Impact of Atherosclerosis Detection by Carotid Ultrasound on Physician Behavior and Risk-Factor Management in Asymptomatic Hypertensive Subjects
DC Field | Value | Language |
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dc.contributor.author | Hong, Sung-Jin | - |
dc.contributor.author | Chang, Hyuk-Jae | - |
dc.contributor.author | Song, Kijun | - |
dc.contributor.author | Hong, Geu-Ru | - |
dc.contributor.author | Park, Seung Woo | - |
dc.contributor.author | Kang, Hyun-Jae | - |
dc.contributor.author | Kim, Eung Ju | - |
dc.contributor.author | Kim, Dong-Soo | - |
dc.contributor.author | Jeong, Myung-Ho | - |
dc.date.accessioned | 2021-09-05T11:52:41Z | - |
dc.date.available | 2021-09-05T11:52:41Z | - |
dc.date.created | 2021-06-15 | - |
dc.date.issued | 2014-02 | - |
dc.identifier.issn | 0160-9289 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/99439 | - |
dc.description.abstract | Background There are limited data regarding the impact of atherosclerosis detection by carotid ultrasound (CUS) on physician prevention efforts and risk-factor management for cardiovascular disease. Hypothesis Atherosclerosis detection by CUS in asymptomatic hypertensive patients would lead to physician prevention efforts, including target low-density lipoprotein cholesterol (LDL-C) level and prescription. Also, it may improve risk-factor management. Methods A total of 347 asymptomatic hypertensive subjects (age 61 8 years, 189 men) were prospectively recruited from 22 hospitals. Prior to CUS, physicians were surveyed regarding target LDL-C level. After CUS, patients were classified into positive CUS (n = 182) and negative CUS (n = 165) groups based on CUS results. Physicians were resurveyed to assess whether the initial target LDL-C goals were changed. At 6 months, cardiovascular risk-factor modification status was reassessed. Results The proportion of lowered target LDL-C levels was significantly larger in the positive CUS group than in the negative CUS group (52% vs 23%, P < 0.001). These results were observed even in subjects who had low and moderate risk according to National Cholesterol Education Program-Adult Treatment Panel III guidelines. Lipid-lowering agents were similarly added or switched to another class in both groups (7% in the positive CUS group vs 11% in the negative CUS group, P = 0.153). LDL-C was significantly decreased in the positive CUS group ( = -24 +/- 38 mg/dL, P < 0.001), whereas it was not significantly decreased in the negative CUS group ( = -6 +/- 31 mg/dL, P = 0.105). Conclusions Atherosclerosis detection by CUS lowered physicians' target LDL-C level and improved cardiovascular risk management in terms of LDL-C reduction. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.subject | INTIMA-MEDIA THICKNESS | - |
dc.subject | CORONARY-ARTERY-DISEASE | - |
dc.subject | CARDIOVASCULAR RISK | - |
dc.subject | SUBCLINICAL ATHEROSCLEROSIS | - |
dc.subject | SMOKING-CESSATION | - |
dc.subject | TASK-FORCE | - |
dc.subject | CALCIUM | - |
dc.subject | TOMOGRAPHY | - |
dc.subject | PREDICTION | - |
dc.subject | GUIDELINES | - |
dc.title | Impact of Atherosclerosis Detection by Carotid Ultrasound on Physician Behavior and Risk-Factor Management in Asymptomatic Hypertensive Subjects | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Eung Ju | - |
dc.identifier.doi | 10.1002/clc.22220 | - |
dc.identifier.scopusid | 2-s2.0-84893940944 | - |
dc.identifier.wosid | 000330824600005 | - |
dc.identifier.bibliographicCitation | CLINICAL CARDIOLOGY, v.37, no.2, pp.91 - 96 | - |
dc.relation.isPartOf | CLINICAL CARDIOLOGY | - |
dc.citation.title | CLINICAL CARDIOLOGY | - |
dc.citation.volume | 37 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 91 | - |
dc.citation.endPage | 96 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | INTIMA-MEDIA THICKNESS | - |
dc.subject.keywordPlus | CORONARY-ARTERY-DISEASE | - |
dc.subject.keywordPlus | CARDIOVASCULAR RISK | - |
dc.subject.keywordPlus | SUBCLINICAL ATHEROSCLEROSIS | - |
dc.subject.keywordPlus | SMOKING-CESSATION | - |
dc.subject.keywordPlus | TASK-FORCE | - |
dc.subject.keywordPlus | CALCIUM | - |
dc.subject.keywordPlus | TOMOGRAPHY | - |
dc.subject.keywordPlus | PREDICTION | - |
dc.subject.keywordPlus | GUIDELINES | - |
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