I always screen carotids to guide statin therapy,and I think that this is important to avoid inappropriate therapy,also for economical reasons.
USPSTF Finalizes Recommendations on Carotid Artery Stenosis Screening — Physician’s First Watch
USPSTF Finalizes Recommendations on Carotid Artery Stenosis Screening
By Amy Orciari Herman
The U.S. Preventive Services Task Force has recommended against screening for asymptomatic carotid artery stenosis in the general adult population (grade D recommendation). Published in the Annals of Internal Medicine, the statement reiterates the group's 2007 guidance.
The harms of screening outweigh the benefits, the task force says. The groups notes that all screening strategies (e.g., ultrasonography, magnetic resonance angiography) "have imperfect sensitivity and could lead to unnecessary surgery and result in serious harms, including death, stroke, and myocardial infarction."
The recommendation applies to adults without histories of transient ischemic attack, stroke, or other neurologic symptoms.
Reader Comments (3)
Carotid arteries are mirros for atherosclerosis. Non invasive and easy acess. I think in any patient with risk factors of hypertension , dyslipidemia, smoking, diabetes, and strong family history of CAD , and age over 60 , carotid screening is strategic for better care.
Why not screen carotids for systemic atherosclerotic disease to guide statin therapy? Carotids are accessible to ultrasound and coronary arteries are not.