Optimal Management of Asymptomatic Carotid Stenosis in 2021: The Jury is Still Out. An International, Multispecialty, Expert Review and Position Statement.

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Abstract

The recommendations of international guidelines for the management of asymptomatic carotid stenosis (ACS) often vary considerably and extend from a conservative approach with risk factor modification and best medical treatment (BMT) alone, to a more aggressive approach with a carotid intervention plus BMT. The aim of the current multispecialty position statement is to reconcile the conflicting views on the topic.

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Most cited references 57

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Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association

Salim S. Virani, Alvaro Alonso, Hugo Aparicio … (2021)

The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2021 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population, an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, the global burden of cardiovascular disease, and further evidence-based approaches to changing behaviors related to cardiovascular disease. Each of the 27 chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. The Statistical Update represents a critical resource for the lay public, policy makers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

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The Physical Activity Guidelines for Americans

Katrina L Piercy, Richard Troiano, Rachel M Ballard … (2018)

Approximately 80% of US adults and adolescents are insufficiently active. Physical activity fosters normal growth and development and can make people feel, function, and sleep better and reduce risk of many chronic diseases.

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2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association

Dawn Kleindorfer, Amytis Towfighi, Seemant Chaturvedi … (2021)

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Author and article information

Journal

Journal ID (iso-abbrev): J Stroke Cerebrovasc Dis

Title: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

Publisher: Elsevier BV

ISSN (Electronic): 1532-8511

ISSN (Print): 1052-3057

Publication date (Electronic): Jan 2022

Volume: 31

Issue: 1

Affiliations

[1 ] Department of Vascular Surgery, Central Clinic of Athens, 24, Alexander Papagou street, N. Iraklio, Athens 14122, Greece. Electronic address: paraskevask@hotmail.com.

[2 ] Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London Medical School, University College London (UCL), London, UK.

[3 ] Vascular Center, Nuova Villa Claudia, Rome, Italy.

[4 ] Department of Radiology, University of Utah, Salt Lake City, UT, United States.

[5 ] Department of Radiology, Medical Imaging Center, University Medical Center Groningen, Groningen, the Netherland.

[6 ] Division of Vascular and Endovascular Surgery, St. Elizabeth's Medical Center, Brighton, MA, United States.

[7 ] Division of Vascular and Endovascular Surgery, Yale University School of Medicine, New Haven, CT, United States.

[8 ] Section of Vascular Surgery, Imperial College and Imperial Healthcare NHS Trust, London, UK.

[9 ] Department for Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

[10 ] Vascular Surgery, University of Bologna "Alma Mater Studiorum", Policlinico S. Orsola Malpighi, Bologna, Italy.

[11 ] Department of Vascular Surgery, University of Lisbon, Lisbon Academic Medical Center, Lisbon, Portugal.

[12 ] Department of Vascular Surgery, Medical University of Innsbruck, Innsbruck, Austria.

[13 ] Department of Vascular Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

[14 ] Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, United States.

[15 ] Queensland Research Center for Peripheral Vascular Disease, James Cook University, Townsville University Hospital, Townsville, Queensland, Australia.

[16 ] Department of Radiology, Weill Cornell Medicine, New York, United States.

[17 ] Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center, Houston, TX, United States.

[18 ] Department of Vascular Surgery, University of Patras Medical School, Patras, Greece.

[19 ] First Department of Internal Medicine, AHEPA University Hospital, Thessaloniki, Greece.

[20 ] Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

[21 ] CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, the Netherland; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherland.

[22 ] Vascular Surgery Department, IRCSS MultiMedica Hospital, Castellanza, Italy.

[23 ] Athens Vascular Research Center, Athens, Greece.

[24 ] St. George's Vascular Institute, St. George's University of London, London, UK.

[25 ] Faculty of Medicine of the University of Porto, Porto, Portugal; Department of Angiology and Vascular Surgery, Hospital de S. Joao, Porto, Portugal.

[26 ] Department of Vascular and Endovascular Surgery, Louis Pradel Hospital, Hospices Civils de Lyon, France.

[27 ] Department of Surgery, University of Nicosia Medical School, Nicosia, Cyprus.

[28 ] Department of Vascular Disease, University Medical Center, Ljubljana, Slovenia.

[29 ] Department of Clinical Research, University of Poitiers, CHU de Poitiers, Poitiers, France.

[30 ] Department of Surgery, Division of Vascular Surgery, New York University, Langone Medical Center, New York, United States.

[31 ] Department of Neurology, University Hospital Heidelberg, Germany.

[32 ] Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, United States.

[33 ] Department of Radiology, Azienda Ospedaliera Universitaria Di Cagliari, Cagliari, Italy.

[34 ] Department of Neurology, University of Regensburg, Regensburg, Germany.

[35 ] Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.

[36 ] Vascular Surgery Division, Campus Bio-Medico University of Rome, Rome, Italy.

[37 ] Department of Vascular and Endovascular Surgery, Western Vascular Institute, University Hospital Galway, National University of Ireland, Galway, Ireland.

[38 ] Stroke Diagnosis and Monitoring Division, AtheroPointTM, Roseville, United States.

[39 ] Division of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherland.

[40 ] Department of Neurology and Stroke Program, University of Maryland School of Medicine, Baltimore, MD, United States.

Article

Publisher Item ID: S1052-3057(21)00587-5

DOI: 10.1016/j.jstrokecerebrovasdis.2021.106182

PubMed ID: 34735900

SO-VID: b039fe9a-f725-49d6-a430-b42bf411ca22

History

Keywords: Asymptomatic carotid stenosis,Best medical treatment,Carotid endarterectomy,Carotid plaque,Stroke

Data availability:

Keywords: Asymptomatic carotid stenosis, Best medical treatment, Carotid endarterectomy, Carotid plaque, Stroke

Optimal Management of Asymptomatic Carotid Stenosis in 2021: The Jury is Still Out. An International, Multispecialty, Expert Review and Position Statement.

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UCL: UN SDG 03 Good Health and Well-Being

Most cited references 57

Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association

The Physical Activity Guidelines for Americans

2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association

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