Miażdżyca
Diagnostyka i diagnoza
Miażdżyca jest przewlekłą, postępującą chorobą naczyń tętniczych, charakteryzującą się tworzeniem blaszek miażdżycowych prowadzących do zwężenia światła naczyń i upośledzenia przepływu krwi. Diagnostyka tej choroby wymaga wieloaspektowego podejścia, zaczynając od szczegółowego wywiadu i badania fizykalnego, uwzględniającego czynniki ryzyka takie jak palenie tytoniu, cukrzyca, nadciśnienie tętnicze oraz rodzinne występowanie chorób sercowo-naczyniowych. Kluczowe badania laboratoryjne obejmują profil lipidowy (stężenia cholesterolu całkowitego, LDL, HDL oraz trójglicerydów), lipoproteinę (a), hs-CRP oraz markery metabolizmu glukozy (glukoza na czczo, HbA1c). Wartości LDL i trójglicerydów podwyższone oraz obniżone HDL wskazują na zwiększone ryzyko miażdżycy. Diagnostyka obrazowa obejmuje ultrasonografię (pomiar CIMT, dopplerowską ocenę przepływu, wskaźnik ABI <0,9), tomografię komputerową (Calcium Score, CTA), rezonans magnetyczny (MRA, MRI wysokiej rozdzielczości) oraz techniki medycyny nuklearnej (PET z 18F-FDG, SPECT). Testy funkcjonalne, takie jak spoczynkowe i wysiłkowe EKG, echokardiografia obciążeniowa oraz scyntygrafia perfuzyjna mięśnia sercowego, pozwalają ocenić hemodynamiczne skutki zwężeń miażdżycowych.
- Diagnostyka miażdżycy
- Nieinwazyjne metody obrazowania w diagnostyce miażdżycy
- Testy funkcjonalne w diagnostyce miażdżycy
- Inwazyjne metody diagnostyczne
- Ocena ryzyka sercowo-naczyniowego
- Nowe kierunki w diagnostyce miażdżycy
- Zalecenia dotyczące diagnostyki miażdżycy
- Podsumowanie: Praktyczne podejście do diagnostyki miażdżycy
Diagnostyka miażdżycy
Miażdżyca (atherosclerosis) jest postępującą chorobą naczyń charakteryzującą się tworzeniem się blaszek miażdżycowych w ścianach tętnic, co prowadzi do ich zwężenia i utrudnionego przepływu krwi. Diagnozowanie miażdżycy stanowi wyzwanie głównie ze względu na jej bezobjawowy charakter we wczesnych stadiach. Rozpoznanie tej choroby często następuje dopiero po wystąpieniu poważnych powikłań, takich jak zawał serca czy udar mózgu.12 Wczesne wykrycie miażdżycy ma kluczowe znaczenie dla zapobiegania powikłaniom i planowania odpowiedniego leczenia.3
Badanie podmiotowe i przedmiotowe
Pierwszym krokiem w diagnostyce miażdżycy jest dokładny wywiad lekarski oraz badanie fizykalne. Lekarz zbiera informacje dotyczące czynników ryzyka, takich jak rodzinne występowanie chorób sercowo-naczyniowych, palenie tytoniu, cukrzyca, nadciśnienie tętnicze oraz przebyte schorzenia.45 Podczas badania przedmiotowego lekarz może zaobserwować objawy takie jak:
- Osłabione lub niewyczuwalne tętno na kończynach
- Słyszalny szmer naczyniowy (bruit) nad zwężonymi tętnicami
- Różnice w wartościach ciśnienia tętniczego między kończynami
- Objawy niedokrwienia narządów67
Diagnostyka laboratoryjna
Badania laboratoryjne odgrywają istotną rolę w ocenie ryzyka miażdżycy oraz wykrywaniu czynników predysponujących do jej rozwoju. Do najważniejszych badań należą:8
- Profil lipidowy – obejmuje pomiar stężenia cholesterolu całkowitego, cholesterolu LDL („złego cholesterolu”), cholesterolu HDL („dobrego cholesterolu”) oraz trójglicerydów. Podwyższone stężenie LDL i trójglicerydów oraz obniżone HDL zwiększają ryzyko miażdżycy910
- Lipoproteina (a) – wysokie stężenie tego białka zwiększa ryzyko zawału serca, udaru i zwężenia tętnic wieńcowych11
- Białko C-reaktywne o wysokiej czułości (hs-CRP) – marker stanu zapalnego, którego podwyższone stężenie może wskazywać na aktywny proces miażdżycowy1213
- Stężenie glukozy na czczo i hemoglobina glikowana (HbA1c) – pozwalają ocenić metabolizm glukozy i wykryć cukrzycę lub stan przedcukrzycowy14
W niektórych przypadkach, szczególnie przy silnym wywiadzie rodzinnym lub wczesnym wystąpieniu miażdżycy, lekarz może zlecić badania genetyczne, np. w kierunku hipercholesterolemii rodzinnej.15
Nieinwazyjne metody obrazowania w diagnostyce miażdżycy
Nowoczesne techniki obrazowania odgrywają kluczową rolę w bezpośredniej wizualizacji zmian miażdżycowych oraz ocenie ich zaawansowania. Do najważniejszych nieinwazyjnych metod obrazowania należą:1617
Badanie ultrasonograficzne
Ultrasonografia jest powszechnie stosowaną, nieinwazyjną i relatywnie tanią metodą diagnostyczną, która pozwala na wizualizację tętnic położonych powierzchownie:1819
- Ultrasonografia tętnic szyjnych – umożliwia pomiar grubości kompleksu intima-media (CIMT), który jest uznany za marker subklinicznej miażdżycy. Badanie pozwala również na ocenę charakteru i wielkości blaszek miażdżycowych2021
- Ultrasonografia dopplerowska – ocenia przepływ krwi w tętnicach i pozwala wykryć zaburzenia przepływu związane ze zwężeniami miażdżycowymi22
- Wskaźnik kostka-ramię (ABI) – porównanie ciśnienia tętniczego na kończynach górnych i dolnych; wartość poniżej 0,9 sugeruje obecność miażdżycy tętnic kończyn dolnych2324
- Echokardiografia – ocenia przepływ krwi przez serce, funkcję zastawek oraz kurczliwość mięśnia sercowego; może uwidocznić następstwa miażdżycy tętnic wieńcowych w postaci zaburzeń kurczliwości2526
Tomografia komputerowa (CT)
Tomografia komputerowa umożliwia dokładną ocenę tętnic i wykrycie zmian miażdżycowych, nawet we wczesnym stadium:27
- Ocena uwapnienia tętnic wieńcowych (Calcium Score) – nieinwazyjna metoda wykrywania zwapnień w tętnicach wieńcowych, które są markerem miażdżycy. Wynik badania jest przedstawiany jako wskaźnik, przy czym wyższy wskaźnik uwapnienia wskazuje na większe ryzyko incydentów sercowo-naczyniowych2829
- Angiografia CT (CTA) – badanie z użyciem kontrastu, które umożliwia dokładną wizualizację światła tętnic, wykrycie zwężeń oraz ocenę charakteru blaszek miażdżycowych3031
Rezonans magnetyczny (MRI)
Obrazowanie metodą rezonansu magnetycznego dostarcza szczegółowych informacji na temat struktury ściany naczynia i charakterystyki blaszek miażdżycowych:32
- Angiografia rezonansu magnetycznego (MRA) – pozwala na ocenę światła naczyń i wykrycie zwężeń bez narażenia pacjenta na promieniowanie jonizujące33
- MRI wysokiej rozdzielczości – umożliwia charakterystykę blaszek miażdżycowych, ocenę ich składu (lipidy, zwapnienia, krwotok wewnątrzblaszkowy) oraz identyfikację blaszek niestabilnych, które są bardziej podatne na pęknięcie3435
Medycyna nuklearna
Techniki medycyny nuklearnej są coraz częściej wykorzystywane w obrazowaniu miażdżycy, szczególnie do oceny aktywności metabolicznej blaszek miażdżycowych:36
- Pozytonowa tomografia emisyjna (PET) – z użyciem radioznaczników, takich jak 18F-FDG, pozwala na ocenę aktywności zapalnej blaszek miażdżycowych, co pomaga zidentyfikować blaszki niestabilne3738
- Tomografia emisyjna pojedynczego fotonu (SPECT) – inna technika medycyny nuklearnej wykorzystywana do oceny perfuzji mięśnia sercowego i pośrednio wykrywania miażdżycy tętnic wieńcowych39
Testy funkcjonalne w diagnostyce miażdżycy
Testy funkcjonalne oceniają konsekwencje hemodynamiczne zwężeń miażdżycowych i pozwalają na wykrycie niedokrwienia:40
Elektrokardiografia (EKG)
EKG jest podstawowym badaniem w ocenie czynności elektrycznej serca:
- Spoczynkowe EKG – może wykazać cechy przebytego zawału serca lub niedokrwienia mięśnia sercowego, jednak ma ograniczoną wartość w wykrywaniu wczesnych stadiów miażdżycy4142
- Elektrokardiograficzna próba wysiłkowa – wykonywana na bieżni lub cykloergometrze; ocenia reakcję serca na wysiłek fizyczny i pozwala wykryć niedokrwienie mięśnia sercowego związane z miażdżycą tętnic wieńcowych4344
Obciążeniowe badania obrazowe
Badania te łączą obciążenie (wysiłkiem fizycznym lub farmakologiczne) z technikami obrazowania:45
- Echokardiografia obciążeniowa – ocena kurczliwości mięśnia sercowego w warunkach spoczynku i podczas obciążenia; pozwala wykryć obszary niedokrwienia46
- Scyntygrafia perfuzyjna mięśnia sercowego – obrazuje perfuzję mięśnia sercowego podczas wysiłku i w spoczynku; ubytki perfuzji podczas wysiłku mogą wskazywać na istotne zwężenia tętnic wieńcowych4748
- Farmakologiczna próba obciążeniowa – stosowana u pacjentów, którzy nie mogą wykonać wysiłku fizycznego; leki takie jak dobutamina lub adenozyna symulują efekt wysiłku49
Inwazyjne metody diagnostyczne
Inwazyjne metody diagnostyczne są stosowane głównie u pacjentów z objawami klinicznymi sugerującymi zaawansowaną miażdżycę lub gdy wyniki badań nieinwazyjnych są niejednoznaczne:50
Angiografia
Angiografia pozostaje złotym standardem w diagnozowaniu zwężeń tętnic i umożliwia jednoczesne wykonanie procedur interwencyjnych:5152
- Koronarografia (angiografia tętnic wieńcowych) – inwazyjne badanie polegające na wprowadzeniu cewnika przez tętnicę udową lub promieniową do tętnic wieńcowych i podaniu kontrastu w celu uwidocznienia ich światła i wykrycia zwężeń5354
- Angiografia cyfrowa z odejmowaniem (DSA) – metoda pozwalająca na uzyskanie lepszej jakości obrazu naczyń poprzez cyfrowe odjęcie obrazów przed i po podaniu kontrastu55
- Angiografia z kontrastem jodowym – wykorzystuje jodowy środek kontrastowy do uwidocznienia światła tętnic na zdjęciach rentgenowskich56
Wewnątrznaczyniowe metody obrazowania
Metody te dostarczają szczegółowych informacji na temat struktury ściany naczynia i charakterystyki blaszek miażdżycowych:57
- Wewnątrznaczyniowa ultrasonografia (IVUS) – wykorzystuje miniaturową głowicę ultradźwiękową wprowadzoną do światła naczynia, co pozwala na ocenę grubości ściany, wielkości blaszki miażdżycowej i jej składu5859
- Optyczna koherentna tomografia (OCT) – wykorzystuje światło zamiast ultradźwięków, zapewniając obrazy o znacznie wyższej rozdzielczości niż IVUS; pozwala na bardzo dokładną ocenę struktury blaszki miażdżycowej i identyfikację cech niestabilności6061
- Angioskopia – bezpośrednia wizualizacja wnętrza naczynia za pomocą miniaturowego endoskopu; pozwala na ocenę koloru blaszki miażdżycowej, co może być wskaźnikiem jej niestabilności62
- Termografia wewnątrznaczyniowa – ocena temperatury ściany naczynia; obszary podwyższonej temperatury mogą wskazywać na aktywny proces zapalny w blaszce miażdżycowej63
Ocena ryzyka sercowo-naczyniowego
Poza bezpośrednią diagnostyką miażdżycy, istotna jest również ocena ryzyka sercowo-naczyniowego pacjenta:6465
- Kalkulatory ryzyka – narzędzia takie jak skala SCORE (Systematic COronary Risk Evaluation) czy równania kohortowe (Pooled Cohort Equations) pozwalają na ocenę 10-letniego ryzyka incydentów sercowo-naczyniowych na podstawie klasycznych czynników ryzyka6667
- Ocena wieku naczyniowego – porównanie stanu naczyń pacjenta ze średnim stanem naczyń osób w tym samym wieku; pozwala na określenie, czy naczynia są „starsze” lub „młodsze” niż wynikałoby to z wieku kalendarzowego68
- Skala ryzyka miażdżycy (ASCVD risk score) – ocenia 10-letnie ryzyko wystąpienia powikłań miażdżycy, uwzględniając wiele czynników ryzyka69
Nowe kierunki w diagnostyce miażdżycy
Współczesne badania skupiają się na opracowaniu nowych, dokładniejszych metod wykrywania i oceny miażdżycy:7071
Biomarkery molekularne
Badania nad nowymi biomarkerami mogą poprawić ocenę ryzyka miażdżycy i identyfikację pacjentów zagrożonych incydentami sercowo-naczyniowymi:72
- Markery stanu zapalnego – poza hs-CRP badane są inne białka zapalne, takie jak interleukiny, czynnik martwicy nowotworów alfa (TNF-α) czy metaloproteinazy73
- Markery aktywacji płytek krwi – pozwalają na ocenę zwiększonej aktywności płytek krwi, która może przyczyniać się do progresji miażdżycy74
