using abbreviated protocols.Conclusion. The introduction of a abbreviated protocol of ultrasound DS will significantly reduce the time and increase the cost-effectiveness of early diagnosis of atherosclerosis.https://russjcardiol.elpub.ru/jour/article/view/3287vascular wallatheromaintima-media complex thicknesscarotid arteryduplex scanning
spellingShingle T. V. Balakhonova
O. A. Pogorelova
M. I. Tripoten
A. I. Ershova
M. V. Koshurnikova
А. N. Rogoza
Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
Российский кардиологический журнал
vascular wall
atheroma
intima-media complex thickness
carotid artery
duplex scanning
title Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
title_full Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
title_fullStr Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
title_full_unstemmed Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
title_short Abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
title_sort abbreviated protocol for ultrasound duplex scanning of the carotid arteries in the evaluation of preclinical atherosclerosis in order to clarify cardiovascular risk
topic vascular wall
atheroma
intima-media complex thickness
carotid artery
duplex scanning
url https://russjcardiol.elpub.ru/jour/article/view/3287
work_keys_str_mv AT tvbalakhonova abbreviatedprotocolforultrasoundduplexscanningofthecarotidarteriesintheevaluationofpreclinicalatherosclerosisinordertoclarifycardiovascularrisk
AT oapogorelova abbreviatedprotocolforultrasoundduplexscanningofthecarotidarteriesintheevaluationofpreclinicalatherosclerosisinordertoclarifycardiovascularrisk
AT mitripoten abbreviatedprotocolforultrasoundduplexscanningofthecarotidarteriesintheevaluationofpreclinicalatherosclerosisinordertoclarifycardiovascularrisk
AT aiershova abbreviatedprotocolforultrasoundduplexscanningofthecarotidarteriesintheevaluationofpreclinicalatherosclerosisinordertoclarifycardiovascularrisk
AT mvkoshurnikova abbreviatedprotocolforultrasoundduplexscanningofthecarotidarteriesintheevaluationofpreclinicalatherosclerosisinordertoclarifycardiovascularrisk
AT anrogoza abbreviatedprotocolforultrasoundduplexscanningofthecarotidarteriesintheevaluationofpreclinicalatherosclerosisinordertoclarifycardiovascularrisk