Abstract:
PURPOSE OF REVIEW:Routine measurement of echolucency of atherosclerotic plaques, in addition to degree of stenosis, may change clinical practice in the future. Within the context of previous knowledge in this field, we therefore review recent developments in detection and histological characterization of echolucent rupture-prone plaques and risk for ischaemic events associated with them, as well as risk factors and treatment for such plaques. RECENT FINDINGS:Plaque echolucency is associated with increased lipid content and macrophage density (and sometimes haemorrhage), whereas fibrous tissue (and sometimes calcification) dominates echo-rich plaques. Echolucent carotid plaques are associated with higher risk for future ischaemic stroke, particularly in previously symptomatic individuals, and possibly with risk for restenosis after endarterectomy as well as myocardial infarction. These plaques also associate with elevated levels of triglyceride-rich lipoproteins (and with reduced levels of HDL), but not with elevated levels of LDL or acute phase reactants. Risk factor intervention may be more beneficial for patients with echolucent plaques than in those with echo-rich plaques, whereas coronary stenting may be less efficient in patients with echolucent plaques. SUMMARY:If it is to be clinically useful, then the ultrasound method must be further improved such that it may accurately detect echolucent rupture-prone plaques in the individual patient. Furthermore, the possible superior benefit from preventive treatments deployed selectively in patients with echolucent plaques must be better documented in large randomized trials. When these two requirements are met, routine measurement of plaque echolucency could change clinical practice with respect to the preventive treatments that are offered to patients with echolucent plaques as compared with those without such plaques.
journal_name
Curr Opin Lipidoljournal_title
Current opinion in lipidologyauthors
Nordestgaard BG,Grønholdt ML,Sillesen Hdoi
10.1097/01.mol.0000092628.86399.9fsubject
Has Abstractpub_date
2003-10-01 00:00:00pages
505-12issue
5eissn
0957-9672issn
1473-6535journal_volume
14pub_type
杂志文章,评审abstract:PURPOSE OF REVIEW:Familial hypercholesterolemia is associated with a high lifetime risk of atherosclerotic cardiovascular disease (ASCVD). However, this risk is variable. This review evaluates recent evidence related to ASCVD risk stratification in familial hypercholesterolemia considering aspects of phenotype and geno...
journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
doi:10.1097/MOL.0000000000000391
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
doi:10.1097/00041433-200406000-00004
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journal_title:Current opinion in lipidology
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journal_title:Current opinion in lipidology
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doi:10.1097/MOL.0b013e32832ac026
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journal_title:Current opinion in lipidology
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journal_title:Current opinion in lipidology
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abstract:PURPOSE OF REVIEW:The association of dietary intake and fatty liver disease (FLD) is of importance for disease prevention. Dietary pattern analysis enables the investigation of overall diet and permits to take interactions and cumulative effects of dietary components into account. This review summarizes recent findings...
journal_title:Current opinion in lipidology
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2008-08-01 00:00:00
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journal_title:Current opinion in lipidology
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更新日期:2016-02-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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journal_title:Current opinion in lipidology
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更新日期:2010-10-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
doi:10.1097/MOL.0b013e32835a4f40
更新日期:2013-02-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2005-04-01 00:00:00
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journal_title:Current opinion in lipidology
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更新日期:2016-08-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2014-12-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
doi:10.1097/00041433-200410000-00008
更新日期:2004-10-01 00:00:00
abstract:PURPOSE OF REVIEW:To assess factors that promote atherogenesis and cardiovascular disease (CVD) in rheumatoid arthritis (RA). Also, to determine how control of inflammation with conventional and biological antirheumatic drugs affects cardiovascular risk. RECENT FINDINGS:An excess risk of CVD occurs early in the RA dis...
journal_title:Current opinion in lipidology
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更新日期:2011-08-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2012-02-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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journal_title:Current opinion in lipidology
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2006-02-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:1995-06-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2011-10-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2006-06-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2001-04-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
doi:10.1097/MOL.0b013e328328d0bb
更新日期:2009-04-01 00:00:00
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journal_title:Current opinion in lipidology
pub_type: 杂志文章,评审
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更新日期:2000-04-01 00:00:00