https://academic.oup.com/eurheartj/arti ... 27/6358713
Цитаты для кардиологов:
In view of the lack of convincing evidence that it improves CVD risk reclassification, echocardiography is not recommended to improve
CV risk prediction.
Although the evidence is less extensive than it is for CAC, carotid artery plaque assessment using ultrasonography probably also reclassifies CVD risk, and may be considered as a risk modifier in patients at intermediate risk when a CAC score is not feasible.
P.S. Немного доказательной медицины из Даннии.
Lindholt JS, Sogaard R. Population screening and intervention for vascular disease in Danish men (VIVA): a randomised controlled trial. LancetMobile ultrasound screening for aortic aneurysm, peripheral artery disease (PAD), and hypertension in males aged 65-74
years showed a 7% mortality reduction at 5 years.
2017;390:22562265.
P.P.S. Когда Вы во время рутинной трансторакальной ЭхоКГ ставите ультразвуковой датчик на брюшную аорту, сонные и общие бедренные артерии, Вы снижаете смертность от ССЗ.