- Markery stresu oksydacyjnego – ocena uszkodzeń oksydacyjnych lipidów i białek, które odgrywają rolę w patogenezie miażdżycy75
Nanotechnologia w diagnostyce miażdżycy
Zastosowanie nanotechnologii otwiera nowe możliwości w obrazowaniu i leczeniu miażdżycy:7677
- Nanocząstki jako środki kontrastowe – mogą selektywnie gromadzić się w blaszkach miażdżycowych, zwiększając czułość metod obrazowania7879
- Ultrasmall superparamagnetic iron oxide (USPIO) – nanocząstki tlenku żelaza wykorzystywane w MRI do wykrywania stanu zapalnego w blaszkach miażdżycowych80
- Teranostyka nanocząsteczkowa – łączy diagnostykę i terapię miażdżycy poprzez zastosowanie nanocząstek, które mogą zarówno wizualizować blaszki miażdżycowe, jak i dostarczać do nich leki8182
Metody sztucznej inteligencji
Wykorzystanie sztucznej inteligencji (AI) i uczenia maszynowego może poprawić dokładność diagnostyki miażdżycy:83
- Automatyczna analiza obrazów – algorytmy AI mogą pomóc w identyfikacji i kwantyfikacji blaszek miażdżycowych na obrazach CT, MRI czy IVUS84
- Modele predykcyjne – integracja danych klinicznych, laboratoryjnych i obrazowych w celu dokładniejszej oceny ryzyka sercowo-naczyniowego i przewidywania progresji miażdżycy85
- Aplikacje oparte na genach – wykorzystanie ekspresji genów do diagnozy miażdżycy i oceny ryzyka sercowo-naczyniowego86
Zalecenia dotyczące diagnostyki miażdżycy
Towarzystwa naukowe, w tym Amerykańskie Towarzystwo Kardiologiczne (AHA), zalecają badania przesiewowe w kierunku miażdżycy u osób z czynnikami ryzyka:87
- Mężczyźni powyżej 40 roku życia
- Kobiety powyżej 40 roku życia i kobiety po menopauzie
- Osoby z rodzinnym występowaniem hipercholesterolemii lub przedwczesnych chorób sercowo-naczyniowych
- Chorzy na cukrzycę typu 2
- Pacjenci z nadciśnieniem tętniczym
- Osoby z zespołem metabolicznym
- Pacjenci z przewlekłą chorobą nerek
- Osoby palące tytoń
- Pacjenci z przewlekłymi chorobami zapalnymi
- Osoby zakażone HIV
- Kobiety z przebytymi ciążowymi zaburzeniami nadciśnieniowymi88
Należy podkreślić, że obecność miażdżycy w jednym obszarze naczyniowym zwiększa prawdopodobieństwo jej występowania w innych lokalizacjach, co uzasadnia kompleksową ocenę układu naczyniowego.89
Podsumowanie: Praktyczne podejście do diagnostyki miażdżycy
Diagnostyka miażdżycy powinna być zindywidualizowana i uwzględniać czynniki ryzyka, objawy kliniczne oraz dostępność metod diagnostycznych:9091
- U osób bezobjawowych z czynnikami ryzyka – ocena ryzyka sercowo-naczyniowego, badania laboratoryjne (profil lipidowy, glukoza, hs-CRP), a w wybranych przypadkach nieinwazyjne metody obrazowe (np. ocena uwapnienia tętnic wieńcowych, ultrasonografia tętnic szyjnych)9293
- U pacjentów z objawami sugerującymi miażdżycę – poza badaniami podstawowymi, odpowiednie testy funkcjonalne (np. próba wysiłkowa, echokardiografia obciążeniowa) oraz w razie potrzeby zaawansowane metody obrazowania (CTA, MRA) lub inwazyjne metody diagnostyczne (angiografia)9495
- U pacjentów po incydentach sercowo-naczyniowych – kompleksowa ocena układu naczyniowego w celu wykrycia zaawansowania miażdżycy w różnych lokalizacjach i identyfikacji pacjentów wysokiego ryzyka kolejnych incydentów9697
Wczesna i dokładna diagnostyka miażdżycy pozwala na wdrożenie odpowiedniego leczenia i modyfikację stylu życia, co może spowolnić progresję choroby i zmniejszyć ryzyko poważnych powikłań, takich jak zawał serca czy udar mózgu.9899 Aktualnie żadna pojedyncza metoda diagnostyczna nie jest w stanie kompleksowo ocenić wszystkich aspektów miażdżycy, dlatego optymalne podejście obejmuje kombinację różnych technik, dostosowanych do indywidualnej sytuacji klinicznej pacjenta.100101
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Materiały źródłowe
- #1 Atherosclerosis: Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/16753-atherosclerosis-arterial-disease
Atherosclerosis is a hardening of your arteries from plaque building up gradually inside them. […] Atherosclerosis symptoms often dont start until an artery is very narrow or blocked. Many people dont know they have plaque buildup until they have a medical emergency like a heart attack or stroke. […] Early diagnosis and treatment of atherosclerosis can help you avoid or delay complications. […] To diagnose atherosclerosis or calculate your risk for developing it, a healthcare provider will: Perform a thorough physical exam. […] Your healthcare provider may order additional tests to diagnose atherosclerosis and plan treatment. […] Atherosclerosis treatment includes lifestyle changes, medications, procedures or surgeries. […] Early diagnosis and treatment can help people with atherosclerosis keep doing the activities they like to do.
- #2 Diagnosing Atherosclerosis: Warning Signs and Symptomshttps://www.webmd.com/heart-disease/silent-symptoms-diagnosing-atherosclerosis
Atherosclerosis is sneaky. It starts early in life and progresses silently. By the time symptoms occur, its advanced and a serious problem. […] There are tests for diagnosing atherosclerosis, but none of them are perfect. Some of them even have a risk of harm. So testing isn’t as simple as you might think. […] The one test that can directly show blocked arteries is called angiography. Its an invasive test: A thin tube is put inside an artery in the leg or arm. Its then threaded through the body’s maze of branching arteries. Injected dye shows arteries — and any blockages — on a monitor. […] Angiography is usually for people who already have a strong chance of atherosclerosis. […] Once your doctor has identified your risk group, more tests may be needed, such as: Stress test: With medicines or walking on an exercise treadmill, your heart is made to pump almost as hard as it can.
- #3https://www.aurorahealthcare.org/services/heart-vascular/conditions/atherosclerosis
Atherosclerosis can be a complex condition, but were here to help. The good news is that its highly treatable when diagnosed early. […] Recognizing atherosclerosis symptoms is crucial for early intervention and prevention of complications. […] The following signs can indicate a narrowed or hardened artery affected by atherosclerosis. During a physical exam, your doctor might notice: Lower blood pressure in one limb, Swooshing sound, called a bruit, in your artery, Weak or absent pulse. […] If your doctor finds any sign of hardening of the arteries, they may do additional tests, such as: Ankle/brachial index compares the blood pressure in your ankle with the pressure in your arm to see how well your blood is flowing. […] Imaging to get a picture of your blood vessels and organs and determine if atherosclerosis is present. There are many options your doctor can choose from, such as: A CT scan creates images of the heart, brain and other areas to see if blood vessels have hardened or have buildup.
- #4 Arteriosclerosis / atherosclerosis – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/arteriosclerosis-atherosclerosis/diagnosis-treatment/drc-20350575
To diagnose atherosclerosis, your healthcare professional examines you and listens to your heart. You usually are asked questions about your symptoms and your family health history. You may be sent to a doctor trained in heart diseases, called a cardiologist. […] Tests may be done to check the health of your heart and arteries. Tests can help diagnose atherosclerosis and find the cause. […] A coronary calcium scan may show coronary artery disease before you have symptoms. Results of the test are given as a score. The higher the calcium score, the higher the risk of heart attacks. […] If atherosclerosis causes a severe blockage in an artery, you may need a procedure or surgery to treat it. […] Your healthcare team is likely to ask many questions, including: Do you have a family history of high cholesterol, high blood pressure or heart disease? […] It’s never too early to make healthy lifestyle changes. Eat healthy, be active, get more exercise and don’t smoke or vape. These are simple ways to protect yourself against atherosclerosis and its complications, including heart attack and stroke.
- #5 Atherosclerosis: Symptoms, Causes, Diagnosis, and Treatmenthttps://www.healthline.com/health/atherosclerosis
A physical exam is the first step toward diagnosing atherosclerosis. A medical professional may check for: […] A cardiologist may listen to your heart to check for atypical sounds and order more tests if they suspect atherosclerosis. […] These tests may include: blood tests to check cholesterol levels […] a Doppler ultrasound, which uses sound waves to create an image of arteries and would show a blockage […] an ankle-brachial index, which looks for a blockage in your arms or legs by comparing the blood pressure in each limb […] a magnetic resonance angiography or a computed tomography angiography, which create pictures of the large arteries in your body […] a cardiac angiogram, which is a type of chest X-ray thats taken after your heart arteries are injected with radioactive dye. […] an electrocardiogram (ECG or EKG), which measures the electrical activity in your heart […] a stress test, or exercise tolerance test, which monitors your heart rate and blood pressure while you exercise on a treadmill or stationary bicycle.
- #6 Atherosclerosis: Symptoms, Causes, Diagnosis, and Treatmenthttps://www.webmd.com/heart-disease/what-is-atherosclerosis
Atherosclerosis Diagnosis […] Your doctor will start with a physical exam. Theyll listen to your arteries and check for weak or absent pulses. […] You might need tests, including: […] Angiogram, in which your doctor puts dye into your arteries so theyll be visible on an X-ray […] […] Ankle-brachial index, which compares blood pressures in your lower leg and arm […] […] Blood tests to look for things that raise your risk of atherosclerosis, like high cholesterol or blood sugar […] […] Carotid ultrasound, an imaging test that shows whether there’s hardening of the arteries in your neck […] […] Abdominal ultrasound, which checks for bulges or excess plaque in the aorta, the main artery supplying blood to your lower body […] […] Chest X-ray […] […] CT scan or magnetic resonance angiography (MRA) to look for hardened or narrowed arteries. This is also known as a coronary calcium scan or heart scan. […]
- #7https://www.aurorahealthcare.org/services/heart-vascular/conditions/atherosclerosis
Atherosclerosis can be a complex condition, but were here to help. The good news is that its highly treatable when diagnosed early. […] Recognizing atherosclerosis symptoms is crucial for early intervention and prevention of complications. […] The following signs can indicate a narrowed or hardened artery affected by atherosclerosis. During a physical exam, your doctor might notice: Lower blood pressure in one limb, Swooshing sound, called a bruit, in your artery, Weak or absent pulse. […] If your doctor finds any sign of hardening of the arteries, they may do additional tests, such as: Ankle/brachial index compares the blood pressure in your ankle with the pressure in your arm to see how well your blood is flowing. […] Imaging to get a picture of your blood vessels and organs and determine if atherosclerosis is present. There are many options your doctor can choose from, such as: A CT scan creates images of the heart, brain and other areas to see if blood vessels have hardened or have buildup.
