Have you got a pulse?
Subclinical porridge sclerosis is widespread among the non-symptomatic elderly population. In different parts of the body, the most common distribution is the carotid artery, the aorta, the coronal artery and the aperture artery, which is one of the hardened hairlines of the artery. In China, however, there is a sclerosis of porridge and a high rate of carotid porridge. Studies have shown that the proportion of the Chinese population with carotid and carotid carotid carotid is as high as 27.2 per cent and 20.2 per cent, respectively. Significant risk factors contributing to progress in arterial sclerosis include high blood resin (especially low-density protein cholesterol rise), hypertension, diabetes and smoking. Among them, low-density protein cholesterol is the main risk factor for plaster progress.
The widespread presence of cardiac porridges is closely linked to increased cardiovascular risk. The break-up of high-risk specks is an important driver of acute coronary syndrome, significantly increasing the risk of cardiovascular death and all-caused mortality. So, what’s a high-risk speck? High-risk specks are also referred to as loss-prone specks, which are unstable, prone to break-ups and to the formation of blood clots leading to acute cardiovascular events and deaths. The progress of the specks and the break-up of the specks are potential crises leading to clinical incidents.
How can we reduce the occurrence of ASCVD through early screening and prevention? Early identification and assessment of artery samples and the introduction of appropriate intervention strategies are important for preventing the occurrence of ischaemic events. The detection methods are broadly divided into two categories: non-invasive image detection methods and invasive image testing methods. The former include Doppler ultrasound (capal artery/share artery), coronary artery CT imaging and calcification scoring (CAC) for initial screening, hazard stratums; the latter include coronary artery imaging (CAG) and digital disfigurement (DSA), vascular ultrasound (IVUS), vascular lenses, optical cavity scans (OCT), magnetic resonance vascular imaging (MRA), positive electronic ejection computer fault scan (PET), etc., for further assessment and risk reclassification based on the primary sifting.
Cervical arteries can be used as “windows” reflecting the sclerosis of the whole body of the artery, and cervical artery ultrasound screening of the carotid is widely used in clinical applications. The risk layer used for the non-asymptomatic population is a low-risk membrane thickness (IT) of 1.5 mm (mm); 1.5 mm < IMT < 2.5 mm is medium-risk; IMT < 2.5 mm or 1.5 mm < IMT < 2.5 mm is a combination of a high-risk characteristic block or a narrow neck artery of < 50%, is high-risk; and a narrow 50% or two high-risk characteristic blocks are very high-risk. Coronary artery CT is of high prognosis value for the detection of coronary heart disease, allowing for the assessment of block loads and the identification of unstable plaster characteristics; positive results differ somewhat from coronary pulsation, which is the gold standard for the current diagnosis of coronary disease.
The management objectives of the sclerosis block of the artery are to reverse the size of the block, reduce its load, and change its composition, thereby reducing the risk of a break-up and future major cardiovascular events. A large number of studies have confirmed that the risk of the ASCVD in high, medium and even low-risk populations can be significantly reduced by the use of carcasses. If there are no taboos, it is recommended that LDL-C, which still falls short of the standards, recommend direct initiation of his or her medication, based on the improvement of his or her lifestyle (low salt, low-fat sugar diet, reasonable exercise, cessation of smoking, drinking, adequate sleep). Based on different hazard classes, the lipid reduction target values vary: low-risk, medium-risk population, LDL-C<3.4mmol/L; high-risk population, LDL-C<2.6mmol/L; high-risk population, LDL-C<1.4mmol/L.
In summary, a number of recommendations were made to senior and middle-aged friends in general: 1 – Health examination is important for those over 35 years of age, and a health check is recommended for each year; this should include, but is not limited to, liver, kidney, blood resin, blood sugar, sugar, glycerine, neck vascular ultrasound and/or lower limb vascular ultrasound, lung CT.
2. It is important to consider the interpretation of the medical examination report, which, given the varying qualifications of the doctors at the main medical examination centres and the specialization of the arts, is recommended to be accompanied by a medical report to the general hospital and to the appropriate specialist.
3. The management of chronic diseases is primarily preventive, and early screening and early prevention avoid serious diseases and negative consequences.
