近两年的血管健康/老化情况检查和比较

来源: 2016-08-26 14:34:46 [博客] [旧帖] [给我悄悄话] 本文已被阅读:

我刚得到了今年(第二次)的Cardiorisk Scan 的结果,这是一个颈动脉的超声波检查,是早期的non-invasive的检查。以下是与去年(第一次)的比较结果。是个好消息,今年比去年有进步,血管老化年龄(与实际年龄相比),由去年的10岁缩小到今年的8岁。

欢迎各位提问题。

 

Cardiorisk Scan Patient Results

Date of exam: 8/17/16; 7/9/15

Patient age: 46; 45

Arterial age: 52; 54

Patient IMT: 0.62mm; 0.63mm

Normal IMT: <0.50mm; same

 

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CV event risk. Early event risk: normal at 0.7; normal at 0.8 (alert value: 1.7)

CV event risk. Average CCA mean IMT: normal at 0.62; normal at 0.63(alert value 0.73)

CV event risk. Average CCA max region: normal at 0.68; normal at 0.68(alert value 0.75)

CV event risk. Plaque burden: normal at none; same

 

Printed Note: Patients with values in yellow or red on any risk test criteria have inflated risk.

My own note: yellow is moderate risk, and red is high risk. I have green which is normal.

 

More printed notes: Early event risk to a patient’s increased risk of having an event in the next 5.1 years +/- 2.3 years. It does not suggest the patient will have an event in that time frame, only that the hazard ratio significantly increases(from 1 to between 4.1 and 6.7 depending on the patient’s Framingham risk score)

 

A progression rate of 0.034mm or greater in the thickness of the mean IMT per year, increase the risk of future events significantly.

 

The alert value is the threshold measurement at which this patient’s risk is inflated beyond a “normal” reading.

 

Plaguqe burden is the sum of the plaques fround and measured. It does not have an alert value because plaques of any size are atherosclerotic and increase patient risk. The plaque burden score is intended to help physicians track progression of disease over time.

 

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The following values are the largest intima-media thickness(IMT) measurements found in each carotid artery segment. Any measurement equal to or 1.3mm is defined at plaque and is characterized as being soft, heterogeneous or echogenic(includes mineral deposits like calcium).

Right CCA: 0.6; 0.6

Bulb: 0.6;0.6

Internal Carotid: 0.7; 0.6

 

Left CCA: 0.7; 0.7

Bulb: 0.7; 0.8

Internal carotid: 0.6; 0.7

 

Doppler was used bilaterally