- #8 Atherosclerosis – Diagnosis | NHLBI, NIHhttps://www.nhlbi.nih.gov/health/atherosclerosis/diagnosis
To diagnose atherosclerosis, your healthcare provider will check the results of blood tests, imaging tests, and other tests. Your provider will also ask about your medical and family history. A physical exam helps detect symptoms of atherosclerosis. […] When diagnosing your condition, your provider may order tests even if you don’t show symptoms. The type of test depends on which arteries are affected by plaque buildup. […] Providers use blood tests to check cholesterol, triglycerides, blood sugar, and lipoprotein levels, along with proteins that show signs of inflammation, such as C-reactive protein. […] Your provider may order a heart imaging test to take pictures of your heart and check the blood flow in your heart and coronary arteries. […] Different heart imaging tests can be used to diagnose atherosclerosis: Angiography is a special type of X-ray using a dye. This procedure can check the arteries in the heart, neck, brain, or other areas of the body.
- #9 What Blood Tests Detect Heart Problems?https://my.clevelandclinic.org/health/diagnostics/16792-blood-tests-to-determine-risk-of-coronary-artery-disease
When detecting heart disease risk, healthcare providers pay close attention to: Total cholesterol (TC): Your total cholesterol is directly linked to your heart and blood vessel disease risk. Triglycerides (TG): Triglycerides are related to heart and blood vessel disease. High-density lipoprotein (HDL): This test identifies your good cholesterol. High levels reduce your risk of heart and blood vessel disease. Low-density lipoprotein (LDL): LDL is bad cholesterol. High levels are linked to a greater risk of heart and blood vessel disease. Lipoprotein (a), or Lp(a): High levels of Lp(a) increase your risk of heart attack, stroke, blood clots, fatty buildup in veins after coronary artery bypass surgery and narrowing of coronary arteries after angioplasty. […] Atherosclerotic cardiovascular disease (ASCVD) risk score: This score predicts your 10-year risk for atherosclerotic events. While blood tests help your healthcare provider better understand your heart disease risk, theyâre not a definitive diagnosis. If your blood test results show you have an increased risk, your provider may recommend further testing.
- #10 Arteriosclerosis / atherosclerosis – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/arteriosclerosis-atherosclerosis/diagnosis-treatment/drc-20350575
To diagnose atherosclerosis, your healthcare professional examines you and listens to your heart. You usually are asked questions about your symptoms and your family health history. You may be sent to a doctor trained in heart diseases, called a cardiologist. […] Tests may be done to check the health of your heart and arteries. Tests can help diagnose atherosclerosis and find the cause. […] A coronary calcium scan may show coronary artery disease before you have symptoms. Results of the test are given as a score. The higher the calcium score, the higher the risk of heart attacks. […] If atherosclerosis causes a severe blockage in an artery, you may need a procedure or surgery to treat it. […] Your healthcare team is likely to ask many questions, including: Do you have a family history of high cholesterol, high blood pressure or heart disease? […] It’s never too early to make healthy lifestyle changes. Eat healthy, be active, get more exercise and don’t smoke or vape. These are simple ways to protect yourself against atherosclerosis and its complications, including heart attack and stroke.
- #11 What Blood Tests Detect Heart Problems?https://my.clevelandclinic.org/health/diagnostics/16792-blood-tests-to-determine-risk-of-coronary-artery-disease
When detecting heart disease risk, healthcare providers pay close attention to: Total cholesterol (TC): Your total cholesterol is directly linked to your heart and blood vessel disease risk. Triglycerides (TG): Triglycerides are related to heart and blood vessel disease. High-density lipoprotein (HDL): This test identifies your good cholesterol. High levels reduce your risk of heart and blood vessel disease. Low-density lipoprotein (LDL): LDL is bad cholesterol. High levels are linked to a greater risk of heart and blood vessel disease. Lipoprotein (a), or Lp(a): High levels of Lp(a) increase your risk of heart attack, stroke, blood clots, fatty buildup in veins after coronary artery bypass surgery and narrowing of coronary arteries after angioplasty. […] Atherosclerotic cardiovascular disease (ASCVD) risk score: This score predicts your 10-year risk for atherosclerotic events. While blood tests help your healthcare provider better understand your heart disease risk, theyâre not a definitive diagnosis. If your blood test results show you have an increased risk, your provider may recommend further testing.
- #12 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Because not all atherosclerotic plaques have similar risk, various imaging technologies (eg, positron emission tomography) are being studied as a way to identify plaques especially vulnerable to rupture; however, these techniques are not yet used clinically. […] In addition to the fasting lipid profile and plasma glucose and hemoglobin A1C measurements, some clinicians measure serum markers of inflammation. High-sensitivity C-reactive protein levels 3.1 mg/L are highly predictive of cardiovascular events. […] In patients with risk factors for atherosclerosis but no symptoms or signs of ischemia, the role of additional testing beyond the lipid profile is unclear. […] Currently, the American Heart Association (AHA) recommends using the pooled cohort risk assessment equations to estimate lifetime and 10-year risk of atherosclerotic cardiovascular disease.
- #13 Atherosclerosis – Diagnosis | NHLBI, NIHhttps://www.nhlbi.nih.gov/health/atherosclerosis/diagnosis
To diagnose atherosclerosis, your healthcare provider will check the results of blood tests, imaging tests, and other tests. Your provider will also ask about your medical and family history. A physical exam helps detect symptoms of atherosclerosis. […] When diagnosing your condition, your provider may order tests even if you don’t show symptoms. The type of test depends on which arteries are affected by plaque buildup. […] Providers use blood tests to check cholesterol, triglycerides, blood sugar, and lipoprotein levels, along with proteins that show signs of inflammation, such as C-reactive protein. […] Your provider may order a heart imaging test to take pictures of your heart and check the blood flow in your heart and coronary arteries. […] Different heart imaging tests can be used to diagnose atherosclerosis: Angiography is a special type of X-ray using a dye. This procedure can check the arteries in the heart, neck, brain, or other areas of the body.
- #14 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Because not all atherosclerotic plaques have similar risk, various imaging technologies (eg, positron emission tomography) are being studied as a way to identify plaques especially vulnerable to rupture; however, these techniques are not yet used clinically. […] In addition to the fasting lipid profile and plasma glucose and hemoglobin A1C measurements, some clinicians measure serum markers of inflammation. High-sensitivity C-reactive protein levels 3.1 mg/L are highly predictive of cardiovascular events. […] In patients with risk factors for atherosclerosis but no symptoms or signs of ischemia, the role of additional testing beyond the lipid profile is unclear. […] Currently, the American Heart Association (AHA) recommends using the pooled cohort risk assessment equations to estimate lifetime and 10-year risk of atherosclerotic cardiovascular disease.
- #15 Atherosclerosis – Diagnosis | NHLBI, NIHhttps://www.nhlbi.nih.gov/health/atherosclerosis/diagnosis
Healthcare providers sometimes recommend genetic testing for people who have very high cholesterol levels or if they have a family history of heart disease or unexplained, sudden death at young ages. For example, familial hypercholesterolemia can be passed from parent to child and raises the risk for severe complications of atherosclerosis at a young age.
- #16 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
Atherosclerosis was and remains an extremely common and serious health problem. […] One of the features of atherosclerosis is its asymptomaticity. This factor makes it difficult to make a timely diagnosis. This entails the lack of timely treatment and even prevention. To date, in the arsenal of physicians, there is only a limited set of methods to suspect and fully diagnose atherosclerosis. In this review, we have tried to briefly describe the most common and effective methods for diagnosing atherosclerosis. […] Until nowadays, the diagnosis of atherosclerosis has been carried out by such methods as evaluation of electrocardiogram (ECG) both at rest and during physical activity, evaluation of the Ankle Brachial Pressure Index (ABPI), and invasive angiography. Currently, the visualization of plaques is possible with the help of non-invasive imaging methods. The clinical practice employs several methods for plaque imaging, including ultrasound, magnetic resonance tomography (MRI), computer tomography (CT), positron emission tomography (PET), and single-photon emission computed tomography (SPECT) (nuclear imaging techniques).
- #17 Emerging Trends and Innovations in the Treatment and Diagnosis of Atherosclerosis and Cardiovascular Disease: A Comprehensive Review towards Healthier Aginghttps://www.mdpi.com/1999-4923/16/8/1037
Diagnosing atherosclerotic plaques is crucial for preventing cardiovascular events, and employs various imaging modalities, each with inherent advantages and limitations. Non-invasive techniques, such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) are instrumental in detecting and characterizing plaques. […] Despite these technological advances, a key limitation across all modalities is the difficulty in predicting plaque rupture, the most common cause of acute coronary events. Furthermore, discrepancies in accessibility, patient compatibility, and the requirement for specialized equipment and expertise underscore the need for individualized diagnostic approaches and ongoing development of more predictive, universally accessible, and non-invasive diagnostic tools for atherosclerosis. […] Diagnosing atherosclerotic plaques utilizes various imaging modalities, including ultrasound, CT, MRI, and PET, each offering unique advantages and limitations.
- #18 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
Doctors have an arsenal of diagnostic tests and tools they can access to confirm the presence of Atherosclerosis – these include an angiogram (Arteriogram), cholesterol tests, a chest x-ray, a CT (computed tomography) scan, Duplex scanning, an echocardiogram, an electrocardiogram (ECG or EKG), an exercise stress test (cardiac stress test), an intravascular ultrasound, an MRI (magnetic resonance imaging) scan, a PET (positron emission tomography) scan and a pharmacologic stress test. […] Blood tests check the levels of certain fats, cholesterol, sugar, and proteins in your blood and abnormal levels may indicate risk factors for atherosclerosis. […] An EKG is a simple test that detects and records the electrical activity of the heart and shows how fast the heart is beating and whether it has a regular rhythm.
- #19 Carotid atherosclerosis disease: A review of diagnosis, risk factors and simulationshttps://www.oatext.com/Carotid-atherosclerosis-disease-A-review-of-diagnosis-risk-factors-and-simulations.php
For example, Sidhu and Allan by using Doppler US (which is used for detection of CAS), have introduced some PSVs and EDVs which are associated with AP severity. […] The aim of this review is provide a comprehensive and succinct source which includes CAD related literatures and presenting a coherent insight into CAD diagnoses, risk factor determination and simulation simultaneously. […] Acquiring hemodynamical parameters, arterial wall properties and plaque composition precisely are the keys of comprehension of atherosclerosis progression and regression mechanism and medical or mechanical diagnostic tools assist scientists in such cases. […] Sonography is known as a noninvasive, fast, reliable and cost-effective method to diagnoses of CAS. […] Bluth has been studied implementation of common sonography methods in CAS detection.
- #20 Preclinical Diagnosis and Risk Assessment of Atherosclerosis – At Birth? At Event? When is Best? | ECR Journalhttps://www.ecrjournal.com/articles/preclinical-diagnosis-and-risk-assessment-atherosclerosis-birth-event-when-best?language_content_entity=en
The field of genetics is rapidly progressing and might play a role in detecting individuals who are susceptible to heart problems before they are even born. […] Cardiovascular imaging is a source of continuous innovative evolution; the mostly used technologies are carotid ultrasound, coronary computed tomography (CT) and magnetic resonance (MR). […] The carotid intima media thickness (CIMT) is related to age and sex and is increased in subjects with main risk factors. […] CIMT is a well-established subclinical marker of atherosclerosis. […] In addition to those with metabolic syndrome, CIMT is also helpful in patients with established cardiovascular disease. […] Stiffening is a marker of progressive reduction of elasticity and hence of initial vascular sclerosis. […] Coronary calcium can be detected using a CT scan.
