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REVIEW ARTICLE
Year : 2014  |  Volume : 18  |  Issue : 1  |  Page : 13-22

Carotid intima-media thickness: Current evidence, practices, and Indian experience


1 Division of Clinical and Preventive Cardiology, Medanta, The Medicity, Gurgaon, Haryana, India
2 Interventional Cardiologist, Mahavir Cardiac Hospital, Surat, Gujarat, India
3 Medical Affairs, Astra Zeneca India, Bangalore, Karnataka, India

Correspondence Address:
Maya Sharma
Cardiovascular Division, Medical affairs, Astra Zeneca India, Bangalore, Karnataka
India
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Source of Support: Astra Zeneca wrt to medical writing support, Conflict of Interest: Dr Maya Sharma was ex-employee of AstraZeneca; others declare no confl ict of interest.


DOI: 10.4103/2230-8210.126522

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As the developed and developing nations cope up with increasing predisposition to cardiovascular diseases (CVD) by adopting lifestyle changes the burden of coronary artery disease continues to rise globally. The presence of modifiable risk factors, which account for more than 90% of the cardiovascular (CV) risk, cannot always be interpreted as the presence of atherosclerotic heart disease and absence of modifiable risk factors do not guarantee absence of atherosclerotic changes in the arterial tree. Increasing awareness about primordial prevention and primary prevention of CVD is of vital importance in such scenarios. Ultrasonographic measurement of intima media thickness has been reported as a procedure to detect the early stages of atherosclerosis. Carotid intima media thickness (CIMT) testing is a safe, noninvasive and cost effective method to detect early atherosclerotic vascular diseases. This method of CV risk evaluation drew attention worldwide and of Indian physicians because of its feasibility in Indian population. Hence, detection and management of atherosclerosis in asymptomatic individuals will go a long way in preventing atherosclerotic diseases and prolonging survival and improving quality of life.


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