Searching for Vulnerable Subject
g j
Best results for the Patient
• Actual Model(s...
Who is the Vulnerable Subject ?
j
He is an High risk person:
- Asymptomatic
- h i subclinical a...
Cholesterol Failed
Quantification of Cholesterol and common Risk
Factors failed to predict more than 1/3 of future
card...
Carotid Intima Media Thickness (CIMT)
Intima-Media
5
www.ca...
CALCIUM SCORE
• I the normal artery calcification are not present.
In th l t l ifi ti t t
• T...
CALCIUM SCORE ASSOCIATED WITH OTHER RISK FACTORS
(From: Raggi e coll. Am. Heart J. March 2001).
...
SURVIVAL IN RELATION TO CALCIUM SCORE
Survival in 4474 males 3219 females with more than one risk factor
in relation t...
Coronary TC Angiography and Calcium score
9
www.cardiovascularpre...
Coronary TC Angiography 3D rendering
10
www.cardiovascularprevention.com
Coronary TC
Angiography
Little calcified
plaque(arrows)
11
...
Coronary TC Angiography
Proximal LAD
Small calcifi...
Coronary TC Angiography
Cx Artery and collateral RA and IVP artery
branch
www.cardiova...
Right Artery and small septal vessels(arrows)
g y p ( )
Coronary TC Angio...
Searching for Vulnerable Subject
CV Risk Personal ranking
Very High ...
www.cardiovascularprevention.com
16
Noninvasive Screening for Coronary Artery Disease With Computed
Tomography Is Useful
Melvin E. Clouse, MD
...
Our Program:
Discover the Vulnerable Subject
Our Method Actual Method
§ Clinical hist...
www.CardioVascularPrevention.com
www CardioVascularPrevention com
E-mail: info@cardiovascularprevention.com
23
Prevention of Heart attack, Stroke, Myocardial infarction.Our method
Prevention of Heart attack, Stroke, Myocardial infarction.Our method
Prevention of Heart attack, Stroke, Myocardial infarction.Our method
Prevention of Heart attack, Stroke, Myocardial infarction.Our method
Prevention of Heart attack, Stroke, Myocardial infarction.Our method
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Prevention of Heart attack, Stroke, Myocardial infarction.Our method

Cardiovascularprevention.con is a website for prevention of cardiovascular disease. Heart attack, sudden death or stroke is the first sign of cardiovascular disease in one third of healthy people. In this slide presentation you can find our innovative methods for assesing the first sign of atherosclerosis and the managment of cardiovascular risk in healty individuals...and more.
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Prevention of Heart attack, Stroke, Myocardial infarction.Our method

  • 1. Searching for Vulnerable Subject g j Best results for the Patient • Actual Model(symptoms) ( y p ) 43% Survival CVD’s Risk Factors, Drugs, CABG, Devices… • Long Term Model g 85% Survival Genetic Panel Significant impact on Select and monitor p productivity and Costs y Population at risk saving. Treat specific Patients 2 www.cardiovascularprevention.com
  • 2. Who is the Vulnerable Subject ? j He is an High risk person: - Asymptomatic - h i subclinical atherosclerosis having b li i l h l i not detectable by common risk factor assessment He needs aggressive treatment , but he do not know it - Almost all vulnerable individuals have detectable subclinical atherosclerosis - New technology can identify vulnerable individuals with sufficient predictive power ffi i t di ti www.cardiovascularprevention.com
  • 3. Cholesterol Failed Quantification of Cholesterol and common Risk Factors failed to predict more than 1/3 of future cardiac death rising from Ischemic heart disease LDL Goal Patient Cholesterol LDL goals are 2001* 2004† progressively lowered for High-risk < 100 < 70 CVD prevention, in agree to Moderate-risk < 130 < 100 NCEP panel III Low-risk < 160 < 160 NCEP ATP III = National Cholesterol Education Program Adult Treatment Panel III; LDL = low-density 4 lipoprotein: Charles H. Hennekens, MD; Medscape General Medicine. 2006;8(1):54. www.cardiovascularprevention.com
  • 4. Carotid Intima Media Thickness (CIMT) Intima-Media 5 www.cardiovascularprevention.com
  • 5. CALCIUM SCORE • I the normal artery calcification are not present. In th l t l ifi ti t t • The presence of coronary calcification indicates the existence of coronary disease disease. • The amount of calcification was correlated with the amount of plaque and the number of coronary stenoses. • The research of coronary calcium is an excellent y method of screening asymptomatic patients. • The positive predictive power varies from 20 to 35% and negative predictive power i close t d ti di ti is l to 100%. www.cardiovascularprevention.com 6
  • 6. CALCIUM SCORE ASSOCIATED WITH OTHER RISK FACTORS (From: Raggi e coll. Am. Heart J. March 2001). www.cardiovascularprevention.com 7
  • 7. SURVIVAL IN RELATION TO CALCIUM SCORE Survival in 4474 males 3219 females with more than one risk factor in relation to the values of calcium scores measured by EBCT (Bethesda conference, Jacc 41, 11 2003) 8 www.cardiovascularprevention.com
  • 8. Coronary TC Angiography and Calcium score 9 www.cardiovascularprevention.com
  • 9. Coronary TC Angiography 3D rendering 10 www.cardiovascularprevention.com
  • 10. Coronary TC Angiography Little calcified plaque(arrows) 11 www.cardiovascularprevention.com
  • 11. Coronary TC Angiography Proximal LAD Small calcified plaque (arrows) particular www.cardiovascularprevention.com 12
  • 12. Coronary TC Angiography Cx Artery and collateral RA and IVP artery branch www.cardiovascularprevention.com 13
  • 13. Right Artery and small septal vessels(arrows) g y p ( ) Coronary TC Angiography Traditional Coronary Angiography www.cardiovascularprevention.com 14
  • 14. Searching for Vulnerable Subject CV Risk Personal ranking Very High Risk: >20% High: >2% High :6<20% g Intermediate : 0.6-5,9 % Low: <0 5 % L <0.5 www.cardiovascularprevention.com 15
  • 15. www.cardiovascularprevention.com 16
  • 16. Noninvasive Screening for Coronary Artery Disease With Computed Tomography Is Useful Melvin E. Clouse, MD , www.cardiovascularprevention.com 17
  • 17. Our Program: Discover the Vulnerable Subject Our Method Actual Method § Clinical history y Risk Factors § Common Risk evaluation in Factors study agreement of § New CVD's Markers Framingham model F i h d l and §CIMT NCEP Panel III = § Calcium Score Index Insufficient 50% § Coronary CT angiography (if indicated) www.cardiovascularprevention.com 18
  • 18. www.CardioVascularPrevention.com www CardioVascularPrevention com E-mail: info@cardiovascularprevention.com 23

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