- #21 Diagnosing Atherosclerosis: Warning Signs and Symptomshttps://www.webmd.com/heart-disease/silent-symptoms-diagnosing-atherosclerosis
Electron beam computed tomography (EBCT): A special CT scanner (CAT scan) snaps pictures of the heart. A computer figures out the amount of calcium in your heart’s arteries. This is more commonly known as a Coronary Artery Calcium Score. More calcium can mean more atherosclerosis. […] Carotid artery ultrasound: The carotid arteries in the neck can be viewed with a risk-free ultrasound test. Atherosclerosis here increases your chances of heart attacks and strokes. […] Angiography: This test can show a picture of blockages caused by atherosclerosis. It can be done on arteries in your heart, brain, or legs. […] Even low-risk testing might not be a good idea. The risk isn’t the test itself — it’s what it might lead to. […] The good news is that over 80% of this risk may be avoidable.
- #22 Atherosclerosis: Symptoms, Causes, Diagnosis, and Treatmenthttps://www.webmd.com/heart-disease/what-is-atherosclerosis
Doppler ultrasound, which measures blood flow in your arteries. […] […] Echocardiogram, which takes images of the chambers and valves in your heart to see how well it pumps […] […] EKG, or electrocardiogram, a record of your hearts electrical activity […] […] Stress test, in which you exercise while health care professionals watch your heart rate, blood pressure, and breathing. […] You might also need to see doctors who specialize in certain parts of your body, like cardiologists or vascular specialists, depending on your condition.
- #23 Diagnosing Atherosclerosis | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/atherosclerosis/diagnosis.html
In addition to a complete medical history and physical examination, diagnostic procedures for atherosclerosis may include any, or a combination of, the following: […] Blood pressure comparison – comparing blood pressure measurements in the ankles and in the arms to determine any constriction in blood flow. Significant differences may indicate a narrowing of vessels which could be caused by atherosclerosis.
- #24 Atherosclerosis: Symptoms, Causes, Treatment, Diagnosishttps://www.medicinenet.com/whats_atherosclerosis/article.htm
Blood pressure comparison: Your doctor checks the blood pressure in your arms and legs. If the readings are different, it can be a sign of the disease. […] Electrocardiogram (ECG): This test (also called EKG) records the timing and strength of electric signals as they travel through your heart. The results help your doctor see if you have damage to your heart muscle or if you’ve had or are having a heart attack. […] Stress test: Your doctor monitors your heartbeat and breathing while you walk on a treadmill or ride a stationary bike. This can reveal signs of disease. […] Imaging tests: Computerized tomography (CT) scan or magnetic resonance angiography (MRA) can create different kinds of images of your arteries that doctors study for narrowing or blockages.
- #25 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
A chest x ray takes a picture of the organs and structures inside the chest, including the heart, lungs, and blood vessels – a chest x ray can also reveal signs of heart failure. […] This test compares the blood pressure in your ankle with the blood pressure in your arm to see how well your blood is flowing. […] This test uses sound waves to create a moving picture of your heart and provides information about the size and shape of your heart and how well your heart chambers and valves are working. […] A computed tomography, or CT, scan creates computer-generated images of the heart, brain, or other areas of the body. […] During stress testing, exercise is used to make the heart work hard and beat fast while heart tests are performed – if a person is unable to exercise, medicines are given to speed up the heart rate.
- #26 Coronary artery disease – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/diagnosis-treatment/drc-20350619
To diagnose coronary artery disease, a healthcare professional examines you. You are usually asked questions about your medical history and any symptoms. If you have symptoms of coronary artery disease such as chest pain or shortness of breath, tests may be done to check your overall health. […] Tests to help diagnose or watch coronary artery disease include: […] Blood tests can check blood sugar and cholesterol levels. A high-sensitivity C-reactive protein (CRP) test checks for a protein linked to inflammation of the arteries. […] This quick test checks the electrical activity of the heart. It shows how the heart is beating. […] This test uses sound waves to show blood flow through the heart. […] If your symptoms usually occur during exercise, your healthcare professional may recommend this test. […] This test shows how blood moves to the heart at rest and during activity. […] A CT scan of the heart can show calcium deposits and blockages in the heart arteries. […] This test can see blockages in the heart arteries.
- #27 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
In the diagnosis of atherosclerosis, liposomes are extremely important, since they are responsible for the transfer and delivery of contrast agents, which enhances the quality of image resolution. […] Visualization methods have a variety; a specific method is selected based on the stage of plaque development. […] Together, these methods provide measures of the severity of the disease, which are necessary for everyday clinical practice and cardiovascular (CV) research. […] Several approaches can help detect atherosclerosis. These methods can be classified on various bases. […] To visualize the vascular structure of atherosclerosis, numerous imaging methods are used, including the measurement of the volume of the lesion and the thickness of the fibrous membrane. […] Another method is computed tomography (CT), in which iodine-containing molecules as imaging moieties and high-resolution x-rays are used as a technology with a resolution of 50m for clinical or preclinical imaging.
- #28 Arteriosclerosis / atherosclerosis – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/arteriosclerosis-atherosclerosis/diagnosis-treatment/drc-20350575
To diagnose atherosclerosis, your healthcare professional examines you and listens to your heart. You usually are asked questions about your symptoms and your family health history. You may be sent to a doctor trained in heart diseases, called a cardiologist. […] Tests may be done to check the health of your heart and arteries. Tests can help diagnose atherosclerosis and find the cause. […] A coronary calcium scan may show coronary artery disease before you have symptoms. Results of the test are given as a score. The higher the calcium score, the higher the risk of heart attacks. […] If atherosclerosis causes a severe blockage in an artery, you may need a procedure or surgery to treat it. […] Your healthcare team is likely to ask many questions, including: Do you have a family history of high cholesterol, high blood pressure or heart disease? […] It’s never too early to make healthy lifestyle changes. Eat healthy, be active, get more exercise and don’t smoke or vape. These are simple ways to protect yourself against atherosclerosis and its complications, including heart attack and stroke.
- #29 Atherosclerosis: Diagnosis & Treatment | NewYork-Presbyterianhttps://www.nyp.org/heart/atherosclerosis/treatment
Coronary calcium scan – a CT scan that measures the amount of calcium in the walls of your coronary arteries. […] Carotid ultrasound creates an image of the arteries in your neck (carotid arteries to detect hardening or narrowing of the arteries that supply blood to your brain. […] Abdominal ultrasound – creates an image of your abdominal aorta to detect abdominal aortic aneurysm (ballooning) or plaque build-up in your aorta.
- #30 Atherosclerosis: Diagnosis & Treatment | NewYork-Presbyterianhttps://www.nyp.org/heart/atherosclerosis/treatment
How is Atherosclerosis Diagnosed? Diagnosis Your doctor will recommend exams and tests if you have symptoms or if routine tests show signs such as high cholesterol and blood sugar. […] Diagnostic tests for atherosclerosis where your doctor may order tests to diagnose atherosclerosis and plan your treatment. […] Angiography uses special X-rays that help locate and measure blockages in your arteries in the heart, neck, brain and other parts of your body. […] Coronary CT scan (computed tomographic) – an imaging test that creates an image of the inside of your body and can show any hardening and narrowing of your large arteries. […] Cardiac MRI (magnetic resonance imaging) – detects tissue damage or problems with blood flow in the heart or coronary arteries. […] Cardiac PET (positron emission tomography) scan – a heart scan that can help diagnose disease in the small blood vessels of the heart.
- #31 Diagnosing Atherosclerosis: Warning Signs and Symptomshttps://www.webmd.com/heart-disease/silent-symptoms-diagnosing-atherosclerosis
Electron beam computed tomography (EBCT): A special CT scanner (CAT scan) snaps pictures of the heart. A computer figures out the amount of calcium in your heart’s arteries. This is more commonly known as a Coronary Artery Calcium Score. More calcium can mean more atherosclerosis. […] Carotid artery ultrasound: The carotid arteries in the neck can be viewed with a risk-free ultrasound test. Atherosclerosis here increases your chances of heart attacks and strokes. […] Angiography: This test can show a picture of blockages caused by atherosclerosis. It can be done on arteries in your heart, brain, or legs. […] Even low-risk testing might not be a good idea. The risk isn’t the test itself — it’s what it might lead to. […] The good news is that over 80% of this risk may be avoidable.
- #32 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
In the diagnosis of atherosclerosis, liposomes are extremely important, since they are responsible for the transfer and delivery of contrast agents, which enhances the quality of image resolution. […] Visualization methods have a variety; a specific method is selected based on the stage of plaque development. […] Together, these methods provide measures of the severity of the disease, which are necessary for everyday clinical practice and cardiovascular (CV) research. […] Several approaches can help detect atherosclerosis. These methods can be classified on various bases. […] To visualize the vascular structure of atherosclerosis, numerous imaging methods are used, including the measurement of the volume of the lesion and the thickness of the fibrous membrane. […] Another method is computed tomography (CT), in which iodine-containing molecules as imaging moieties and high-resolution x-rays are used as a technology with a resolution of 50m for clinical or preclinical imaging.
- #33 Atherosclerosis: Diagnosis & Treatment | NewYork-Presbyterianhttps://www.nyp.org/heart/atherosclerosis/treatment
How is Atherosclerosis Diagnosed? Diagnosis Your doctor will recommend exams and tests if you have symptoms or if routine tests show signs such as high cholesterol and blood sugar. […] Diagnostic tests for atherosclerosis where your doctor may order tests to diagnose atherosclerosis and plan your treatment. […] Angiography uses special X-rays that help locate and measure blockages in your arteries in the heart, neck, brain and other parts of your body. […] Coronary CT scan (computed tomographic) – an imaging test that creates an image of the inside of your body and can show any hardening and narrowing of your large arteries. […] Cardiac MRI (magnetic resonance imaging) – detects tissue damage or problems with blood flow in the heart or coronary arteries. […] Cardiac PET (positron emission tomography) scan – a heart scan that can help diagnose disease in the small blood vessels of the heart.
- #34 Carotid atherosclerosis disease: A review of diagnosis, risk factors and simulationshttps://www.oatext.com/Carotid-atherosclerosis-disease-A-review-of-diagnosis-risk-factors-and-simulations.php
For example, Sidhu and Allan by using Doppler US (which is used for detection of CAS), have introduced some PSVs and EDVs which are associated with AP severity. […] The aim of this review is provide a comprehensive and succinct source which includes CAD related literatures and presenting a coherent insight into CAD diagnoses, risk factor determination and simulation simultaneously. […] Acquiring hemodynamical parameters, arterial wall properties and plaque composition precisely are the keys of comprehension of atherosclerosis progression and regression mechanism and medical or mechanical diagnostic tools assist scientists in such cases. […] Sonography is known as a noninvasive, fast, reliable and cost-effective method to diagnoses of CAS. […] Bluth has been studied implementation of common sonography methods in CAS detection.
- #35https://link.springer.com/article/10.1007/s40134-016-0141-4
Atherosclerosis and its related complications represent a major cause of morbidity and mortality worldwide. […] In recent years, non-invasive diagnostic imaging mainly CT and MRI has seen an increasingly important role in diagnosing atherosclerosis early, improving risk assessment, and preventing complications. […] We provide an overview on the techniques and applications of MRI and CT in the diagnosis of atherosclerosis both in general, and for geriatric populations, in particular. […] This study demonstrated the accuracy of MRI in detecting vulnerable plaque features in the carotid arteries and showed its possible role in improving risk assessment with a net reclassification improvement of 7.4% for patients with MACE and 15.8% for those without. […] This comprehensive review discusses the role of CT in detecting vulnerable plaque features and their prognostic value.
- #36 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
The use of ultra-small nanoparticles of superparamagnetic iron oxide (USPIO) made it possible to detect plaque inflammation specifically. […] Unfortunately, none of the currently existing imaging methods can provide a complete and comprehensive assessment of all signs of plaque vulnerability and mechanisms of atherosclerosis development. However, advances in invasive and non-invasive imaging technologies have shown that all these methods have significant diagnostic and prognostic value.
