What is Carotid Intima Media (CIMT) Testing ?
Many patients suffering the early and
intermediate stages of atherosclerosis show no outward signs or
symptoms of the disease.
As many as 50% of those who died from
coronary artery disease (CAD), had no prior signs or symptoms.
As many as 50% of those who died from CAD
had cholesterol levels that met current guidelines.
What if . . .
• You could look inside your
arteries to see if they were covered in plaque?
• You could not only see the
atherosclerotic burden, but could also predict your risk of
experiencing a Heart Attack, Stroke, or other Ischemic event.
• You could measure the degree of
inflammation in the arterial wall or the size of the plaque that may
contribute to the most common cause of death in America, heart
disease?
You can!
Measuring the thickness of the
intima and media layers of the carotid artery wall (carotid
intima-media thickness, or CIMT) is one way to assess the
cardiovascular health of your patients. This non-invasive procedure
gives you the ability to accurately assess disease presence, risk of
events, and progression of heart disease before you have acute
symptoms. This allows us to do something about it before significant
plaque builds up and results in the need for surgery.
Once a person’s IMT has been
precisely established, the individual risk of heart attack and
stroke for that person is determined based on database analysis
techniques. An individual IMT is only useful when compared against a
large repository of IMT data for subjects who are similar in terms
of age, gender and ethnicity. This is because atherosclerosis
progresses differently for different demographics.

Measuring
CIMT by Ultrasound
CIMT measurements using B-mode
(brightness mode) ultrasound have been performed since the
mid-1980s. Using structural B-mode ultrasound, a trained sonographer
can easily and non-invasively acquire images of the carotid artery
wall for analysis, typically the region immediately proximal to the
bifurcation. Upon examination via ultrasound, the adventitia shows
up as a bright, white layer and the blood-filled lumen shows up as a
black area, allowing the clinician to isolate the area of interest
in between . . . the IMT. CardioRisk's sonographers are all trained
to use our patented protocol using patented software. A CardioRisk
trained and experienced sonographer can complete the procedure in
just under ten minutes.

Take the Cardiorisk Challenge:
We believe . . . Carotid
Intima-Media Thickness Testing can save
lives.
In 2002, the American Heart Association updated their
Guidelines for Primary Prevention of Cardiovascular Disease and
Stroke to include risk factor assessment for all individuals
beginning at age 20.
While we recommend
screening for all individuals, our strongest recommendation is for
those individuals with one or more of the following risk
factors:
- Family history of
cardiovascular disease
- Smoking
- Obesity
- Hypertension (high
blood pressure)
- High LDL
cholesterol level
- Low HDL
cholesterol level
- Diabetes
- Elevated
Lipoprotein (a)
- Poor eating habits
- Sedentary
lifestyle
More Info
If you'd like to have more clinical
evidence on IMT and how it correlates to other risk factors, its
predictive value for assessing subclinical disease, or how it is
being used in current studies . . .please
call |