Deans' stroke musings: Carotid artery imaging is more strongly associated with the 10-year atherosclerotic cardiovascular disease score than coronary artery imaging

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, September 29, 2019

Carotid artery imaging is more strongly associated with the 10-year atherosclerotic cardiovascular disease score than coronary artery imaging

Your doctor can discuss the pros and cons of each. My carotid arteries were scanned by ultrasound while I did the stress test with angiogram for the coronary. My right carotid was fully blocked but now it seems collaterals have opened around it. I guess two small coronaries at the back of the heart are 30% blocked, doctor doesn't seem concerned.

This seems to be coming soon:

Noninvasive Imaging in Coronary Artery Disease

Carotid artery imaging is more strongly associated with the 10-year atherosclerotic cardiovascular disease score than coronary artery imaging

Journal of Computer Assisted Tomography — Li Ying, Zhu G, Ding V, et al. | September 24, 2019

Researchers compared coronary with carotid artery imaging, and determined which one demonstrates the strongest association with atherosclerotic cardiovascular disease (ASCVD) score. They included two separate series patients (n = 110 in each group) who completed either coronary computed tomography angiography (CTA) or carotid CTA, and they recorded the ASCVD scores and evaluated the CTA imaging. Two-thirds were used to develop predictive models, and one-third generated predicted ASCVD scores. The investigators used Bland-Altman analysis to analyze the concordance. Overall, there were no significant differences between clinical characteristics. Three imaging variables were included in the carotid model, and two coronary models (presence of calcium or Agatston score) were created. The bias between true and predicted ASCVD scores was 0.37 ± 5.72% on the carotid model, and 2.07 ± 7.18% and 2.47 ± 7.82% on coronary artery models, respectively. According to findings, carotid and coronary artery imaging features may predict ASCVD score. However, the carotid artery was more strongly associated with the ASCVD score than the coronary artery.

Read the full article on Journal of Computer Assisted Tomography