- #37 Atherosclerosis – Wikipediahttps://en.wikipedia.org/wiki/Atherosclerosis
Both anatomic and physiologic methods allow early detection before symptoms show up, disease staging, and tracking of disease progression. […] In recent years, developments in nuclear imaging techniques such as PET and SPECT have provided non-invasive ways of estimating the severity of atherosclerotic plaques.
- #38 Atherosclerosis: Diagnosis & Treatment | NewYork-Presbyterianhttps://www.nyp.org/heart/atherosclerosis/treatment
How is Atherosclerosis Diagnosed? Diagnosis Your doctor will recommend exams and tests if you have symptoms or if routine tests show signs such as high cholesterol and blood sugar. […] Diagnostic tests for atherosclerosis where your doctor may order tests to diagnose atherosclerosis and plan your treatment. […] Angiography uses special X-rays that help locate and measure blockages in your arteries in the heart, neck, brain and other parts of your body. […] Coronary CT scan (computed tomographic) – an imaging test that creates an image of the inside of your body and can show any hardening and narrowing of your large arteries. […] Cardiac MRI (magnetic resonance imaging) – detects tissue damage or problems with blood flow in the heart or coronary arteries. […] Cardiac PET (positron emission tomography) scan – a heart scan that can help diagnose disease in the small blood vessels of the heart.
- #39 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
Atherosclerosis was and remains an extremely common and serious health problem. […] One of the features of atherosclerosis is its asymptomaticity. This factor makes it difficult to make a timely diagnosis. This entails the lack of timely treatment and even prevention. To date, in the arsenal of physicians, there is only a limited set of methods to suspect and fully diagnose atherosclerosis. In this review, we have tried to briefly describe the most common and effective methods for diagnosing atherosclerosis. […] Until nowadays, the diagnosis of atherosclerosis has been carried out by such methods as evaluation of electrocardiogram (ECG) both at rest and during physical activity, evaluation of the Ankle Brachial Pressure Index (ABPI), and invasive angiography. Currently, the visualization of plaques is possible with the help of non-invasive imaging methods. The clinical practice employs several methods for plaque imaging, including ultrasound, magnetic resonance tomography (MRI), computer tomography (CT), positron emission tomography (PET), and single-photon emission computed tomography (SPECT) (nuclear imaging techniques).
- #40 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
Atherosclerosis was and remains an extremely common and serious health problem. […] One of the features of atherosclerosis is its asymptomaticity. This factor makes it difficult to make a timely diagnosis. This entails the lack of timely treatment and even prevention. To date, in the arsenal of physicians, there is only a limited set of methods to suspect and fully diagnose atherosclerosis. In this review, we have tried to briefly describe the most common and effective methods for diagnosing atherosclerosis. […] Until nowadays, the diagnosis of atherosclerosis has been carried out by such methods as evaluation of electrocardiogram (ECG) both at rest and during physical activity, evaluation of the Ankle Brachial Pressure Index (ABPI), and invasive angiography. Currently, the visualization of plaques is possible with the help of non-invasive imaging methods. The clinical practice employs several methods for plaque imaging, including ultrasound, magnetic resonance tomography (MRI), computer tomography (CT), positron emission tomography (PET), and single-photon emission computed tomography (SPECT) (nuclear imaging techniques).
- #41 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
Doctors have an arsenal of diagnostic tests and tools they can access to confirm the presence of Atherosclerosis – these include an angiogram (Arteriogram), cholesterol tests, a chest x-ray, a CT (computed tomography) scan, Duplex scanning, an echocardiogram, an electrocardiogram (ECG or EKG), an exercise stress test (cardiac stress test), an intravascular ultrasound, an MRI (magnetic resonance imaging) scan, a PET (positron emission tomography) scan and a pharmacologic stress test. […] Blood tests check the levels of certain fats, cholesterol, sugar, and proteins in your blood and abnormal levels may indicate risk factors for atherosclerosis. […] An EKG is a simple test that detects and records the electrical activity of the heart and shows how fast the heart is beating and whether it has a regular rhythm.
- #42 Coronary artery disease – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/diagnosis-treatment/drc-20350619
To diagnose coronary artery disease, a healthcare professional examines you. You are usually asked questions about your medical history and any symptoms. If you have symptoms of coronary artery disease such as chest pain or shortness of breath, tests may be done to check your overall health. […] Tests to help diagnose or watch coronary artery disease include: […] Blood tests can check blood sugar and cholesterol levels. A high-sensitivity C-reactive protein (CRP) test checks for a protein linked to inflammation of the arteries. […] This quick test checks the electrical activity of the heart. It shows how the heart is beating. […] This test uses sound waves to show blood flow through the heart. […] If your symptoms usually occur during exercise, your healthcare professional may recommend this test. […] This test shows how blood moves to the heart at rest and during activity. […] A CT scan of the heart can show calcium deposits and blockages in the heart arteries. […] This test can see blockages in the heart arteries.
- #43 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
A stress test can show possible signs of CAD, such as abnormal changes in the heart rate or blood pressure, symptoms such as shortness of breath or chest pain, and abnormal changes in your heart rhythm or your heart’s electrical activity. […] Angiography is a test that uses dye and special x -rays to show the insides of arteries and can reveal whether plaque is blocking the arteries and how severe the plaque is.
- #44
- #45 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
A stress test can show possible signs of CAD, such as abnormal changes in the heart rate or blood pressure, symptoms such as shortness of breath or chest pain, and abnormal changes in your heart rhythm or your heart’s electrical activity. […] Angiography is a test that uses dye and special x -rays to show the insides of arteries and can reveal whether plaque is blocking the arteries and how severe the plaque is.
- #46 Coronary artery disease – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/diagnosis-treatment/drc-20350619
To diagnose coronary artery disease, a healthcare professional examines you. You are usually asked questions about your medical history and any symptoms. If you have symptoms of coronary artery disease such as chest pain or shortness of breath, tests may be done to check your overall health. […] Tests to help diagnose or watch coronary artery disease include: […] Blood tests can check blood sugar and cholesterol levels. A high-sensitivity C-reactive protein (CRP) test checks for a protein linked to inflammation of the arteries. […] This quick test checks the electrical activity of the heart. It shows how the heart is beating. […] This test uses sound waves to show blood flow through the heart. […] If your symptoms usually occur during exercise, your healthcare professional may recommend this test. […] This test shows how blood moves to the heart at rest and during activity. […] A CT scan of the heart can show calcium deposits and blockages in the heart arteries. […] This test can see blockages in the heart arteries.
- #47 Coronary artery disease – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/diagnosis-treatment/drc-20350619
To diagnose coronary artery disease, a healthcare professional examines you. You are usually asked questions about your medical history and any symptoms. If you have symptoms of coronary artery disease such as chest pain or shortness of breath, tests may be done to check your overall health. […] Tests to help diagnose or watch coronary artery disease include: […] Blood tests can check blood sugar and cholesterol levels. A high-sensitivity C-reactive protein (CRP) test checks for a protein linked to inflammation of the arteries. […] This quick test checks the electrical activity of the heart. It shows how the heart is beating. […] This test uses sound waves to show blood flow through the heart. […] If your symptoms usually occur during exercise, your healthcare professional may recommend this test. […] This test shows how blood moves to the heart at rest and during activity. […] A CT scan of the heart can show calcium deposits and blockages in the heart arteries. […] This test can see blockages in the heart arteries.
- #48 Advanced Diagnosis of Coronary Atherosclerosis: Judd, Casey: 9781632420237: Amazon.com: Bookshttps://www.amazon.com/Advanced-Diagnosis-Coronary-Atherosclerosis-Casey/dp/1632420236
Advanced diagnosis of coronary atherosclerosis has been elucidated in this book with supportive researches and information. […] Newly developed diagnosis tests which are biomarkers of irritation, cell adhesion, cell activation and imaging methods offer to get the finest outcome in the recognition and classification of calcified or uncalcified atherosclerotic plaques. […] In spite of spectacular advancements in the imaging techniques, coronary catheterization is still regularly used. […] Another important issue is the exposure of patients and practitioners to radiation during coronary angiography and scintigraphy and that is why radiation dose reduction techniques and general principles of radiation protection have also been presented in this book.
- #49 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
A chest x ray takes a picture of the organs and structures inside the chest, including the heart, lungs, and blood vessels – a chest x ray can also reveal signs of heart failure. […] This test compares the blood pressure in your ankle with the blood pressure in your arm to see how well your blood is flowing. […] This test uses sound waves to create a moving picture of your heart and provides information about the size and shape of your heart and how well your heart chambers and valves are working. […] A computed tomography, or CT, scan creates computer-generated images of the heart, brain, or other areas of the body. […] During stress testing, exercise is used to make the heart work hard and beat fast while heart tests are performed – if a person is unable to exercise, medicines are given to speed up the heart rate.
- #50 Diagnosing Atherosclerosis: Warning Signs and Symptomshttps://www.webmd.com/heart-disease/silent-symptoms-diagnosing-atherosclerosis
Atherosclerosis is sneaky. It starts early in life and progresses silently. By the time symptoms occur, its advanced and a serious problem. […] There are tests for diagnosing atherosclerosis, but none of them are perfect. Some of them even have a risk of harm. So testing isn’t as simple as you might think. […] The one test that can directly show blocked arteries is called angiography. Its an invasive test: A thin tube is put inside an artery in the leg or arm. Its then threaded through the body’s maze of branching arteries. Injected dye shows arteries — and any blockages — on a monitor. […] Angiography is usually for people who already have a strong chance of atherosclerosis. […] Once your doctor has identified your risk group, more tests may be needed, such as: Stress test: With medicines or walking on an exercise treadmill, your heart is made to pump almost as hard as it can.
- #51 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Diagnosing-Atherosclerosis.aspx
A stress test can show possible signs of CAD, such as abnormal changes in the heart rate or blood pressure, symptoms such as shortness of breath or chest pain, and abnormal changes in your heart rhythm or your heart’s electrical activity. […] Angiography is a test that uses dye and special x -rays to show the insides of arteries and can reveal whether plaque is blocking the arteries and how severe the plaque is.
- #52 Atherosclerosis Diagnosis: How Do Angiograms Work?https://www.southvalleyvascular.com/post/atherosclerosis-diagnosis-how-do-angiograms-work
Atherosclerosis is a specific type of arteriosclerosis, in which fats, cholesterol, and other substances, called plaque, build up and around your artery walls. Plaque can cause your arteries to narrow, which blocks blood flow. When the plaque bursts, this causes blood clots, which can be deadly. […] If you received an arteriosclerosis diagnosis, you may have been told youll need an angiogram to determine your risk factor and to better treat blockages. […] An angiogram, also called an arteriogram, is a series of x-rays taken of the arteries after a contrast dye is injected to the blood vessels, making them more visible to your vascular surgeon. […] Your surgeon will observe the dye and identify abnormalities in the arteries. They will then be able to open up narrowing blockages with a balloon, laser, or orbital bur.
- #53 Atherosclerosis Diagnosis | Temple Healthhttps://www.templehealth.org/services/conditions/atherosclerosis/diagnosis
Coronary Angiography is a minimally invasive procedure that uses a catheter (a long, thin flexible tube) inserted into a blood vessel in the leg, arm or neck to take pictures of the coronary artery opening. This test allows doctors to measure the size and rate of blood flow through the artery. Contrast dye is used to make it easier to see and evaluate the artery opening.
- #54 Coronary Angiogram for Atherosclerosis | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/atherosclerosis/diagnosis/coronary-angiogram.html
A coronary angiogram is a diagnostic image, which uses dye and special X-rays to show the inside of your coronary (heart) arteries. These images are used to identify arterial narrowings that may be responsible for chest pain and future heart attacks. […] An angiography is the procedure, which uses special imaging techniques to produce coronary angiograms. […] This special fluid is visible by X-ray, which details the narrowing, occlusions, and other abnormalities of specific arteries. These images obtained are called angiograms.
