P4.22 GUIDELINE BASED CARDIOVASCULAR RISK MANAGEMENT VERSUS IMAGING ATHEROSCLEROSIS
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- 10.1016/j.artres.2012.09.170How to use a DOI?
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Purpose: We wanted to compare the outcome of a newly implemented Dutch Cardiovascular Risk Management guideline (so called Prevention Consult) with the non-invasive measurement of Carotid Intima Media Thickness and Plaque visualization (CIMT+P) in a group of 313 employees (170 men and 143 women, mean age 42,9 ± 0,5 years range 22 – 65 years) in one organization.
Methods: At one and the same measure point we performed the Prevention Consult short questionnaire with 7 questions (www.testuwrisico.nl), measuring weight, height, waist circumference, blood pressure, total/HDL-cholesterol, glucose and made a CIMT + P.
Table 1 shows results:
| CIMT + P(A,normal risk, B 25% increased risk, C 50% increased risk and D 100% increased risk) | Total | |||||
|---|---|---|---|---|---|---|
| A | B | C | D | |||
| Risk test | Low risk | 17 | 10 | 3 | 1 | 31 |
| Intermediate risk | 112 | 70 | 51 | 1 | 234 | |
| High risk | 1 | 2 | 12 | 2 | 17 | |
| Total | 130 | 82 | 66 | 4 | 282 | |
The Pearson correlation between risk test and the CIMT + P was significant (r = 0,248, p < 0,01). The risk test identified only 17 people at a high risk level and the CIMT + P showed for 70 people distinct atherosclerotic lesions.
Conclusions: Although there is a significant correlation between the outcome of the PreventionConsult and the CIMT + P, the CIMT + P is far more sensitive for atherosclerotic lesions than the Prevention Consult. Especially, in a middle age population with intermediate risk, a CIMT + P offers more signs to warrant early prevention and effective intervention.
Cite this article
TY - JOUR AU - J.R.M. Blekemolen AU - J.D. Barth AU - M.M.B. Zonjee PY - 2012 DA - 2012/11/17 TI - P4.22 GUIDELINE BASED CARDIOVASCULAR RISK MANAGEMENT VERSUS IMAGING ATHEROSCLEROSIS JO - Artery Research SP - 189 EP - 189 VL - 6 IS - 4 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2012.09.170 DO - 10.1016/j.artres.2012.09.170 ID - Blekemolen2012 ER -