- #55 Clinical Diagnosis of Atherosclerosis: Quantitative Methods of Evaluation | SpringerLinkhttps://link.springer.com/book/10.1007/978-1-4684-6277-7
This volume is the product of a February 1982 conference, cosponsored by the American Heart Association, the National Institutes of Health, and the Bowman Gray School of Medicine, which examined techniques for delineating quantitatively the natural history of atherosclerosis. […] Invasive and noninvasive evaluative methods now in use and under development are surveyed in depth. […] The morbid anatomist is challenged anew to describe lesions as they are likely to occur in vivo. […] To achieve closer correlation with natural conditions, perfusion fixation of arteries under arterial pressure is becoming more widely used and has already demonstrated more valid quantitation of the composition and configuration of lesions. […] While the noninvasive methods of B-mode and Doppler ultrasound are suitable only for the clinical study of superficial arteries, such as the carotid or femoral, the new and relatively noninvasive procedure of intravenous digital subtraction angiography can be effectively used for the examination of deep systems, such as cerebral vessels.
- #56 Atherosclerosis Diagnosis & Treatment – NYC | Columbia Neurosurgery in New York Cityhttps://www.neurosurgery.columbia.edu/patient-care/conditions/atherosclerosis
Atherosclerosis is the accumulation of plaque inside arteries, which may elevate the risk of stroke. […] At Columbia Neurosurgery, our specialists may diagnose carotid or cerebral atherosclerosis using the following procedures: Angiography: In this procedure, a dye that can be seen on X-ray is injected into blood vessels, and X-ray pictures are taken. […] To diagnose atherosclerosis, a doctor will ask about a patients medical and family history, conduct a physical examination and perhaps order blood tests or scans. […] In patients who have had signs or symptoms of atherosclerosis, further tests may be conducted to identify the location(s) of any problems.
- #57 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Atherosclerosis is characterized by patchy intimal plaques (atheromas) that encroach on the lumen of medium-sized and large arteries. […] Diagnosis is clinical and confirmed by angiography, ultrasonography, or other imaging tests. […] Patients with symptoms and signs of ischemia are evaluated for the amount and location of vascular occlusion by various invasive and noninvasive tests, depending on the organ involved. […] Noninvasive imaging techniques that can assess plaque morphology and characteristics include three-dimensional vascular ultrasonography, computed tomography (CT) angiography, and magnetic resonance (MR) angiography. […] Invasive catheter-based tests are also used. These include intravascular ultrasonography, angioscopy, plaque thermography, optical coherence tomography, and elastography.
- #58 Atherosclerosis. Symptoms, types, diagnosis and treatment. ClÃnica Universidad de Navarrahttps://www.cun.es/en/diseases-treatments/diseases/atherosclerosis
„We have vascular imaging techniques (IVUS, OCT) that can detect atheroma plaques and even identify those that might be getting complicated”. […] „Atherosclerosis takes a long time to give clinical manifestations. For this reason, it must be detected early, before atheroma plaques become complicated and produce irreversible damage to some organs.” […] „Periodic health examinations (vascular checks) should be done from the age of 40-50, especially in those people with a family history of diseases caused by atherosclerosis.” […] „In these check-ups special importance is given to the study of cardiovascular risk factors.” […] „With all the information gathered in a cardiovascular checkup, the risk of each person can be calculated in an approximate way.” […] „The vascular age of each patient can also be calculated.” […] „The Department of Cardiology of the Clinica Universidad de Navarra is a center of reference in different diagnostic techniques and coronary treatments.”
- #59 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Atherosclerosis is characterized by patchy intimal plaques (atheromas) that encroach on the lumen of medium-sized and large arteries. […] Diagnosis is clinical and confirmed by angiography, ultrasonography, or other imaging tests. […] Patients with symptoms and signs of ischemia are evaluated for the amount and location of vascular occlusion by various invasive and noninvasive tests, depending on the organ involved. […] Noninvasive imaging techniques that can assess plaque morphology and characteristics include three-dimensional vascular ultrasonography, computed tomography (CT) angiography, and magnetic resonance (MR) angiography. […] Invasive catheter-based tests are also used. These include intravascular ultrasonography, angioscopy, plaque thermography, optical coherence tomography, and elastography.
- #60 Atherosclerosis – Wikipediahttps://en.wikipedia.org/wiki/Atherosclerosis
Atherosclerosis is a pattern of the disease arteriosclerosis, characterized by development of abnormalities called lesions in walls of arteries. […] Diagnosis is based upon a physical exam, electrocardiogram, and exercise stress test, among others. […] Areas of severe narrowing, stenosis, detectable by angiography, and to a lesser extent „stress testing” have long been the focus of human diagnostic techniques for cardiovascular disease, in general. […] However, these methods focus on detecting only severe narrowing, not the underlying atherosclerosis disease. […] Besides the traditional diagnostic methods such as angiography and stress-testing, other detection techniques have been developed in the past decades for earlier detection of atherosclerotic disease. […] Examples of anatomical detection methods include coronary calcium scoring by CT, carotid IMT (intimal media thickness) measurement by ultrasound, and intravascular imaging techniques, such as intravascular ultrasound (IVUS), and intravascular optical coherence tomography (OCT), allowing direct visualization of atherosclerotic plaques.
- #61 Atherosclerosis. Symptoms, types, diagnosis and treatment. ClÃnica Universidad de Navarrahttps://www.cun.es/en/diseases-treatments/diseases/atherosclerosis
„We have vascular imaging techniques (IVUS, OCT) that can detect atheroma plaques and even identify those that might be getting complicated”. […] „Atherosclerosis takes a long time to give clinical manifestations. For this reason, it must be detected early, before atheroma plaques become complicated and produce irreversible damage to some organs.” […] „Periodic health examinations (vascular checks) should be done from the age of 40-50, especially in those people with a family history of diseases caused by atherosclerosis.” […] „In these check-ups special importance is given to the study of cardiovascular risk factors.” […] „With all the information gathered in a cardiovascular checkup, the risk of each person can be calculated in an approximate way.” […] „The vascular age of each patient can also be calculated.” […] „The Department of Cardiology of the Clinica Universidad de Navarra is a center of reference in different diagnostic techniques and coronary treatments.”
- #62 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Atherosclerosis is characterized by patchy intimal plaques (atheromas) that encroach on the lumen of medium-sized and large arteries. […] Diagnosis is clinical and confirmed by angiography, ultrasonography, or other imaging tests. […] Patients with symptoms and signs of ischemia are evaluated for the amount and location of vascular occlusion by various invasive and noninvasive tests, depending on the organ involved. […] Noninvasive imaging techniques that can assess plaque morphology and characteristics include three-dimensional vascular ultrasonography, computed tomography (CT) angiography, and magnetic resonance (MR) angiography. […] Invasive catheter-based tests are also used. These include intravascular ultrasonography, angioscopy, plaque thermography, optical coherence tomography, and elastography.
- #63 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Atherosclerosis is characterized by patchy intimal plaques (atheromas) that encroach on the lumen of medium-sized and large arteries. […] Diagnosis is clinical and confirmed by angiography, ultrasonography, or other imaging tests. […] Patients with symptoms and signs of ischemia are evaluated for the amount and location of vascular occlusion by various invasive and noninvasive tests, depending on the organ involved. […] Noninvasive imaging techniques that can assess plaque morphology and characteristics include three-dimensional vascular ultrasonography, computed tomography (CT) angiography, and magnetic resonance (MR) angiography. […] Invasive catheter-based tests are also used. These include intravascular ultrasonography, angioscopy, plaque thermography, optical coherence tomography, and elastography.
- #64 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Most guidelines recommend lipid profile screening in patients with any of the following characteristics: Men 40 years, Women 40 years and post-menopausal women, Family history of familial hypercholesterolemia or premature cardiovascular disease, Type 2 diabetes, Hypertension, Metabolic syndrome, Chronic kidney disease, Current cigarette smoking, Chronic inflammatory conditions, HIV infection, History of hypertensive disorder of pregnancy. […] The presence of atherosclerotic disease in one vascular territory increases the likelihood of disease in other vascular territories.
- #65 Arteriosclerosis / atherosclerosis – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/arteriosclerosis-atherosclerosis/diagnosis-treatment/drc-20350575
To diagnose atherosclerosis, your healthcare professional examines you and listens to your heart. You usually are asked questions about your symptoms and your family health history. You may be sent to a doctor trained in heart diseases, called a cardiologist. […] Tests may be done to check the health of your heart and arteries. Tests can help diagnose atherosclerosis and find the cause. […] A coronary calcium scan may show coronary artery disease before you have symptoms. Results of the test are given as a score. The higher the calcium score, the higher the risk of heart attacks. […] If atherosclerosis causes a severe blockage in an artery, you may need a procedure or surgery to treat it. […] Your healthcare team is likely to ask many questions, including: Do you have a family history of high cholesterol, high blood pressure or heart disease? […] It’s never too early to make healthy lifestyle changes. Eat healthy, be active, get more exercise and don’t smoke or vape. These are simple ways to protect yourself against atherosclerosis and its complications, including heart attack and stroke.
- #66 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Because not all atherosclerotic plaques have similar risk, various imaging technologies (eg, positron emission tomography) are being studied as a way to identify plaques especially vulnerable to rupture; however, these techniques are not yet used clinically. […] In addition to the fasting lipid profile and plasma glucose and hemoglobin A1C measurements, some clinicians measure serum markers of inflammation. High-sensitivity C-reactive protein levels 3.1 mg/L are highly predictive of cardiovascular events. […] In patients with risk factors for atherosclerosis but no symptoms or signs of ischemia, the role of additional testing beyond the lipid profile is unclear. […] Currently, the American Heart Association (AHA) recommends using the pooled cohort risk assessment equations to estimate lifetime and 10-year risk of atherosclerotic cardiovascular disease.
- #67 What Blood Tests Detect Heart Problems?https://my.clevelandclinic.org/health/diagnostics/16792-blood-tests-to-determine-risk-of-coronary-artery-disease
When detecting heart disease risk, healthcare providers pay close attention to: Total cholesterol (TC): Your total cholesterol is directly linked to your heart and blood vessel disease risk. Triglycerides (TG): Triglycerides are related to heart and blood vessel disease. High-density lipoprotein (HDL): This test identifies your good cholesterol. High levels reduce your risk of heart and blood vessel disease. Low-density lipoprotein (LDL): LDL is bad cholesterol. High levels are linked to a greater risk of heart and blood vessel disease. Lipoprotein (a), or Lp(a): High levels of Lp(a) increase your risk of heart attack, stroke, blood clots, fatty buildup in veins after coronary artery bypass surgery and narrowing of coronary arteries after angioplasty. […] Atherosclerotic cardiovascular disease (ASCVD) risk score: This score predicts your 10-year risk for atherosclerotic events. While blood tests help your healthcare provider better understand your heart disease risk, theyâre not a definitive diagnosis. If your blood test results show you have an increased risk, your provider may recommend further testing.
- #68 Atherosclerosis. Symptoms, types, diagnosis and treatment. ClÃnica Universidad de Navarrahttps://www.cun.es/en/diseases-treatments/diseases/atherosclerosis
„We have vascular imaging techniques (IVUS, OCT) that can detect atheroma plaques and even identify those that might be getting complicated”. […] „Atherosclerosis takes a long time to give clinical manifestations. For this reason, it must be detected early, before atheroma plaques become complicated and produce irreversible damage to some organs.” […] „Periodic health examinations (vascular checks) should be done from the age of 40-50, especially in those people with a family history of diseases caused by atherosclerosis.” […] „In these check-ups special importance is given to the study of cardiovascular risk factors.” […] „With all the information gathered in a cardiovascular checkup, the risk of each person can be calculated in an approximate way.” […] „The vascular age of each patient can also be calculated.” […] „The Department of Cardiology of the Clinica Universidad de Navarra is a center of reference in different diagnostic techniques and coronary treatments.”
- #69 What Blood Tests Detect Heart Problems?https://my.clevelandclinic.org/health/diagnostics/16792-blood-tests-to-determine-risk-of-coronary-artery-disease
When detecting heart disease risk, healthcare providers pay close attention to: Total cholesterol (TC): Your total cholesterol is directly linked to your heart and blood vessel disease risk. Triglycerides (TG): Triglycerides are related to heart and blood vessel disease. High-density lipoprotein (HDL): This test identifies your good cholesterol. High levels reduce your risk of heart and blood vessel disease. Low-density lipoprotein (LDL): LDL is bad cholesterol. High levels are linked to a greater risk of heart and blood vessel disease. Lipoprotein (a), or Lp(a): High levels of Lp(a) increase your risk of heart attack, stroke, blood clots, fatty buildup in veins after coronary artery bypass surgery and narrowing of coronary arteries after angioplasty. […] Atherosclerotic cardiovascular disease (ASCVD) risk score: This score predicts your 10-year risk for atherosclerotic events. While blood tests help your healthcare provider better understand your heart disease risk, theyâre not a definitive diagnosis. If your blood test results show you have an increased risk, your provider may recommend further testing.
- #70 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
The use of ultra-small nanoparticles of superparamagnetic iron oxide (USPIO) made it possible to detect plaque inflammation specifically. […] Unfortunately, none of the currently existing imaging methods can provide a complete and comprehensive assessment of all signs of plaque vulnerability and mechanisms of atherosclerosis development. However, advances in invasive and non-invasive imaging technologies have shown that all these methods have significant diagnostic and prognostic value.
- #71 Macrophage-targeted nanomedicine for the diagnosis and treatment of atherosclerosis | Nature Reviews Cardiologyhttps://www.nature.com/articles/s41569-021-00629-x
Nanotechnology could improve our understanding of the pathophysiology of atherosclerosis and contribute to the development of novel diagnostic and therapeutic strategies to further reduce the risk of cardiovascular disease. […] Macrophages have key roles in atherosclerosis progression and, therefore, macrophage-associated pathological processes are important targets for both diagnostic imaging and novel therapies for atherosclerosis. […] Using novel molecular imaging technology, these modalities enable the identification of advanced atherosclerotic plaques and the assessment of the therapeutic efficacy of medical interventions. […] The rational design of nanoparticle-based imaging agents that can specifically target inflammatory macrophages in atherosclerotic plaques offers diagnostic potential to non-invasively quantify atherosclerosis plaque burden, evaluate the efficacy of medical interventions and serve as surrogate end points.
- #72
- #73 Advanced Diagnosis of Coronary Atherosclerosis: Judd, Casey: 9781632420237: Amazon.com: Bookshttps://www.amazon.com/Advanced-Diagnosis-Coronary-Atherosclerosis-Casey/dp/1632420236
Advanced diagnosis of coronary atherosclerosis has been elucidated in this book with supportive researches and information. […] Newly developed diagnosis tests which are biomarkers of irritation, cell adhesion, cell activation and imaging methods offer to get the finest outcome in the recognition and classification of calcified or uncalcified atherosclerotic plaques. […] In spite of spectacular advancements in the imaging techniques, coronary catheterization is still regularly used. […] Another important issue is the exposure of patients and practitioners to radiation during coronary angiography and scintigraphy and that is why radiation dose reduction techniques and general principles of radiation protection have also been presented in this book.
- #74 Advanced Diagnosis of Coronary Atherosclerosis: Judd, Casey: 9781632420237: Amazon.com: Bookshttps://www.amazon.com/Advanced-Diagnosis-Coronary-Atherosclerosis-Casey/dp/1632420236
Advanced diagnosis of coronary atherosclerosis has been elucidated in this book with supportive researches and information. […] Newly developed diagnosis tests which are biomarkers of irritation, cell adhesion, cell activation and imaging methods offer to get the finest outcome in the recognition and classification of calcified or uncalcified atherosclerotic plaques. […] In spite of spectacular advancements in the imaging techniques, coronary catheterization is still regularly used. […] Another important issue is the exposure of patients and practitioners to radiation during coronary angiography and scintigraphy and that is why radiation dose reduction techniques and general principles of radiation protection have also been presented in this book.
- #75 Trace Elements Open a New Direction for the Diagnosis of Atherosclerosishttps://www.imrpress.com/journal/RCM/24/1/10.31083/j.rcm2401023
Trace Elements Open a New Direction for the Diagnosis of Atherosclerosis […] However, it is believed that changes in the concentration of trace elements in the human body are the main contributors to the development of some diseases and the transition from a healthy to a diseased state. Metal trace elements, non-metal trace elements, and the sampling site will be examined to determine whether trace elements can aid in the diagnosis of atherosclerosis. This article will discuss whether trace elements, discussed under three sections of metal trace elements, non-metal trace elements, and the sampling site, can participate in the diagnosis of atherosclerosis.
- #76 Nanoparticle technology shows promise for targeted diagnosis and treatment of atherosclerosishttps://phys.org/news/2024-09-nanoparticle-technology-diagnosis-treatment-atherosclerosis.html
Nanoparticle technology shows promise for targeted diagnosis and treatment of atherosclerosis. […] Commonly used methods for imaging atherosclerotic plaques include techniques like intravascular ultrasound, coronary angiography, computed tomography angiography and magnetic resonance imaging (MRI). […] There are currently no medications or treatments that can specifically target atherosclerotic plaques, to significantly reduce plaque burden or reverse atherosclerosis. […] A team at NUS Yong Loo Lin School of Medicine (NUS Medicine) has developed a nanoparticle technology that offers an effective solution to diagnose and treat atherosclerosis, in a non-invasive manner. […] The team developed a nanoparticle that addresses prevailing challenges; the newly developed nanoparticle can diagnose atherosclerosis, target atherosclerotic plaques, and deliver therapeutic agents directly to inhibit the progression of atherosclerosis in the preclinical models.
- #77 Macrophage-targeted nanomedicine for the diagnosis and treatment of atherosclerosis | Nature Reviews Cardiologyhttps://www.nature.com/articles/s41569-021-00629-x
Nanotechnology could improve our understanding of the pathophysiology of atherosclerosis and contribute to the development of novel diagnostic and therapeutic strategies to further reduce the risk of cardiovascular disease. […] Macrophages have key roles in atherosclerosis progression and, therefore, macrophage-associated pathological processes are important targets for both diagnostic imaging and novel therapies for atherosclerosis. […] Using novel molecular imaging technology, these modalities enable the identification of advanced atherosclerotic plaques and the assessment of the therapeutic efficacy of medical interventions. […] The rational design of nanoparticle-based imaging agents that can specifically target inflammatory macrophages in atherosclerotic plaques offers diagnostic potential to non-invasively quantify atherosclerosis plaque burden, evaluate the efficacy of medical interventions and serve as surrogate end points.
- #78 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
In the diagnosis of atherosclerosis, liposomes are extremely important, since they are responsible for the transfer and delivery of contrast agents, which enhances the quality of image resolution. […] Visualization methods have a variety; a specific method is selected based on the stage of plaque development. […] Together, these methods provide measures of the severity of the disease, which are necessary for everyday clinical practice and cardiovascular (CV) research. […] Several approaches can help detect atherosclerosis. These methods can be classified on various bases. […] To visualize the vascular structure of atherosclerosis, numerous imaging methods are used, including the measurement of the volume of the lesion and the thickness of the fibrous membrane. […] Another method is computed tomography (CT), in which iodine-containing molecules as imaging moieties and high-resolution x-rays are used as a technology with a resolution of 50m for clinical or preclinical imaging.
- #79 A novel method for the diagnosis of atherosclerosis based on nanotechnology – Journal of Materials Chemistry B (RSC Publishing)https://pubs.rsc.org/en/content/articlelanding/2024/tb/d4tb00900b
A novel method for the diagnosis of atherosclerosis based on nanotechnology […] Atherosclerosis is among the most prevalent CVD, impacting the medium and large arteries in the kidneys, brain, heart, and other vital organs, as well as the lower limbs. […] Therefore, patients with atherosclerosis should receive accurate diagnosis and timely therapeutic intervention. […] This paper summarizes some current research findings on the use of nanomaterials in diagnosing atherosclerosis and offers insights for optimizing the imaging applications of nanomaterials in the future.
- #80 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
The use of ultra-small nanoparticles of superparamagnetic iron oxide (USPIO) made it possible to detect plaque inflammation specifically. […] Unfortunately, none of the currently existing imaging methods can provide a complete and comprehensive assessment of all signs of plaque vulnerability and mechanisms of atherosclerosis development. However, advances in invasive and non-invasive imaging technologies have shown that all these methods have significant diagnostic and prognostic value.
- #81 Nanoparticle technology shows promise for targeted diagnosis and treatment of atherosclerosishttps://phys.org/news/2024-09-nanoparticle-technology-diagnosis-treatment-atherosclerosis.html
Nanoparticle technology shows promise for targeted diagnosis and treatment of atherosclerosis. […] Commonly used methods for imaging atherosclerotic plaques include techniques like intravascular ultrasound, coronary angiography, computed tomography angiography and magnetic resonance imaging (MRI). […] There are currently no medications or treatments that can specifically target atherosclerotic plaques, to significantly reduce plaque burden or reverse atherosclerosis. […] A team at NUS Yong Loo Lin School of Medicine (NUS Medicine) has developed a nanoparticle technology that offers an effective solution to diagnose and treat atherosclerosis, in a non-invasive manner. […] The team developed a nanoparticle that addresses prevailing challenges; the newly developed nanoparticle can diagnose atherosclerosis, target atherosclerotic plaques, and deliver therapeutic agents directly to inhibit the progression of atherosclerosis in the preclinical models.
- #82 Researchers develop nanoparticle technology for targeted diagnosis and treatment of atherosclerosis | ScienceDailyhttps://www.sciencedaily.com/releases/2024/09/240918125000.htm
A team developed a nanoparticle technology that offers an effective solution to diagnose and treat atherosclerosis, in a non-invasive manner. […] This innovative theranostic approach, published in the journal Small, represents a significant advancement in the field of cardiovascular medicine as it offers a promising alternative to current medical practices for the management of atherosclerosis. […] Theteam developed a nanoparticle that addresses prevailing challenges; the newly developed nanoparticle can diagnose atherosclerosis, target atherosclerotic plaques, and deliver therapeutic agents directly to inhibit the progression of atherosclerosis in the preclinical models. […] „Overall, our nanoparticles offer a promising novel approach to non-invasive diagnosis, monitoring and targeted treatment of atherosclerosis, a significant advancement that could pave the way for a new era of cardiovascular care,” said Asst Prof Wang, Principal Investigator, Nanomedicine Translational Research Programme, NUS Medicine. […] This proof-of-concept study demonstrates significant potential for the innovative approach and the team is looking to further validate their research before they move forward to clinical trials.
- #83 Online application for the diagnosis of atherosclerosis by six genes | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0301912
The final machine learning models were then uploaded to Shiny’s server, which allows users to easily distinguish AS samples from control samples. […] The removal of the batch effect is a major problem when multi-center studies are integrated. Many methods have been provided for addressing this problem. These non-biological variables among datasets, such as platforms and techniques, can hinder biomarker identification between AS and normal samples. […] Our study obtained six core genes (FKBP8, FCGR3B, FABP4, RPS15, CSF3R, and SHCBP1) that may function importantly during AS occurrence. […] The online shiny app, constructed using our machine learning models, could contribute to atherosclerosis diagnosis and risk assessment at a very early stage.
- #84 Carotid atherosclerosis disease: A review of diagnosis, risk factors and simulationshttps://www.oatext.com/Carotid-atherosclerosis-disease-A-review-of-diagnosis-risk-factors-and-simulations.php
Den Hartog et al. have focused on MRI methods for plaque characterization of CAS. […] It should be mentioned that beside US, MRI and angiography, other diagnostic methods such as CT imaging, computer aided analysis and mechanical tests are common in diagnosis CVA such as CAS. […] Some researchers such as Sidhu and Allan have considered usage of US to estimate hemodynamical parameters such as PSV for AP detecting. […] They have suggested certain PSV and EDV (hemodynamical properties) to determine severity of ICA AP. […] Their outcomes revealed that B-Mode method shows sufficient accuracy and precision to determine morphological and physiological properties of arterial wall in symptomatic patients but wave form details may be invisible in this approach and cannot be used for advanced proposes.
- #85 Online application for the diagnosis of atherosclerosis by six genes | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0301912
Atherosclerosis (AS) is a primary contributor to cardiovascular disease, leading to significant global mortality rates. Developing effective diagnostic indicators and models for AS holds the potential to substantially reduce the fatalities and disabilities associated with cardiovascular disease. Blood sample analysis has emerged as a promising avenue for facilitating diagnosis and assessing disease prognosis. Nonetheless, it lacks an accurate model or tool for AS diagnosis. Hence, the principal objective of this study is to develop a convenient, simple, and accurate model for the early detection of AS. […] A prognostic Shiny application, built upon six potential atherosclerosis-associated genes, has been developed, offering an accurate diagnosis of atherosclerosis. […] A noteworthy problem with the machine learning models on AS diagnosis is the small sample sizes. To address this point, integrating multiple datasets into one dataset will significantly improve the sample size. However, the non-biological variables among datasets, such as platforms and techniques, usually can be referred to as the batch effect, which is an obstacle to integrating datasets.
- #86 Online application for the diagnosis of atherosclerosis by six genes | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0301912
The final machine learning models were then uploaded to Shiny’s server, which allows users to easily distinguish AS samples from control samples. […] The removal of the batch effect is a major problem when multi-center studies are integrated. Many methods have been provided for addressing this problem. These non-biological variables among datasets, such as platforms and techniques, can hinder biomarker identification between AS and normal samples. […] Our study obtained six core genes (FKBP8, FCGR3B, FABP4, RPS15, CSF3R, and SHCBP1) that may function importantly during AS occurrence. […] The online shiny app, constructed using our machine learning models, could contribute to atherosclerosis diagnosis and risk assessment at a very early stage.
- #87 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Most guidelines recommend lipid profile screening in patients with any of the following characteristics: Men 40 years, Women 40 years and post-menopausal women, Family history of familial hypercholesterolemia or premature cardiovascular disease, Type 2 diabetes, Hypertension, Metabolic syndrome, Chronic kidney disease, Current cigarette smoking, Chronic inflammatory conditions, HIV infection, History of hypertensive disorder of pregnancy. […] The presence of atherosclerotic disease in one vascular territory increases the likelihood of disease in other vascular territories.
- #88 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Most guidelines recommend lipid profile screening in patients with any of the following characteristics: Men 40 years, Women 40 years and post-menopausal women, Family history of familial hypercholesterolemia or premature cardiovascular disease, Type 2 diabetes, Hypertension, Metabolic syndrome, Chronic kidney disease, Current cigarette smoking, Chronic inflammatory conditions, HIV infection, History of hypertensive disorder of pregnancy. […] The presence of atherosclerotic disease in one vascular territory increases the likelihood of disease in other vascular territories.
- #89 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Most guidelines recommend lipid profile screening in patients with any of the following characteristics: Men 40 years, Women 40 years and post-menopausal women, Family history of familial hypercholesterolemia or premature cardiovascular disease, Type 2 diabetes, Hypertension, Metabolic syndrome, Chronic kidney disease, Current cigarette smoking, Chronic inflammatory conditions, HIV infection, History of hypertensive disorder of pregnancy. […] The presence of atherosclerotic disease in one vascular territory increases the likelihood of disease in other vascular territories.
- #90 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
The use of ultra-small nanoparticles of superparamagnetic iron oxide (USPIO) made it possible to detect plaque inflammation specifically. […] Unfortunately, none of the currently existing imaging methods can provide a complete and comprehensive assessment of all signs of plaque vulnerability and mechanisms of atherosclerosis development. However, advances in invasive and non-invasive imaging technologies have shown that all these methods have significant diagnostic and prognostic value.
- #91 Emerging Trends and Innovations in the Treatment and Diagnosis of Atherosclerosis and Cardiovascular Disease: A Comprehensive Review towards Healthier Aginghttps://www.mdpi.com/1999-4923/16/8/1037
Diagnosing atherosclerotic plaques is crucial for preventing cardiovascular events, and employs various imaging modalities, each with inherent advantages and limitations. Non-invasive techniques, such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) are instrumental in detecting and characterizing plaques. […] Despite these technological advances, a key limitation across all modalities is the difficulty in predicting plaque rupture, the most common cause of acute coronary events. Furthermore, discrepancies in accessibility, patient compatibility, and the requirement for specialized equipment and expertise underscore the need for individualized diagnostic approaches and ongoing development of more predictive, universally accessible, and non-invasive diagnostic tools for atherosclerosis. […] Diagnosing atherosclerotic plaques utilizes various imaging modalities, including ultrasound, CT, MRI, and PET, each offering unique advantages and limitations.
- #92 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Because not all atherosclerotic plaques have similar risk, various imaging technologies (eg, positron emission tomography) are being studied as a way to identify plaques especially vulnerable to rupture; however, these techniques are not yet used clinically. […] In addition to the fasting lipid profile and plasma glucose and hemoglobin A1C measurements, some clinicians measure serum markers of inflammation. High-sensitivity C-reactive protein levels 3.1 mg/L are highly predictive of cardiovascular events. […] In patients with risk factors for atherosclerosis but no symptoms or signs of ischemia, the role of additional testing beyond the lipid profile is unclear. […] Currently, the American Heart Association (AHA) recommends using the pooled cohort risk assessment equations to estimate lifetime and 10-year risk of atherosclerotic cardiovascular disease.
- #93 Preclinical Diagnosis and Risk Assessment of Atherosclerosis – At Birth? At Event? When is Best? | ECR Journalhttps://www.ecrjournal.com/articles/preclinical-diagnosis-and-risk-assessment-atherosclerosis-birth-event-when-best?language_content_entity=en
Currently, preclinical diagnosis of atherosclerosis is based on the traditional risk factors; in addition, imaging markers such as carotid IMT, arterial stiffness, endothelium-dependent vasomotion, left ventricular hypertrophy and CAC are increasingly used to diagnose preclinical atherosclerosis and to assess the risk profile allowing to monitor the progression/regression of the arterial disease. […] The future may be achieved recovering the new way to look at the person (subject or preclinical patient).
- #94 Atherosclerosis Diagnosis | Temple Healthhttps://www.templehealth.org/services/conditions/atherosclerosis/diagnosis
When diagnosing atherosclerosis, your doctor will take into account your overall health and your family medical history. Your doctor may also order special tests that help to determine the health of your heart and arteries. […] Blood tests can determine your risk for developing atherosclerosis by measuring your cholesterol, blood sugar and lipoprotein levels. […] Ultrasound is a non-invasive test that can show early atherosclerotic plaque formation (even before it is narrowing an artery) in blood vessels such as the neck (carotid) arteries or the aorta. […] Coronary Calcium Score uses a low radiation CT (computed tomography) scan without any injected dye (contrast material) to find plaque in the arteries supplying blood to the heart. The higher the calcium score, the higher the risk of angina, heart attack or other problems.
- #95 Atherosclerosishttps://www.uvmhealth.org/medcenter/conditions-and-treatments/atherosclerosis
Atherosclerosis diagnosis and testing may include: Electrocardiogram (EKG) to record your hearts electrical activity and identify any abnormal rhythms and stress to the heart, Blood tests to detect high levels of cholesterol or blood sugar, Echocardiogram to create a video image of your heart pumping blood and evaluate your hearts function and structure, Stress tests to monitor your heart rhythm, breathing and blood pressure while you exercise. […] Atherosclerosis can be treated more successfully the earlier it is detected. If you experience any of the above symptoms, contact your doctor. […] The goal of atherosclerosis treatment is to slow the progression of the disease and lower your risk for heart attack and stroke. […] Your cardiologist may prescribe medicines to help manage your condition. Common medications for atherosclerosis include statin medications, which lower your cholesterol level and decrease your chances of having a heart attack or stroke. […] If lifestyle changes and medication are not providing relief for your symptoms, your provider may recommend surgery.
- #96 Atherosclerosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/arteriosclerosis/atherosclerosis
Most guidelines recommend lipid profile screening in patients with any of the following characteristics: Men 40 years, Women 40 years and post-menopausal women, Family history of familial hypercholesterolemia or premature cardiovascular disease, Type 2 diabetes, Hypertension, Metabolic syndrome, Chronic kidney disease, Current cigarette smoking, Chronic inflammatory conditions, HIV infection, History of hypertensive disorder of pregnancy. […] The presence of atherosclerotic disease in one vascular territory increases the likelihood of disease in other vascular territories.
- #97 Prevention, Diagnosis and Treatment of Atherosclerosis – Pathologyhttps://pressbooks.bccampus.ca/pathology/chapter/diagnosis-treatment/
By the end of this chapter you will be able to: […] Describe the common diagnosis and treatment strategies of atherosclerosis […] Secondary prevention efforts involve interprofessional health teams that work together to optimally manage patients with existing atherosclerosis with or without history of cardiovascular events (heart attack, stroke, etc) to prevent further disease progression and exacerbation. […] Diagnosis of atherosclerosis generally involves: direct visualization of atherosclerotic plaques (via ultrasound, computer tomography, or other imaging techniques) […] As a general approach, patients with diagnosed atherosclerosis benefit from health behavior modifications and high-intensity lipid-lowering therapy. […] The first step involves diagnosis which can be visualized as evidence of decreased blood flow as seen in heart attack and strokes.
- #98 Prevention, Diagnosis and Treatment of Atherosclerosis – Pathologyhttps://pressbooks.bccampus.ca/pathology/chapter/diagnosis-treatment/
Overall, prevention of atherosclerosis is a complex task that involves both behavioral and societal changes. […] Atherosclerosis diagnosis and management efforts involve interprofessional health teams that work together to design and help facilitate optimal prevention/treatment plans for each case of this lifelong condition.
- #99 Arteriosclerosis / atherosclerosis – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/arteriosclerosis-atherosclerosis/diagnosis-treatment/drc-20350575
To diagnose atherosclerosis, your healthcare professional examines you and listens to your heart. You usually are asked questions about your symptoms and your family health history. You may be sent to a doctor trained in heart diseases, called a cardiologist. […] Tests may be done to check the health of your heart and arteries. Tests can help diagnose atherosclerosis and find the cause. […] A coronary calcium scan may show coronary artery disease before you have symptoms. Results of the test are given as a score. The higher the calcium score, the higher the risk of heart attacks. […] If atherosclerosis causes a severe blockage in an artery, you may need a procedure or surgery to treat it. […] Your healthcare team is likely to ask many questions, including: Do you have a family history of high cholesterol, high blood pressure or heart disease? […] It’s never too early to make healthy lifestyle changes. Eat healthy, be active, get more exercise and don’t smoke or vape. These are simple ways to protect yourself against atherosclerosis and its complications, including heart attack and stroke.
- #100 Diagnostics of atherosclerosis: Overview of the existing methodshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10203409/
The use of ultra-small nanoparticles of superparamagnetic iron oxide (USPIO) made it possible to detect plaque inflammation specifically. […] Unfortunately, none of the currently existing imaging methods can provide a complete and comprehensive assessment of all signs of plaque vulnerability and mechanisms of atherosclerosis development. However, advances in invasive and non-invasive imaging technologies have shown that all these methods have significant diagnostic and prognostic value.
- #101 Emerging Trends and Innovations in the Treatment and Diagnosis of Atherosclerosis and Cardiovascular Disease: A Comprehensive Review towards Healthier Aginghttps://www.mdpi.com/1999-4923/16/8/1037
Diagnosing atherosclerotic plaques is crucial for preventing cardiovascular events, and employs various imaging modalities, each with inherent advantages and limitations. Non-invasive techniques, such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) are instrumental in detecting and characterizing plaques. […] Despite these technological advances, a key limitation across all modalities is the difficulty in predicting plaque rupture, the most common cause of acute coronary events. Furthermore, discrepancies in accessibility, patient compatibility, and the requirement for specialized equipment and expertise underscore the need for individualized diagnostic approaches and ongoing development of more predictive, universally accessible, and non-invasive diagnostic tools for atherosclerosis. […] Diagnosing atherosclerotic plaques utilizes various imaging modalities, including ultrasound, CT, MRI, and PET, each offering unique advantages and limitations.